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Tricuspid area of auscultation
5th right intercostal space
Mitral valve area of auscultation
5th left intercostal space, mid-clavicular line
Primary pulmonic area of auscultation
2nd left intercostal space
Aortic area of auscultation
2nd right intercostal space, sternal border
P-wave
atrial depolarization
QRS complex
ventricular depolarization
Does the QRS complex represent atrial repolarization?
No
T-wave
ventricular repolarization
Systole
semilunar open Av closed
Diastole
semilunar closed Av open
Systole top or bottom
top
diastole top or bottom
bottom
Stroke volume equation
SV = EDV - ESV
duration of systole
0.3 seconds
duration of diastole?
0.5 seconds
Range of normal BP
<120 and <80
Range of elevated BP
120-129 and <80
range of stage 1 hypertension
130-139 or 80-89
range of stage 2 hypertension
140+ or 90+
Hypertensive crisis
180+ and/or 120+
Atrial flutter
saw tooth, Multiple P waves

Atrial Fibrillation (A-Fib)
Irregular QRS distance, no distinguishable P waves

V tach
wide QRS complex, P waves blend with Q

V fib
cardiac arrest, CPR and defibrillation, lack of identifiable waves

Hematopoiesis
blood cell formation
Hematopoiesis can form where
BONE MARROW, liver, thymus and spleen
myeloid stem cells give rise to what (4)
erythroblasts, megakaryoblasts, myeloblasts, monoblasts
Erythroblasts give rise to what?
erythrocytes (RBCs)
Megakaryoblasts give rise to what?
Megakaryocytes then thrombocytes (platelets)
Myeloblasts give rise to what?
basophils, neutrophils and eosinophils
monoblasts give rise to what?
monocytes
Lymphatic stem cells give rise to what?
lymphoblasts (B and T)
B lymphocytes are processed where?
Bone marrow
T lymphocytes are processed where?
thymus
Functions of blood
transport, thermoregulation and protection
plasma percentage
55%
Formed elements of blood
45%
what maes up formed elements of blood?
Erythrocytes, leukocytes and platelets
Albumin
maintains osmotic pressure
Globulin Alpha anf beta
transport lipid and fat soluble vitamins
Globulin gamma
antibodies produced by lymphocytes
Fibrinogen
essential for hemostasis (clotting)
Plasma consists of:
90% water and 10% solutes
what are the solutes in plasma?
proteins, electrolytes (Na, K, Ca, HCO), blood gases (O and CO2), nutrients (glucose, amino acids and lipids), enzymes, waste products (urea) and hormones
neutrophils
stains the same with basic and acidic

Eosinophils
stains with acidic

basophils
stain with basic dye

monocytes
An agranular leukocyte, phagocytotic, largest leukocyte

lymphocytes
smallest leukocyte

Universal donor
O-
Universal recipient
AB+
Pernicious anemia
B12 deficiency
Sickle cell anemia
change in shape of erythrocytes
aplastic anemia
failure of blood cell production in the bone marrow
hemorrhagic anemia
anemia due to mass blood loss
iron deficency anemia
anemia caused by inadequate iron intake
CBC
basic assessment, hematocrit, hemoglobin, cont'n RBC leukocytes and platelets
CBC w/ diff
more in depth CBC, helps determine type of infection: bacterial, viral, fungal
CMP
provides info about metabolism
Full lipid panel
cardiac risk assessment HDL+LDL+1/5 triglycerides
The pericardium is a
serous membrane enclosing the heart
the portion of the heart wall that dominates it's volume and provides the propulsion of blood is called the
myocardium
as blood flows through the heart it mus pass through the ___ before entering the right ventricle
Tricuspid valve
Heart chamber with the thickest wall
left ventricle
the dominant tissue of the heart can be distinguished from other tissues under the microscope by the presence of ______
Intercalated disks between cells
The string like structures attaching the AV valves to papillary muscles are called what?
Chordae tendineae
The right atrium does not receive blood from the what?
Pulmonary trunk
the heart chamber that receives blood from the left artium is the ___
left ventricle
the heart structure dividing the two ventricles is called what?
interventricular septum
The portion of the heart conduction system that starts each heartbeat is what?
SA node
On an ECG ventricular depolarization which precedes ventricular systole is recorded as the______
P wave
a common goal among fitness experts and athletes is
bradycardia
Auscultation is an effective method to _____
listen to heart function
An ECG provides a record of ____
heart voltage changes over time
Heart rate can be measured accurately by _____
An ECG and measuring between P waves
T/F: Blood is 45% plasma and 55% formed elements?
False, switch percentages
Which leukocyte is not a phagocyte?
lymphocytes
what is the most abundant cell type?
erythrocytes
Acid/base? Eosinophils
acidic stains
acid/base? basophils
Basic stains
Acid/base? Neutrophils
equal in acidic and basic stains
which blood cells are enucleated
erythrocytes
which leukocyte promotes inflammation
basophil
T/F: leukosytes in leukemia are always immature
False
Neutrophils attach what types of diseases/infections
Bacterial, inflammatory
Eosinophils attack what?
Parasitic infections (by engulfing them)
Basophils attack?
allergies, leukemia
Lymphocytes attack?
Bacterial, viral, fungal, and leukemia
Monocytes attack?
Bacterial, viral, fungal, and leukemia
Never Let Monkeys Eat Bananas
neutrophils, lymphocytes, monocytes, eosinophils, basophils