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Chapter 7:6 Study Guide NERVOUS SYSTEM P179-187 Nervous System-complex, highly organized system that coordinates all the activities of the body. *The basic structural unit of the nervous system is the neuron, or nerve cell. It consists of a cell body containing:  Nucleus  Nerve fibers called dendrites (carry impulses toward the cell body)  Single nerve fiber called axon (carry impulses away from the cell body) Many axons have a lipid covering called a myelin sheath, which increases the rate of impulse transmission and insulates and maintains the axon. The axon of one neuron lies close to the dendrites of many other neurons. The spaces between them are known as synapses. Special chemicals, called neurotransmitters, located at the end of each axon allow the nerve impulses to pass from one neuron to another. Nerves are a combination of many nerve fibers located outside the brain and spinal cord. Meninges are membranes or protective lining that covers the brain and spinal cord. Afferent, or sensory, nerves carry messages from all parts of the body to the brain and spinal cord. Efferent, or motor, nerves carry messages from the brain and spinal cord to the muscles and glands. Associative, or internuncial, nerves carry both sensory and motor messages. There are two main divisions to the nervous system: 1. 2. Central nervous system: consists of the brain and spinal cord Peripheral nervous system: consists of the nerves. A separate division of the peripheral nervous system is the autonomic nervous system. This system controls involuntary body functions. *Brain-mass of nerve tissue well protected by membranes and the cranium, or skull. The main sections include:  Cerebrum-the largest and highest section of the brain. Responsible for: reasoning, thought, memory, speech, sensation, sight, smell, hearing, and voluntary body movement.  Cerebellum-section below the back of the cerebrum. Responsible for: muscle coordination, balance and posture, muscle tone.  Diencephalon-section between the cerebrum and midbrain. o Thalamus-acts as a relay center and directs sensory impulses to the cerebrum. o Hypothalamus-regulates and controls the autonomic nervous system, temperature, appetite, water balance sleep and blood vessel constriction and dilation. Also involved in emotions such as anger, fear, pleasure, pain and affection.  Midbrain-the section located below the cerebrum at the top of the brain stem. Responsible for conducting impulses between brain parts and for certain eye and auditory reflexes.  Pons-located below the midbrain and in the brain stem. Responsible for conducting messages to other parts of the brain; for certain reflex actions including chewing, tasting, and saliva production; and for assisting with respiration.  Medulla oblongata-the lowest part of the brain stem. Connects with the spinal cord and is responsible for regulating heartbeat, respiration, swallowing, coughing, and blood pressure. The spinal cord continues down from the medulla oblongata and ends at the first or second lumbar vertebrae. *The meninges are three membranes that cover and protect the brain and spinal cord. 1. 2. 3. Dura mater-thick, tough, outer layer Arachnoid membrane-delicate and web like Pia mater-closely attached to the brain and spinal cord and contains blood vessels that nourish the nerve tissue. The brain has four ventricles, hollow spaces that connect with each other and with the space under the arachnoid membrane. The ventricles are filled with a fluid called cerebrospinal fluid. This fluid circulates continually between the ventricles and through the subarachnoid space. It serves as a shock absorber to protect the brain and spinal cord. It also carries nutrients to some parts of the brain and spinal cord and helps remove metabolic products and wastes. After circulating, it is absorbed into the blood vessels of the dura mater and returned to the bloodstream through special structures called the arachnoid villi. The peripheral nervous system consists of the somatic and autonomic nervous systems. The somatic nervous system consists of 12 pairs of cranial nerves and their branches and 31 pairs of spinal nerves and their branches. Some of the cranial nerves are responsible for special senses such as sight, hearing, taste, and smell. The Autonomic nervous system is an important part of the peripheral nervous system. It helps maintain a balance in the involuntary functions of the body and allows the body to react in times of emergency. *There are two divisions to the autonomic nervous system: Sympathetic nervous system: prepares the body in times of emergencies. Prepares the body to act by increasing heart rate, respiration, and blood pressure and slowing activity in the digestive tract. This is known as the fight or flight response. Parasympathetic nervous system: After the emergency, this slows down the heart rate, decreases respirations, lowers blood pressure and increases activity in the digestive tract. Cerebral Palsy is a disturbance in voluntary muscle action and is caused by brain damage. Lack of oxygen to the brain, birth injuries, prenatal rubella, and infections can all cause cerebral palsy. Cerebrovascular Accident or CVA (stroke) occurs when the blood flow to the brain is impaired, resulting in a lack of oxygen and a destruction of brain tissue. CVA includes loss of consciousness; weakness or 1. 2. paralysis on one side of the body (hemiplegia); dizziness; dysphagia (difficulty swallowing); visual disturbances; mental confusion; aphasia (speech and language impairment); and incontinence. When a CVA occurs, immediate care within the first three hours can help prevent brain damage. Treatment with thrombolytic or “clot-busting” drugs such as TPA (tissue plasminogen activator) can dissolve the blood clot and restore blood flow to the brain. Aphasia is a speech or language impairment. There are different types. ALS is amyotrophic lateral sclerosis. Also called Lou Gehrig’s disease. This is a chronic degenerative neuromuscular disease. The cause is unknown. Carpal tunnel syndrome is a progressive, painful condition of the wrist and hand. It occurs when the median nurse is pinched or compressed. Concussions are traumatic brain injuries, usually from a blow to the head by an accident, injury or fall. The brain slides back/forward and forcefully hits against the skull. Think of it like a bruise on the brain. Encephalitis is an inflammation of the brain and is caused by a virus, bacterium, or chemical agent. Epilepsy or seizure syndrome is a brain disorder associated with abnormal electrical impulses in the neurons of the brain. Hydrocephalus is an excessive accumulation of cerebrospinal fluid in the ventricles and, in some cases, the subarachnoid space of the brain. It is usually cause by a congenital (at birth) defect, infection, or tumor that obstructs the flow of cerebrospinal fluid out of the brain. The condition is treated by the surgical implantation of a shunt (tube) between the ventricles and the veins, heart, or abdominal peritoneal cavity to provide for drainage of the excess fluid. Meningitis is an inflammation of the meninges of the brain and/or spinal cord and is caused by a bacterium, virus, fungus, or toxins such as lead and arsenic. Multiple Sclerosis (MS) is a chronic, progressive, disabling condition resulting from a degeneration of the myelin sheath in the central nervous system. Neuralgia is nerve pain. Inflammation, pressure, toxins, and other disease cause it. Paralysis usually results from a brain or spinal cord injury that destroys neurons and results in a loss of function and sensation below the level of injury. Hemiplegia is paralysis on side of the body and is caused by a tumor, injury, or CVA. Paraplegia is paralysis in the lower extremities or lower part of the body and is caused by a spinal cord injury. Quadriplegia is paralysis of t harems, legs, and body below the spinal cord injury. Parkinson’s disease is a chronic, progressive condition involving degeneration of brain cells, usually in persons over 50 years of age
Updated 55d ago
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Hemodynamics Blood flow directly affects the stroke volume. Anything that affects blood flow, like resistance, affects stroke volume. Predict what would happen to stroke volume and blood flow if there was an increase in resistance. -> CO = HR x SV • CO = HR × SV • Resistance affects blood flow → affects SV If resistance increases: • It’s harder for blood to flow forward. • The heart must work harder to push the same amount of blood out. 👉 Prediction: • Stroke Volume ↓ (decreases) • Blood Flow ↓ (decreases) 2 | Recall from Activity 1 we used the equation for flow, F = (PA - Pv)/R, where F = Flow; PA = Arteriole Pressure, Pv = Venous Pressure, and R = Resistance. We can simplify the (PA - Pv) to change in pressure (AP). Therefore, we can solve for AP = F x R (Change in Pressure = Flow x Resistance). We can develop a mathematical equation substituting cardiac output for flow to get AP = HR x SV × R which means heart rate, stroke volume, and resistance all have an impact on the blood pressure in the body. To maintain a normal blood pressure, heart rate, stroke volume, and resistance can be altered. Predict what would happen to blood pressure if resistance was increased due to vasoconstriction of the arterioles. Flow equation: F = (PA - Pv)/R • Or rearranged: ∆P = F × R • CO = HR × SV, so ∆P = (HR × SV) × R 👉 Prediction: • If resistance increases due to vasoconstriction, then blood pressure ↑ (increases). 💡 Because narrowing arterioles make it harder for blood to flow, raising the pressure inside the vessels. 3 Afterload is the amount of resistance the left ventricle must overcome to force open the aortic semilunar valve, ejecting the blood into the ascending aorta. The greater the afterload, the harder it is to open the aortic semilunar valve, and less blood is ejected into the ascending aorta. Stroke volume is the amount of blood ejected into the ascending aorta during left ventricular systole. Stroke volume can be calculated by subtracting the End Systolic Volume (ESV) from the End Diastolic Volume (EDV). SV - EDV - ESV. EDY is the amount of blood in the ventrice when the ventricle is 100% filled. ESV is the amount of blood let in the ventrice after systole (contraction) ends. The greater the afterload, the larger the BSV. Resistance is generated from the body's arterioles pushing blood back towards the heart and is called peripheral vascular resistance. When there is an increase in peripheral vascular resistance, afterload is increased. a | Predict what would happen to the ESV If peripheral vascular resistance was increased. If peripheral vascular resistance increases: • Afterload (the pressure the left ventricle must overcome) increases. • The ventricle can’t eject as much blood. 👉 ESV ↑ (increases) — more blood stays in the ventricle after contraction. b | Predict what would happen to cardiac output if the ESV amount was increased. If ESV increases: • Stroke volume = EDV - ESV → less blood ejected per beat. • Therefore, stroke volume ↓, so cardiac output ↓. 💡 Because the heart is pumping against greater pressure, it empties less efficiently. 4 | Coronary artery disease is a form of atherosclerosis, where plaques form in the coronary arteries of the heart. This causes a decrease in the radius of the arteries due to the accumulation of plaque within the lumen of the arteries. Recall the right and left coronary arteries come off the ascending aorta, just above the aortic semilunar valve. a | Predict what will happen to the resistance in the coronary vessels that contain plaques. Resistance in coronary vessels: • Plaque narrows the lumen → resistance ↑ (increases). b | What will happen to the resistance on the aortic semilunar valve? How will this impact afterload? Explain. Resistance on the aortic semilunar valve & afterload: • The narrowing in coronary arteries doesn’t directly affect the valve, but overall, the heart faces increased resistance to blood flow leaving the aorta, so afterload ↑ (increases). c | How will this impact the ability of the heart to contract (with greater or less force)? Impact on heart contraction: • With increased afterload, the heart must contract with greater force to eject blood. • Over time, this strains the heart and can lead to weaker contractions and heart failure if untreated. 5| Calcium channel blockers like verapamil are used to help the smooth muscle of the arteries relax and is often a treatment for coronary artery disease. Explain how verapamil will affect resistance in the coronary arteries. How will this affect blood pressure in the body as a whole? How will this impact the ability of the heart to contract (with greater or less force)? What verapamil does: • Relaxes smooth muscle in arterial walls → vasodilation (arteries widen). Effects: • Resistance ↓ (decreases) in coronary arteries. • Blood pressure ↓ throughout the body (less vascular resistance). • The heart doesn’t have to work as hard → afterload ↓ → contracts with less force, but more efficiently. 💡 It eases the workload on the heart by widening the arteries and lowering overall pressure
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Accumulation
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