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ECG during a heart attack |
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Definition
-T wave inversion -ST elevation > funny RT wave -ischemic injury > Q is really big |
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Why most MI's in early am |
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Definition
-increased vascular tone in am -BP is slightly increased -accelerated blood coagulation |
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Definition
-HR responsive to activity, stress, temp, anxiety -regulated through autonomic NS -sympathetic > accelerator nerves synapse with SA/AV + myocardium -Parasympathetic - cardio-inhitor in medulla by way of vagus nerve |
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Definition
-epinephrine, thyroxine > +HR -+Ca > cardiac depression, cardiac irritability --Ca > depressed unresponsive heart -+K > heart block --K > feeble beating, weak heartbeat |
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-thicker than veins 5-6 x -endothelium -middle layer -outer layer |
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Definition
-inner layer -smooth, single layer of squamous epi |
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Definition
-tunica media -bulk of wall -smooth muscle w/ thick layer of elastic connective tissue -withstand BP -stretches -vasoconstricts/vasodialtes |
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Definition
-tunica externa -connective tissue with regular elastic collagenous fibers -attaches artery to surrounding tissues |
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Definition
-innervated by autonomic NS -vasomotor control -taper to smaller arterioles > thinner layers -metarterioles join with caps |
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Definition
veins and arteries a joined directly without capillaries |
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Definition
-connection between arteries and veins -extensions of endothelial lining of arteries -one cell layer thick -point of gas/nutrient exchange -point of circulatory return |
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Definition
-pore size varies > largest in liver, spleen, marrow > allows large protein + cells to leave -smallest > smooth, skeletal, cardiac muscle -small/limited in brain to create blood/brain barrier |
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high density capillary arrangement |
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Definition
-tiisue w/ high metabolic demand -muscle and nerves more O2 and nutrients |
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low density capillary arrangement |
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Definition
-slow metabolism > tendon, ligament, coenea - don't heal well -don't bleed much |
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Definition
-some caps pass directly from arterioles to venules -others highly branched network |
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Definition
precapillary sphincters relax and that increases flow to skeletal muscles |
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Definition
flow increases in the GI track |
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Term
regulation of capillary flow |
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Definition
-changes in sympathetic tone -controlled by precapillary sphincters - ring of smooth muscle sensitive to changes in O2 + nutrients |
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Definition
3 forces -difussion -filtration -osmotic pressure |
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Definition
-high to low concentration -high O2 + nutrients into tissues -from tissue high in CO2 > high metabolic waste out -depends on lipid solubility > diffuse through cell membrane -lipid insoluble > diffuse through pores in cell memb or slits in caps |
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Term
filtration (hydrostatic BP) |
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Definition
-high pressure in arteries vs. veins - arteriolar end versus venular end -hydrostatic pressure pushes small molecules through caps -excess fluid picked up by lymph vessels |
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Definition
plasma proteins in blood cause it to have higher osmotic pressure -this causes fluid + wastes to be drawn into vessels normally more fluid leaves the caps then reeturns -lymph vessels collect excess fluid |
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Definition
-histamine > cap vasolidation > increased cap. permeability > too much fluid for lymph system |
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Definition
-thinner walls -elastic tissue -low presusre -veind of upper and lower limbs -fuction as blood reservoir -loss of blood > sympathetic -vasoconstriction occurs to increase bp |
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blood moved back to heart |
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Definition
-one way valves -massaging action of skeletal muscle -negative pressure of chest |
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Definition
110-140/60-90 s/d s > ventricular contraction d > ventricular filling |
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Definition
expanding and recoiling of arterial wall |
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Definition
-radial > wrist -brachial > arm -carotid > neck -femoral > inner thigh -temporal > head -popliteal > behind knee -facial > jaw bone - post tibial > anckle joint -dorsalis pedis >top of foot |
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Definition
-C.O. -Stroke volume and blood discharged from ventricles -blood volume dehydration, hemorrhage > lower BP -Systemic Vascular Resistance SVR > friction between blood vessels -viscosity BP up -polycythemia > adaptation to high altitudes |
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Definition
-mechanical regulation -nervous regulation -chmical regulation -hormonal regulation |
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Definition
-baroreceptors aortic arch + carotid sinuses > to cardiac center of medulla -up BP > parasym > SA node > down HR cardioinhibitor reflex -down BP sympath > SA node > Up HR cardioaccelerator reflex -vasomotor in medulla reg blood vessel size |
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Definition
-changes in strength of ventricular contraction assure a match of volume in and out |
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Definition
chemoreceptors for 02 and pH > aortic arch, carotid arteries, brain (pons) influences SVR, ebercise > up CO2, down O2, down pH > vasodilation up blood flow |
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Definition
-adrenal medulla >fight/flight response epinephrin -ADH antidiuretic hormone -atrial natriuretic factor > high BP > secreted in atria > down SV and BV |
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Term
CAPILLARY HYDROSTATIC PRESSURE HPc |
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Definition
-fluid flow out -tends to force fluids through the capillary walls -greater at the arterial end |
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capillary colloid pressure OPc |
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Definition
-fluid flow in -created by nondiffusable plasma proteins, which draw water toward themselves |
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Net Filtration Pressure NFP |
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Definition
-considers all forces acting on a capillary bed -at the arterial end of a bed, hydrostatic forces dominate -at the venous end of a bed, osmotic froces dominate |
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Definition
any condition in which blood vessels are inadequately filled and blood cannot circulate normally -results in adequate blood flow to meet tissue needs -3 types -hypovolemic, vascular shock, cardiogenic shock |
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results from large scale blood loss |
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Definition
poor circulation resulting from extreme vasolidation |
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Definition
the heart cannot sustain adequate circulation |
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Definition
short loop that runs from the heart to the lungs and back to the heart |
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Definition
routes blood through a long loop to all parts of the body and returns to the heart |
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