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A.Shaker CV System Quiz 2
Cardiovascular
111
Nursing
Graduate
02/17/2015

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Cards

Term
Where is the heart located?
Definition
In the thoracic cavity within the mediastinum
Term
The heart is shaped like a?
Definition
Cone where the base is superior
Term
Where does the apex sit?
Definition
Right on top of the diaphragm
Thinnest point
Where your aiming to hear the Apical
Term
What is the pericardium?
Definition
a double-walled sac containing the heart and the roots of the great vessels. The pericardial sac has two layers, a serous layer and a fibrous layer. It encloses the pericardial cavity which contains pericardial fluid.
Term
What is the fibrous pericardium?
Definition
The fibrous pericardium is the most superficial layer of the pericardium. It is made up of dense, and loose connective tissue which acts to protect the heart, anchoring it to the surrounding walls, and preventing it from overfilling with blood.
Term
Inside the fibrous pericardium there is the Serous pericardium and that is?
Definition
3 Serous membranes made up of 2 or three layers the most superficial layer is called the parietal pericardium all the way on the outside right next to fibrous pericardium
Term
What is serous fluid?
Definition
Serous fluid is between the two layers of the pericardium and reduces friction
Term
Friction in the body is pain
Definition
Reduce friction reduce pain
Term
The visceral pericardium is?
Definition
Sits on top of cardiac muscle and becomes part of the heart wall
Term
What is the epicardium?
Definition
The outermost layer which is visceral layer of the serous pericardium
Term
What is myocardium?
Definition
Composed of cardiac muscle
Term
What is endocardium?
Definition
Composed of connective tissue and squamous epithelium cells
Term
The endocardium provides what surface for blood flow?
Definition
Smooth
Term
The dividing wall of the heart is called?
Definition
Septum
Term
What side receives and pumps deoxygenated blood?
Definition
Right side
Term
What side receives and pumps oxygenated blood?
Definition
Left side
Term
What are the 4 chambers of the heart called?
Definition
Right and Left atrium

Right and left ventricle
Term
What receives blood into the heart?
Definition
The atrium
Term
What pumps blood out of the heart?
Definition
The ventricles
Term
The shipping department of the heart are?
Definition
The ventricles
Term
The atrium has thin walls because?
Definition
Its only pumping blood top to bottom
Term
The ventricles pump blood out of the heart so it has?
Definition
Thick walls
Term
Think of heart valves as what type of door?
Definition
One way door
Flow one way
Blood flow one direction
Term
What are the 4 valves of the heart?
Definition
Tricuspid valve(right AV valve)

Pulmonic valve(right semi lunar valve)

Mitral valve(left AV valve)

Aortic valve(left semi lunar valve)
Term
What valve is between the right atrium and right ventricle?
Definition
Tricuspid
Term
What valve is between the left atrium and left ventricle?
Definition
Mitral valve
Term
What is the valve between the left ventricle and artery that takes blood away from the left ventricle is called the?
Definition
Aortic
Term
What is the cardiac cycle sequence of events in one heartbeat?
Definition
Atrial contraction

Ventricular contraction

Ejection

Ventricular relaxation

Passive ventricular filling
Term
What is cardiac output?
Definition
=Stroke volume x Heart rate

Cardiac output varies to meet the bodys demand for O2
Term
What is stroke volume
Definition
Amount of blood ejected from the ventricle with each heartbeat
Term
What is preload?
Definition
Amount of blood in the ventricle at the end of diastole
Term
What is afterload?
Definition
Amount of pressure (resistance) that the ventricle has to overcome in order to eject blood into the artery (vascular resistance)
Term
What is contractility?
Definition
Strength of contraction of the myocardium
Term
What are the conduction systems of the heart?
Definition
SA node
AV node
Bundle of his
Right and left bundle branches
Term
What is the SA node?
Definition
Specialized mass of tissue that initiates the signal for each heartbeat
Term
Where is the SA node located?
Definition
Upper wall of the right atrium
Term
What is the heart set too by the SA node? (normal sinus rhythm)
Definition
60-100 bpm
Term
What is called the pacemaker of the heart?
Definition
SA node
Term
What is the AV node?
Definition
Receives the signal from the SA node and delays conducting it usually until end of atrial systole
Term
Where is the AV node located?
Definition
Located at the bottom of the right atrium
Term
Where does the AV node transmit the signal?
Definition
To the bundle of his
Term
What is another function of the AV node?
Definition
Can initiate the signal for heart beats tot he bundle of his if the SA node is damaged but at a lower rate
Term
The medulla oblongata has how many cardic centers?
Definition
Two

The accelerator center which provides sympathetic stimulation

The inhibitory center which provides parasympathetic stimulation via the vagus nerve (cr nerve x)
Term
What are blood vessels?
Definition
Hollow organs and the walls have 3 layers
Term
What are the 3 layers that make the wall of blood vessels?
Definition
Connective tissue

SMooth tissue

Simple squamous epithelium
Term
What are the types of blood vessels?
Definition
Arteries

Arterioles

Capillaries

Venules

Veins
Term
What are the types of circulation?
Definition
Pulmonary

Systemic

Coronary

Hepatic portal circulation
Term
What is pulmonary circulation?
Definition
RV to pulmonary artery (deoxygenated blood)

Pulmonary artery (R and L branches) to the lungs

Oxygenation of blood in the lungs

Pulmonary veins return oxygenated blood to the LA
Term
What is systemic circulation?
Definition
LV to aorta (oxygenated blood)

Ascending aorta (coronary arteries)

Aortic arch (arteries that supply the head and upper extremities)

Descending aorta (arteries that supply the lower body)

Deoxygenated blood returns to the RA by way of the superior and inferior vena cava
Term
What is coronary circulation?
Definition
Coronary circulation supplies the myocardium

The R and L coronary arteries are the first branches from the ascending aorta

Blood is drained from the heart by the coronary sinus which opens into the RA
Term
What is hepatic portal circulation?
Definition
Blood that is rich in nutrients leaves the stomach, pancreas and intestines (both small and large) and passes through the liver before it reaches the inferior vena cava on its way back to the heart
Term
What does the liver do to toxins?
Definition
Detoxifies toxins and processes and stores toxins
Term
What is blood pressure?
Definition
The force exerted by the blood against the walls of the blood vessels
Term
What are some factors that affect blood pressure?
Definition
Blood volume

Cardiac output

Resistance to flow

Blood vessel elasticity
Term
What is a pulse?
Definition
A heart beat that is palpated at a peripheral arterial site

The artery has to be superficial and cross firm tissue
Term
What are some common sites for palpating pulses?
Definition
Radial
Brachial
Carotid
Temporal
Femoral
Popliteal
Term
What is blood?
Definition
Viscous fluid connective tissue which varies in color from bright red to dark red
Term
What is the total blood volume?
Definition
5-6 Liters in males

4-5 Liters in females
Term
What are some functions of blood?
Definition
Transportation
Regulation
Protection
Term
What is the color of oxygenated blood?
Definition
Bright red
Term
What is the color of deoxygenated blood?
Definition
Dark red/purplish
Term
Bloos is more viscous and dense than?
Definition
Pure water
Term
What is the ph range for blood?
Definition
7.35-7.45
Term
What is the temperature of blood?
Definition
Slightly warmer than body temperature
100.4 (38 C)
Term
What are the components of blood?
Definition
Whole blood is 55% plasma
<1% leukocytes
45% erthocytes (% is known as the hematocrit)
Term
What is plasma
Definition
Straw colored, sticky fluid
It is mostly water but has many solutes: nutrients, gases, hormones, wastes, ions, and proteins
Term
What is serum?
Definition
Plasma from which the clotting proteins have been removed
Term
Plasma proteins are mostly produced by the?
Definition
Liver
Term
What is an important plasma protein?
Definition
Albumin
Term
What are some traits of albumin?
Definition
Acts as a carrier for other molecules

Buffers the blood and

is a major contributor to blood osmotic pressure (which keeps water in the blood vessels and keeps it from leaking out into the tissues) Sodium ions also contribute to osmotic pressure
Term
What are antibodies?
Definition
Produced by plasma cells (B lymphocytes) in response to specific antigens and play a major role in immunity
Term
What are blood clotting factors?
Definition
Proteins that are produced by the liver that cause coagulation ex. fibrinogen and prothrombin
Term
What the plasma regulatory substances?
Definition
Hormones and enzymes
Term
What are the plasma nutrients?
Definition
Glucose

Amino acids

Fatty acids
Term
What are the plasma electrolytes?
Definition
ions (Na, K, Ca, Mg)
Term
What are the respiratory gases?
Definition
O2 and CO2
Term
What are the plasma wastes?
Definition
Nitrogenous and metabolic wastes?
Term
What are the formed elements?
Definition
Erthyocytes

Leukocytes

Thrombocytes
Term
What are the traits of erythrocytes?
Definition
Normal count: 4.4-5 million/uL

Hgb: expressed in g/dL

Hct: expressed in %
Term
What are the functions of erthrocytes?
Definition
Transport O2 bound in hemoglobin

Hemoglobin transports some CO2

Hemoglobin acts as a buffer
Term
What is the most numerous blood cell?
Definition
Erythrocytes (RBC) 5 million per milliliter
Term
How would you describe erythrocytes?
Definition
Biconcave disks

Without nuclei

Which contain large amounts of hemoglobin (the oxygen carrier)
Term
What is the lifespan of erythrocytes (RBCs)
Definition
120 days
Term
What is erythropoiesis?
Definition
Occurs in the bone marrow

Production is stimulated by the hormone erythropoietin
Term
Where is erythropoietin produced?
Definition
Produced by the kidney in response to tissue hypoxia
Term
Define Leukocytes
Definition
WBCs

Round cells with large nuclei

Classified according to the characteristics of the nucleus
Term
What is the lifespan of leukocytes (WBCs)?
Definition
A few hours to a few days
Term
What are the functions of leukocytes?
Definition
Protective

Destroy pathogens

Produce antibodies

Clean the body of foreign material and tissue debris
Term
What are the characteristics of leukocytes?
Definition
Normal count 5-10,000 cells/mL

Multiply during acute infection so a count can jump to 12,000 cells/mL and is indicative of infection
Term
What is the classification of leukocytes?
Definition
Granulocytes

Neutrophils phagocytes (first responder in acute infections)

Eosinophils allergic reactions and defense against parasites

Basophils allergic reactions and inflammation
Term
What is Leukocytes agranulocytes?
Definition
Lymphocytes T cells and B cells

Monocytes (macrophages)
Term
What are the functions of thrombocytes?
Definition
Essential in blood coagulation

Help to repair damaged blood vessels
Term
What are the characteristics of thrombocytes?
Definition
Cell fragments of a megakaryocyte
Term
What is the normal count of thrombocytes?
Definition
150-450,000/uL
Term
What is the lifespan of thrombocytes?
Definition
5-9 days
Term
What is hemostasis?
Definition
Stopping of bleeding
Term
What does injury cause?
Definition
Rupture of blood vessels
Term
What is vascular spasms?
Definition
Triggered by injury, pain, chemicals and tries to reduce blood loss
Term
What is platelet plug formation?
Definition
Seal damaged blood vessels
Term
What is coagulation?
Definition
Series of reactions the end result of which is the production of fibrin
Term
What is fibrin?
Definition
A touch insoluble protein, that forms part of the blood clot (along with platelets)
Term
Prothrombin + Ca = ?
Definition
Thrombin
Term
Thrombin + fibrinogen = ?
Definition
Fibrin
Term
Fibrin + platelet plug = ?
Definition
Clot
Term
Platelets do not usually stick to?
Definition
each other or blood vessels
Term
What do platelets stick to?
Definition
They stick to each other and to the walls of blood vessel when there is a rough area in the wall of the blood vessel
Term
What is the coagulation cascade process?
Definition
The precursors of the coagulation cascade exist in the blood in soluble, inactive forms
Term
What determines blood type?
Definition
It is determined by the antigens (tiny markers that are present on the surface of cells) on the red blood cells of the body
Term
What are the two major antigen classification systems?
Definition
ABO and Rh system
Term
According to the ABO system how many blood types are there?
Definition
4
Term
What is the Rh system?
Definition
It helps place people in two different blood types (+ and =)

Antibodies are not present prior to first exposure
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