anatomy Flashcards

(46 cards)

1
Q

list blood flow throughout the heart

A

deoxygenated: superior vena cava and inferior vena cava > right atrium > tricuspid valve > right ventricle > pulmonary truck > pulmonary valve > pulmonary ateries

OXYGENATES IN THE LUNGS

oxygenated: pulmonary veins > left atrium > bicuspid valve > left ventricle > aortic valve > aorta

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2
Q

list the main branches of the right coronary artery

A

sinus node artery
right marginal artery
posterior descending artery

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3
Q

what area is supplied by the sinus node

A

right atrium

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4
Q

what area is supplied by the right marginal artery

A

right ventricle

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5
Q

what area is supplied by the posterior descending artery

A

inferior walls of both ventricles
inferior portion of the interventricular septum

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6
Q

what are the main brances of the left coronary artery

A

circumflex artery
left anerior descending artery

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7
Q

what areas does the circumflex artery supply

A

left atrium
posterior and lateral walls of the left ventricle
anterior and lateral walls of the left ventricle

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8
Q

what areas are supplied by the left anterior descending artery

A

anterior portion of the interventricular septum

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9
Q

what is the normal pacemaker of the heart

what other structure supports the “pacemaker” to complete cardiac impulses for atrial musculature

A

SA node is the normal pacemaker

AV node supports

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10
Q

what structure conducts cardiac impulses preferentially from right to left atrium

A

backmann bundle

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11
Q

what structure is passes through the interventricular septum then divides into the right and left bundle branches

A

bundle of His

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12
Q

what structure is formed by the right and left bundle branches and extends into both ventricular walls

A

purkinje fibers

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13
Q

the sympathetic nervous system releases what hormones

what is the effect of the release of these hormones

A

epinephrine and norepinephrine

stimulation of the chambers to beat faster and stronger

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14
Q

explain the baroreceptor reflex

A

reflex activated based on changes in pressure detected by arterial baroreceptrs and cardiopulmonary receptors

sympathetic activation = increased contraction, heart rate, vasoconstriction and vendor constriction which overall increases BP d/t increase of total peripheral resistance and CO

peripheral activation = decreased HR and contractility which decreases BP

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15
Q

explain the bainbridge reflex

A

increased HR d/t increased venous return

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16
Q

explain chemoreceptor reflex

A

in conditions of acidosis (partial oxygen of <50) = increased in depth and rate of ventilation and reduced heart rate and contractility

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17
Q

explain valsalva maneuver

A

forced expiration against a closed glottis:

results in increased intrathoracic pressure and central venous pressure, and decreased venous return

results in decreased CO and BP which increases HR and contractility

glottis opens:

increase in venous return, BP, and contractility

increase in BP decreases HR

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18
Q

atrial systole

A

contraction of the right and left atria pushing blood into the ventricles

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19
Q

atrial diastole

A

period between atrial contractions when atira are repolarizing

20
Q

ventricular diastole

A

period between ventriculat contraction when ventricles are repolarizing

21
Q

ventricular systole

A

contraction of the right and left ventricles pushing blood into the pulmonary arteries and aorta

22
Q

define preload

A

tension in ventricular wall at the end of diastole

reflects venous filling pressure that fills the left ventricle during diastole

23
Q

define afterload

A

forces that impede the flow of blood out of the heart (peripheral vasculature)

compliance of aorta and mass/viscosity of the blood also affect flow of blood out to the heart

24
Q

define stroke volume (SV)

what are normal rances

A

volume of blood ejected by each contraction of the left ventricle

60-80 ml

25
define cardiac output (CO) what is the equation for CO what are normal ranges what are normal ranges for exercise
amount of blood pumped from L or R ventricle per min CO = SV x HR 4.5 - 5 L/min 25 L/min
26
define venous return
amount of blood that returns to the right atrium each min must be equal to CO when averaged overtime
27
what is normal blood volume for an adult
4.5 - 5 L
28
define hypovolemia what are causes what are S&S
decreased blood volume dehydration (vomiting, diarrhea, burns, sweat, meds), bleeding OH, tachycardia, elevated body temp
29
what is hypervolemia what are the causes what are S&S
fluid overload d/t increased blood plasma excess intake of fluids, sodium/fluid retension swelling in legs, ascites, fluid in lungs
30
what muscles are activated during forceful breathing
rectus abdominis external oblique internal oblque transverse abdominis diaphragm
31
what structures make up the upper respiratory tract
nasal cavity pharnyx larynx
32
describe the anaomy of the right lobar bronchi
right main bronchus divides to superior, middle, and infriour bronchi right superior lobar bronchus: apical, anterior, posterior Right middle lobar bronchus: medial and lateral inferior lobar bronchus: superior, medial basal, anterior basal, lateral, posterior
33
describe the anatomy of the left main bronchus
L main divides to sup and inf L superior: superior (divides to anterior segmentala nd apocoposterior segmental) and inferior (divides to superior and inferior) L inferior divides to superior, lateral basal, posterior basal, anterior basal
34
define anatominc dead space volume (VD)
volume of air that occupoes the non-respiratory conducting airways
35
define expiratory reserve volume (ERV) %?
max volume of air that can be exhaled after a normal tidal exhalation 15%
36
define forced expiratory volume (FEV)
maximal volume of air exhaled in a specific period of time
37
define forced vital capacity (FVC)
volume of air expired during a foreced maximal expiration after a forced maximalal inspiration
38
define functional residual capacity (FRC) %?
volume of air int he lungs after normal exhalatition FRC = ERV + RV ~40%
39
define inspiraptory capacity (IC) %?
maximal volume of air that can be inspired after a normal titdal exhalation IC = TV + IRV ~60%
40
define inspriatroy reserve volume (IRV) %?
maximal volume of air that cna be inspired after a normal tidal inspiration 50%
41
define minut volume ventialtation (VE)
volume of air expired in one min E = TV x RR
42
define peak expiratory flow (PEF)
max flow of air during the beginnning of forced expiratory maneuver
43
define residual volume (RV) %?
total volume of gas remaining in the lungs at the end of a max expiration `25%
44
define tidal volume (TV) %?
total volume inspired and expired with each breath during quiet breathing 10%
45
define total lung capacity (TLC)
volume of air in the lungs after a maximal inspiration sum of all lung volumes TLC = RV + VC or TLC = FRC + IC
46
define vital capacity (VC) %?
volume change that occurs betweeen max inspiration and max expiration VC = TV + IRV + ERV 75%