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Chapter 5 phlebotomy
the heart
Question | Answer |
---|---|
circulatory system | means by which oxygen and food are carried to the cells of the body and also carbon dioxide and other wastes are carried away from the cells to the excretory systems and aids in teh coagulation process, defends the body against disease |
pericardium | the heart is surrounded by a thin fluid filled sac |
septa/ septum | the right and left chambers are separated from each other by partions |
Heart | four chambered hollow muscular organ, slightly larger than a mans closed fist |
epicardidum | thin outer layer of the heart |
myocardium | the middle muscule layer of the heart |
endocardium | the thin inner layer of the heart |
right atrium (upper right) | receives deoxygenated bloodf rom the heart via the vena cava and pumps to right ventricle |
right ventricle (lower right) | receives blood from the right atrium and pums it into the pulmoanry arter which carries it to the lungs to be oxygenated |
left atrium (upper left) | receives oxygenated blood from the lungs via the pulmonary veins and pumps it into the left ventricle |
left ventricle (lower left) | pumps it into the aorta. the walls are nearly three times as thick as the tother ventricleowing to the force required to pump the blood to the arterial system |
atrioventricular valves | valves at the entrance to the vetricles |
chordae tendineae | AV are attached to the walls of the ventricles by thing threads of tissue |
semilunar valves | valves that exit the ventricles |
coronary arteries | recieves its blood supply via the right and left ... that branche off the aorta |
ischemia | partial obstruction of a coronary artery or one of its branches can reduce blood flow toa point where it si not adequate to meed the oxygen needs of the heart muscle |
mycardial infarction | complete obstruction or prolonged ischemia also called heart attach because of necrosis of the surrounding tissue from lack of oxygen |
cardiac cycle | one complete contraction and subsequent relation of the heart lassts about 0.8 seconds |
systole | contracting phase of the cardiac cycle |
diastole | the relaxing phase of the cardiac cycle |
electrical conduciton system | SA node, internodal pathway fibers, AV node, AV bundle(bundle of His) |
SA node or sinoatrial | begins heart beat sends the pulses to contract simultaneously and push blood through the atrioventricular valves into the ventricles |
internodal pathway fibers | relay the impulse to the AV node |
AV node or atrioventricular | picks up the impulse, slows it down while the atria finish contracting and then relatis it through the AV bundle |
AV bundle | relays impulse throughout the ventricular walls by means of bundale branches and Purkinje fibers. THis causes the ventricles to contract, forcing blood through the semilunar valves |
electrocardiogram | an actual record of the electrical currents that correspond to each event in heart muscle contraction |
lubb | vetricles contract the atrioventricular valves close, resulting in the first heart sound: a long,low pitched should commonlly described as a ... |
dupp | second sound comes at the beginning of ventricular relaxation and is due to the closing of the semilunar valves. shorter and sharper |
murmurs | abnormal heart sounds |
heart rate | number of heart beats per minute |
arrhythmia | irregularity in teh heart rate, rhyth, or beat |
bradycardia | slow rate, less than 60 beats per minute |
tachycardia | fast rate, over 100 beats per minute |
extrasystoles | extra beats |
fibrillation | rapid, uncoordinated contractions |
pulse | the palpable rhythmic throbbing caused by the alternating expansion and contraction of an artery as a wave of blood passes through |
blood pressure | the measure of force exerted by the blood on th ealls of the blood vessels. |
sphygmomanometer | blood pressure cuff |
systolic pressure | pressure in teh arters during contraction of the ventricles |
diastolic pressure | the arterial pressure during relaxation of the ventricles |
angina pectoris/ ischemic heart disease (IHD) | pain on exetion, caused by inadequate blood flow to the myocardium from the coronary arteries |
aortic stenosis | narrowing of the aorta or its opening |
bacterial endocarditis | an infection of the lining of the heart, most commonly caused by streptococci |
CHF | impaired circulation caused by inadequate pumping of a diseased heart resulting in fluid buildup in the lungs or other tissues |
MI | heart attack or death of heart muscle due to obstruction of a coronary artery |
mycardial ischemia | insufficient blood flow to meet the needs of the heart muscle |
pericarditis | inflamation of the pericardium |
when a person has a heart attack then the | enzymes CK and AST are released |
Heart tests | ABGs, AST or SGOT, cholestrol, CK, CK-MB, Digoxin, ECG or EKG, LD isoenzymes, microbial cultures myoglobin, K, triglycerides, TnT |