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19-22
chap 19-22
230
Anatomy
Undergraduate 2
08/18/2010

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Term
Sphygmomanometer measures
Definition
Blood pressure
Term
Blood pressure is lowest in
Definition
inferior vena cava
Term
Arterioles can function as ________ because of ______
Definition
resistance vessel because of smooth muscle
Term
Dehydration is characterized by
Definition
poor skin turgor
Term
Brachial artery is used most often to
Definition
measure blood pressure.
Term
Why should a person taking antihypertensive drugs not drink alcohol or sit in a hot tub?
Definition
Vasodilation and hypotension
Term

These stand for

CO, BP, SV, HR, R

 

What is the equation?

Definition

CO = Cardiac Output

BP = Blood Pressure

SV = Stroke Volume

HR = Heart Rate

R = Resistance

 

BP= SV x HR x R

Term
Plasma oncotic pressure is due to
Definition
plasma protiens, especially albumin
Term
Exertion of pressure over the carotid sinus (tight collar) can induce
Definition
reflex bradycardia
Term
if a child with nephrotic syndrome looses large amounts of albumin in his urin (albuminuria) what happens
Definition
plasma oncotic pressure decreases and he develops edema
Term
if CHP capillary hydrostatic pressure exceeds plasma oncotic pressure....
Definition
fluid is filtered into the interstitium
Term
if plasma oncotic pressure exceeds CHP capillary hydrostatic pressure
Definition
fluid moves osmotically into the capillary from the interstitium
Term
Systolic reading, diastolic reading, and korotkoff sounds are related to
Definition
blood pressure
Term
regulates blood pressure
Definition
baroreceptors
Term
stimulation of the sympathetic nervous system increases
Definition
vascular resistance, stroke volume, and heart rate
Term
Structure that has greatest effect on vascular resistance
Definition
Arterioles
Term
Blood flow is slowest in
Definition
capillaries
Term
blood vessels that have very thin walls and are called exchange vessels
Definition
capillaries
Term
What is the pulse pressure when a person's blood pressure is 120/80 mm Hg?
Definition
40mmHg (120-80)
Term
if the pressure within the pulmonary capillaries increases what can develop
Definition
pulmonary edema
Term
the difference between the systolic and diastolic blood pressure reading
Definition
Pulse Deficit
Term
vasopressors
Definition
elevate blood pressure
Term
Antihypertensive drugs refers to drugs that
Definition
cause vasodilation and reduce vascular resistance
Term
part of the brain that participates in the baroreceptor reflex
Definition
medulla oblongata
Term
epinephrine and norepinephrine
Definition
vasopressors
Term
a sudden rise in blood pressure can produce
Definition
baroreceptor-induced bradycardia
Term
baroreceptors are not actived by
Definition
hypoxemia
Term
if plasma osmolarity increases as in dehydration or infusion of mannitol (a sugar solution)
Definition
fluid is pulled into the capillary from the interstitium
Term
if lymphatic vessels are blocked or surgically removed
Definition
fluid and protein accumulate in the interstitium causing edema
Term
edema is least likely to occur in
Definition
plasma osmolarity increases when patient becomes dehydrated
Term
left ventricle of heart fails
Definition
blood backs up in pulmonary capillary increasing capillary hydrostatic pressure and forcing fluid into the lungs
Term
a pregnant woman notices ankles swollen after standing later she elevates her feet
Definition
swelling diminishes because capillary hydrostatic pressure in the blood vessels of the lower extremities decreases
Term
an IV solution of mannitol (hypertonic sugar solution) is used to decrease intracranial pressure in a head injured patient because
Definition
mannitol pulls water out of the interstitium of the brain into the capillaries relieving edema
Term
capillary hydrostatic pressure is a reflection of
Definition
blood pressure
Term
a drug which is most likely to increas vascular resistance
Definition
arteriolar constrictor
Term
associated with afterload
Definition
arteriolar vasoconstriction
Term
alpha 1 adrenergic agonist exerts a
Definition
vasopressor effect
Term
a drug that activates alpha 1 adrenergic receptors
Definition
elevates blood pressure
Term
newly diagnosed patient is started on prazosin. Gets dizzy and looses consciousness. why?
Definition
prazosin decreased blood pressure too much. Drug induced hypotension caused syncope or fainting event
Term
lymph originally comes from
Definition
interstitial spaces
Term
lymph from the right arm and right side of the head and thorax drain into
Definition
right lymphatic duct
Term
thymosin is a
Definition
hormone
Term
what removes worn out blood cells from circulation
Definition
spleen
Term
the right lymphatic duct and the thoracic duct empty into
Definition
subclavian veins
Term
the cervical lymph nodes drain the
Definition
head and neck region
Term
the pharyngeal tonsils are located near
Definition
opening of the nasal cavity in upper throat and are also called adenoids
Term
the iguinal lymph nodes are located in the
Definition
groin
Term
if the lymphatic vessels and nodes are removed from the right axillary region
Definition
right arm will become edematios
Term
if protiens are allowed to accumulate in the interstitial space
Definition
they will hold water and cause edema
Term
infectious mononucleosis is a viral infection involving
Definition
lymph nodes and is called the kissing disease
Term
tonsillectomy
Definition
removal of palatine tonsils
Term
what is most likely to cause a platelet deficiency
Definition
hyperactive spleen
Term
what is concerned with the processing and maturation of T lymphocytes
Definition
thymus gland
Term
thymus gland is located in
Definition
ventral cavity, thoracic cavity, and mediastinum
Term
the subclavian vein receives lymph from
Definition
the large lymphatic ducts
Term
the spleen, thymus gland, tonsils, and lymph nodes are confined to
Definition
the thoracic cavity
Term
what lymph nodes are generally removed during a mastectomy
Definition
axillary lymph nodes
Term
partially encapsulated lymph nodes located in the throat area
Definition
tonsils
Term
a lacteal is located within
Definition
the intestinal villus
Term
B and T cells are
Definition
lymphocytes
Term
wheezing and hypotension is the effect of
Definition
massive release of histamine
Term
a severe hypersensitivity reaction
Definition
anaphylaxis
Term
if you had measles as a child
Definition
naturally acquired active immunity best describes your immunity to measles
Term
an allergen is
Definition
an antigen
Term
a severe anaphylactic reaction causes
Definition
death by respiratory obstruction
Term
treatment of choice for anaphylactic reaction
Definition
epinephrine
Term
B and T cells represents
Definition
specific immunity
Term
redness, heat, swelling, and pain are indicative
Definition
of inflammation
Term
phagocytosis does not require
Definition
a specific antigen
Term
IgE, IgA, IgM, and IgG are
Definition
antibodies
Term
t cells engage in
Definition
cell to cell combat
Term
B cells are associated with
Definition
plasma cells and antibodies
Term
plasma cells are most related to
Definition
antibody-mediated immunity
Term
what cells engulf the pathogen to achieve antigen presentation
Definition
macrophage cells
Term
classified as killer, helper, suppressor, and memory
Definition
T Cells
Term
Killer T cells destroy pathogens by
Definition
punching holes in their cell membrane and secreting lymphokines
Term
type of immunity where antibodies carried by the blood
Definition
humoral immunity
Term
Helper T cells secrete
Definition
lymphokine that stimulates both T and B cells
Term
A vaccine conveys
Definition
active immunity
Term
cells that do not participate in the destruction of the pathogen but allow for a more rapid responce if the antigen is presented at a later time.
Definition
memory t cells
Term
HIV Human immunodeficiency virus produces severe impairment of the immune system by
Definition
attacking helper t cells
Term
infections are most common in people with
Definition
AIDs acquired immunodeficiency syndrome
Term
the primary response is most associated with a
Definition
low plasma level of antibodies
Term
a titer is the term that refers to
Definition
the level of antibodies in your blood
Term
why you will not get chickenpox as an adult if you were infected as a child
Definition
naturally acquired active immunity
Term
binding of the bee venom allergen to antibodies on the mast cells causes a massive release of
Definition
histamine
Term
natually acquired passive immunity is related to
Definition
placental transfer of antibodies from the mother to the fetus
Term
Immunization
Definition
the use of dead or attenuated pathogens to stimulate antibody production
Term
toxoid
Definition
name of a toxin that has been altered so that it is harmless, yet still antigenic
Term
purpose of a vaccination
Definition
provide the initial exposure to an antigen to stimulate the formation of memory cells
Term
a breastfed infant is initially immune to the same diseases as her mom because of
Definition
naturally acquired passive immunity
Term
contact dermatitis is characterized by a
Definition
local tissue response to T cell activity
Term
Mast cells cause the release of
Definition
histamine
Term
First line of defense
Definition
skin, mucous, membrane, tears, sneezing
Term
specific Immunity
Definition
B Cells, T Cells
Term
Mechanical Barriers
Definition
skin, mucous membrane
Term
chemical barriers
Definition
tears, saliva, stomach acid
Term
protective proteins
Definition
interferons, complement proteins
Term
signs od inflammation
Definition
redness, heat, swelling, pain
Term
nonspecific immunity
Definition
First Line of defense: mechanical barriers, chemical barriers, certain reflexes.

Second Line of Defense: phagocytosis, inflammation, fever, protective proteins (interferons and complement proteins) and natural killer (NK) cells.

No recognition of a specific agent is needed.
Term
a group of proteins secreted by cells infected by a virus
Definition
Interferons. Compliment protiens circulate in the blood in their inactive form and are activated against a bacterium, they swarm over it.
Term
lymphocytes and represent a specific immunity
Definition
B and T cells
Term
Killer, Helper, suppressor, and memory cells
Definition
T cells
Term
the effect of a massive release of histamine is
Definition
wheezing and hypotension
Term
Anaphylaxis
Definition
Severe hypersensitivity reaction that can cause death by respiratory obstruction. Treated by epinephrine. One who is Allergic to penicillin is at risk for anaphylactic shock
Term
HIV Human Immunodeficiency virus
Definition
attacks the helper T Cells and impairs the immune system
Term
discourages growth of pathogens on the surface of the eye
Definition
Tears secrete lysozme
Term
a booster increases
Definition
antibodies to an antigen
Term
the responce the body makes when confronted by an irritant
Definition
Inflammation. It is called an infection and the symptoms are redness, heat, swelling, and pain
Term
phagocytosis does not require
Definition
a specific antigen
Term
the plasma cells are most related to
Definition
antibody-mediated immunity
Term
cells that engulf the pathogen to achieve antigen presentation
Definition
the macrophage cells
Term
use of dead or attenuated pathogens to stimulate the antibody production.
Definition
Immunization
Term
provide initial exposure to an antigen to stimulate the formation of memory cells
Definition
purpose of a vaccine
Term
first line of defense
Definition
skin, mucous membrane, tears, sneezing
Term
specific Immunity
Definition
B and T cells
Term
Chemical barriers
Definition
tears, stomach acid, perspiration
Term
protective protiens
Definition
interferons, complement proteins
Term
nonspecific Immunity
Definition
NK cells, fever, phagocytosis, interferons and compliment protiens, inflammation
Term
pseudopods
Definition
false feet
Term
pus
Definition
thick yellowish accumulation of dead material
Term
Fever
Definition
pyrexia
Term
pyrogens
Definition
fever producing substances
Term
kuffer cells are in
Definition
the liver
Term
respiratory system consists of
Definition
upper respiratory tract and lower respiratory tract
Term
the nose is supported by
Definition
bone cartilage
Term
openings in nose
Definition
nostrils or nares
Term
mucous membranes line nasal cavities and they
Definition
filter, warm, and moisten the incoming air
Term
responds to chemicals in the air
Definition
olfactory receptors in nasal cavities
Term
Paranasal cavities drain into the nasal cavities and are
Definition
frontal, maxillary, sphenoid, ethmoidal
Term
pharynx is divided into 3 parts
Definition
nasopharynx (air only) Oropharynx and laryngopharynx (both air and food)
Term
larynx
Definition
voicebox
Term
conducts air between the pharynx and the trachea and prevents foreign objects from entering the trachea, and produces sound
Definition
larynx
Term
composed of muscle and cartilage, and lined with mucous membrane
Definition
larynx
Term
largest and most anterior cartilage of the larynx
Definition
thyroid cartilage or Adams apple
Term
uppermost catilage that covers larynx during swallowing
Definition
epiglottis
Term
sound is produced by air passing through
Definition
the glottis and causing vocal cords to vibrate
Term
Trachea
Definition
windpipe- extends into chest cavity and bifurcates into left and right bronchi
Term
helps keep trachea open
Definition
tough c-shaped rings of cartilage
Term
anatomic dead air space is associated with
Definition
the trachea
Term
bronchial tree contains the
Definition
bronchi, the bronchioles, and the alveoli
Term
the large primary bronchi branch into
Definition
smaller tubes called bronchioles
Term
bronchioles conduct air between the
Definition
bronchi and alveoli
Term
bronchioles are composed of bronchiolar smooth muscle which
Definition
determine size of respiratory air passages and flow of air to alveoli
Term
tiny grapelike air sacs surrounded by pulmonary capillaries. Gas exchange occurs across the thin walls of this structure
Definition
Alveoli
Term
the partial pressure or PO2 is 104mmHg in
Definition
alveoli
Term
Bronchi or bronchus is distal to the
Definition
trachea and proximal to the alveoli
Term
bronchiolar constriction is likely to cause
Definition
wheezing
Term
seperates the lungs
Definition
mediastinum
Term
right lung has
Definition
3 lobes
Term
left lung has
Definition
2 lobes because the heart is on the left
Term
contains the structures of the lower respiratory tract, blood vessels, and connective tissue.
Definition
the lungs
Term
serous membranes in the chest cavity
Definition
Pleural Membranes

visceral pleura (outside of lungs)
parietal pleura (inside of the chest wall)
Term
serous fluid
Definition
between the pleural membranes prevents friction and keeps membranes together during breathing
Term
the potential space between pleural membranes
Definition
intrapleural space
Term
a lung will collapse when negative pressure is lost in the intrapleural space for two reasons
Definition
orientation of the lung tissue and the surface tension within the aveoli
Term
3 steps of respiration
Definition
ventilation, exchange of respiratory gases, and transport of respiratory gases in the blood
Term
two phases of ventilation
Definition
inhalation, exhalation.
Term
one respiratory cycle is
Definition
one inhalation and one exhalation
Term
boyle's law
Definition
smaller the volume the higher the pressure. The greater the volume lower the pressure the. If volume changes pressure changes.
Term
Ventilation occurs in responce to changes in the
Definition
thoracic volume (boyle's law)
Term
inhalation
Definition
thoracic volume increases. Intrapulmonic pressure decreases. Due to the contraction of respiratory muscles, diaphram, and intercostals.
Term
exhalation
Definition
thoracic volume decreases. Intrapulmonic pressure increases. Elastic lung recoil and surface tension within aveoli aid with exhalation. Repiratory muscles relax.
Term
somatic nerves that supply the diaphram and intercostal muscles
Definition
phrenic and intercostal nerves
Term
Stimulation of the phrenic and intercostal nerves causes
Definition
muscles to contract causing inhalation
Term
an active process meaning energy is used during muscle contraction
Definition
inhalation
Term
forced exhalation is due to
Definition
contraction of internal intercostal and abdominal muscles. Normal exhalation is passive.
Term
exchange of gases occurs in
Definition
the alveoli and pulmonary capillaries
Term
gases diffuse from
Definition
high pressure to low pressure
Term
PO2 or partial pressure of oxygen (amount of pressure gas contributes) is
Definition
104mmHg in the alveoli
40mmHg in the pulmonary capillaries
Term
PCO2 or partial pressure of carbon dioxide is
Definition
40mmHg in the alveoli
45mmHg in the pulmonary capillaries
Term
Gases also exchange at the cells.
Definition
Capillaries PO2 95mmHg
Cells PO2 40mmHg
PCO2 45mmHg
Term
oxygen is transported by
Definition
hemoglobin where oxygen forms a loose bond with the iron called oxyhemoglobin
Term
blood transports most carbon dioxide in the form of
Definition
bicarbonate ion (HCO3-) and some CO2 is dissolved in plasma and bount to hemoglobin as carbaminohemoglobin
Term
Pulmonary volumes 4
Definition
Tidal volume, Inspiratory reserve volume, expiratory reserve volume, residual volume
Term
tidal volume
Definition
volume of air that moves in and out during one cycle
Term
inspiratory reserve volume
Definition
additional air that can be inahaled after a normal inhalation
Term
expiratory reserve volume
Definition
additional air that can be exhaled after a normal exhalation
Term
residual volume
Definition
volume of air remaining in lungs at all times
Term
Vital capacity
Definition
amount of air that can be exhaled after a maximal inhalation. Combines tidal volume, inspiratory reserve volume, and expiratory reserve volume
Term
air remaining in the large conducting passageways unavailable for gas exchange.
Definition
dead space 150ml of air
Term
respiratory center is located in the brain stem in
Definition
medullary respiratory center and the pons
Term
the contains inspiratory and expiratory neurons
Definition
medullary respiratory center. Nerve impulses travel along the phrenic and intercostal nerves.
Term
center helps control the medullary respiratory center to produce normal breathing pattern
Definition
pneumotaxic center and apneustic center in the pons
Term
two other areas of the brain that can control respirations
Definition
Hypothalamus (emotional)
Cerebral Cortex (voluntary control of emotions)
Term
chemicals, stretching of the lung tissue, emotional states, and voluntary input can all affect
Definition
respirations
Term
central chemoreceptors associated with the respiratory center are stimulated by
Definition
blood levels of H+ and Carbon dioxide. Stimulation increases the rate of breathing.
Term
peripheral chemoreceptors are sensitive to low concentrations of
Definition
oxygen and H+ in the blood
Term
flap that covers the glottis preventing entrance of food and water into respiratory tract
Definition
epiglottis
Term
movement of oxygen from alveoli across the pulmonary capillary membranes into the blood requires
Definition
diffusion
Term
water has high surface tension
Definition
because it is a polar melecule
Term
found within the alveoli and greatly reduce the attractive forces among the water molecules lining the alveoli
Definition
surfactants
Term
a preterm infant may develop respiratory distress because of a deficiency of
Definition
surfactants
Term
in order for the lungs to remain expanded you must have
Definition
negative intrapleural pressure
Term
boyle's law
Definition
basis of ventilation.
Inverse relationship between pressure and volume
Term
most important muscle of inhalation, skeletal muscle, dome shape
Definition
diaphragm
Term
located between the ribs
Definition
intercostal muscles
Term
nerve that supplies the diaphragm
Definition
phrenic
Term
inhalation is due to which nerve stimulation
Definition
phrenic nerve stimulation
Term
O2 diffuses from alveoli to
Definition
pulmonary capillarys attached to hemoglobin
Term
Oxyhemoglobin and cabaminohemoglobin are related to
Definition
transport of gases by blood
Term
medullary oblongata is main respiratory control center. Medullary depression can cause
Definition
hypoxia
Term
CO2 is the most important regulator of
Definition
respiratory rate
Term
Hypoventilation
Definition
decreases respiratory excretion of carbon dioxide and can cause hypoxemia and acidosis
Term
inspiratory neurons in medulla fire
Definition
first
Term
movement of air into the lungs
Definition
happens last
Term
when the phrenic nerve fires the diaphram contracts
Definition
next
Term
prevents over inflation of the lungs
Definition
hering-breuer reflex
Term
PCO2 regulates
Definition
respiratory activity
Term
interferes with the activation of the diaphragm and intercostal muscles by their motor nerves
Definition
curare
Term
increased respiratory activity due to acidosis
Definition
Kussmaul respirations
Term
intrapulmonic pressure is greater than intrapleural pressure on
Definition
a normally expanded lung
Term
opioid (narcotic) can depress the medulla oblongata and
Definition
depress ventilation
Term
decreased thoracic volume is from
Definition
relaxation of the diaphragm and the intercostal muscles
Term
can cause acute respiratory obstruction
Definition
laryngospasm
Term
decreases the surface area for gas exchange
Definition
atelectasis
Term
suctioning of the lower airways may stimulate coughing that may be accompanied by life threatening
Definition
bradycardia
Term
activation of the beta 2 adrenergic receptors of the airways causes
Definition
bronchodilation
Term
pulmonary volumes
Definition
tidal, inspiratory reserve, expiratory reserve
Term
structures of the bronchial tree
Definition
bronchi, bronchioles, alveoli
Term
respiratory gases
Definition
oxygen and carbon dioxide
Term
collection of mucus in the lower airways can cause
Definition
atelectasis
Term
intra-alveolar surface tentions is due to
Definition
water
Term
as plasma PCO2 increases
Definition
ventilation increases
Term
respiratory passages are lined with
Definition
mucous membrane
Term
stimulation of the phrenic and intercostal nerves causes the release of
Definition
acetylcholine neurotransmitter into neuromuscular junction
Term
structures of the upper respiratory tract
Definition
trachea, pharynx, larynx
Term
left ventricular heart falure
Definition
can cause pulmonary edema
Term
dyspnea
Definition
difficulty breathing
Term
eupnea
Definition
normal quiet breathing
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