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Advanced Emergency Care Chap 5
Advanced Emergency Care and Transportation of the Sick and Injured
459
Health Care
Professional
09/19/2012

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Term
Apex
Definition
the pointed extremity of a conical structure
Term
Abduction
Definition
motion of a limb away from the midline
Term
Adduction
Definition
motion of a limb toward the midline
Term
Axial Skeleton
Definition
portion of the skeleton comprising the skull, spinal column, and the rib cage
Term
Appendicular Skeleton
Definition
portion of the skeleton comprising the arms, legs, pelvis, and shoulder girdle
Term
Adrenal Cortex
Definition
Outer layer of the adrenal gland(produces hormones that are important in regulating the water and salt balance of the body)
Term
adrenal glands
Definition
endocrine glands located on the top of the kidney that release adrenalin when stimulated by the sympathetic nervous system.
Term
Adrenaline
Definition
hormone produced by the adrenal glands that mediates the fight or flight response of the sympathetic nervous system; also called epinephrine
Term
Adrenocorticotropic hormone (ACTH)
Definition
Hormone that targets the adrenal cortex to secrete cortisol.
Term
aerobic metabolism
Definition
metabolism that can proceed only in the presence of oxygen.
Term
afterload
Definition
the pressure in the aorta against which the left ventricle must pump blood.
Term
agonal respirations
Definition
slow gasping respiration sometimes seen in dying patients.
Term
agonist
Definition
a substance that mimics the actions of a specific neurotransmitter by binding to the specific receptor of the cell and trigger a response from the cell.
Term
agranulocytes
Definition
leukocytes that lack granules
Term
alkalotic
Definition
blood that is too basic
Term
alpha cells
Definition
cells located in the islets of Langerhans that secrete glucagon
Term
alveolar ducts
Definition
ducts formed from division of the respiratory bronchioles in the lower airway.
Term
alveoli
Definition
the air sacs of the lungs in which the exchange of oxygen and carbon dioxide takes place
Term
anatomic posisition
Definition
the position of reference in which the patient stands facing you, arms at the side, with the palms of the hand forward.
Term
anatomy
Definition
the study of the structure of an organism and its parts
Term
antagonist
Definition
a molecule that blocks the ability of a given chemical to bind to its receptor preventing a biologic response
Term
anterior
Definition
front surface of the body, the side facing you in the standard anatomic position
Term
antibodies
Definition
proteins within the plasma that react with the antigens.
Term
Aorta
Definition
the principle artery leaving the left side of the heart and carrying freshly oxygenated blood to the body
Term
appendix
Definition
a small tubular structure attached to the lower border of the cecum in the lower r quad of the abdomen
Term
arachnoid
Definition
the middle membrane of the three meninges that enclose the brain and spinal cord.
Term
arteries
Definition
the blood vessles that carry blood away from the heart
Term
arterioles
Definition
smallest branches of the arteries leading to the vast network of capillaries.
Term
Atlas
Definition
the first cervical vertebra c1, which provides support for the head.
Term
atrioventricular valves
Definition
the two valves through which blood flows from the atria to the ventricles
Term
atrium
Definition
one of the two upper chambers of the heart
Term
autonomic nervous system
Definition
the part of the nervous system that regulates functions, such as digestion and sweating that are not controlled voluntarily
Term
axis
Definition
the second cervical vertebra that allows the head to turn
Term
baroceptors
Definition
receptors in the blood vessels kidney and brain and heart that respond to changes in the pressure in the heart or main arteries to help maintain homeostasis
Term
base
Definition
a substance that decreases the concentration of hydrogen ions.
Term
Ejection Fraction
Definition
the portion of the blood ejected from the ventrical during systole
Term
electrolytes
Definition
salt or acid substances that become ionic conductors when dissolved in a solvent (i.e. water); chemical dissolved in the blood.
Term
endocardium
Definition
the thin membrane lining the inside of the heart
Term
endocrine system
Definition
the complex message and control system that integrates many body functions, including the release of hormones
Term
endosteum
Definition
a layer that lines the inner surfaces of bone
Term
enzymes
Definition
substances designed to speed up the rate of biochemical reactions
Term
eosinophils
Definition
a leukocyte that may play a role following infection in various areas of the body
Term
epicardium
Definition
the layer of the serous pericardium that lies closely against the heart. also called the visceral pericardium
Term
epidermis
Definition
the outer layer of skin which is made up of cells that are sealed together to form a watertight protective covering for the body
Term
epiglottis
Definition
a thin leaf shaped valve that allows air to pass into the trachea but prevents food and liquid from entering
Term
epinephrine
Definition
a hormone produced by the adrenal medulla that has a vital role in the function of the sympathetic nervous system.
Term
epiphyses
Definition
growth plate of a long bone; also called the epiphyseal plate
Term
erythropoiesis
Definition
the process by which red blood cells are made
Term
esophagus
Definition
a collapsible tube that extends from the pharynx to the stomach; contractions of the muscle in its wall propel food and liquids through it to the stomach
Term
estrogen
Definition
produced by the ovaries, it is one of three major female hormones (the other two are progesterone,human chorionic gonadotropin (hCG))
Term
expiratory reserve volume
Definition
amount of air that can be exhaled following a normal breath; average volume is about 1200 ml
Term
extension
Definition
the straightening of a joint
Term
external rotation
Definition
rotating an extremity at its joint away from the midline
Term
Extracellular fluid
Definition
fluid outside of the cell, in which most of the body's supply of sodium is contained
Term
facilitated diffusion
Definition
process whereby a carrier molecule moves substances in or out of cells from areas of higher to lower concentration
Term
fallopian tubes
Definition
long slender tubes that extend from the uterus to the region of the ovary on the same side and through which the ovum passes from the ovary to the uterus
Term
fascia
Definition
a sheet or band or tough fibrous connective tissue that covers supports and separates muscles
Term
femoral artery
Definition
the principle artery of the thigh, a continuation of the external iliac artery. it supplies blood to the lower abdominal wall, external genitalia, and legs. it can be palpated in the groin area.
Term
femoral head
Definition
the proximal end of the femur, articulating with the acetabulum to form the hip joint
Term
femoral vein
Definition
a continuation of the saphenous vein that drains into the external iliac vein.
Term
femur
Definition
the thighbone; the longest and one of the strongest bones in the body
Term
fibrin
Definition
a white insoluble protein formed in the clotting process
Term
fibula
Definition
the long bone on the posterior surface of the lower leg
Term
flexion
Definition
the bending of a joint
Term
fluid balance
Definition
the process of maintaining homeostasis through the equal intake and output of fluids
Term
fontanelles
Definition
soft spots in the skull of a newborn and infant where the sutures of the skull have not yet grown together
Term
foramen magnum
Definition
a large opening at the base of the skull through which the brain connects to the spinal cord
Term
foramen ovale
Definition
opening between the two atria that is present in the fetus but closes shortly after birth
Term
foramina
Definition
small openings, perforations or orifices in the bones of the cranial vault
Term
fossa ovalis
Definition
a depression between the right and lower atria that indicates where the foramen ovale had been located in the fetus.
Term
fowler's position
Definition
the position in which the patient is sitting up with the knees bent
Term
gallbladder
Definition
a sac on the undersurface of the liver that collects bile from the liver and discharges it into the duodenum through the common bile duct
Term
genital system
Definition
reproductive system in males and females
Term
germinal layer
Definition
deepest layer of the epidermis where new skin cells are formed
Term
glands
Definition
cells or organs that selectively remove, concentrate,or alter materials in the blood and then secrete them back into the body
Term
glenoid fossa
Definition
the part of the scapula that forms the socket in the ball and socket joint of the shoulder
Term
gluconeogenesis
Definition
a process that stimulates both the liver and the kidneys to produce glucose from noncarbohydrate molecules
Term
glycogen
Definition
a long polymer from which the glucose is converted in the liver (animal starch)
Term
glycogenolysis
Definition
the breakdown of glycogen into glucose
Term
gonads
Definition
the reproductive glands
Term
granulocytes
Definition
a type of leukocyte that has large cytoplasmic granules that are easily seen with a simple light microscope
Term
greater trochanter
Definition
a bony prominence on the proximal lateral side of the thigh, just below the hip joint
Term
hair follicles
Definition
the small organs that produce hair
Term
heart
Definition
a hollow muscular organ that pumps blood throughout the body
Term
heart rate
Definition
the number of heartbeats in a specific time
Term
hemoglobin
Definition
an iron containing pigment found in red blood cells, carries 97% of oxygen
Term
hemostasis
Definition
control of bleeding by formation of a blood clot
Term
heparin
Definition
a substance found in large amounts in basophils that inhibits blood clotting
Term
hepatic portal system
Definition
a specialized part of the venous system that drains blood from the stomach, intestines, and spleen
Term
hepatic veins
Definition
the veins to which blood empties after liver cells in the sinusoids of the liver extract nutrients, filter the blood, and metabolize various drugs
Term
Hering-Breuer reflex
Definition
a protective mechanism that terminates inhalation, thus preventing overexpansion of the lungs
Term
hilum
Definition
the point of entry for the bronchi, vessels, and nerves into each lung
Term
hinge joints
Definition
joints that can bend and straighten but cannot rotate;they restrict motion to one plane
Term
histamine
Definition
a substance found in large amounts in basophils that increase tissue infammation
Term
hormones
Definition
substances formed in specialized organs or glands and carried to another organ or group of cells in the same organism; They regulate many body functions, including metabolism, growth and body temperature
Term
human chorionic gonadotropin (hCG)
Definition
one of the three major female hormones; it is produced by a developing embryo after conception
Term
humerus
Definition
the supporting bone of the upper arm
Term
hydrostatic pressure
Definition
the pressure of water against the walls of its container
Term
hyoid bone
Definition
a bone at the base of the tongue that supports the tongue and its muscles
Term
hyperextension
Definition
when a body part is extended to the maximum level or beyond the normal range of motion
Term
hyperflexion
Definition
when a body part is flexed to the maximum level or beyond the normal range of motion
Term
hypothalamus
Definition
the basal part of the diencephalons; it regulates the function of the pituitary gland
Term
hypovolemic shock
Definition
a condition that occurs when the circulating blood volume is inadequate to deliver adequate oxygen and nutrients to the body
Term
hypoxic drive
Definition
a "backup system" to control respiration; senses drops in the oxygen level in the blood
Term
ilium
Definition
one of the three bones that fuse to form the pelvic ring (the other two are the ischium, and pubis)
Term
inferior
Definition
below a body part or nearer the feet
Term
inferior vena cava
Definition
one of the two largest veins in the body; carries blood from the lower extremities and the pelvic and abdominal organs to the heart
Term
inotropic state
Definition
related to the strength of the heart's contraction
Term
inspiratory reserve volume
Definition
the amount of air that can be inhaled after a normal inhalation; the amount of air that can be inhaled in addition to the normal tidal volume
Term
interatrial septum
Definition
a membrane that separates the right and left atria
Term
internal rotation
Definition
rotating an extremity medially toward the midline
Term
interstitial fluid
Definition
the fluid located outside of the blood vessels in the spaces between the body's cells
Term
interstitial space
Definition
the space in between the cells
Term
interventriculum septum
Definition
a thick wall that separates the right and left ventricles
Term
intracellular fluid (ICF)
Definition
fluid within cells in which most of the body's supply of potassium is contained
Term
intravascular fluid (plasma)
Definition
the noncellular portion of the blood found within a blood vessel. Also called plasma.
Term
involuntary muscle
Definition
the muscle over which a person has no conscious control. It is found in many automatic regulating systems of the body.
Term
ischium
Definition
one of the three bones that fuse to form the pelvic ring
Term
joint (articulation)
Definition
the place where two bones come into contact.
Term
joint capsule
Definition
the fibrous sac that encloses a joint
Term
jugular vein
Definition
the two main veins that drain the head and neck
Term
kidneys
Definition
two retroperitoneal organs that excrete the end products of metabolism as urine and regulate the body's salt and water content
Term
labored breathing
Definition
the use of muscles of the chest, back, and abdomen to assist in expanding the chest; occurs when air movement is impaired
Term
lactic acid
Definition
a metabolic end product of the breakdown of glucose that accumulates when metabolism proceeds in the absence of oxygen
Term
large intestine
Definition
the portion of the digestive tube that encircles the abdomen around the small bowel, consisting of the cecum, the colon, and the rectum. it helps regulate water balance and solid waste
Term
lateral
Definition
In anatomy, parts of the body that lie farther from the midline. Also called outer structures.
Term
lateral malleolus
Definition
An enlargement of the distal end of the fibula, which forms the lateral wall of the ankle joint.
Term
left anterior descending (LAD)artery
Definition
one of the main branches of the left main coronary artery that is the largest and shortest of the myocardial blood vessels; this vessel and the circumflex coronary arteries supply blood to the left ventricle and other areas.
Term
lesser trochanter
Definition
the projection on the medial/superior portion of the femur
Term
ligament
Definition
a band of fibrous tissue that connects bones to bones. It supports and strengthens a joint
Term
liver
Definition
a large solid organ that lies in the right upper quadrant immediately below the diaphragm; it produces bile, stores glucose for immediate use by the body, and produces many substances that help regulate immune responses
Term
lumbar spine
Definition
the lower part of the back, formed by the lowest five nonfused vertebrae; also called the dorsal spine
Term
lungs
Definition
the two primary organs of breathing
Term
lymph
Definition
a thin plasma-like liquid formed from interstitial or extracellular fluid that bathes the tissues of the body
Term
lymph nodes
Definition
round or bean shaped structures interspersed along the course of the lymph vessels, which filter the lymph and serve as a source of lymphocytes
Term
lymph vessels
Definition
thin-walled vessels through which lymph circulates through the body; they travel close to major veins
Term
lymphatic system
Definition
a passive circulatory system that transports a plasma-like liquid called lymph, a thin fluid that bathes the tissues of the body
Term
lymphocytes
Definition
the smallest of the agranulocytes, they originate in the bone marrow but migrate through the blood to the lymphatic tissues
Term
lysis
Definition
the process of disintegration or breakdown of cells that occurs when excess water enters the cell through osmosis.
Term
macrophages
Definition
cells that responsible for protecting the body from infection
Term
mainstem bronchi
Definition
part of the lower airway below the larynx through which air enters the lungs
Term
mandible
Definition
the bone of the lower jaw
Term
manubrium
Definition
the upper quarter of the sternum
Term
mastoid process
Definition
a prominent bony mass at the base of the skull behind the ear
Term
maxillae
Definition
the upper jawbones that assist in the formation of the orbit, the nasal cavity,and the palate and hold the upper teeth
Term
medial
Definition
parts of the body that lie closer to the midline; also called inner structures
Term
medial malleolus
Definition
the distal end the the tibia, which forms the medial side of the ankle joint
Term
mediastinum
Definition
the space between the lungs, in the center of the chest, that contains the heart, trachea, mainstem bronchi,part of the esophagus, and the large blood vessels
Term
medulla oblongata
Definition
nerve tissue that is continuously inferiorly with the spinal cord; serves as a conduction pathway for ascending and descending nerve tracts; coordinates heart rate, blood vessel diameter, breathing, swallowing, vomiting,coughing and sneezing
Term
medullary cavity
Definition
an internal cavity that contains bone marrow.
Term
meninges
Definition
a set of three tough membranes, the dura mater, arachnoid, and the pia mater, that enclose the entire brain and spinal cord
Term
metabolic acidosis
Definition
a pathologic condition characterized by a blood pH of less than 7.35, and caused by accumulation of acids in the body from a metabolic cause
Term
metabolic alkalosis
Definition
a pathologic condition characterized by a blood pH of greater than 7.45, and resulting from the accumulation of bases in the body from a metabolic cause.
Term
metacarpal bones
Definition
the bones that form the hand
Term
midbrain
Definition
the part of the brain that is responsible for helping to regulate the level of consciousness
Term
midsagittal plane (midline)
Definition
an imaginary vertical line drawn from the middle of the forehead through the nose and the umbilicus to the floor.
Term
minute volume
Definition
the amount of air that moves in and out of the lungs per minute minus the dead space. also called minute ventilation.
Term
mitral valve
Definition
the valve in the heart that separates the left atrium from the left ventricle
Term
monocytes
Definition
agranulocytes that migrate out of the blood and into the tissues as a response to an infection
Term
motor nerves
Definition
nerves that carry information from the central nervous system to the muscles of the body
Term
mucous membranes
Definition
the lining of the body cavities and passages that communicate directly or indirectly with the environment outside the body
Term
mucus
Definition
the opaque, sticky secretion of the mucous membranes that lubricates the body openings
Term
murmur
Definition
an abnormal heart sound, heard as a "whooshing-like" sound indicating turbulent blood flow of the heart
Term
musculoskeletal system
Definition
the bones and voluntary muscles of the body
Term
myocardial infarction
Definition
blockage of the arteries that supply oxygen to the heart, resulting in death to a portion of myocardium.
Term
myocardium
Definition
the heart muscle
Term
nasal cavity
Definition
the chamber inside the nose that lies between the floor of the cranium and the roof of the mouth
Term
nasal septum
Definition
the separation between the right and left nostrils
Term
nasopharynx
Definition
the part of pharynx the that lies above the level of the roof of the mouth or pallate
Term
nervous system
Definition
the system that controls virtually all activities of the body, both voluntary and involuntary
Term
neutrophils
Definition
one of the three types of granulocytes; they have multi-lobed nuclei that resemble a string of baseballs held together by a strand of thread; they destroy bacteria, antigen-antibody complexes, and foreign matter
Term
norepinephrine
Definition
a neurotransmitter and drug sometimes used in the treatment of shock. produces vasoconstriction through its alpha-stimulator properties
Term
oculomotor nerve
Definition
the cranial nerve (III) that innervates the muscles that cause motion of the eyeballs and upper lid
Term
olfactory bulb
Definition
the cranial nerve for smell
Term
oncotic pressure
Definition
the pressure of water to move, typically into the capillary, as the result of the presence of plasma proteins
Term
orbit
Definition
the eye socket, made of the maxilla and zygoma
Term
oropharynx
Definition
a tubular structure that extends vertically from the back of the mouth to the esophagus and trachea
Term
osmosis
Definition
the movement of a solvent, such as water,from an area of low solute concentration to one of high concentration through a selectively permeable membrane to equalize concentrations of a solute on both sides of the membrane
Term
osmotic pressure
Definition
the tendency of water to move by osmosis across a membrane
Term
ovaries
Definition
female glands that produces sex hormones and ova (eggs)
Term
palmar
Definition
the forward facing part of the hand in the anatomic position
Term
pancreas
Definition
a flat solid organ that lies below the liver and the stomach; it is a major source of digestive enzymes and produces the hormone insulin
Term
papillary muscles
Definition
specialized muscles that attach the ventricles to the cusps of the valves by muscular strands called chordae tendinae
Term
paranasal sinuses
Definition
the sinuses, or hollowed sections of bone in the front of the head, which are lined with mucus membrane and drain into the nasal cavity
Term
parasympathetic nervous system
Definition
a subdivision of the autonomic nervous system, involved in control of involuntary, vegetative functions, mediated largely by the vagus nerve through the chemical acetylcholine
Term
parathyroid glands
Definition
four glands that are embedded in the posterior portion of each lobe of the thyroid; they produce and secrete parathyroid hormone.
Term
parathyroid hormone
Definition
hormone produced and secreted by the parathyroid glands; it maintains normal levels of calcium in the blood and normal neuromuscular function.
Term
parietal pleura
Definition
the pleural membrane that lines the pleural cavity
Term
partial pressure of carbon dioxide (PaCO2)
Definition
a measurement of the amount of carbon dioxide in the blood
Term
partial pressure of Oxygen (PaO2)
Definition
a measurement of the amount of oxygen in the blood
Term
patella
Definition
the kneecap; a specialized bone that lies within the tendon of the quadriceps muscle
Term
pathophysiology
Definition
the study of how normal physiologic processes are affected by diesease
Term
pelvis
Definition
the attachment of the lower extremities to the body; consisting of the sacrum and two pelvic bones
Term
perfusion
Definition
the circulation of oxygenated blood within an organ or tissue in adequate amounts to meet the cells' current needs
Term
pericardial fluid
Definition
a serous fluid that fills the space between the visceral pericardium and the parietal pericardium and helps to reduce friction
Term
pericardium
Definition
the serous membranes that surround the heart
Term
periosteum
Definition
a double layer of connective tissue that lines the outer surface of the bone
Term
peripheral nervous system (PNS)
Definition
the part of the nervous system that consists of 31 pairs of spinal nerves and 12 pairs of cranial nerves. the peripheral nerves may be sensory nerves,motor nerves, or connecting nerves
Term
peristalsis
Definition
the wavelike contraction of smooth muscle by which the ureters or other tubular organs propel their contents
Term
pH
Definition
the measure of acidity or alkalinity of a solution
Term
phalanges
Definition
the small bones of the digits of the fingers and toes
Term
physiology
Definition
the study of the body functions of the living organism
Term
pia mater
Definition
the innermost layer of the three meninges that enclose the brain and spinal cord; it rests directly on the brain and spinal cord
Term
pituitary gland
Definition
an endocrine gland, located in sella turcica of the brain, responsible for directly or indirectly affecting all body functions
Term
plantar
Definition
the bottom surface of the foot
Term
plasma
Definition
a sticky yellow fluid that carries the blood cells and nutrients and transports cellular waste material to the organs of excretion
Term
plasmin
Definition
an enzyme that dissolves the fibrin in blood clots
Term
platelets
Definition
tiny disk-shaped elements that are much smaller than the cells; they are essential in the initial formation of a blood clot, the mechanism that stops bleeding
Term
pleura
Definition
the serous membranes covering the lungs and lining the thoracic cavity, completly enclosing a potential space known as pleural space
Term
pleural cavity
Definition
the potential space between the visceral and parietal pleura
Term
pleural space
Definition
the potential space between the parietal pleura and the visceral pleura. It is described as "potential" because under normal conditions, the space does not exist.
Term
pneumotaxic (pontine) center
Definition
a portion of the pons that assists in creating shorter faster respirations
Term
pons
Definition
an organ that lies below the midbrain and above the medulla and contains numerous important nerve fibers, including those for sleep, respiration, and the medullary response center
Term
popliteal artery
Definition
a continuation of the femoral artery at the knee
Term
popliteal vein
Definition
the vein that forms when the anterior and posterior tibial veins unite at the knee
Term
posterior
Definition
in anatomy, the back surface of the body; the side away from you in standard anatomic position
Term
posterior tibial artery
Definition
the artery just behind the medial malleolus; supplies blood to the foot.
Term
preload
Definition
the volume of blood returned to the heart
Term
progesterone
Definition
a hormone released from the ovaries that stimulates the uterine lining during the menstrual cycle
Term
pronation
Definition
turning the palms downward (toward the ground)
Term
prone
Definition
lying flat, and face down
Term
prostate gland
Definition
a small gland that surrounds the male urethra where it emerges from the urinary bladder; it secretes a fluid that is part of the ejaculatory fluid
Term
proximal
Definition
closer to the trunk
Term
pubic symphysis
Definition
a hard bony and cartilaginous prominence found at the midline in the lowermost portion of the abdomen where the two halves of the pelvic ring are joined by cartilage at a joint with minimal motion
Term
pubis
Definition
one of the three bones that fuse to form the pelvic ring
Term
pulmonary artery
Definition
the major artery leading from the right ventricle of the heart to the lungs; it carries oxygen poor blood
Term
pulmonary circulation
Definition
the flow of blood from the right ventricle through the pulmonary arteries and all of their branches and capillaries in the lungs and back to the left atrium through the venules and pulmonary veins; also called the lesser circulation
Term
pulmonary veins
Definition
the four veins that return oxygenated blood from the lungs to the left atrium of the heart.
Term
pulmonic valve
Definition
the semilunar valve that regulates blood flow between the right ventricle and the pulmonary artery
Term
pulse
Definition
the wave of pressure created as the heart contracts and forces blood out of the left ventricle and into the major arteries
Term
pulse pressure
Definition
the difference between the systolic and diastolic pressures
Term
quadrants
Definition
the way to describe the sections of the abdominal cavity. Imagine two lines intersecting at the umbilicus dividing the abdomen into four equal areas
Term
radius
Definition
the bone on the thumb side of the forarm
Term
range of motion
Definition
the arc of movement of an extremity at a joint in a particular direction
Term
rectum
Definition
the lowermost end of the colon
Term
red blood cells
Definition
cells that carry oxygen to the body's tissues; also called erythrocytes.
Term
renal pelvis
Definition
a cone-shaped collecting area that connects the ureter and the kidney
Term
renin-angiotensin system
Definition
system located in the kidney that helps to regulate fluid balance and blood pressure
Term
residual volume
Definition
the air that remains in the lungs after maximal expiration
Term
respiration
Definition
the inhaling and exhaling of air; the physiologic process that exchanges carbon dioxide from fresh air
Term
respiratory acidosis
Definition
a pathologic condition characterized of a blood pH of less that 7.35, and caused by an accumulation of acids in the body from a respiratory cause
Term
respiratory alkalosis
Definition
a pathologic condition characterized of a blood pH of greater than 7.45, and caused by an accumulation of bases in the body from a respiratory cause
Term
respiratory system
Definition
all of the structures of the body that contribute to the process of breathing, consisting of the upper and lower airway and their component parts.
Term
reticular activating system
Definition
located in the upper brainstem; responsible for maintenance of consciousness, specifically one's level of arousal
Term
retroperineal
Definition
behind the abdominal cavity
Term
retroperitoneum
Definition
the space behind the peritoneum
Term
sacroiliac joint
Definition
the connection point between the pelvis and the vertebral column.
Term
sacrum
Definition
one of the three bones (sacrum and two pelvic bones) that make up the pelvic ring; consists of five fused sacral vertebrae
Term
saddle joint
Definition
two saddle-shaped articulating surfaces oriented at right angles to each other so that complementary surfaces articulate with each other, such as is the case with the thumb.
Term
sagittal (lateral) plane
Definition
an imaginary line where the body is cut into right and left parts
Term
salivary glands
Definition
the glands that produce saliva to keep the mouth and pharynx moist
Term
saphenous vein
Definition
the longest vein in the body, it drains the leg, thigh, and dorsum of the foot.
Term
scalp
Definition
the thick skin covering the cranium, which usually bears hair.
Term
scapula
Definition
the shoulder blade
Term
sebaceous glands
Definition
glands that produce an oily substance called sebum, which discharges along the shafts of the hairs
Term
secondary bronchi
Definition
airway passages in the lungs that are formed from the division of the right and left mainstream bronchi
Term
semen
Definition
seminal fluid ejaculated from the penis and containing sperm
Term
semilunar valves
Definition
the two valves, the aortic and pulmonic valves that divide the heart from the aorta and pulmonary arteries
Term
seminal vesicles
Definition
storage sacs for sperm and seminal fluid, which empty into the urethra at the prostate
Term
sensory nerves
Definition
the nerves that carry sensations of touch, taste, heat, cold,pain, and other modalities from the body to the central nervous system
Term
shock
Definition
an abnormal state associated with inadequate oxygen and nutrient delivery to the metabolic apparatus of the cell
Term
shock position
Definition
the position that has the head and torso (trunk) supine and the lower extremities elevated 6" to 12". this helps to increase blood flow to the brain; also referred to as the modified trendelenburg's position.
Term
shoulder girdle
Definition
the proximal portion of the upper extremity, made up of the clavicle, the scapula and the humerus
Term
sinoatrial (SA) node
Definition
the normal site of the origin of electrical impulses; located high in the right atrium, it is the heart's natural pacemaker
Term
sinusitis
Definition
an inflammation of the paranasal sinuses
Term
skeletal muscles
Definition
muscle that is attached to bones and usually crosses at least one joint; striated, or voluntary, muscle
Term
skeleton
Definition
the framework that gives the body its recognizable form; also designed to allow motion of the body and protection of vital organs (206 bones total)
Term
skull
Definition
the structure at the top of the axial skeleton that houses the brain and consists of the 28 bones that comprise the auditory ossicles, the cranium and the face
Term
small intestine
Definition
the portion of the digestive tube between the stomach and the cecum, consisting of the duodenum, jejunum, and ileum
Term
smooth muscle
Definition
involuntary muscle; it constitutes the bulk of the gastrointestinal tract and is present in nearly every organ to regulate automatic activity.
Term
solute
Definition
a particle, such as salt, that is dissolved in a solvent
Term
somatic nervous system
Definition
the part of the nervous system that regulates activities over which there is voluntary control
Term
sphincters
Definition
muscles arranged in circles that are able to decrease the diameter of tubes. Examples are found within the rectum, bladder and blood vessels.
Term
sphygmomanometer
Definition
device to measure blood pressure
Term
spinal cord
Definition
an extension of the brain, composed of virtually all the nerves carrying messages between the brain and the rest of the body. it lies inside of and is protected by the spinal canal
Term
Starling's law
Definition
the force of the heart beat is determined primarily by the length of the fibers constituting its muscular wall. An increase in diastolic filling equals an increase in the force of the heartbeat.
Term
sternocleidomastoid muscles
Definition
the muscles on either side of the neck that allow movement of the head
Term
sternum
Definition
the breastbone
Term
stratum corneal layer
Definition
the outermost or dead layer of skin
Term
stroke volume (SV)
Definition
the volume of blood pumped forward with each ventricular contraction
Term
subarachnoid hemmorhage
Definition
a hemmorhage between the arachnoid membrane and the pia mater
Term
subarachnoid space
Definition
the space located between the pia mater and the arachnoid membrane
Term
subclavian artery
Definition
the proximal part of the main artery of the arm, which supplies the brain, neck, anterior chest wall, and shoulder
Term
subclavian vein
Definition
the proximal part of the main vein of the arm, which unites with the internal jugular vein
Term
subcutaneous tissue
Definition
tissue, largely fat, that lies directly under the dermis and serves as an insulator of the body
Term
superficial
Definition
closer to or on the skin
Term
superior
Definition
above a body part or nearer to the head
Term
superior vena cava
Definition
one of the two largest veins in the body; carries blood from the upper extremities, head, neck and chest
Term
supination
Definition
turning the palms upward (toward the sky)
Term
supine
Definition
the position in which the body is lying face up
Term
surfactant
Definition
a liquid protein substance that coats the alveoli in the lungs, decreases alveolar surface tension, and keeps the alveoli expanded; a low level in a premature baby contributes to respiratory distress syndrome
Term
sutures
Definition
attachment points in the skull where the cranial bones join together
Term
sweat glands
Definition
the glands that secrete sweat, located in the dermal layer of the skin.
Term
sympathetic nervous system
Definition
sudivision of the autonomic nervous system the governs the body's fight or flight reactions by inducing smooth muscle contraction or relaxation of the blood vessels and bronchioles
Term
symphysis
Definition
a type of joint that has grown together forming a very stable connection
Term
synovial fluid
Definition
the small amount of liquid within a joint used as lubrication
Term
synovial membrane
Definition
the lining of a joint that secretes synovial fluid into the joint space
Term
systemic circulation
Definition
the portion of the circulatory system outside of the heart and lungs
Term
systemic vascular resistance (SVR)
Definition
the resistance that blood must overcome to be able to move within the blood vessels. SVR is related to the amount of dilation or constriction in the blood vessel
Term
systole
Definition
the contraction, or period of contraction, of the heart especially that of the ventricles
Term
temporomandibular joint (TMJ)
Definition
the joint where the mandible meets with the temporal bone of the cranium just in front of each ear
Term
tendons
Definition
the fibrous connective tissue that attaches muscle to bone
Term
tertiary bronchi
Definition
airway passages in the lungs that are formed from branching of the secondary bronchi
Term
testes
Definition
the male reproductive organs that produce sperm and secrete male hormones; also called testicles
Term
testicle
Definition
a male genital gland that contains specialized cells that produce hormones and sperm
Term
thoracic cage
Definition
the chest or rib cage
Term
thoracic duct
Definition
one of the two great lymph vessels; it empties into the superior vena cava
Term
thoracic spine
Definition
the 12 vertebrae that lie between the cervical vertebrae and the lumbar vertebrae. one pair of ribs is attached to each of the thoracic vertebrae
Term
thorax
Definition
the chest cavity that contains the heart, lungs,esophagus, and great vessels
Term
thrombin
Definition
an enzyme that causes the conversion of fibrinogen to fibrin, which binds to the platelet plug, forming the final mature clot
Term
thyroid cartilage
Definition
a firm prominence of cartilage that forms the upper part of the larynx; the Adam's apple
Term
thyroid gland
Definition
a large endocrine gland that is located at the base of the neck and produces and excretes hormones that influence growth, development, and metabolism
Term
tibia
Definition
the shin bone, the larger of the two bones of the lower leg
Term
tidal volume
Definition
the amount of air moved in and out of the lungs in one relaxed breath; about 500ml for an adult
Term
tissue plasminogen activator (t-PA)
Definition
a major component in the fibrinolytic system, in which clots that have already formed are lysed or disrupted, converting plasminogen to plasmin
Term
topographic anatomy
Definition
the superficial landmarks of the body that serve as guides to the structures that lie beneath them
Term
torso
Definition
the trunk without the head and limbs
Term
trabeculae
Definition
bony rods that form the lacy network in cancellous bones and are oriented to increase weight-bearing capacity of long bones
Term
trachea
Definition
the windpipe; the main trunk for air passing to and from the lungs
Term
transverse (axial) plane
Definition
an imaginary line where the body is cut into top and bottom parts
Term
Trendelenburg's position
Definition
the position in which the body is supine with the head lower than the feet
Term
triceps
Definition
the muscle in the back of the upper arm
Term
tricuspid valve
Definition
the heart valve that separates the right atrium from the right ventricle
Term
tunica adventitia
Definition
the outer layer of tissue of a blood vessel wall, composed of elastic and fibrous connective tissue
Term
tunica intima
Definition
the smooth,thin, inner lining of a blood vessel
Term
tunica media
Definition
the middle and thickest layer of tissue of a blood vessel wall, composed of elastic tissue and smooth muscle cells that allow the vessel to expand or contract in response to changes in blood pressure and tissue demand
Term
ulna
Definition
the inner bone of the forearm, on the side opposite the thumb
Term
unilateral
Definition
occurring on only one side of the body
Term
ureter
Definition
a small hollow tube that carries urine from the kidneys to the bladder
Term
urethra
Definition
the canal that conveys urine from the bladder to outside the body
Term
urinary bladder
Definition
a sac behind the pubic symphysis made of smooth muscle that collects and stores urine
Term
urinary system
Definition
the organs that control the discharge of certain waste materials filtered from the blood and excreted as urine
Term
uterus
Definition
a muscular inverted pear-shaped organ that lies situated between the urinary bladder and the rectum
Term
vagina
Definition
a muscular distensible tube that connects the uterus with the vulva (the external female genitalia); also called the birth canal
Term
vagus nerve
Definition
the cranial nerve (X) that provides motor function to the soft palate, pharynx, and larynx and carries taste bud fibers from the posterior tongue, sensory fibers from the inferior pharynx, larynx, thoracic, and abdominal organs, and parasympathetic fibers to thoracic and abdominal organs
Term
vasa deferentia
Definition
the spermatic duct of the testicles, also called vas deferens
Term
veins
Definition
the blood vessels that transport blood back to the heart
Term
venous sinuses
Definition
spaces between the membrane surrounding the brain that are the primary means of venous drainage from the brain
Term
ventilation
Definition
the movement of air between the lungs and the environment
Term
ventral
Definition
the anterior surface of the body
Term
ventral respiratory group (VRG)
Definition
a portion of the medulla oblongata that is responsible for modulating breathing during speech
Term
ventricle
Definition
one of the lower chambers of the heart
Term
vertabrae
Definition
the 33 bones that make up the spinal column
Term
vertebral column
Definition
the spine or primary support structure of the body that houses the spinal cord and the peripheral nerves
Term
visceral pleura
Definition
the pleural membrane that covers the lungs
Term
vital capacity
Definition
the amount of air moved in and out of the lungs with maximum inspiration and exhalation
Term
voluntary muscle
Definition
muscle that is under direct voluntary control of the brain and can be contracted or relaxed at will; skeletal, or striated, muscle
Term
V/Q ratio
Definition
a measurement that examines how much gas is being moved effectively and how much blood is gaining access to alveoli
Term
white blood cells
Definition
blood cells that have a role in the body's immune defense mechanisms against infection; also called leukocytes
Term
xiphoid process
Definition
the narrow, cartilaginous lower tip of the sternum
Term
zygomas
Definition
the quadrangular bones of the cheek, articulating with the frontal bone, the maxillae, the zygomatic processes of the temporal bone, and the great wings of the spenoid bone
Term
basilic vein
Definition
one of the two major veins of the arm; it combines with the cephalic vein to form the axillary vein
Term
basophils
Definition
white blood cells that work to produce chemical mediators during an immune response
Term
beta cells
Definition
cells located in the islets of Langerhans that secrete insulin
Term
beta effects
Definition
stimulation of beta receptors that results in inotropic, dromotropic, and chronotropic states
Term
biceps
Definition
the large muscle that covers the front of the humerus
Term
bilateral
Definition
in anatomy, a body part that appears on both sides of the midline
Term
bile ducts
Definition
the ducts that convey bile between the liver and the intestine
Term
bilirubin
Definition
a waste product of red blood cell destruction that undergoes further metabolism in the liver
Term
blood
Definition
the fluid tissue that is pumped by the heart through the arteries, veins, and capillaries and consists of plasma and formed elements or cells, such as red blood cells, white blood cells, and platelets
Term
blood pressure (BP)
Definition
the pressure that the blood exerts against the walls of the arteries as it passes through them
Term
blowout fracture
Definition
a fracture of the floor of the orbit usually caused by a blow to the eye
Term
bone marrow
Definition
a substance that manufactures most red blood cells
Term
brachial artery
Definition
the major vessel in the upper extremity that supplies blood to the arm
Term
brain
Definition
the controlling organ of the body and center of consciousness; functions include perception, control of reactions to the environment, emotional responses, and judgement
Term
brainstem
Definition
the area of the brain between the spinal cord and the cerebellum; controls functions that are necessary for life, such as respiration
Term
bronchioles
Definition
fine subdivisions of the bronchi that give rise to the alveolar ducts
Term
bronchospasm
Definition
constriction of the airway passages of the lungs that accompanies muscle spasms
Term
bruit
Definition
an abnormal "whooshing-like" sound indicating turbulent blood flow within a blood vessel
Term
buffer
Definition
any substance that can reversibly bind H+
Term
buffer system
Definition
fast-acting defenses for acid-base changes, providing almost immediate protection against changes in the hydrogen ion concentration of extra cellular fluid
Term
bundle of His
Definition
part of the conduction system of the heart; a continuation system of the atrioventricular node.
Term
bursa
Definition
a small fluid-filled sac located between a tendon and a bone that cushion and protects the joint
Term
calcitonin
Definition
a hormone produced by the parafollicular cells of the thyroid gland that is important in the regulation of calcium levels in the body
Term
cancellous bone
Definition
a type of bone that consists of a lacy network of bony rods called trabeculae
Term
capillaries
Definition
the tiny blood vessels between the arterioles and venules that permit transfer of oxygen, carbon dioxide, nutrients, and waste between body tissues and the blood
Term
cardiac cycle
Definition
the repetitive pumping process that begins with the onset of cardiac muscle contraction and ends just prior to the beginning of the next contraction
Term
cardiac muscle
Definition
the heart muscle
Term
cardiac output
Definition
the amount of blood pumped through the circulatory system in 1 minute
Term
cardiogenic shock
Definition
shock caused by inadequate function of the heart, or pump failure
Term
carotid artery
Definition
the major artery that supplies blood to the head and brain
Term
carotid bifurcation
Definition
the point of division at which the common carotid artery branches at the angle of the mandible into the internal and external carotid arteries
Term
carpometacarpal joint
Definition
the joint between the wrist and the metacarpal bones; the thumb joint
Term
cartilage
Definition
the support structure of the skeletal system that provides cushioning between bones;also forms the nasal septum and portions of the outer ear
Term
catecholamines
Definition
hormones produced by the adrenal medulla (epinephrine and norepinephrine) that assist the body in coping with physical and emotional stress by increasing heart and respiratory rates and the blood pressure
Term
cecum
Definition
the first part of the large intestine, into which the ileum opens
Term
cell membrane
Definition
the cell wall; it is selectively permeable
Term
cellular respiration
Definition
a biochemical process resulting in the production of energy in the form of ATP
Term
central nervous system
Definition
the brain and spinal cord
Term
cephalic vein
Definition
one of the two major veins of the arm that combine to form the axillary vein
Term
cerebellum
Definition
one of the three major subdivision of the brain, sometimes called the "little brain"; coordinates the various activities of the brain, particularly fine body movements
Term
cerebrospinal fluid (CSF)
Definition
fluid produced in the ventricles of the brain that flows in the subarachnoid space and bathes the meninges
Term
cerebrum
Definition
the largest part of the three subdivisions of the brain, sometimes called the gray matter; made up of several lobes that control movement, hearing, balance, speech, visual, perception, emotions and personality
Term
cervical spine
Definition
the of the spinal column consisting of the first seven vertebrae that lie in the neck
Term
chemoreceptors
Definition
receptors in the blood vessels, kidneys, brain, and heart that respond to changes in chemical compositions of the blood to maintain homeostasis
Term
chordae tendineae
Definition
thin bands of fibrous tissue that attach to the valves in the heart and prevent them from inverting
Term
choroid plexus
Definition
specialized cells within the hollow ares of the ventricles of the brain that produce cerebrospinal fluid
Term
chronic obstructive pulmonary disease (COPD)
Definition
a progressive and irreversible disease of the airway marked by decreased inspiratory and expiratory capacity of the lungs
Term
chronotropic state
Definition
related to the control of the heart's rate of contraction
Term
chyme
Definition
the name of the substance that leaves the stomach. it is the combination of all eaten food with added stomach acids
Term
circulatory system
Definition
the complex arrangement of connected tubes,including the arteries, arterioles, capillaries, venules and veins that move blood, o2, nutrients, co2 and waste thru the body
Term
circumflex coronary arteries
Definition
two branches of the left main coronary artery
Term
clavicle
Definition
the collarbone; it is lateral to the sternum and anterior to the scapula
Term
coccyx
Definition
the last three or four vertebrae of the spine; the tailbone
Term
compact bone
Definition
a type of bone that is mostly solid
Term
concentration gradient
Definition
the difference in concentrations of a substance on either side of a selectively permeable membrane
Term
conduction system
Definition
a group of complex electrical tissues within the heart that initiate and transmit stimuli that result in contractions of myocardial tissue
Term
contractility
Definition
the strength of heart muscle contraction
Term
coronal plane
Definition
imaginary line where body is cut into front and back parts
Term
coronary arteries
Definition
arteries that arise from the aorta shortly after it leaves the left ventricle and supply the heart with oxygen and nutrients
Term
coronary sinus
Definition
veins that collect blood that is returning from the walls of the heart
Term
corticosteroids
Definition
any of several steroids secreted by the adrenal gland
Term
cortisol
Definition
the most important corticosteroid secreted by the zona fasciculata
Term
cranial nerves
Definition
the 12 pairs of nerves that arise from the base of the brain
Term
cranial vault
Definition
the bones that encase and protect the brain, including the parietal, temporal, frontal, occipital, sphenoid, and ethmoid bones
Term
cranium
Definition
the area of the head above the eyes and ears; the skull. The cranium contains the brain
Term
crenation
Definition
shrinkage of a cell that results when too much water leaves the cell through osmosis
Term
cribiform plate
Definition
a horizontal bone perforated with numerous foramina for the passage of the olfactory nerve filaments from the nasal cavity
Term
cricoid cartilage
Definition
a firm ridge of cartialage that forms the lower part of the larynx
Term
cricothyroid membrane
Definition
a thin sheet of fascia that connects the thyroid and cricoid cartilage that makes up the larynx
Term
crista galli
Definition
a prominent bony ridge in the center of the anterior fossa to which the meninges are attached
Term
cusps
Definition
the flaps that comprise the heart valves
Term
dead space
Definition
any portion of the airway that does contain air and cannot participate in gas exchange; such as the trachea and bronchi
Term
deep
Definition
further inside the body and away from the skin
Term
dermis
Definition
the inner layer of the skin, containing hair follicles, sweat glands, nerve endings,and blood vessels
Term
descending aorta
Definition
one of the three portions of the aorta, it is the longest portion and extends through the thorax and abdomen into the pelvis
Term
diapedesis
Definition
a process whereby leukocytes leave blood vessels to move toward tissue where they are needed most
Term
diaphragm
Definition
a muscular dome that forms the undersurface of the thorax, separating the chest from the abdominal cavity; its contraction brings air into the lungs
Term
diastole
Definition
the relaxation, or period of relaxation, of the heart, especially the ventricles
Term
diffusion
Definition
movement of a gas from an area of higher concentration to an area of lower concentration
Term
digestion
Definition
the processing of food that nourishes the individual cells of the body
Term
distal
Definition
farther from the trunk or nearer to the free end of the extremity
Term
distibutive shock
Definition
a condition that occurs when there is widespread dilation of the resistance vessels, the capacitance vessels, or both
Term
dorsal
Definition
the posterior surface of the body, including the back of the hand
Term
dorsal respiratory group (DRG)
Definition
a portion of the medulla oblongata where the primary respiratory pacemaker is found
Term
dromotropic state
Definition
related to the control of the heart's conduction rate
Term
dura mater
Definition
the outermost of the three meninges that enclose the brain and spinal cord; it is the toughest membrane
Term
abdomen
Definition
the body cavity that contains the major organs of digestion and excretion. it is located below the diaphragm and above pelvis
Term
acetabulum
Definition
the depression on the lateral pelvis where its three component bones join, in which the femoral head fits snugly
Term
acid
Definition
a substance that increases the concentration of hydrogen ions in a water solution
Term
acidotic
Definition
blood that is too acidic
Term
acromioclavicular separation (AC separation)
Definition
one or more torn ligaments in the acromioclavicular joint, resulting in a separated sholder
Term
acromion process
Definition
the tip of the shoulder and the site of attachment for both the clavicle and various shoulder muscles
Term
active transport
Definition
a method used to move compounds across a cell membrane to create or maintain an imbalance of charges
Term
adam's apple
Definition
The firm prominence in the upper part of the larynx formed by the thyroid cartilage. It is more prominent in men than women.
Term
adduction
Definition
motion of a limb toward the midline
Term
alpha effects
Definition
stimulation of alpha receptors that results in vasoconstriction
Term
alveolocapillary membrane
Definition
the very thin membrane, consisting of only one cell layer, that lies between the alveolus and capillary, through which respiratory exchange between the aveolus and and the blood vessels occurs.
Term
anaerobic metabolism
Definition
the metabolism that takes place in the absence of oxygen, the principle product is lactic acid.
Term
antigens
Definition
subtsances on the surface of erythocytes that are recognized by the immune system
Term
aortic arch
Definition
one of the three described portionsportions of the aorta; the section of the aorta between the ascending and descending portions that gives rise to the right brachiocephalic, left common carotid, and left subclavian arteries
Term
aortic valve
Definition
the semilunar valve that regulates blood flow from the left ventricle to the aorta
Term
ascending aorta
Definition
the first of three of the aorta; originates from the left ventricle and give rise to the two branches and right and left main coronary arteries.
Term
atlanto-occipital joint
Definition
the location where the atlas articulates with the occipital condyles
Term
atrioventricular (AV) node
Definition
the site located in the right right atrium adjacent to the septum that is responsible for transiently slowing electrical conduction
Term
auditory ossicles
Definition
the bones that function in hearing and are located deep within the cavities of the temporal bone
Term
axillary vein
Definition
the vein that is formed from the combination of the basilic and cephalic veins; it drains into the subclavian vein
Term
ball-and-socket-joint
Definition
a joint that allows internal and external rotation, as well as bending.
Term
adenosine triphosphate (ATP)
Definition
the nucleotide involved in energy metabolism; used to store energy
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