Term
What is an incompetent valve? |
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Definition
valve which doesnt close completely, so heart pumps same blood over and over |
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Term
What is a stenotic valve ? |
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Definition
narrowing of the valve, creating more work for the heart. needs surgery to correct |
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Term
What nerve slows the heart? |
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Definition
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Term
Where does sympathetic nerves attach to the heart? |
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Definition
SA node, AV node and myocardium |
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Term
What is the neurotransmitter used to speed up the heart rate? |
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Definition
Acetylcholine at nicotinic receptors |
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Term
What is the path of conductivity in the heart? |
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Definition
Sinoatrial node to Artioventicular node down bundle branches to purkinje fibers for contraction |
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Term
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Definition
Fast heart beat over 100rpm |
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Term
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Definition
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Term
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Definition
Too much K problem with thiazide and loop diuretics |
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Term
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Definition
common side effect of potassium sparing diuretics |
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Term
What is an example of a thiazide? |
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Definition
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Term
What is an example of a potassium sparing diuretic? |
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Definition
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Term
What is an example of a loop diuretic? |
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Definition
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Term
What are the effects of diuretics? |
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Definition
Decrease blood volume Decrease venous pressure Decreases cardiac filling (preload) Decreases ventricular stroke volume Decreases cardiac output |
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Term
What do carbonic anhydrase inhibitors do? and where? |
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Definition
stop transport of HCO3 into interstellar fluid at proximal tubule |
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Term
What do K sparing diuretics do and where? |
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Definition
distal part of DCT, stops aldo effects, retain K weak effects |
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Term
What do thiazides do and where? |
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Definition
inhibit Cl-Na transporter at distal tubule |
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Term
What do loop diuretics do? where? |
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Definition
The inhibit tri porter of chlorine,K and Na in thick ascending tubule. 25% of Na |
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Term
What are the effects of ANG II in nephron? |
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Definition
enhance Na-K exchanger in Pt and TAL enhance NCC in DT and ENaC in CD |
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Term
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Definition
V2 in kidney, places aquaporins V1 vasoconstricts at high concentrations |
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Term
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Definition
transport Na in H out to tubule |
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Term
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Definition
symporter for Na and 3 HCO3 |
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Term
What is the purpose of the loop of Henle? |
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Definition
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Term
What is the difference between PCT and DCT? |
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Definition
D is held together by tight junctions. P has leaky cells |
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Term
Where is regulated and non-regulated re absorption in nephron ? |
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Definition
DCT is regulated, PCT is not |
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Term
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Definition
distal part of TAL, on afferent arteriole |
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Term
What is the set of peritubular capillaries located on the loop of henle? |
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Definition
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Term
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Definition
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Term
What is PGE2 used for in GFR? |
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Definition
vasodilator, counteracts NE and ANG II |
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Term
What are signals for renin release? |
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Definition
reduced stretch in JG, Macula densa signals when NaCl low, lack of ATP and high PGE2 or directly by Beta 1 |
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Term
What is the bodies reaction to high salt content? |
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Definition
constrict the afferent part of TGF |
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Term
What are the two intrinsic controls of GFR? |
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Definition
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Term
What kind of capillary beds are in the glomerular apparatus ? |
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Definition
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Term
What does the basement membrane do in the glomerular apparatus ? |
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Definition
negatively charged to prevent protein from passing through. |
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Term
What makes up the filtration membrane? |
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Definition
1. the fenestrated endothelium of the glomerular capillaries. 2. The visceral membrane of the glomerular capsule (podocytes) 3. The intervening basement membrane of the fused basal laminae of the other layers. |
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Term
What do Peritubular capillaries connect to? |
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Definition
efferent arteriole and veins |
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Term
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Definition
infection of the renal pelvis |
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Term
What happens in Pulmonary Hypertension ? |
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Definition
right side of the heart works harder, leads to leaky fluid into capillaries |
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Term
What is Congestive heart failure? |
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Definition
progressive failing of heart leads to poor blood flow. |
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Term
What type of drugs are used to fight hypertension? |
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Definition
diuretics, beta blockers, Ca channel blockers, ACE inhibitors, ARBs |
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Term
What is an example of renin inhibitors? |
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Definition
Aliskiren, causes decrease in blood volume and SNS, vasodilation |
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Term
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Definition
AT1 inhibitors, stop ANG II but no bradykinin |
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Term
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Definition
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Term
What is an ACE inhibitor? |
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Definition
inhibits remodeling, ANG II formation |
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Term
What are ACE inhibitors called? |
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Definition
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Term
What is cardiogenic shock? |
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Definition
heart stops pumping right. |
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Term
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Definition
bacterial in blood. extreme vasodilation |
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Term
What is Hypovolemic shock? |
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Definition
loss of blood, due to hemorrhage |
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Term
What is Orthostatic hypotension ? |
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Definition
the influx of blood flow to the brain when standing, drop in blood pressure |
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Term
What happens at baroreceptors? |
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Definition
increase firing when higher pressure, change physiology |
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Term
What is the pulse pressure factors? |
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Definition
(1) stroke volume (2) speed of ejection of the stroke volume (3) arterial compliance |
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Term
What is the purpose of the lymphiod system? |
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Definition
proliferation of lymphocytes examine and clean lymph |
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Term
What creates venous pressure? |
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Definition
Respiratory pump and muscular pump |
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Term
What causes varicose veins? |
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Definition
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Term
What si unique about oncotic pressure? |
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Definition
Stays the same throughout a capillary bed created by plasma proteins, made in liver |
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Term
Why is velocity of blood flow slow in capillary beds? |
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Definition
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Term
What shunts blood quickly through the capillary beds? |
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Definition
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Term
What are the three types of capillaries and what do they do? |
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Definition
Continuous capillary-tight junctions normal bed Fenestrated capillary- permeable, kidney Sinusoidal capillary- incomplete membrane allows big things through, such as liver bone marrow |
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Term
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Definition
auto correct of blood pressure, by local factors |
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Term
What is EP on alpha and beta receptors? |
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Definition
alpha=vasoconstrict beta=vasodilate |
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Term
What contributes to resistance? |
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Definition
blood viscosity blood vessel length vessel diameter |
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Term
What is Echocardiography? |
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Definition
ultrasonic way to detect cardiac valves |
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Term
What is Cardiac angiography? |
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Definition
radioactive liquid is pumped through, x ray shows artery clogs |
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Term
What are extrinsic control of SV? |
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Definition
beta 1 receptor and thyroid hormone(contraction) |
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Term
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Definition
the effect of pre-load on length-tension of heart muscles |
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Term
How does SNS effect Ca for Contractility ? |
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Definition
activates cAMP pathway, leading to opening of L-type Ca channels |
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Term
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Definition
Acetylcholine acts on muscarinic receptor opening K channel and closing Ca T type |
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Term
What is the effect of SNS on SA node? |
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Definition
activates cAMP and opens Funny Na channel and T type Ca channel. Depolarizes |
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Term
What removes Ca from Cardiac muscle? |
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Definition
Ca2+ ATPase in sarcoplasmic reticulum Ca2+ ATPase in plasma membrane Na+-Ca2+ exchanger in plasma membrane |
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Term
Path of Electrical contraction on heart? |
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Definition
SA node, AV node, Bundle of His, branches then purkinje fibers |
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