Anatomy and Physiology INTRODUCTION TO ANATOMY AND PHYSIOLOGY, CELL STUCTURE ANATOMY AND PHYSIOLOGY provide the foundation for understanding the body’s parts and functions - theory-based and practical-oriented ANATOMY - study of structure, framing, and the relationship between body parts - first studied by dissection (careful cutting apart of body structures to study their relationships) PHYSIOLOGY - branch of medical science dealing with the study of functions of body parts as a whole HOMEOSTASIS - balanced condition in the body’s internal environment due to the constant interaction of the body’s regulatory processes WHY IT IS A MUST FOR NURSES 1. FUNDAMENTAL KNOWLEDGE - provide basic knowledge about the human body - helps in clearing the fundamental concepts as to how our bodies function 2. THEORETICAL AND PRACTICAL KNOWLEDGE - theoretical concepts and practical functionalities of the human body 3. CONDITIONS OF EMERGENCIES - concepts of anatomy and physiology in times of absence of supervising doctors 4. TRACKING OF PATIENT’S HEALTH - understanding the health status of patients - helps in assessing, evaluating, diagnosing, and tracking a patient’s health - assists in comprehending the overall condition of the human body 5. IMPROVES MEDICAL AND CLINICAL SKILLS - helps in improving and polishing the skills and competencies of nurses LEVELS OF ORGANIZATION 1. CHEMICAL - atoms bond to form molecules with three-dimensional structures 2. MOLECULAR - chemical structures consisting of at least to atoms held together by one or more chemical bonds 3. CELLULAR - variety of molecules (combined chemicals) combined to form the fluid and organelles of a body cell - smallest independently functioning unit of a living organism - where almost all functions of human physiology are performed or initiated 4. TISSUE - group of many similar cells (sometimes composed of a few related types) that work together to perform a specific function - - ex. many smooth muscles come together structurally and functionally, forming a layer of smooth muscle tissue (involuntary, always has movement) 5. ORGAN - formed by two or more different tissues combined - anatomically distinct structure of the body composed of two or more tissue types - each performs one or more specific physiological functions - ex. human bladder (composed of smooth muscle tissue, transitional epithelial tissue – enables an organ to contract, and several types of connective tissue serves the function of storing urine produced by the kidneys 6. ORGAN SYSTEM - two or more organs work closely together to perform the functions of a body system VASODILATION - occurs in response to low oxygen levels or increases in body temperature - increases blood flow and oxygen delivery 7. ORGANISMAL - many organ systems work harmoniously together to perform the functions of an independent organism PARTS OF A CELL CELL MEMBRANE - thin semipermeable membrane layer of lipids and proteins surrounding the cell - primary role is protecting the cell from its surroundings - controls the entry and exit of nutrients and other microscopic entities into the cell CELL MEMBRANE STRUCTURE GLYCOPROTEIN cell to cell recognition and cell adhesion GLOBULAR PROTEINS transport channels for ions and molecules CELL MEMBRANE RECEPTOR receivers, markers, PROTEINS activators INTEGRAL MEMBRANE molecule transfer PROTEINS CARBOHYDRATE SUGAR CHAIN cell to cell recognition PERIPHERAL MEMBRANE molecule transfer PROTEINS CHOLESTEROL maintains the structural integrity and regulates the fluidity of cell membranes PHOSPHOLIPID BILAYER barrier to the passage of molecules and ions in and out of the cell Anatomy and Physiology INTRODUCTION TO ANATOMY AND PHYSIOLOGY, CELL STUCTURE - - NUCLEUS membrane-enclosed organelle within a cell containing the chromosomes suspended in a fluid substance PARTS OF THE NUCLEUS NUCLEOPLASM fluid substance containing the nucleus’ chromosomes CHROMOSOMES OR made up of DNA combined with CHROMATIN proteins NUCLEAR ENVELOPE double-layered membrane enclosing the nucleus’ contents NUCLAR PORES regulate the passage of molecules between the nucleus and cytoplasm NUCLEOLUS synthesizes ribosomes - biological polymers (proteins, nucleic acids, carbohydrates, and lipids) CYTOPLASM jelly-like material containing all the cell organelles enclosed within the cell membrane fluid (cytosol) that fills the cell, including the cytosol along with filaments, proteins, ions, and macromolecular structures as well as the organelles suspended in the cytosol GOLGI APPARATUS flat, smooth layered, sac-like organelle located near the nucleus involved in manufacturing, storing, packing, and transporting the particles throughout the cell MITOCHONDRION membrane-bound cell organelles that generate most of the chemical energy needed to power the cell’s biochemical reactions the cell energy produced is stored in a small molecule called ATP ENDOPLASMIC RETICULUM large, dynamic structure involved in calcium storage, protein synthesis, and lipid metabolism CISTERNAE - folding of the ER KINDS OF ENDOPLASMIC RETICULUM ROUGH synthesis and storage of proteins SMOOTH storage of lipids, proteins, and calcium - - - CENTROSOME small organelle found near the nucleus where centrioles are produced cellular structure involved in the cell division process before the cell division, it duplicates and as the division begins, the two centrosomes move to opposite end of the cell LYSOSOME membrane-enclosed organelles containing an array of lysosomes capable of breaking down all types of CELL MEMBRANE TRANSPORT movement of certain substances into the cell to support metabolic reactions PASSIVE TRANSPORT - no ATP - high concentration to low concentration DIFFUSION TYPES OF DIFFUSION SIMPLE molecules move down their concentration gradient FACILITATED pumps and transfers protein (ex. GLUT4) - - OSMOSIS specifically for water molecules moving across a semipermeable membrane Anatomy and Physiology INTRODUCTION TO ANATOMY AND PHYSIOLOGY, CELL STUCTURE - diffusion of a solvent through a permeable membrane through the lipid bilayer - occurs whenever the water concentration differs on the two sides of a selectively permeable membrane AQUAPORINS - transmembrane proteins that construct water- specific channels allowing water to move freely and reversibly OSMOLARITY - total concentration of all solute particles in a solution determined by multiplying molarity by the number of particles resulting from ionization TYPES OF TONICITY ISOTONIC - solutions have the same concentrations of nonpenetrating solutes as those found in cells - cells exposed to this retain their normal shape, and exhibit no net loss or gain of water - ex. body’s extracellular fluids and most IVs HYPERTONIC - have a higher concentration of non-penetrating solutes than seen in the cell - cells exposed to this lose water and shrink, or crenate - ex. mannitol for cerebral edema HYPOTONIC - more dilute than cells - cells exposed to this plump up rapidly as water rushes into them ACTIVE TRANSPORT - needs ATP - low concentration to high concentration - conversion of ATP to ADP TYPES OF ACTIVE TRANSPORT PHAGOCYTOSIS - cells engulf viruses, bacteria, or other particles are too large to use small channels to transport through the plasma membrane and pull them in EXOCYTOSIS - - form of bulk transport during which large numbers of molecules are transported out of the cell important for the transport of neurotransmitters PRIMARY ACTIVE TRANSPORT - ATPase, pumps, ATP PUMPS IN PRIMARY ACTIVE TRANSPORT Na+/K+ PUMP - low Na inside the cell and high K+ in the extracellular matrix; since it is against the concentration gradient, a. 3 Na ions in the cytosol will bind to the pump b. ATP will attach to the pump to change its configuration c. two K+ ions will bind causing another shape configuration in pump since the P (phosphate) detaches d. K+ ions will be transported inside the cell CLINICAL APPLICATION 1. high insulin, high exchange of Na and K+, hence the increase in its concentration 2. thyroid hormones (T3 & T4), increase the exchange which causes elevated production of ATP resulting to increase in body temperature DIGOXIN - inhibits Na/K+ pump causing increase in heart contraction Ca2+ PUMP - located in the sarcoplasmic reticulum of muscle cells - low Ca++ outside of the cell and high Ca++ in the cytosol - Ca++ in the cell could make the muscle contract even after relaxation Anatomy and Physiology INTRODUCTION TO ANATOMY AND PHYSIOLOGY, CELL STUCTURE - - high Ca++ in the sarcoplasmic reticulum, higher contractility during relaxation of cardiac muscle, calcium ions should move into the sarcoplasmic reticulum to reduce muscle contraction (can lead to MI) sympathetic nervous system (through the release of norepinephrine & epinephrine) would trigger protein kinase A, causing increase in the movement of Ca++ ions in the calcium channels SECONDARY ACTIVE TRANSPORT - molecule A can move from high concentration to low concentration (ex. Na) - molecule B can move from low concentration to high concentration (ex. glucose, amino acids, H+ protons) SYMPORT - both molecules will go to the same direction ANTIPORT - one will go inside, the other outside PUMPS IN SECONDARY ACTIVE TRANSPORT Na+/GLUCOSE - works in kidneys COTRANSPORTER - Na+ will move inside together with OR SYMPORTER glucose - glucose in the kidney tubules is low, while it is high in tubular cells; to move against the concentration gradient, glucose with Na will move inside the kidney tubules SODIUM-GLUCOSE TRANSPORTERS (SGLTE2) INHIBITORS - in diabetic patients, this inhibits the symporter to lower glucose and Na in the blood stream - excess glucose will be excreted in the urine, lowering glucose blood levels Na+/Ca+ - works in the cardiac muscle EXCHANGER OR - low Ca inside the cell, high Na ANTIPORTER outside - exchange of high Ca+ outside and high Na+ outside DIGOXIN - inhibits Na/K ATPases, causing Na to decrease outside - Na++ cannot move down its concentration gradient, prohibiting calcium exchange; calcium build up inside causes the heart to contract more (causing heart failure) CELL DIVISION MITOSIS - gives rise to genetically identical cells in which the total number of chromosomes is obtained IMPORTANCE OF MITOSIS 1. development and growth (the number of cells within an organism increases by mitosis) 2. cell replacement (cells are sloughed off and replaced by new ones; ex.. skin and digestive tract) MEIOSIS - cell division in sexually reproducing organisms that reduces the number of chromosomes in the gametes (egg cell, sperm cell) Anatomy and Physiology INTRODUCTION TO ANATOMY AND PHYSIOLOGY, CELL STUCTURE OOGENESIS AND SPERMATOGENESIS