Physiologic Basis of Nursing Practice Across the Lifespan: NUSC 530 NUSC 530 is an advanced physiology course that expands upon the undergraduate knowledge in physiology. If a student has completed a physiology course more than 5 years ago, it might be worthwhile to audit an undergraduate physiology course at a local community college. Listed below are objectives and prerequisites students are advised to be familiar with. In addition, it is expected that students will be knowledgeable about the terms listed below. Prerequisites for NUSC 530 1. Understand the structure and function of the cell 2. Understand that membranes are semi-permeable and have on their surface membrane cell receptors 3. Have a basic understanding of protein synthesis and the transmission of genetic information 4. Explain the differences between the intracellular compartment, extracellular compartment, and interstitial compartment in terms of ions, water composition, and transport mechanisms. Recognize normal ionic concentrations between compartments 5. Explain the differences between passive and active transport 6. Explain diffusion and osmosis and how small particles move between cells 7. Define homeostasis 8. Define cellular communication and three different signal transduction mechanisms 9. Explain the ionic basis of the resting membrane potential 10. Define the following terms: threshold, refractory period, and action potential propagation. 11. Explain the neural pathways of sensory systems 12. Describe the association between the cortex and perceptual processing 13. Understand the connections and processing between the brain and the spinal cord 14. Identify all the hormones and their target tissue and specific tissue effect 15. Explain hormonal feedback: inhibition (negative feedback) and stimulation 16. Draw out the hypothalamic and pituitary connections 17. Explain the different phases of the cardiac cycle 18. Define excitation contraction coupling 19. Understand the importance of pressure, resistance, and diameter in relationship to blood flow through arteries and veins 20. Explain the relationship of fiber stretch and tension development in cardiac muscle 21. List the differences between skeletal and cardiac muscle 22. Define inspiration, expiration, and ventilation 23. List out the pulmonary capacities and volumes 24. Describe factors that regulate ventilation 25. Describe mechanisms that regulate gas exchange in the alveoli and tissues 26. List the variables that are important in the transport of oxygen 27. List the basic functions of the kidney, highlighting the basic renal processes such as glomerular filtration, tubular reabsorption, and renal clearance 28. Describe regulation of sodium, water, and potassium balance 29. List the important hormonal factors that regulate renal function 30. List the various gastrointestinal organs and their role in either digestion, absorption, or elimination 31. List two transport mechanisms used by epithelial cells in the GI tract to transport molecules 32. Briefly describe hormonal and neural regulation of GI function 33. Define a lipoprotein and list two major lipoproteins 34. Identify at least six major functions of the liver 35. Describe the phases of an early allergic response 36. Which cells types are important in mediating the allergic response 37. Which cell types are important in the body’s resistance to infection 38. List the functions of the major cell types in mediating infection 39. Define specific and nonspecific immune mechanisms 40. Describe spermatogenesis and hormonal control of male reproductive functions 41. Describe ovarian function and control of ovarian function 42. Describe the role of estrogen and progesterone in the reproductive cycle 43. Describe the steps involved in fertilization, early development, and pregnancy Key Terms: Students should be able to define or briefly discuss the terms below. The list is not complete or comprehensive for each system, but does reflect most of the areas that are introduces at the undergraduate level and will be covered in more depth in NUSC 530. Cell membrane Phospholipids Receptor Nucleus Sarcoplasmic reticulum Peroxisomes Golgi apparatus Lysomes Filaments Basement membrane Cytoskeleton Mitochondria Nucleic acids Deoxyribonucleic acid (DNA) Ribonucleic acid (RNA) Ribosomes Chromosome DNA replication Protein translation Protein assembly Signal transduction Second messengers Cyclic adenosine monophosphate (CAMP) Inositol triphosphate (IP3) Guanylyl cyclase G proteins Neurotransmitters Temporal summation Spatial summation Sensory system Afferent and efferent nerve pathways Somatosensory pathway Central nervous system Peripheral nervous system Hormones Hypothalamic-pituitary regulation Adrenal medulla Thyroid Insulin and glucagons Growth hormone Mutation Protein (amino acids) Intracellular fluid Extracellular fluid Interstitial fluid Enzyme ATP and cellular energy transfer Cell communication Membrane potentials Synapses Action potential Cardiac Cycle Electrocardiogram Heart sounds Arterial Pressure Blood flow Baroreceptors Oxygen transport Glomerular filtration Tubular reabsorption Sodium control HDL Bile salt GI hormones Pancreatic hormones Basal electric rhythm Peristaltic waves Reproductive hormones Oogenesis Fertilization Parturition Virus Kinin Leukotriene Antibody Inflammation Coagulation Platelet Fibrin/fibrinogen Clot formation Catecholamines Stimulating and releasing hormones Long-loop feedback Short-loop feedback Sliding filament mechanism Frank-Starling mechanism Excitation-contraction coupling Frequency-tension relationship Contractile proteins Membrane excitation Muscle fatigue Conducting System Electrophysiology Contractility Gas exchange Inspiration and expiration Lung compliance Lung volumes and capacities Renal clearance Water regulation Lipoprotein LDL Chylomicron Regulator of bone growth Spermatogenesis Gametogenesis Ovarian function Follicle Ovum and sperm transport Early Development Lactation Immune function Cytokine Prostaglandin Antigen Macrophage Lymphocyte Coagulation factors Thrombin Recommended review books: A.J. Vander, J.H. Sherman, D.S. Luciano. Human Physiology. (6th Ed.) McGraw-Hill, New York, 1994. R.L. Malvin, M.D. Johnson, G.M. Malvin. Concepts of human physiology. Addison Wesley Longman, Menlo Park, CA, 1997.