Cardiovascular Unit PPT Make a heart • You will need a worksheet • Share instructions • Color last please • Needs to be done by end of hour for use in next class W.A. worksheet (label #4-7 together) Heart Anatomy: Flashcards: •You will need to: •Cut •Hole punch •Get 1 color W.A. follow up: in lab group 1. Correct answers 2. Looking at # 10 &11: The ventricles push blood out of the heart. If they are not working perfectly : a) What is that persons body not receiving b) What would the long term affects be c) How could you treat it 3. On the back of W.A. list and define the directional terms 4. On the heart diagram label the anatomical structures that are on the worksheet. There should be 7+ (actually label the heart diagram) Cardiovascular Medical Abbreviations • Using packet B fill in chart • Please put packet back when finished Medical abbreviations practice 1. Take a family history, date of birth, weight before examination. ______________________________________________________ Take FH, DOB, wt before exam 2. Record all vital signs, blood pressure, temperature and pulse three times a day ______________________________________________________ Record VS, BP T, P tid 3. Take chest xray, electrocardiogram before surgery Take CXR, ECG/EKG preop ______________________________________________________ 4. Move patient to recovery room with wheelchair and give them bathroom privileges. Move pt RR c w/c BRP ______________________________________________________ Word parts: • Fill in what you know! • Use packet A Vocabulary • Using your Word Part chart fill in the vocab terms that you are able to Check/add to your vocab: • Atherosclerosis: narrowing/hardening of blood vessels caused by deposits of fatty material containing calcium and cholesterol • Coronary: pertaining to the heart • Diastolic: dilation of the heart, resting phase or filling of the ventricles • Hepatic circulation: path of blood from the intestines, GB, pancreas, stomach and spleen THROUGH the liver • Pulmonary circ: heart to lung. Carries de-oxygenated blood from the right ventricle to the lungs and returns oxygenated blood to the left atrium of the heart • Systemic circ: general circ to systems. Oxygenated blood from the left ventricle to tissues of the body, returns de-oxygenated blood to right atrium • Systolic: contraction of the ventricles termrrhage Path of Blood: blood flow 3. Right atrium 4. Tricuspid valve 5. Right ventricle 2. superior/inferior vena cava 6. Pulmonary arteries 1. All parts of the body 7. lungs 12. aorta 8.Pulmonary veins 11. Left ventricle 10. bicuspid/mitral valve 9. Left atrium Blood flow: a little more realistically Blood flow coloring: • When finished fill out the questions to the right of coloring in packet. • Try without book, then book Heart Circulation • Pulmonary: Flow of blood between the heart and lungs • Systemic: Flow of blood between the heart and the cells of the body • Coronary: Flow of blood within the heart Blood Flow • Vessels • Arteries carry blood away from the heart • Largest = Aorta • Heart muscle contractions pump blood through arteries Veins carry blood towards the heart Largest = Superior/Inferior Vena Cava Valves prevent blood from returning to heart skeletal muscle contractions move blood through veins Blood Flow Cont’d • Valves • control blood flow • Valve between left atrium and ventricle = bicuspid • Valve between right atrium and ventricle = tricuspid • Pulmonary and aortic valves stop the back flow of blood into the heart Structures • Heart • Beats 72 times a minute • 100,000 times a day • 3 Trillion times in a lifetime! • Circulates about 5-7 liters of blood • Blood Vessels • Arteries • Veins Functions • Transport nutrients and oxygen • Transport waste to kidneys • Distribute hormones and antibodies • Help control body temperature and maintain homeostasis Heart • 2 Sided double pump • Is about the size of your fist • Lies in the thoracic cavity between the lungs Heart Tissue • Endocardium: smooth membranous lining inside the heart • Myocardium: thickest layer, muscle tissue that is contractile. Heart Tissue Cont’d • Epicardium: outermost layer in the pericardium • Pericardium: covers the outside of the heart Parts of the Heart • Divided into right and left sides • 2 chambers in each side, for a total of 4 chambers • Atrium: top, where blood enters • Ventricles: bottom, where blood leaves • Left and right sides separated by a partition called a septum Cardiac Conduction System • Electrical Impulses produce a wave that can be recorded on the ECG • Consists of • • • • • Sinoatrial (SA) node Atrioventriclular (AV) node Bundle of His (AV Bundle) Bundle Branches Purkinje Fibers (network) SA NODE • Located in the upper right part of the atrium • Is a natural pacemaker • Fires at a rate of 60 to 100 times per minute • The heartbeat starts in the SA node AV NODE • Located in the floor of the right atrium • Delays or slows the electrical impulse • Fires at a rate of 40 to 60 time per minute • Can take over if the SA node is not working Bundle of His • Located next to the AV node • Transfers the electrical impulse from the atria to the ventricles Bundle Branches • Located along the left and right side of the interventricular septum • Act as pathways or a fork in the road • Impulses in the bundle branch perform the important work of making the heart muscle contract Purkinje Network • Provide an electrical pathway for each of the cardiac cells • Activate the left and right ventricles simultaneously causing the ventricles to contract Pulse • Using reading packet fill in the Pulse worksheet Heart Sounds • Lubb Sound • Heard first • Mitral and tricuspid valves closing between the atria and ventricles • Dupp Sound • Heard second • Shorter and higher pitched • Closing of the aortic and pulmonary valves as blood is pumped out of the heart • Murmurs • Abnormal or extra sounds http://depts.washington.edu/physdx/heart/demo.html Blood Pressure • Systolic = contraction of the ventricles • Diastolic = ventricle relaxation • Normal BP= 120/80 (systolic/diastolic) • Healthy systolic is less than 140 and greater than 90 • Healthy diastolic should be less than 100 http://www.nejm.org/doi/full/10.1056/NEJMvcm0800157 Blood pressure readings • Using the reading packet fill in the Blood Pressure worksheet Apical pulse Health Concerns/Assessments/Risk Factors • Using Teacher website • Click cardiovascular unit • Click website • Fill in guided notes using the website Practice quizzes Path of Blood: blood flow 3. 4. Tricuspid valve 5. 2. 6. 1. All parts of the body 7. 12. 8.Pulmonary veins 11. Left ventricle 10. 9. Label the conduction system anatomy 1. 2. 3. 4. 5. 6. 7. 8. There are _____ chambers of the heart There are _____ tissue layers to the heart The heart beats ____ times per minute Average systolic BP _____ Average diastolic BP ____ Systolic BP range ____ Diastolic BP range _____ Average pulse _____