Cardiovascular System

24 July 2022
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What is the function of the cardiovascular system?
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Transportation
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About how much does the heart weigh and what is it's size?
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Less than a pound and the size of a fist
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Mediastinum
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Space between the lungs where the heart lies
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Apex
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The pointed end of the heart that rests on the diaphragm (it is directed toward the left hip)
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Base
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Top part of the heart that is broad
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Pericardium
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Double-walled sac that the heart sits in and contains serous fluid between the layers to prevent friction
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Pericarditis
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Inflammation of the pericardium that results in the decrease in the serous fluid
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What are the 3 layers of the heart wall?
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1. Epicardium 2. Myocardium 3. Endocardium
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Endocardium
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A thin sheet of endothelium that lines the heart chambers, it is continuous with the linings of the blood vessels (innermost layer of the heart wall)
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How many hollow chambers does the heart has?
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4
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Atria
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Receiving chambers, blood comes into the heart
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Where are the atria located?
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Superior
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Ventricles
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Bottom chambers that send out blood
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Interatrial or intraventricular septum
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Divides the heart longitudinally
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Which side of the heart receives oxygen-poor blood from the veins?
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The Right Side
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Superior and Inferior Venae Cavae
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The veins that bring in blood from the upper and lower parts of the body to the heart
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Pulmonary Arteries
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Carry blood to the lungs where oxygen is picked up and carbon dioxide is unloaded. (Takes blood to the lungs)
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Pulmonary Vein
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Vein that brings blood back from the lungs to the heart
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Aorta
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the largest artery in the body that sends out oxygenated blood to the body
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How many valves are contained within the heart?
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4
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What is the purpose of the valves?
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Allows blood to flow in only one direction through the heart chambers (from the atria through the ventricles)
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Where are the Atrioventricula Valves (AV) located?
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Between the atrial and the ventricular chambers on each side.
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What do the AV nodes do?
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They prevent backflow into the atria when the ventricles contract
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What is the left AV node called?
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Bicuspid or mitral valve
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How many flaps does the bicuspid valve have?
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2
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What is the right AV node called?
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Tricuspid Valve
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How many flaps does the tricuspid valve have?
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3
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Semilunar valves
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Set of valves that guards the bases of the 2 large arteries leaving the ventricular chambers
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How many leaflets do the semilunar valves have?
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3
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Left Aortic
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three half-moon shaped cusps (flaps)
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Right Pulmonic
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three half-moon shaped cusps (flaps)
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When do the AV valves open?
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During heart relaxation
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When are the semilunar valves closed?
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During heart relaxation
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Valvular Stenosis
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When the valve flaps become stiff
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Endocarditis
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Bacterial infection of endocardium (Enlarges Heart)
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Coronary Arteries
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Branch from the base of the aorta and encircle the heart
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Angina Pectoris
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When the myocardium is deprived of oxygen and results in a crushing chest pain.
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Myocardial Infacrtion
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Heart Attack, heart cells die because of prolonges oxygen deprivation
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Why are the walls of the atria thicker?
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They carry high pressure
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How much blood does the heart pump in one day?
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It pushed the body's supply of 6 quarts of blood (6 liters) through the blood vessels over 1000 times, meaning it actually pumps about 6000 quarts of blood in a single day.
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What are the 2 systems that act to regulate the heart activity?
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1. Autonomic Nervous System 2. Intrinsic Factor
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Intrinsic Conduction System
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Sets the basic rhythm
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On average, how many times does the heart beat per minute?
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75
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Where is the SA node located?
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Right Atrium
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Where is the AV node located?
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At the junction of the atria and the ventricles
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Sinoatrial (SA) Node is also known as...
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the pacemaker of the heart
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Purkinje Fibers
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Spread within the muscle of the ventricle walls
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Describe how the Intrinsic Conduction System Works
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1st the SA node (a tiny cell mass) starts each heartbeat and sets the pace. 2nd From the SA node, the impulses spreads through the atria to the AV node to cause a contraction 3rd Once the AV node is finished contracting it is passed though the AV bundle, the bundle of his, the bundle braches and the purkinjie fibers.
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Heart Block
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When the SA and AV nodes are not communicating and when there is damage to the SA node
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What is the result when damage is done to the SA node?
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Slower heart rate
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Ischemia
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Lack of blood supply to the heart muscle
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Fibrillation
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A rapid uncoordinated shuddering of the heart muscle, major cause of death in heart attacks
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Tachycardia
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Rapid Heart Beat (over 100 beats per minute)
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Bradycardia
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Slow Hear Beat (less than 60 beats per minute)
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Systole
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When the ventricles contract
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Diastole
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When the ventricles relax
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Murmurs
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Abnormal or unusual heart beat because blood is flowing backwards
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Cardiac Output (CO)
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The amount of blood pumped by each side of the heart (actually each ventricle) in one minute
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Congestive Heart Failure
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A progressive condition that reflects weakening of the heart
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Coronary Atherosclerosis
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Clogging of the coronary vessels with fatty buildup
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Pulmonary Edema
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Blood vessels become swollen with blood, fluid leaks from the circulation into the lung tissue, if untreated a person suffocates
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Dyspnea
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Shortness of breath
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Vascular System
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From heart to arteries, to aterioles, to capillary beds. These drain into venules, which goes back to heart in veins, then through the venae cava into heart
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Arteries
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blood vessels that carry blood away from the heart
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Arterioles
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the smallest arteries that connect with the capillaries
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Capillary Beds
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a network of capillaries
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Venules
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small veins
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Veins
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blood vessels that carry blood back to the heart
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How many coats or tunics are in the walls of blood vessels?
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3 coats
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Why are the walls of arteries more thicker then veins?
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They are continuously changing pressure
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Are veins closer or farther apart from the hear?
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Farther
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Valves
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Prevent backflow of blood (contained in veins)
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varicose veins
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the pooling of blood in the feet and legs and inefficient venous return resulting from inactivity or pressure on the veins, the overworked valves give way
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Thombophlebitis
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Inflammation of a vein that results when a clot forms in a vessel with poor circulation
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Pulmonary Embolism
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When a blood clot detaches and ends up in , clot (thrombus) or other material lodges in vessels of the lung
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Aorta
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Largest artery in the body
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Ascending Aorta
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the ascending part of the aorta as it emerges from the left ventricle
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Name the branches of the ascending aorta
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Right and Left coronary arteries
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Left Internal Carotid
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Serves the brain
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Left external carotid
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serves the skin and muscles of the head and neck
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Celiac Trunk
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The first branch of the abdominal aorta, it is a single vessel with 3 branches
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Left gastric artery
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supplies the stomach
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Splenic Artery
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Supplies the spleen
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Common Hepatic Artery
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Supplies the liver
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Left and Right Renal Arteries
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Serves the kidneys
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Gonadal Arteries
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Serves the ovaries or testes
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popliteal artery
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artery at the knee
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Posterior Tibial Artery
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At the ankle bone
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Dorsalis Pedis Artery
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At the top of the foot
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Superior Vena Cava
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Where the veins draining from the head and arms empty into
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Which side does the Venae Cava enter?
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On the right atrium
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Inferior Vena Cava
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Where veins draining the lower body empty into (below the diaphragm)
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Azygos Vein
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Single vein that drains the thorax
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Great Saphenous Veins
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The longest veins in the body (used for open heart surgery)
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External Jugular Vein
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receives blood from skin and muscles of head
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Subclavian Vein
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receives blood from the arm though the axillary vein
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Median Cubital Vein
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Site for blood removal for blood testing, anterior aspect of the elbow
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Basilar artery
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Serves the brain stem and the cerebellum as it travels upward
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What is another name for Cerebral Arterial Circle?
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Circle of Willis
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Cerebral Arterial Circle / Circle of Willis
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Blood vessels that surround the base of the brain, protecting the brain and providing more than one route for blood to reach brain tissue
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Hepatic Portal Circulation
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Drains the digestive organs, spleen, and pancreas and deliver this blood to the liver through the hepatic portal vein
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Which portal has a unique and unusual circulation
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Hepatic Portal Circulation
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Vital Signs
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Arterial Pulse and Blood Pressure and Respiratory Rate
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Pulse
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A pressure wave that occurs with each beat of the left ventricle
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What is the pulse average beats per minute?
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70-75
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Pressure Points
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Points at the body surface where the pulse may be felt
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Blood Pressure
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The pressure the blood exerts against the inner walls of the blood vessels, it is the only force that keeps blood circulating continuously even between heartbeats
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Arterial Pulse
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Pressure wave of blood that can only be felt in the arteries.
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Systolic Pressure
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The pressure in the arteries at the peak of ventricular contraction
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Diastolic Pressure
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The pressure when the ventricles are relaxing.
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How is blood pressure measured?
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Millimeters of mercury (mm/Hg)
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Peripheral Resistance
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The amount of friction the blood encounters as it flows through the blood vessels
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Vasocontriction
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Narrowing of the blood, the major action of the sympathetic nervous system
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What major role do the kidneys play in the cardiovascular system?
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Regulate blood pressure by altering blood volume
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What are the 5 effects on blood pressure?
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1. Neural Factors: Autonomic Nervous System 2. Renal Factors:Kidneys 3. Temperature 4. Chemicals 5. Diet
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How does temperature affect blood pressure?
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Cold has a vasoconstricting effect while heat has a vasodilating effect
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How does chemicals effect blood pressure?
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Drugs, Alcohol, Nicotine can increase blood pressure causing vasocontriction
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How does diet effect blood pressure?
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Foods low in salt and sodium can help to prevent hypertention
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What is the normal systolic blood pressure?
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110-140 mm Hg
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What is the normal diastolic blood pressure
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70-80 mm Hg
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Hypotension
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Low blood pressure with a systolic below 100 mm Hg
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Orthostatic Hypotension
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Temporary Low Pressure from suddenly changing positions
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Hypertension
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High Blood Pressure that is 140/90 of higher
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What is the percentage of people with primary or essential hypertension?
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90%