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Explore the anatomy of the heart and lungs, learn how blood circulates and oxygenates in the body. Recognize critical signs of shock and respiratory distress. Understand the key functions and structures of the circulatory and respiratory systems.
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The Circulatory System Anatomy
The Heart • The Pump • As it beats, it forces blood through one-way valves to the entire body.
Arteries • Muscled tubes carrying oxygenated blood away from the heart. • Become smaller the further away they get from the heart. • Most are deep in muscles or protected by bones.
Veins • Muscled tubes carrying blood toward the heart. • Have a series of one-way valves that let blood flow through them. • Become larger as they get closer to the heart.
Capillaries • Microscopic, thin-walled vessels. • Situated between the veins & arteries throughout the body. • Exchange of body nourishment & oxygen occurs here.
Blood • Plasma is the fluid part of blood & consists of nutrients, carbon dioxide, hormones & water. • Plasma equals to 50% of an adult’s total blood supply.
Plasma contains: • Red cells: carry oxygen • White cells: fight disease • Platelets: break down & aid clotting; also repair damaged vessels.
The Determining Criteria in ALL CBD Categories: • Level of consciousness (LOC) • Respiratory distress • Shock- inability to perfuse
Levels of Consciousness • ALERT: Person is awake & aware of surroundings. • VERBAL: Person responds to verbal stimulus only. • PAIN: Patient responds to painful stimulus only. • UNRESPONSIVE: Patient is not arouseable.
Suggested Questions to Ask • “Is the person awake?” • “Have you tried to wake him/her?” • “Does he/she respond to you?”
Respiratory Distress • Not speaking normally - WOB • Working hard to get air. • Pale • Sweaty • Sometimes cyanotic • These people are very sick!
Critical Signs & Symptoms • Anxiety, restlessness • Decreased LOC • Cyanosis • Rapid breathing, tachypnea • Noisy respirations • Labored appearance • Diaphoresis
Non-Critical Signs & Symptoms • Stuffy nose
SHOCK • Inadequate tissue perfusion, or lack of oxygen delivery to body , mainly the major organs.
Symptoms of Shock: • Unable to sit/stand without feeling like they will pass out • What is the physiology behind this sign/symptom?
Signs of Shock: • Decreased LOC, leading to unconsciousness • Pale, moist & cool skin • Shallow, rapid breathing • Obvious fluid loss, bleeding, vomiting, diarrhea
Types of Shock: • Hemorrhagic = blood loss • Hypovolemic = large loss of fluids • Anaphylactic = life-threatening allergic reaction to substances • SepticShock = shock caused by severe infection • Cardiogenic = cardiovascular system failure • Neurogenic = resulting from spinal cord injury
Respiratory System Oxygenates blood and expels waste gasses (carbon dioxide) from the body.
Pharynx • Has 2 passages through which air flows in & out of the body: • Oral pharynx • Nasal pharynx
Epiglottis • Leaf-shaped mass of cartilage suspended over the larynx • It opens when you breathe, closes when you swallow.
Larynx • The narrowest portion of the adult respiratory passage. • Referred to as the “voice box” because it contains the vocal cords.
Trachea • An air passage, about 4.5” long • Round in shape with cartilage rings around diameter to keep it open • Lining secretes mucous
Bronchi • Trachea divides into the right & left main stem bronchus, one to each lung
Bronchioles • a narrow tube inside the lungs that branches off the main air passages (bronchi) • contribute to the cleansing function of the respiratory system, for they, too, are lined with mucous membranes and ciliated cells that move mucus upward to the pharynx.
Lungs • Where exchange of oxygen & carbon dioxide occurs. • Right lung is divided into 3 lobes. • Left lung is divided into 2 lobes.
Alveoli • Microscopic, thin-walled air sacs. • Exchange of gases between air & blood occurs here.
Diaphragm & Rib Muscles • Diaphragm is the major muscle of breathing. • wide muscular partition separating the thoracic, or chest cavity, from the abdominal cavity.
Pleura • The 2 linings on the inside of the chest wall = partial pleura • The lining that covers the outside of the lungs = visceral pleura • In contact with each other • Lubricated by fluid
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