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CVPV concepts 1

By Samantha Nelson

AB
Arteries and veins have 3 layersTunica intima, Tunica media, Tunica adventitia
ArteriesArteries have a thicker muscular layer and more elastic fibers than veins do, and therefore are thicker walled; carry O2 blood away from the heart
Veinsarry deoxygenated blood toward the heart; have thinner walls, and have semilunar intimal folds (valves)
Vasa vasorumTiny network of vessels in the walls of the vessels which provides nourishment
HeartEnclosed in a pericardial sac; Divided into right and left by a septum; made up of 3 layers
Layers of the HeartEpicardium(Outer lining), Myocardium(Muscular, functional middle layer), endocardium(inner lining)
Right AtriaReceives deoxygenated blood from the inferior and superior vena cavae, and from coronary circulation via the coronary sinus
Right VentriclesPumps blood through the pulmonary valve into the main pulmonary artery, which divides into right and left pulmonary arteries to the lungs
Left AtriaReceives O2 blood from the lungs via the pulmonary veins
Left VentriclesPumps blood to systemic circulation via the aorta, through the aortic valve
Coronary circulationOccurs in the right and left coronary arteries; Originate in the sinuses of Valsalva behind the cusps of the aortic valve in the ascending aorta
Tricuspid ValveValve Between the right atrium and right ventricle; Consists of 3 leaflets
Pulmonary ValveBetween the right ventricle and the pulmonary artery
Mitral ValveBetween the left atrium and left ventricle; Consists of 2 leaflets (AKA bicuspid)
Aortic ValveBetween the left ventricle and the aorta
Chordae tendineaeBetween the left ventricle and the aorta; Prevents the valve from everting into the atria
Sinoatrial (SA) nodeLocated in the area where the superior vena cava meets the right atrium; The process of excitation and contraction originates here; pacemaker of the heart
In the right atrium, close to the tricuspid valveAtrioventricular (AV) junction (node)
Bundle of HisExtends down the right side of the septum; Bundle divides into the right and left bundle branches, which terminate in a network of Purkinje fibers
Purkinje fibersSpread throughout the inner surface of both ventricles; Stimulation produces contractions of the ventricles
O+ Blood TypeAlmost 40% of the population has___ blood; Patients with this type of blood must receive same type blood; About half of all blood ordered by hospitals in our area is Type O
Type O bloodThe universal blood type and is the only blood type that can be transfused to patients with other blood types
Type O negative bloodthe preferred type for accident victims and babies needing exchange transfusions
RH + bloodIf this type of blood is given to an RH negative person, recipient can produce counteracting proteins (antibodies) which will destroy the RH + blood cells
RH – bloodmother may become sensitized by the proteins from an RH + fetus, and produce antibodies, possibly causing erythroblastosis fetalis
PVDPeripheral Vascular Disease
ArteriosclerosisA common arterial disorder characterized by thickening, loss of elasticity, and calcification of arterial walls; Often develops with aging, and with hypertension, nephrosclerosis, diabetes, and hyperlipidemia
AtherosclerosisA common arterial disorder characterized by yellowish plaques of cholesterol, lipids, and cellular debris in the inner layers of the walls of arteries, Often develops with aging, and with obesity, hypertension, and diabetes
EmbolusA foreign object, a quantity of air or gas, a bit of tissue or tumor, or a piece of thrombus that circulates in the bloodstream until it becomes lodged in a vessel
ThrombusBlood clot, An aggregation of platelets, fibrin, clotting factors, and the cellular elements of the blood attached to the inner wall of a vein or artery, sometimes occluding the vessel
AneurysmA localized dilation of the wall of a blood vessel, usually caused by atherosclerosis and hypertension
Transient Ischemic AttackEpisode of neurologic dysfunction that resolves within 24 hours; May be caused by athromatous debris or a thromboembolism from a carotid artery
StrokeIschemia of brain tissues by occlusion by an embolus, thrombus, or a cerebral hemorrhage
Claudication“to limp”; Most common symptom of lower extremity PVD; Occurs with exercise distal to the obstruction; Blood flow is adequate at rest but inadequate to sustain exercise; AKA functional ischemia
Congestive Heart FailureAn abnormal condition that reflects poor cardiac pumping; Failure of the ventricle to eject blood efficiently results in volume overload, causing pulmonary and venous congestion
Valvular StenosisValve leaflets are fibrous and stiff, with uneven and adherent margins
Valvular Insufficiency (incompetence)Valve leaflets with degeneration or perforations, dilated annuli, or ruptured chorda; Produces regurgitation of blood into the originating chambere
AngiographyInjection of contrast media into the patients arterial system and tracking its movements by x-ray
Doppler ScanningProbe directs an ultrasound beam that is reflected back to the probe by moving RBC’s, the velocity of which is then converted into an audible signal through a speaker


Surgical Technologist Instructor
Renton Technical College

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