Breathing. Heart Rate

Transcription

1

2 Breathing Heart Rate

3 Inspiration Expiration (Pressos not Stretched) Heart Rate increases with inspiration (Pressos Stretched) Heart Rate decreases with expiration Upside Down (Pressos Stretched) HR Decreases

4 Carotid Occlusion (pressos not stretched) HR Increases Right Side Up (pressos not stretched) HR Increases Direct Pressure (pressos stretched) HR Decreases (STOPS)

5 Valsalva Maneuver (pressos not stretched) HR Increases

6 Trumpet Note (Modified Valsalva) (pressos not stretched) HR Increases

7 Same as Trumpet Note (pressos not stretched) HR Increases

8 What did the heart rate do during? Direct pressure Carotid Occlusion Expiration Upside down Right side up Valsalva Maneuver Trumpet Note Tune Inspiration Valsalva Maneuver Trumpet Note Inspiration Right Side Up Tune Carotid Occlusion Upside down Expiration Direct Pressure What did the Pressoreceptor Activity do during?

9 Start Bleeding BP Decreases Breathing Increases (Heart Activity) Heart Activity Increases

10 BP Decreases Breathing Increases Heart Activity Increases

11 Transfusion Begins BP Increases Breathing Decreases Heart Activity Decreases

12 Back to Normal

13 Unsensitized Rabbit Very little effect on BP, Breathing, or Heart Activity because on prior exposure to horse serum

14 Sensitized Rabbit Injected with Horse Serum

15

16 BP Decreases Breathing Decreases (Becomes Shallow)

17 BP Decreases further Rabbit Expires L Breathing Decreases further Heart Activity Decreases

18 2 nd Sensitized Rabbit injected with Horse Serum (Same initial reaction as first sensitized rabbit)

19 BP Decreases Ignore breathing in this section of tape Heart Activity Decreases

20 Division of Sympathetic Autonomic system is activated!! Is the rabbit dead? Wait.Wait BP Increases Heart Activity Increases

21 BP Continues to Increase Heart Activity continues to Increase

22 1. Why did breathing increase when animal was bled? 2. Why did heart rate & strength increase when animal was bled? 3. What 2 types of shock did we see? 4. Why was breathing & heart rate inhibited during transfusion? 5. Why did blood pressure rise during transfusion? 6. What happened to BP upon injection of horse serum on sensitized bunny? 7. Breathing? 8. What cells are involved? 9. What pharmacological agents account for anaphylactic shock? 10. What are their source? 11. What are their effects on BV s and bronchiols? 12. What nervous system is active during shock? 13. What effects are brought about by this nervous system activity? 2. Maintain cardiac output & Maintain BP 1. Developing lack of O 2 3. Hemorrhagic & Anaphylactic 4. Aorta & Carotids are stretched 12. Sympathetic 13. BV constriction; stronger, faster heart beat, splenic contraction 5. Arteries are stretched as they refill with blood 6. BP Falls 7. Becomes shallow 8. White Blood Cells & mast cells 9. Histamine, serotonin, kinin, & Antibodies 10. Granules in basophils 11. Dilate blood vessels & constrict smooth muscles in bronchioles

23 Model 3-54 Inferior Sagittal Sinus Superior Sagittal Sinus Straight Sinus Transverse Sinus

24 Model 3-74 Occipital Occipital Superficial Temporal External Jugular Across Face Anterior Facial Superficial Temporal External Carotid Across Face Anterior Facial Internal Carotid Internal Jugular Common Carotid Vertebral

25 Model 3-74 Internal Jugular Occipital Anterior Facial Superficial Temporal External Jugular

26 Model 3-74 Superficial Temporal External Carotid Occipital Anterior Facial

27 Model 3-1 Torso F Superficial Temporal Superficial Temporal Occipital Anterior Facial Anterior Facial External Jugular

28 Model 3-44 Superficial Temporal Superficial Temporal Occipital Anterior Facial Anterior Facial External Jugular

29 Model 3-72 Brachiocephalic Superior Vena Cava External Carotid Internal Carotid Common Carotid Internal Jugular Brachiocephalic Rt. Subclavian Subclavian

30 Model 3-72 Internal Jugular Right Common Carotid Left Common Carotid Subclavian Brachiocephalic Brachiocephalic Superior Vena Cava Aorta Coronary s & Arteries Pulmonary Trunk

31 Model 3-1 (Torso F) Right Common Carotid Brachiocephalic Internal Jugular External Jugular Subclavian Brachiocephalic Superior Vena Cava Aorta Left Common Carotid Left Subclavian Right Subclavian

32 External Jugular Brachiocephalic Internal Jugular Internal Carotid External Carotid Model 3-74 Anterior View Subclavian Common Carotid Axillary Pulmonary Cephalic Aorta Superior Vena Cava Intercostal Arteries Coronary s & Arteries Internal Thoracic (Mammary)

33 Brachiocephalic Superior Vena Cava Aortic Arch Brachiocephalic Left Common Carotid Model 3-29 Left SubClavian Descending Aorta Ascending Aorta Coronary Arteries & s

34 Brachiocephalic Aortic Arch Brachiocephalic Right Common Carotid Model 3-1 (Torso F) Left Common Carotid Left Subclavian Descending Aorta Ascending Aorta Hemiazygous Superior Vena Cava Thoracic Aorta Intercostal Intercostal

35 Model 3-74 Posterior View Hemiazygos Azygos Intercostal Arteries Lumbar Arteries

36 Model 3-44 Azygos Hemiazygos Intercostal Intercostal

37 Internal Thoracic (Mammary) Internal Thoracic Model 3-1 Chest Plate Intercostal Intercostal

38 Model 3-44 Chest Plate Internal Thoracic (Mammary) (red) Internal Thoracic (Mammary) (blue)

39 Model 3-44 Lumbar Renal Arteries Lumbar Renal s Common Illiac Arteries Common Illiac s

40 Model 3-74 Upper Arm Cephalic Model 3-74 Fore Arm Subclavian Axillary Radial Ulnar Brachial Basilic Medial

41 External Jugular Subclavian Model 3-74 Internal Jugular Axillary Intercostal Brachial Ulnar Radial

42 Model 3-74 Renal Superior Mesenteric Hepatic Gastric Splenic Genital Splenic Renal Inferior Mesenteric Superior Mesenteric Inferior Mesenteric Common Iliac

43 Model 3-1 (Torso F) Liver Inferior Vena Cava Hepatic s

44 Model 3-1 (Torso F) Superior Mesenteric Superior Mesenteric Inferior Mesenteric Inferior Mesenteric

45 Model 3-44 Superior Mesenteric Inferior Mesenteric

46 Model 3-1 (Torso F) Splenic Splenic Superior Mesenteric Superior Mesenteric

47 Model 3-44 Superior Mesenteric Superior Mesenteric

48 Model 3-1 Arteries Gastric Hepatic Celiac Splenic Renal Arteries Superior Mesenteric Genital Inferior Mesenteric

49 Model 3-1 s Intercostal Intercostal Left Renal Right Renal Right Genital Inferior Vena Cava Left Genital Abdominal Aorta

50 Model 3-72 s Inferior Vena Cava Genital Renal Common Iliac Internal Iliac External Iliac

51 Model 3-72 Arteries Inferior Mesenteric Celiac Superior Mesenteric Renal Genital Genital Medial Sacral Internal Iliac Common Iliac External Iliac

52 Model 3-1 (Torso F) Common Iliac Internal Iliac External Iliac

53 Model 3-74 Inferior Vena Cava Abdominal Aorta Common Iliac Median Sacral Internal Iliac Common Iliac External Iliac External Iliac Internal Iliac Inguinal Area

54 Model 3-74 Popliteal Femoral Great Sephenous Small Sephenous Femoral Popliteal Posterior Tibial Peroneal Anterior Tibial Anterior Tibial Peroneal Posterior Tibial

55 Model 3-74 Anterior View Femoral Popliteal Small Saphenous Femoral Great Saphenous Anterior Tibial Popliteal Anterior Tibial Posterior Tibial Peroneal Peroneal Posterior Tibial

56 Model 3-74 (Leg Side) Femoral Popliteal Small Saphenous Great Saphenous Peroneal Anterior Tibial Posterior Tibial

57 Some Blood Flow Examples (May Be Different From Questions On Exam) How do you get from the Anterior Tibial to the Heart? Anterior Tibial Popliteal Femoral Inferior Vena Cava Common Iliac External Iliac Heart How do you get from the Cephalic to the Heart? Cephalic Axillary Subclavian Heart Superior Vena Cava Brachiocephalic

58 Some Blood Flow Examples (May Be Different From Questions On Exam) Name the next 2 s / Arteries that blood goes through!! Inferior Mesenteric Splenic Portal Superficial Temporal External Jugular Subclavian Common Iliac External Iliac Internal Iliac Dead End Femoral Deep Femoral Superior Sagittal Sinus Transverse Sinus Sigmoid Sinus Inferior Sagittal Sinus Straight Sinus Transverse Sinus

59 Some Blood Flow Examples (May Be Different From Questions On Exam) How do you get from the Heart to the Left Radial? Heart Aorta Left Subclavian Left Radial Left Brachial Left Axillary How do you get from the Heart to the Right Facial? Heart Aorta Brachiocephalic Right Facial External Carotid Right Common Carotid

60 Some Blood Flow Examples (May Be Different From Questions On Exam) Name the next 2 s / Arteries that blood goes through!! Brachiocephalic Right Common Carotid Right Subclavian Axillary External Carotid Internal Carotid