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Chapter 15 Bleeding and Shock. Objectives. Describe the cardio-respiratory system. List the components of the circulatory system. Explain how blood circulates through the body. Explain what is meant by standard precautions. Define the three basic types of bleeding.
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Objectives • Describe the cardio-respiratory system. • List the components of the circulatory system. • Explain how blood circulates through the body. • Explain what is meant by standard precautions. • Define the three basic types of bleeding. • Explain the dangers associated with shock.
Cardiorespiratory System • Cardiorespiratory system includes functions of the heart, blood vessels, circulation, and gas exchange • Important components • Heart • Blood vessels (arteries, veins, capillaries) • Lungs
Heart • Responsible for pumping blood throughout the body • Dimensions • 5 inches long, 3.5 inches long • Weighs less than a pound • Beats 10,000 times a day • 8000 gallons of blood through 12000 vessels • Pumps 70-80 times a minute • Slower HR for those in better shape
Structure of Heart • Four cavities • Left/Right Atria • Left/Right Ventricle • Left and right sides separated by septum • Superior and inferior vena cava • Aorta • Pulmonary artery and vein
Blood Flow Through Heart • Superior and Inferior Vena Cava • Right Atrium • Tricuspid Valve • Right Ventricle • Pulmonary Valve • Pulmonary Artery • Lung
Blood Flow Through Heart • Lung • Pulmonary Vein • Left Atrium • Mitral Valve • Left Ventricle • Aortic Valve • Aorta
Blood • Approx 5 quarts of blood in adult body • Carries oxygen and nutrients to body • Transports waste products back to lungs, kidneys, and liver • Essential to immune system, temperature balance, hormone messenger
Components of Blood • Plasma: yellowish liquid, 55% of total volume of blood • Red blood cell: transports oxygen • Hemoglobin • Hematocrit • White blood cell: defense cells • Platelets: helps with blood clots • All of these are produced in bone marrow
Blood Vessels • Arteries: carry blood from heart to the body, oxygenated • Arterioles: small arteries • Veins: carry blood back to heart, one way valves • Veins in legs are surrounded by large muscle groups that compress veins when contracted • Venules: small veins
Blood Vessels • Capillaries: connects arteries and veins, responsible for transferring oxygen and nutrients to cells • Coronary Arteries: heart’s own system of blood vessels
Blood Pressure • Measurement of the pressure against blood vessel walls • Systolic (top number): ventricle contraction • Diastolic (lower number): ventricle relaxation
Blood Pressure • Measured using a sphygmomanometer at brachial artery • Average is 120/80 • Athletes usually lower • Factors affecting blood pressure: stress, nutrition, disease, drugs, exercise, family history
Pulse • Rhythmical beating of the heart • Pulse Points • Brachial Artery • Commom Carotid Artery • Femoral Artery • Dorsalis Pedis Artery • Popliteal Artery • Radial Artery • Temporal Artery • Posterior Tibial Artery
Find Pulse • Should take pulse with first two fingers, not thumb • Carotid Artery: anterior border of sternocleidomastoid • Radial Artery: lateral of wrist • Dorsalis Pedis Artery: top of foot, lateral to extensor hallucis longus • Tibialis Posterior Artery: medial side of ankle
Personal Protective Equipment • Should be used when coming in contact with blood or other body fluids • Gloves • Protective Eyewear • Surgical Mask
Removal of Gloves • Grasp the palm or cuff of the left glove with the gloved right hand. • Pull the left glove toward the fingertips so the glove ends up inside out. • Holding the removed glove in the gloved right hand, insert 2 fingers from the left hand under the cuff of the right glove. • Pull the right glove toward the fingertips of the right hand, ending up with the glove inside out and the left glove captured within the right glove.
Bleeding • Arterial: can be severe, spurts • Venous: less severe but can be profuse, bluish red blood • Capillary: slow bleeding, higher risk of infection
Shock • Shock is a failure of the circulatory system to oxygenate vital organs • Variety of causes • Signs and Symptoms • Weak rapid pulse • Cold clammy skin • Pale • Shallow respiration • Nausea and vomiting