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    Lecture 9Mary Ann Price

    [email protected] 744A

    Ofce Hours M !!"!2# $ 4"%

    mailto:[email protected]:[email protected]
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    Announcements

    Pia&&a is up

    '(e test scores are ra) scores out o* !++

    ,-am )ei(tin / (i(est counts *or more t(an 01!.2%.7%

    Problems *rom t(e boo 0not to be raded

    2

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    Platelets

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    Platelets

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    5o nucleus6 but contain mitoc(ondria6

    smoot( ,6 and membrane"bound

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    Hemos

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    Must stop blood 8essels )it(out band )(ile under

    3 ma:or steps ;asocontriction

    'emporary blocplatelet plu

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    Platelet plu *ormation

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    Prostacycreleased *intact endpre8ent p*rom spre

    blocin p

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    Platelet acti8atin *actor 0PA>

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    ?indin o* platelet inte-posed collaen leadrelease o* serotonin6 APA> *rom ranules

    PA> causes acti8ation platelets6 positi8e *ee

    PA> also leads to t(roA2 production

    erotonin and t(rombare 8asoconstrictors acontribute to platelet

    5ABs

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    >ibrinoen to >ibrin polymer

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    >ibrin and Ebrinolysis

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    PA F tissue plasminoen acti8ator

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    Anticoaulation

    Bn(ibition o* platelet ad(esion

    Bn(ibition o* coaulation cascade Heparin and antit(rombin BBB toet(er bloc acti8ated *actors BC

    Protein < in(ibits *actors ; and ;BBB

    'reatments *or myocardial in*arction6 clottin ris treptoinase and tPA to dissol8e clots toet(er )it( antiplate

    0e..6 interin antaonists to pre8ent *urt(er platelet plu and*ormation

    Acetylsalicylic acid6 a

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    '(e espiratoryystem

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    >our *unctions o* respiratorysystems

    ,-c(ane o* ases bet)een t(e atmosp(ere andblood

    Homeostatic reulation o* body pH

    Protection *rom in(aled pat(oens and irritatinsubstances

    ;ocali&ation

    'ec(nically6 )eJre talin about e-ternal respiratopposed to cellular respiration

    15

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    ?ul >lo) o* Air

    >lo) taes place *rom (i(er to lo)er pressure A muscular pump creates pressure radients

    esistance to air o) is inuenced primarily by tdiameter o* t(e tubes t(rou( )(ic( t(e air is o

    16

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    ,-ternal esp>our interated p

    17

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    tructures in8ol8ed in 8entilatioand as e-c(ane

    Air)ays t(at lead *rom outside to e-c(ane sur*lun

    '(e e-c(ane sur*ace al8eoli6 a series o*interconnected sacs6 and t(eir associated pulmocapillaries

    '(e bones and muscles o* t(e t(ora- and abdomassist in 8entilation

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    19

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    20

    '(e bones o* spinecae and t(eir assomuscles *orm t(e tcae

    '(e diap(ram6 a ds(aped s(eet o* s

    muscle6 *orms t(e o* t(e cae

    Pleural sacs and pleural uid

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    Pleural sacs and pleural uid

    '(ora- is a sealed cont)it( 3 sacs 2 pleural s

    t(e luns and t(e pericaround t(e (eart

    ,ac( pleural membranse8eral layers o* elastictissue

    '(e t)o layers are (elda t(in layer o* pleural Moist slippery sur*aces t

    across eac( ot(er )(en

    Holds luns aainst t(e luns are stretc(ed and

    inated e8en at rest21

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    22

    '(e trac(ea is (eld open

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    Air is conditioned in t(e upperair)ays

    $armed to body temperature $ater 8apor added to !++K (umidity

    >orein material Eltered out

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    Mucociliary escalator

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    $atery saline layer and

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    $atery saline layer and ibrosis

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    Al8eoli

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    Al8eoli are air Elled clusters at t(e endsbronc(ioles

    Primary *unction e-

    ases )it( t(e blood ,ac( al8eolus is a s

    epit(elium )it( no smuscle

    ')o cell types / typeal8eolar cells

    'ype B is *or as e-cblood

    'ype BB is *or sur*act

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    Al8eoli

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    al8eolar sur*ace area is used *or as e-c(ane# ?lood 8essels Ell +"9+K o* space be27

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    pulmonary circulation

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    ( l i l i

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    '(e Pulmonary