Circulation and Breathing I
Full course description
The normal working and disturbances of the heart, lungs and circulation are illustrated by means of normal situations and several disorders. In addition, the concept of homeostasis is introduced in year 1 and used to discuss the clinical examination of the heart, lungs and blood pressure as well as resuscitation skills. There is a transfer of this theme to the Circulation & Lungs cluster in year 3.
- Heart, lungs and circulation: anatomy and physiology
- Overview of the blood circulation (greater/lesser circulation, coronary arteries)
- Regulation of blood pressure
- Regulation of respiration
- Blood: composition, production and breakdown of blood cells, regulation
- Blood: oxygen transport
- Blood: acid-base balance
- Blood: haemostasis and fibrinolysis
- Embryology of the heart and lungs
- Transition fetal to adult circulation
Knowledge and insight • Physiology and physical diagnostic examination of the thorax (cardiovascular and upper respiratory tract). • Macroscopic and microscopic anatomical structure and function structure of the thorax: airways, lungs and pleurae, heart and blood vessels. • Foetal heart and lung development. • Principles of the mechanisms underlying the circulation and respiration: breathing exercise, alveolar ventilation, pulmonary circulation, gas exchange, gas transport, cellular respiration and the associated regulatory mechanisms, circulation, physiology of the heart, physiology of large vessels, compliance, pulse pressure, regulation of cardiac output, Frank Starling mechanism. • Regulation of various aspects of breathing and circulation and the influence of rest and effort on this regulation. Skills and practicals • Providing adequate care for patients in cardiac arrest (Basic Life Support + AED). • Physical diagnostic examination of the thorax, heart and lungs. • Research of peripheral circulation and determination of blood pressure. • Introduction of additional diagnostic tests. • Practical hemodynamic using an experimental design. • Computer lab cardio lab (influence of drugs on cardiac function). • Practical coagulation. • Virtual microscopy of the thorax (lungs, heart and blood vessels). • Practical Spirometry: Writing a report on causes of variation and interpretation, including: 1) graphic variation in spirometric measurements, 2) and particularly the influence of race and gender in this (international).