Transcript
Page 1: A&P- Digestive System & Metabolism powerpoint (nursing)

DIGESTIVE SYSTEM

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http://www.youtube.com/watch?v=Z7xKYNz9AS0

http://www.youtube.com/watch?v=qyJx_UVEgQI&feature=related

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◦Extends from mouth to anus, and consists of the oral cavity, pharynx, esophagus, stomach, small intestine, and colon.

◦Where does digestion take place?

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Teeth Tongue Salivary

glands Liver Gallbladder Pancreas

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◦Enamel:

◦Dentin:

◦Pulp cavity:

◦Periodontal membrane:

◦Crown:◦Root:

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Made of: Nerves: Papillae Swallowing:

◦Step 1:◦Step 2:

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◦Salivary glands:

◦Salivary amylase:

◦Lysozyme:

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Food movement Reflex:

_______________ Swallowing:

◦ Pharynx constricts◦ Breathing pauses◦ Soft palate elevates

to block nasopharynx

◦ Larynx elevates◦ Epiglottis closes◦ Esophagus starts

peristalsis

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Peristalsis LES (lower

esophageal sphincter) or “cardiac sphincter”

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◦Mucosa: Location: Function:

◦Submucosa: Location: Function:

◦External muscle layer: Location: Function: 2 layers:_____ & ______

◦Serosa: Location: Function:

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Visceral Peritoneum Parietal Peritoneum Mesentery

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http://www.youtube.com/watch?v=SKP1q-xpooo

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Location: Structure: Function:

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◦Cardiac orifice◦Fundus, Body,

Pylorus◦Rugae◦External

muscle layer ◦Pyloric

sphincter◦Chyme

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◦Gastric pits◦Mucous cells◦Chief cells◦Parietal cells Proton pumps

◦G cells◦Histamine H2 receptors

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Duodenum Jejunum Ileum Peyer’s patches Peristalsis Ampulla of Vater

http://www.youtube.com/watch?v=xu5jDCX2cHM

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Digestive secretions: 3 sources◦Liver Bile

◦Pancreas◦Duodenum Secretin

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◦Villi vs. Microvilla◦Structure:◦Function:

◦Villi:◦Capillary network◦Lacteal (lymph

capillary)

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◦Hepatocytes◦ Digestive function:

Bile production◦Liver lobules◦Hepatic duct ◦Cystic duct ◦Common bile duct◦Portal vein ◦Hepatic vein◦http://

www.youtube.com/watch?v=tat0QYxlCbo

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Bile◦Made by:◦Stored:◦Function:◦Composition:

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Produces & excretes bile Glucose/Carbohydrate

metabolism Amino acid metabolism

◦ deanimation Lipid metabolism Synthesis of plasma proteins Bilirubin formation Phagocytosis (Kupffer cells) Storage Detoxification

◦ ETOH & meds◦ Ammonia

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2 functions:◦ 1.◦ 2.

When needed, contracts to propel bile to the duodenum

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◦ Exocrine◦ Produces

pancreatic juice made of: ◦ 1. Bicarbonate

Function: ◦ 2. Digestive

enzymes◦ Pancreatic duct◦ Common bile duct

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Digestive enzymes:◦Protease (i.e.Trypsin)◦Amylase◦Lipase

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◦Functions:◦Structure:

◦Ileocecal valve◦Cecum◦Appendix

◦Purpose: ◦Ascending, Transverse,

Descending◦Sigmoid◦Rectum, Anal canal, Anus

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◦Normal Flora◦Haustra◦Goblet cells

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◦Anal canal◦Anus◦Internal anal

sphincter: ________muscle Relaxes as part of

the defecation reflex

◦External anal sphincter: _________muscle _________ control

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Sense of taste Saliva Reduced secretions LES loss of muscle tone Sluggish peristalsis Gallstones, cholecystitis

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TEMPERATURE & METABOLISM

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Normal range - 96.5-99.5 f Average = 98.6 f Fluctuates 1 to 2 f in 24 hour period Lowest temp during sleep The very young and the very old

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Thyroxine Epinephrine Active organ Food intake Fever

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Skin

Others: ◦Respiratory tract◦Urinary tract◦Digestive tract

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Radiation Conduction Convection Vasoconstriction Vasodilation Sweating

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Hypothalamus Mechanisms to increase heat loss Mechanisms to conserve heat

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Temperature above 99.5 f

Hypothalamus

Pyrogens

Purposes of fever: 1. 2.

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Sum of all chemical reactions

Anabolism

Catabolism

Cell respiration

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C6H12O6 + O2 => CO2 + H2O + ATP + heat

GLUCOSE BREAKDOWN: 3 STAGES

◦1. Glycolysis

◦2. Krebs citric acid cycle

◦3. Cytochrome (electron) transport system

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Location: Input : glucose & ATP “investment”

◦No O2 needed yet◦Changes (1) glucose to (2) pyruvic acid

Output: pyruvic acid, ATP, high energy electrons & H+ (carried by NADH), heat

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If NO O2:◦ pyruvic acid is

converted to lactic acid

If O2:◦ pyruvic acid

continues to the next stage, Krebs cycle

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Location: Input: pyruvic acid &

oxygen◦ Others: ◦ Converts each pyruvic

acid molecule into 3 carbon dioxide molecules (one carbon each)

Output: CO2, ATP, high energy electrons & H + (carried by NADH & FAD)

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Location: Input: O2, electrons & H+

◦Also need: ◦Transfers the energy that was released in the

form of high energy electrons to ATP. Output: ATP, H20 Most of the ATP comes from this stage

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Proteins: made of AMINO ACIDS◦ Extra amino acids DEAMINATED by liver, then

converted into pyruvic acid, acetyl CoA, or ketones◦ Goes directly into Kreb’s cycle

Fats: made of GLYCEROL & FATTY ACIDS◦ Can also be broken down by liver into pyruvic acid,

acetyl CoA, or ketones◦ Goes directly into Kreb’s cycle

KETONES & KETOSIS

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calorie: Kilocalorie (Calorie with a capital C)

1 gram FAT = 9 KILOCALORIES 1 gram CARBOHYDRATES = 4

KILOCALORIES 1 gram PROTEIN = 4 KILOCALORIES

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GLUCOSE◦ Used to build pentose sugars (DNA & RNA)◦ Extra: Energy stores: Glycogen

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PROTEINS: AMINO ACIDS◦Used to build amino acids not obtained in

diet by liver◦Used by tissues to build proteins Hormones Antibodies Collagen Myosin & actin Clotting factors Many more!

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FATS: FATTY ACIDS & GLYCEROL◦Used to make phospholipids cell membranes

◦Used to make cholesterol: Cell membranes Steroids (ie. Cortisol,

estrogen) Bile salts Extra: stored as fat in

adipose tissue

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Amount of heat production◦Contraction of muscles◦Contraction of heart muscle◦Breakdown of cellular components

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The energy required for merely living

Energy at rest

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Exercise Age Body configuration of adults

Sex hormones Sympathetic stimulation Decreased food intake Climate

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Metabolic rate decreases

Sensitivity to external temp changes


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