Pathophysiology Exam 1- mod 1-5 ppt notes.docx -...

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Pathophysiology Exam 1: Modules 1-5 What is Pathophysiology? Study ofFunctional or Physiologic changethat results in a disruption of normal biological function --Disruption may be obvious or hidden at cellular level. Cell injuryTissue injuryOrgan injuryDisease --Pathology is the (directly observable) laboratory study of cell and tissue changes associated with disease Pathophysiology: Disease developinglong beforemanifestations present Health vs. Disease Health: The state of an organism when it functions optimallywithoutevidence of disease or abnormality Homeostasis: Thestate of equilibrium(balance between opposing pressures) in the body with respect to various functions and to the chemical compositions of the fluids and tissues (Stedman’s, 2008) When a stimulus or change encountered, body makes changes in order to return physiology to homeostasis state. If unable to do so… Disease: An interruption, cessation, or disorder of bodily functions, systems, or organs Feedback Loops: Health=Stability in Function Negative Feedback loop: theoutputof the system acts to oppose changes from the inputof the system; the result is a stable, negative-change system (Homeostasis) Positive Feedback loop:the output is unable to accommodate an input change, resulting in a net change of the system (imbalance) §Lost Response-OR-Inappropriate Response = Loss of Homeostasis §Often results in, or is result of,disease process §Rarely, physiological (Uterine contraction during labor) Knowledge of Normal Anatomy and Physiology You must Understand normalprocesses Pathophysiology: understanding what goes wrong and the biological results.
Pathophysiology: Is a MOVIE,nota SNAPSHOT. Disease predict Manifestations . “A Good RN is always looking for Trouble.”--Prof Burns Pathophysiology also considers… Etiology: Begins with Health History (Prevention begins HERE) PMH: Previous Medical History FMH: Family Medical History (genetics) PSH: Previous Surgical History New Developments Language of Pathophysiology Atrophy:Decrease in cellular size (muscle wasting) Hypertrophy:Increase in cellularsize(HTN, Exercise) Hyperplasia:Increase in cellularnumber Can predispose to dysplasia/anaplasia (“haste makes mistakes”) Metaplasia:Change from mature cell “A” to “B” Ex: Chronic irritation/inflammationCiliated cellsSquamous epithelium Dysplasia:Varied nuclei and cell size/shape (abnormal) Anaplasia:Without form, undifferentiated (cancer) Neoplasm:New growth --Can be Benign vs. Malignant Causes of Cellular Damage *Ischemia:(inadequate Tissueperfusion) Ischemia vs. Hypoxia(Usually together, but not always) Disrupts ATP production (cell energy source) Hypoxia:Results inanaerobic metabolism GlucoseLess ATP, More Pyruvic & Lactic Acid (acidosis) Loss of membrane potentials, proper Fluid / Lyte balances Oxidative Stress:Oxidizing agents / formation of Free Radicals (e-) Injury: Temperature(Heat / Cold / Radiation) Mechanical exposure (Pressure) Chemical exposure (exogenous and endogenous) Actions of microorganisms (bacteria, viruses, parasites) Abnormal metabolites
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