case study : Consider this case:   Marlee, a 47-year-old elementary school teacher, goes to her physician, Dr. Tyler, complaining of dizziness, fainting, and shortness of breath.  She also complains of episodes of diarrhea.   Physical examination reveals the following:   Pallor is evident on visual inspection; Marlee appears chronically ill. Heart rate is 70 BPM while lying down; heart rate is 68 BPM when seated and while standing. Blood pressure was taken in 3 positions and the following findings were charted:             BP = 120/74 mm Hg while lying down             BP =  98/54 mm Hg when seated             BP =  84/48 mm Hg while standing Heart and lung auscultations were normal. Abdominal and general neurologic exams are both normal. Routine laboratory studies are normal.     questions: -Describe the “effector organ(s)” structure involved here. Which layer(s) is/are mostly likely      respond(s) to increase or decrease arterial diameters?   -The baroreceptor reflex is part of the peripheral nervous system that has sensory and motor      pathways.  Also, the peripheral nervous system has two important divisions.  What are they?   -Do you feel Marlee’s problem involves her somatic or autonomic nervous system? If the autonomic      system, which division?  Why?   -Changes in blood pressure occur throughout the day. Short term mechanisms, like the baroreceptor      reflex, maintain a steady flow of blood to the tissues to sustain life despite postural changes.       However, there can be elevations of blood pressure orchestrated by the nervous system.  Describe      an example where the nervous system causes changes in the normal functioning of the circulatory      system.    -Why is it important to maintain a fairly constant blood pressure?

Surgical Tech For Surgical Tech Pos Care
5th Edition
ISBN:9781337648868
Author:Association
Publisher:Association
Chapter9: Surgical Pharmacology And Anesthesia
Section: Chapter Questions
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case study :

Consider this case:

 

Marlee, a 47-year-old elementary school teacher, goes to her physician, Dr. Tyler, complaining of dizziness, fainting, and shortness of breath.  She also complains of episodes of diarrhea.

 

Physical examination reveals the following:

 

  1. Pallor is evident on visual inspection; Marlee appears chronically ill.
  2. Heart rate is 70 BPM while lying down; heart rate is 68 BPM when seated and while standing.
  3. Blood pressure was taken in 3 positions and the following findings were charted:

            BP = 120/74 mm Hg while lying down

            BP =  98/54 mm Hg when seated

            BP =  84/48 mm Hg while standing

  1. Heart and lung auscultations were normal.
  2. Abdominal and general neurologic exams are both normal.
  3. Routine laboratory studies are normal.

 

 

questions:

-Describe the “effector organ(s)” structure involved here. Which layer(s) is/are mostly likely

     respond(s) to increase or decrease arterial diameters?

 

-The baroreceptor reflex is part of the peripheral nervous system that has sensory and motor

     pathways.  Also, the peripheral nervous system has two important divisions.  What are they?

 

-Do you feel Marlee’s problem involves her somatic or autonomic nervous system? If the autonomic

     system, which division?  Why?

 

-Changes in blood pressure occur throughout the day. Short term mechanisms, like the baroreceptor

     reflex, maintain a steady flow of blood to the tissues to sustain life despite postural changes. 

     However, there can be elevations of blood pressure orchestrated by the nervous system.  Describe

     an example where the nervous system causes changes in the normal functioning of the circulatory

     system. 

 

-Why is it important to maintain a fairly constant blood pressure?

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