Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN: 9780134580999
Author: Elaine N. Marieb, Katja N. Hoehn
Publisher: PEARSON
expand_more
expand_more
format_list_bulleted
Videos
Textbook Question
Chapter 18, Problem 3CCS
54-Year-Old Female with a Defective Heart Valve
Dr. El-Sheikh is a 54-year-old Egyptian female who complains of weakness, fatigue, shortness of breath, chest pain, and dizziness. Her heart rate is 96 beats/min, and her blood pressure is 148/54 mm Hg. You notice that she nods her head with every heartbeat, and her radial pulse is very strong and abrupt. Her heart sounds are abnormal, with a long diastolic murmur at the right sternal margin in the second intercostal space.
Her doctor orders an echocardiogram, which shows that Dr. El-Sheikh has severe aortic regurgitation (backflow of blood through an incompetent valve) and an enlarged left ventricle.
3. Why is Dr. El-Sheikh’s systolic blood pressure abnormally high and her diastolic blood pressure abnormally low?
Expert Solution & Answer
Want to see the full answer?
Check out a sample textbook solution
Students have asked these similar questions
Predict the per capita rate of change (r) for a population of ruil trees in the presence of the novel symbiont when the soil moisture is 29%.
The formula I am given is y= -0.00012x^2 + 0.0088x -0.1372. Do I use this formula and plug in 29 for each x variable?
Please answer the following chart so I can understand how to do it.
Digoxin: Intravenous Bolus - Two Compartment Model
Drug
Digoxin
Route:
IV Bolus
Dose:
0.750 mg
Plasma Concentration Time Profile
Beta
Alpha
Time (hrs)
Conc (ng/ml)
LN
(ng/ml)
LN
(ng/ml)
LN
0.00
#NUM!
#NUM!
#NUM!
0.10
12.290
2.509
#NUM!
#NUMI
0.60
6.975
1.942
#NUM!
#NUMI
1.00
4.649
1.537
#NUM!
#NUMI
2.00
2.201
0.789
#NUM!
#NUM!
3.00
1.536
0.429
#NUM!
#NUM!
4.00
1.342
0.294
#NUM!
#NUM!
5.00
1.273
0.241
#NUM!
#NUMI
6.00
1.238
0.213
#NUM!
#NUM!
7.00
1.212
0.192
#NUM!
#NUM!
8.00
1.188
0.172
#NUMI
#NUM!
9.00
1.165
0.153
#NUM!
#NUMI
10.00
1.143
0.134
#NUMI
#NUM!
11.00
1.122
0.115
#NUM!
12.00
1.101
0.096
#NUMI
13.00
1.080
0.077
#NUMI
16.00
1.020
0.020
#NUMI
24.00
0.876
-0.132
#NUMI
Pharmacokinetic Parameters
Parameter
Value
Alpha
B
Beta
Units
ng/ml
hr-1
ng/ml
hr-1
CO
ng/ml
H.C
AUC
ng x hr/ml
Vc
Vbeta
Vss
C
L/hr
TK (alpha)
hr
TX (beta)
days
5+
F3
F4
F5
0+
F6
F7
%
6
95
14
#3
29
&
t
F8
F9
FW
EW
Chapter 18 Solutions
Human Anatomy & Physiology (11th Edition)
Ch. 18 - Prob. 1RQCh. 18 - 2. The portion of the intrinsic conduction system...Ch. 18 - 3. An ECG provides information about (a) cardiac...Ch. 18 - 4. The sequence of contraction of the heart...Ch. 18 - 5. The fact that the left ventricular wall is...Ch. 18 - 6. The chordate tendineae (a) close the...Ch. 18 - 7. In the heart, which of the following apply? (1)...Ch. 18 - 8. The activity of the heart depends on intrinsic...Ch. 18 - 9. Freshly oxygenated blood is first received by...Ch. 18 - 10. Describe the location and position of the...
Ch. 18 - 11. Describe the pericardium and distinguish...Ch. 18 - 12. Trace one drop of blood from the time it...Ch. 18 - 13. (a) Describe how heart contraction and...Ch. 18 - 14. The refractory period of cardiac muscle is...Ch. 18 - 15. (a) Name the elements of the intrinsic...Ch. 18 - Prob. 11RQCh. 18 - Prob. 12RQCh. 18 - Prob. 13RQCh. 18 - Prob. 20RQCh. 18 - Prob. 21RQCh. 18 - Prob. 22RQCh. 18 - 2. Florita Santos, a middle-aged woman, is...Ch. 18 - 3. Hannah, a newborn baby, needs surgery because...Ch. 18 - Prob. 23RQCh. 18 - Prob. 14RQCh. 18 - 54-Year-Old Female with a Defective Heart Valve...Ch. 18 - 54-Year-Old Female with a Defective Heart Valve...Ch. 18 - 54-Year-Old Female with a Defective Heart Valve...Ch. 18 - 54-Year-Old Female with a Defective Heart...Ch. 18 - 54-Year-Old Female with a Defective Heart Valve...Ch. 18 - 54-Year-Old Female with a Defective Heart Valve...
Knowledge Booster
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.Similar questions
- Linuron, a derivative of urea, is used as an herbicide. Linuron serum levels were measured in 4Kg rabbits following a bolus IV injection of 10mg/kg. Time (minutes) Serum Linuron Levels (ug/ml) following IV dose 10 15.48 20 8.60 30 5.90 45 3.78 60 2.42 90 1.49 120 0.93 180 0.60 240 0.41 300 0.29 360 0.22 Analyze this data and perform the necessary calculations to determine the following pharmacokinetic parameters from the IV data: (5 points per parameter, 24 parameters/variables ■ 120 points possible). You do NOT need to submit graphs or data tables. Give the terminal regression line equation and R or R² value: Give the x axis (name and units, if any) of the terminal line: Give the y axis (name and units, if any) of the terminal line: Give the residual regression line equation and R or R² value: Give the x axis (name and units, if any) of the residual line: Give the y axis (name and units, if any) of the residual line:arrow_forward3. In the tomato, red fruit (O+) is dominant over orange fruit (0), and yellow flowers (W+) are dominant over white flowers (w). A cross was made between true-breeding plants with red fruit and yellow flowers, and plants with orange fruit and white flowers. The F₁ plants were then crossed to plants with orange fruit and white flowers, which produced the following results: a. b. 333 red fruit, yellow flowers 64 red fruit, white flowers 58 orange fruit, yellow flowers 350 orange fruit, white flowers Conduct a chi-square analysis to demonstrate that these two genes DO NOT assort independently. Make sure to interpret the P value obtained from your chi-square test. Calculate and provide the map distance (in map units) between the two genes.arrow_forwardName: Date: Investigation: Is a dog more closely related to a coyote or a wolf? Gray Wolf Species Name: Canis lupus Color: Light gray to black Size: 80-120 pounds, 2.5 feet tall Appearance: broad snout, round ears, long tail Coyote Species Name: Canis latrans Color: Light gray to brown Size: 20-50 pounds, 1.5 feet tall Appearance: narrow snout, pointed ears, long tail Dog, Alaskan Malamute Species Name: Canis lupus familiaris Color: Gray and white or brown and white Size: 70-80 pounds, 2 feet tall Appearance: broad snout, round ears, long tail 1. Examine the images and descriptions above. Underline any similarities between the dog and the wolf. Place a star next to any coyote traits that are similar to the dog. 2. Based on appearance alone, which do you think is the most closely related to a dog? www.biologycorner.comarrow_forward
- yu yeuwyuyuierydtgcygucygzycghjcygyugfyudguygcywgduycgyudgs ygarrow_forwardAccording to a recent study, 1 out of 50,000 people will be diagnosed with cystic fibrosis. Cystic fibrosis can be caused by a mutant form of the CFTR gene (dominant gene symbol is F and mutant is f). A. Using the rate of incidence above, what is the frequency of carriers of the cystic fibrosis allele for CFTR in the US? (3 pts) B. In a clinical study, 400 people from the population mentioned in (A.) were genotyped for BRCA1 Listed below are the results. Are these results in Hardy- Weinberg equilibrium? Use Chi Square to show whether or not they are. (3 pts) # of women BRCA1 genotype BB 390 Bb bb 12pt v 10 0 V Paragraph B IUA BIUA > V T² v <arrow_forwardCase Study—Ella Ella has a family history of diabetes. She wants to follow a healthful eating pattern that can lower her risk for developing this condition. Her dietitian recommends a goal of 450 to 600 kcal per meal and advises Ella to follow the Acceptable Macronutrient Distribution Range (AMDR) for carbohydrates and the Dietary Guidelines for Americans 2015-2020, which recommend limiting added sugar. She also recommends that Ella choose whole grains rather than processed grains. Ella decides to pack a lunch to take to work every day. This morning she’s making a sandwich for her lunch. Categories of Sandwich Options (Top of the screen) Breads Spreads Cheeses Vegetables Proteins Specific food items to select White Bread 6-inches Honey Mustard Provolone LettuceTomatoBell Peppers Turkey Part A - Reading Nutrition Facts Panels for Total Kilocalories How many total kilocalories are in Ella’s sandwich? _______ kcal ? Part B - Reading Nutrition Facts Panels for…arrow_forward
- Case Study—Ella Ella has a family history of diabetes. She wants to follow a healthful eating pattern that can lower her risk for developing this condition. Her dietitian recommends a goal of 450 to 600 kcal per meal and advises Ella to follow the Acceptable Macronutrient Distribution Range (AMDR) for carbohydrates and the Dietary Guidelines for Americans 2015-2020, which recommend limiting added sugar. She also recommends that Ella choose whole grains rather than processed grains. Ella decides to pack a lunch to take to work every day. This morning she’s making a sandwich for her lunch. Categories of Sandwich Options (Top of the screen) Breads Spreads Cheeses Vegetables Proteins Specific food items to select White Bread 6-inches Honey Mustard Provolone LettuceTomatoBell Peppers Turkey Part A - Reading Nutrition Facts Panels for Total Kilocalories How many total kilocalories are in Ella’s sandwich exactl ______kcal ? Part B - Reading Nutrition Facts Panels for…arrow_forwardIn humans, red-green color blindness is recessive and X-linked, whereas albinism is recessive and autosomal. What types of children can be produced as the result of marriage between two homozygous parents, a normal-vision albino woman and a color-blind, normal male?arrow_forwardIn Drosophila, an X linked recessive mutation, scalloped (sd), causes irregular wing margins. Diagram the F1 and F2 results if a (a) scalloped female is crossed with a normal male; (b) a scalloped male is crossed with a normal female (assume the female is homozygous). Compare these results to what you would find if the trait was not sex linked.arrow_forward
- Case Study—Ella Ella has a family history of diabetes. She wants to follow a healthful eating pattern that can lower her risk for developing this condition. Her dietitian recommends a goal of 450 to 600 kcal per meal and advises Ella to follow the Acceptable Macronutrient Distribution Range (AMDR) for carbohydrates and the Dietary Guidelines for Americans 2015-2020, which recommend limiting added sugar. She also recommends that Ella choose whole grains rather than processed grains. Ella decides to pack a lunch to take to work every day. This morning she’s making a sandwich for her lunch. Categories of Sandwich Options (Top of the screen) Breads Spreads Cheeses Vegetables Proteins Specific food items to select White Bread 6-inches Honey Mustard Provolone LettuceTomatoBell Peppers Turkey Part A - Reading Nutrition Facts Panels for Total Kilocalories How many total kilocalories are in Ella’s sandwich exactl ______kcal ? Part B - Reading Nutrition Facts Panels for…arrow_forwardC MasteringHealth MasteringNu × session.healthandnutrition-mastering.pearson.com/myct/itemView?assignment ProblemID=17465255&attemptNo=1&offset=prevarrow_forwardBiopharmaceutics and Pharmacokinetics:Two-Compartment Model Instant Absorption Questions SHOW ALL WORK, including equation used, variables used and each step to your solution, report your regression lines and axes names (with units if appropriate) :Calculate a-q a) B1, b) B2, c) hybrid rate constant (1) d) hybrid rate constant (2) e) t1/2,dist f) t1/2,elim g) k10 h) k12 i) k21 j) initial concentration (C0) k) central compartment volume (V1) l) steady-state volume (Vss) m) clearance (CL) AUC (0→10 min) using trapezoidal rule n) AUC (20→30 min) using trapezoidal rule o) AUCtail (AUC360→∞) p) total AUC (using short cut method) q) volume from AUC (VAUC)arrow_forwardarrow_back_iosSEE MORE QUESTIONSarrow_forward_ios
Recommended textbooks for you
Human Biology (MindTap Course List)BiologyISBN:9781305112100Author:Cecie Starr, Beverly McMillanPublisher:Cengage Learning
Medical Terminology for Health Professions, Spira...Health & NutritionISBN:9781305634350Author:Ann Ehrlich, Carol L. Schroeder, Laura Ehrlich, Katrina A. SchroederPublisher:Cengage LearningUnderstanding Health Insurance: A Guide to Billin...Health & NutritionISBN:9781337679480Author:GREENPublisher:Cengage
Human Biology (MindTap Course List)
Biology
ISBN:9781305112100
Author:Cecie Starr, Beverly McMillan
Publisher:Cengage Learning
Medical Terminology for Health Professions, Spira...
Health & Nutrition
ISBN:9781305634350
Author:Ann Ehrlich, Carol L. Schroeder, Laura Ehrlich, Katrina A. Schroeder
Publisher:Cengage Learning
Understanding Health Insurance: A Guide to Billin...
Health & Nutrition
ISBN:9781337679480
Author:GREEN
Publisher:Cengage
Complications during Labour and Delivery; Author: FirstCry Parenting;https://www.youtube.com/watch?v=QnCviG4GpYg;License: Standard YouTube License, CC-BY