Anatomy and Physiology for Nurses at a Glance This title is also available as an e‐book. For more details, please see www.wiley.com/buy/9781118746318 or scan this QR code: Anatomy and Physiology for Nurses at a Glance Ian Peate Professor of Nursing Head of School School of Health Studies Gibraltar Muralitharan Nair Independent Nursing Consultant England Series Editor: Ian Peate This edition first published 2015 © 2015 by John Wiley & Sons, Ltd. 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Cover image: PASIEKA/SCIENCE PHOTO LIBRARY Set in 9.5/11.5pt Minion by SPi Publisher Services, Pondicherry, India 1 2015 Contents Preface vii Abbreviations viii Acknowledgements ix How to use your revision guide x About the companion website xi PPaarrtt 11 Foundations 1 1 The genome 2 2 Homeostatic mechanisms 4 3 Fluid compartments 6 4 Cells and organelles 8 5 Transport systems 10 6 Blood 12 7 Inflammation and immunity 14 8 Tissues 16 PPaarrtt 22 The nervous system 19 9 The brain and nerves 20 10 Structures of the brain 22 11 The spinal cord 24 12 The blood supply 26 13 The autonomic nervous system 28 14 Peripheral nervous system 30 PPaarrtt 33 The heart and vascular system 33 15 The heart 34 16 Blood flow through the heart 36 17 The conducting system 38 18 Nerve supply to the heart 40 19 Structure of the blood vessels 42 20 Blood pressure 44 21 Lymphatic circulation 46 PPaarrtt 44 The respiratory system 49 22 The respiratory tract 50 23 Pulmonary ventilation 52 24 Control of breathing 54 25 Gas exchange 56 PPaarrtt 55 The gastrointestinal tract 59 26 The upper gastrointestinal tract 60 27 The lower gastrointestinal tract 62 v 28 The liver, gallbladder and biliary tree 64 29 Pancreas and spleen 66 30 Digestion 68 PPaarrtt 66 The urinary system 71 31 The kidney: microscopic 72 32 The kidney: macroscopic 74 33 The ureter, bladder and urethra 76 34 Formation of urine 78 PPaarrtt 77 The male reproductive system 81 35 External male genitalia 82 36 The prostate gland 84 37 Spermatogenesis 86 PPaarrtt 88 The female reproductive system 89 38 Female internal reproductive organs 90 39 External female genitalia 92 40 The breast 94 41 The menstrual cycle 96 PPaarrtt 99 The endocrine system 99 42 The endocrine system 100 43 The thyroid and adrenal glands 102 44 The pancreas and gonads 104 PPaarrtt 1100 The musculoskeletal system 107 45 Bone structure 108 46 Bone types 110 47 Joints 112 48 Muscles 114 PPaarrtt 1111 The skin 117 49 The skin layers 118 50 The skin appendages 120 51 Epithelialisation 122 52 Granulation 124 PPaarrtt 1122 The senses 127 53 Sight 128 54 Hearing 130 55 Olfaction 132 56 Gustation 134 Appendices Appendix 1 Cross-references to chapters in Pathophysiology for Nurses at a Glance 136 Appendix 2 Normal physiological values 138 Appendix 3 Prefixes and suffixes 140 Appendix 4 Glossary 147 Further reading 150 Index 151 vi Preface In order to care effectively for people (sick or well) the nurse has The integration and application of evidence-based theory to to have an understanding and insight into anatomy and practice is a key component of effective and safe health care. This physiology. goal cannot be achieved without an understanding of anatomy and The human body is composed of organic and inorganic mole- physiology. cules that are organised at a variety of structural levels; despite this Living systems can be expressed from the very smallest level; an individual should be seen and treated in a holistic manner. If the the chemical level, atoms, molecules and the chemical bonds nurse is to provide appropriate and timely care, it is essential that connecting atoms provide the structure upon which living activity they can recognise illness, deliver effective treatment and refer is based. The smallest unit of life is the cell. Tissue is a group of cells appropriately with the person at the centre of all they do. that are alike, performing a common function. Organs are groups Nurses are required to demonstrate a sound knowledge of of different types of tissues working together to carry out a specific anatomy and physiology with the intention of providing safe activity. Two or more organs working together to carry out a and effective nursing care. This is often assessed as a part of a particular activity is described as a system. Another system that programme of study. The overall aim of this concise text is to possesses the characteristics of living things is an organism, with provide an overview of anatomy and physiology and the related the capacity to obtain and process energy, the ability to react to biological sciences that can help to develop your practical caring changes in the environment and to reproduce. skills and improve your knowledge with the aim of you becoming Anatomy is associated with the function of a living organism a caring, kind and compassionate nurse. It is anticipated that you and as such it is almost always inseparable from physiology. will be able to deliver increasingly complex care for the people Physiology is the science dealing with the study of the function of you care for when you understand how the body functions. cells, tissues, organs and organisms; it is the study of life. This text provides you with the opportunity to apply the content This At A Glance provides you with structure and a to the care of people. As you begin to appreciate how people comprehensive approach to anatomy and physiology. respond or adapt to pathophysiological changes and stressors you will be able to understand that people (regardless of age) have Ian Peate specific biological needs. Muralitharan Nair vii Abbreviations ACTH Adrenocorticotropic hormone HR Heart rate ADH Antidiuretic hormone K+ Potassium ANP Atrial natriuretic peptide kPa Kilo Pascals ANS Autonomic nervous system Mg2+ Magnesium ATP Adenosine triphosphate mmHg Millimetres of mercury AV Atrioventricular mRNA Messenger ribonucleic acid BBB Blood–brain barrier Na+ Sodium BP Blood pressure NH3 Ammonia Ca2+ Calcium O Oxygen 2 CCK Cholecystokinin PCA Posterior cerebral artery Cl Chloride PCO Partial pressure of carbon dioxide 2 CNS Central nervous system PO Partial pressure of oxygen 2 CRH Corticotrophin releasing hormones PCT Proximal convoluted tubule CSF Cerebrospinal fluid pH A measure of the acidity or basicity of an aqueous CO Carbon dioxide solution 2 CRC Cardio-regulatory centre PNS Parasympathetic nervous system CSF Cerebrospinal fluid PRH Prolactin-releasing hormone DNA Deoxyribonucleic acid RBC Red blood cells EPO Erythropoietin RER Rough endoplasmic reticulum FSH Follicle-stimulating hormone SER Smooth endoplasmic reticulum GH Growth hormone RNA Ribonucleic acid GHRIF Growth hormone release-inhibiting factor tRNA Transfer ribonucleic acid H+ Hydrogen rRNA Ribosomal ribonucleic acid H O Water SA Sinoatrial 2 Hb Haemoglobin SNS Sympathetic nervous system HCG Human chorionic gonadotrophin TSH Thyroid-stimulating hormone HCL Hydrochloric acid WBC White blood cell viii