Fundamentals of Anatomy and Physiology for Nursing and Healthcare Students 2e
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More About This Title Fundamentals of Anatomy and Physiology for Nursing and Healthcare Students 2e

English

Fundamentals of Anatomy and Physiology for Nursing and Healthcare Students is a succinct but complete overview of the structure and function of the human body, with clinical applications throughout. Designed specifically for nursing and healthcare students, the new edition of this best-selling textbook provides a user-friendly, straightforward, jargon-free introduction to the subject.

Key features:

  • Clinical considerations and scenarios throughout showing how the material can be applied to daily practice
  • Featuring over 300 superb full colour illustrations
  • Now includes a boxed feature throughout on medicines management; providing information concerning a variety of medicines used in the care and management of people that are related to the body system of the chapter
  • The ‘Conditions’ feature within each chapter provides you with a list of disorders that are associated with the topics discussed, helping relate theory to practice
  • Each chapter includes learning outcomes, test your knowledge, scenarios, activities and summaries.
  • Includes a list of prefixes and suffixes, as well as normal values, and a glossary of terms
  • Supported by enhanced online resources with fantastic extras for both lecturers and students, including an image bank, online glossary, flashcards, interactive multiple choice questions, examples of patient notes, and more

This edition is now supported by an accompanying study guide to facilitate the learning and revision of the content within this book: Fundamentals of Anatomy and Physiology Workbook: A Study Guide for Nurses and Healthcare Students.

English

Ian Peate is Editor in Chief of the British Journal of Nursing, and Head of the School of Health Studies, Gibraltar.

Muralitharan Nair is an Independent Nursing Consultant, having recently retired as a full time nursing lecturer at Hertfordshire University.

English

Contributors xx

Acknowledgements xxii

Preface xxiii

Prefixes, suffixes xxvii

How to use your textbook xli

About the companion website xlii

Chapter 1 Basic scientific principles of physiology 1
Peter S Vickers

Introduction 2

Levels of organisation 2

Characteristics of life 2

Bodily requirements 4

Atoms 4

Atomic number 5

Carbon atom 5

Molecules 6

Chemical bonds 6

Ionic bonding of atoms 7

Ions 7

Covalent bonds 8

Polar bonds 10

Electrolytes 10

Elements 11

Properties of elements 12

Compounds 12

Chemical equations/chemical reactions 13

Acids and bases (pH) 15

Blood and pH values 17

Homeostasis 17

Organic and inorganic substances 18

Examples of organic substances 18

Examples of inorganic substances 19

Units of measurement 19

Conclusion 22

Glossary 22

References 24

Activities 24

Chapter 2 Cells, cellular compartments, transport systems, fluid movement between compartments 29
Muralitharan Nair

Introduction 30

Cell membrane 32

Functions of the cell membrane 33

Cellular fluid compartments 34

Intracellular fluid 35

Extracellular fluid 36

Fluid movement between compartments 37

Composition of body fluid 38

Effects of water deficiency 38

Variation in body fluid content 39

Transport systems 40

Simple diffusion 40

Facilitated diffusion 41

Osmosis 42

Filtration 43

Active transport system 43

Electrolytes 46

Functions of electrolytes 47

Hormones that regulate fluid and electrolytes 50

Antidiuretic hormone 50

Aldosterone 51

Atrial natriuretic peptide 52

Parathyroid hormone 52

Conclusion 52

Glossary 53

References 54

Further reading 54

Activities 54

Chapter 3 Genetics 61
Peter S Vickers

Anatomical map 62

Introduction 62

The double helix 63

Nucleotides 63

Bases 64

Chromosomes 65

From DNA to proteins 67

Protein synthesis 67

Key steps in protein synthesis 69

Summary of protein synthesis 72

The transference of genes 74

Mitosis 74

Meiosis 76

First meiotic division 78

Mendelian genetics 79

Dominant genes and recessive genes 81

Autosomal dominant inheritance and ill health 81

Autosomal recessive inheritance and ill health 81

Morbidity and mortality of dominant versus recessive disorders 84

X‐linked recessive disorders 85

Spontaneous mutation 86

Conclusion 86

Glossary 87

References 89

Further reading 89

Activities 90

Chapter 4 Tissue 95
Anthony Wheeldon

Introduction 96

Epithelial tissue 96

Simple epithelium 97

Stratified epithelium 100

Glandular epithelia 102

Connective tissue 102

Connective tissue proper 105

Cartilage 106

Bone 107

Liquid connective tissue 107

Membranes 107

Cutaneous membranes 107

Mucous membranes 108

Serous membranes 109

Synovial membranes 109

Muscle tissue 110

Nervous tissue 112

Tissue repair 112

Conclusion 113

Glossary 113

References 115

Activities 115

Chapter 5 The skeletal system 121
Ian Peate

Body map 122

Introduction 122

The axial and appendicular skeleton 122

The axial skeleton 123

The appendicular skeleton 123

Bone and its functions 123

Support 123

Movement 126

Storage 126

Protection 127

Production 127

Bone formation and growth (ossification) 128

Embryonic formation 128

Intramembranous ossification 129

Endochondral ossification 130

Bone length and thickness 130

Bone remodelling 130

Bone fractures 132

Bone structure and blood supply (histology) 134

Blood supply 135

Organisation of bone based on shape 135

Long bones 136

Short bones 136

Flat bones 139

Irregular bones 139

Sesamoid bones 139

Joints 140

Fibrous joints 140

Cartilaginous joints 141

Synovial joints 141

Conclusion 144

Glossary 144

References 146

Further reading 146

Activities 147

Chapter 6 The muscular system 153
Janet G Migliozzi

Body map 154

Introduction 154

Types of muscle tissue 154

Smooth or visceral muscle 154

Cardiac 155

Skeletal 155

Functions of the muscular system 155

Maintenance of body posture 155

Production of movement 155

Stabilisation of joints 155

Protection and control of internal tissue structures/organs 155

Generation of heat 156

Composition of skeletal muscle tissue 156

Gross anatomy of skeletal muscles 156

Microanatomy of skeletal muscle fibre 157

The sarcolemma and transverse tubules 157

The sarcoplasm 157

The myofibrils 159

The sarcomeres 159

Types of muscle fibres 159

Blood supply 160

Skeletal muscle contraction and relaxation 160

Energy sources for muscle contraction 163

Aerobic respiration 163

Oxygen debt 164

Muscle fatigue 165

Organisation of the skeletal muscular system 165

Skeletal muscle movement 168

The effects of ageing 177

Conclusion 178

Glossary 178

References 178

Further reading 179

Activities 179

Chapter 7 Circulatory system 185
Muralitharan Nair

Body map 186

Introduction 186

Components of blood 186

Properties of blood 188

Plasma 188

Water in plasma 188

Functions of blood 188

Formation of blood cells 190

Red blood cells 190

Haemoglobin 192

Formation of red blood cells 192

Life cycle of the red blood cell 194

Transport of respiratory gases 195

White blood cells 196

Neutrophils 196

Eosinophils 197

Basophils 197

Monocytes 198

Lymphocytes 198

Platelets 199

Haemostasis 199

Vasoconstriction 199

Platelet aggregation 199

Coagulation 199

Blood groups 202

Blood vessels 203

Structure and function of arteries and veins 204

Capillaries 207

Blood pressure 207

Physiological factors regulating blood pressure 208

Control of arterial blood pressure 208

Lymphatic system 208

Lymph 208

Lymph capillaries and large lymph vessels 210

Lymph nodes 210

Lymphatic organs 213

Spleen 213

The thymus gland 214

Functions of the lymphatic system 214

Conclusion 214

Glossary 215

References 216

Further reading 216

Activities 217

Chapter 8 The cardiac system 223
Carl Clare

Body map 224

Introduction 224

Size and location of the heart 224

The structures of the heart 225

Heart wall 225

The heart chambers 227

The blood supply to the heart 230

Blood flow through the heart 233

The electrical pathways of the heart 234

The cardiac cycle 239

Factors affecting cardiac output 243

Regulation of stroke volume 243

Preload 243

Force of contraction 244

Afterload 244

Regulation of heart rate 244

Autonomic nervous system activity 245

Baroreceptors and the cardiovascular centre 245

Hormone activity 245

Conclusion 247

Glossary 247

References 250

Further reading 250

Activities 251

Chapter 9 The digestive system 257
Louise McErlean

Body map 258

Introduction 258

The activity of the digestive system 258

The organisation of the digestive system 259

The digestive system organs 259

The mouth (oral cavity) 259

Pharynx 263

Oesophagus 264

The structure of the digestive system 266

Stomach 267

Small intestine 272

The pancreas 274

The liver and production of bile 276

The functions of the liver 278

The gallbladder 278

The large intestine 278

Digestive tract hormones 281

Nutrition, chemical digestion and metabolism 281

Nutrients 281

Balanced diet 282

Nutrient groups 283

Conclusion 286

Glossary 287

References 291

Further reading 291

Activities 292

Chapter 10 The renal system 299
Muralitharan Nair

Body map 300

Introduction 300

Renal system 300

Kidneys: external structures 301

Kidneys: internal structures 303

Nephrons 306

Functions of the kidney 309

Blood supply of the kidney 311

Urine formation 313

Filtration 313

Selective reabsorption 313

Excretion 314

Hormonal control of tubular reabsorption and secretion 315

Angiotensin and aldosterone 316

Antidiuretic hormone 316

Atrial natriuretic peptide 316

Composition of urine 317

Characteristics of normal urine 318

Ureters 320

Urinary bladder 320

Urethra 322

Male urethra 322

Female urethra 323

Micturition 323

Conclusion 324

Glossary 325

References 325

Further reading 326

Activities 326

Chapter 11 The respiratory system 333
Anthony Wheeldon

Body map 334

Introduction 334

Organisation of the respiratory system 334

The upper respiratory tract 335

The lower respiratory tract 336

Larynx 337

Trachea 338

Bronchial tree 338

Blood supply 341

Respiration 341

Pulmonary ventilation 343

The mechanics of breathing 343

Work of breathing 345

Volumes and capacities 346

Control of breathing 347

External respiration 348

Gaseous exchange 348

Factors influencing diffusion 349

Ventilation and perfusion 352

Transport of gases 352

Transport of oxygen 353

Transport of carbon dioxide 355

Acid–base balance 355

Internal respiration 358

Conclusion 358

Glossary 358

References 362

Further reading 363

Activities 363

Chapter 12 The reproductive systems 371
Ian Peate

Body map 372

Introduction 372

The male reproductive system 373

The testes 373

Spermatogenesis 375

Sperm 376

The testes and hormonal influences 377

The scrotum 379

The penis 380

Epididymis 382

The vas deferens, ejaculatory duct and spermatic cord 382

The prostate gland 382

The female reproductive system 382

The primary genitalia 382

The internal organs 389

The external genitalia 392

The breasts 393

Conclusion 394

Glossary 394

References 396

Further reading 397

Activities 397

Chapter 13 The nervous system 403
Louise McErlean and Janet G Migliozzi

Body map 404

Introduction 404

Organisation of the nervous system 404

Sensory division of the peripheral nervous system 405

Central nervous system 405

Motor division of the peripheral nervous system 406

Somatic nervous system 406

Autonomic nervous system 406

Neurones 406

Dendrites 407

Cell body 408

Axons 408

Myelin sheath 408

Sensory (afferent) nerves 408

Motor (efferent) nerves 409

The action potential 409

Simple propagation of nerve impulses 409

Saltatory conduction 409

The refractory period 409

Neurotransmitters 411

Neuroglia 411

The meninges 412

Cerebrospinal fluid 413

The brain 415

Cerebrum 415

Diencephalon 417

Brainstem 418

Cerebellum 418

The limbic system and the reticular formation 418

The peripheral nervous system 419

Cranial nerves 420

The spinal cord 420

Functions of the spinal cord 420

Spinal nerves 421

The autonomic nervous system 426

Sympathetic division (fight or flight) 426

Parasympathetic division (rest and digest) 426

Conclusion 430

Glossary 430

References 432

Further reading 432

Activities 433

Chapter 14 The senses 439
Carl Clare

Introduction 440

The chemical senses 440

The sense of smell (olfaction) 440

The sense of taste 445

The senses of equilibrium and hearing 449

The structure of the ear 449

Equilibrium 452

Hearing 455

The sense of sight 459

Lacrimal apparatus 460

The eye 460

The processing of visual information 468

Conclusion 469

Glossary 469

References 471

Further reading 472

Activities 472

Chapter 15 The endocrine system 479
Carl Clare

Body map 480

Introduction 480

The endocrine organs 481

Hormones 482

The transportation of hormones 484

Effects of hormones 485

Control of hormone release 485

Destruction and removal of hormones 486

The physiology of the endocrine organs 486

The hypothalamus and the pituitary gland 486

Hormones released by the anterior pituitary gland 488

Growth hormone 488

Prolactin 489

Follicle‐stimulating hormone and luteinising hormone (gonadotrophins) 489

Thyroid-stimulating hormone 489

Adrenocorticotrophic hormone 489

The thyroid gland 490

The parathyroid glands 494

The adrenal glands 495

Adrenal medulla 496

Adrenal cortex 497

Mineralocorticoids 497

Glucocorticoids 498

Pancreas 500

Insulin 501

Glucagon 503

Somatostatin 504

Conclusion 504

Glossary 504

References 505

Further reading 506

Activities 507

Chapter 16 The immune system 513
Peter S Vickers

Body map 514

Introduction 514

Blood cell development 514

Organs of the immune system 517

The thymus 517

The lymphatic system 518

Lymph nodes 520

Lymphoid tissue 522

The spleen 522

Types of immunity 523

The innate immune system 523

Physical barriers 523

Mechanical barriers 523

Chemical barriers 524

Blood cells 524

Blood cells of the immune system 524

The acquired immune system 531

Cell‐mediated immunity (T‐cell lymphocytes) 531

Humoral immunity (B‐cell lymphocytes) 533

Immunoglobulins (antibodies) 535

Immunoglobulin G 536

Immunoglobulin A 536

Immunoglobulin M 536

Immunoglobulin E 537

Immunoglobulin D 537

Role of immunoglobulins 538

Natural killer cells 541

Primary and secondary response to infection 541

Primary immune response 541

Secondary immune response 542

Immunisations 543

Passive immunisation 543

Active immunity 543

Conclusion 543

Glossary 544

References 546

Further reading 546

Activities 547

Chapter 17 The skin 551
Ian Peate

Body map 552

Introduction 552

The structure of skin 553

The epidermis 553

Keratinocytes 553

Melanocytes 554

Langerhans cells 555

Merkel cells 555

Layers of the epidermis 555

Stratum basale 557

Stratum spinosum 557

Stratum granulosum 557

Stratum lucidum 558

Stratum corneum 558

The dermis 558

The papillary and reticular aspects 558

The accessory skin structures 559

The hair 559

Skin glands 561

Nails 562

The functions of the skin 563

Sensation 563

Thermoregulation 564

Protection 565

Excretion and absorption 566

Synthesis of vitamin D 567

Conclusion 567

Glossary 567

References 568

Further reading 569

Activities 569

Normal values 575

Answers 579

Index 603

English

"Fundamentals of Anatomy and Physiology for Nursing and Healthcare Students is a succinct but complete overview of the structure and function of the human body, with clinical applications throughout. Designed specifically for nursing and healthcare students, the new edition of this best-selling textbook provides a user-friendly, straightforward, jargon-free introduction to the subject." (Expofairs 06/04/2017)

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