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80    Tasks for the Veterinary Assistant


                      Superior
                      vena cava      Aorta
                                                               Superior
                                                              vena cava              Aorta
                                                                                                   Pulmonary
                                                                                                     Artery
                                                 Pulmonary
                                                 artery                                               Pulmonary
                                                                                                         vein
                                                  Left atrium                            Left
          Right atrium                                                                  atrium
                                                                          Right                           Mitral
                                                                          atrium                          valve
                                                  Pulmonary
                                                  veins
                                                                                                          Aortic
                                                             Pulmonary                         Left       valve
                                                               valve                         ventricle
          Right ventricle                        Left ventricle
                                                                                    Right
                                                               Tricuspid           ventricle
                                                                valve
          FIGURE 5.11  Heart – exterior structures. Source: Wikimedia
          Commons. Used under CC BY 2.5, https://commons.wikimedia.org/
          wiki/File:Heart_anterior_exterior_view.jpg.               Inferior vena cava               Pericardium
                                                             FIGURE 5.12  Heart – interior and path of blood through the heart.
          The right side of the heart receives the blood from the   Source: Wikimedia Commons. Used under CC BY‐SA 3.0, https://
          superior vena cava, which brings deoxygenated blood   en.wikipedia.org/wiki/Heart#/media/File:Diagram_of_the_human_
          from the body into the right atrium. It enters the right ven-  heart_(cropped).svg.
          tricle through the  tricuspid valve. The right ventricle
          pushes the deoxygenated blood into the pulmonary artery
          via the pulmonary valve to the lungs. The lungs oxygenate
          the blood and it is circulated back to the heart via the
          pulmonary veins, which dump into the left atrium. The
          oxygenated blood leaves the left atrium through the mitral   Jugular vein
          valve to the left ventricle. The left ventricle pushes the oxy-
          genated  blood through the  aortic  valve into the  aorta
          which branches off at the aortic arch to feed the top and
          lower parts of the body. The left ventricle is larger than the   Cephalic veins
          right because it must push the blood all the way through                                 Saphenous vein
          the body.
            The aorta branches into many arteries to take blood
          and nutrients to the tissues and organs of the body. It also
          picks up waste produced by the tissues. In order to get to   FIGURE 5.13  Vein schematic: dog.
          all the tissues, the arteries need to branch into even
          smaller vessels called arterioles. These arterioles branch   the pressure is lower in them than in the arteries. They
          yet again into capillaries. Capillaries are so small that only   contain the same blood cells, nutrients, minerals, and
          one blood cell at a time can pass through their walls. The   salts as arteries. Sometimes the arteries and/or veins
          capillaries drain into venules, which are small veins. Veins   become blocked. A blockage in the circulation to the
          carry deoxygenated blood and other materials into larger   rear part of the animal is known as a saddle thrombus.
          veins that flow into the largest vein called the vena cava.   This may cause acute paralysis of the hind limbs, pads on
          The vena cava carries the blood back to the heart.  feet may be blue from deoxygenation and the animal
            Arteries tend to be thick walled to handle the pressure   may cry out in pain.
          of the blood being pushed through them by the heart.   When the veterinarian listens to the heart,  auscul-
          Systolic blood pressure is a measurement of the blood   tates, with a stethoscope it is to check the rhythm of the
          being pushed through the arteries.  Diastolic blood   heart. The characteristic “lub‐dub” is made by the sounds
          pressure is the amount of pressure that remains in the   of the valves closing as the heart contracts. The “lub” is
          arteries after the “wave” has passed.              the mitral and tricuspid valves closing and is the start of
            Veins are thinner and have small valves to keep blood   systole and the “dub” is the closing of the aortic and
          from pooling. Veins are used to draw blood from because   pulmonary valves at the end of systole. Heart murmurs
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