1.7 PHYSIOLOGY -Cardio Flashcards
Other name right atrial pressure
Central venous pressure
Semilunar valves
Aortic and pulmonic
2 arteries that carry deoxygenated blood
Pulmonary artery and umbilical artery
Area in the human body with 100 percent oxygenation
Pulmonary vein
3 shunts present in fetal circulatiom
Ductus venosus
Foramen ovale
Ductus arteriosus
4 layers of the artery
Tunica intima, media, externa and serosa
Tunica externa + serosa
Tunica adventitia
Alpha 1 receptors in arterioles are mainly responsible for
Smooth muscle constriction, vasoconstriction
Are varicose veins a risk factor for DVT?
No.
Immobilization
Beta 2 receptors are responsible for
Smooth muscle relaxation
When arterioles vasoconstrict, what happens to blood flow and TPR?
BF dec
TPR inc
When arterioles dilate, what happens to blood flow and TPR?
Inc BF
Dec TPR
Where do you usually find alpha 1 receptors?
Skin, splanchnic, renal
Where do you usually find beta 2 receptors?
Skeletal muscles
Reservoir of blood
Veins
Parts before true capillaries
Arteriole-> metarteriole > precapillary sphincters
Veins contain which type of receptors?
Alpha 1
Percentage of blood to the following organs from the aorta:
Cerebral Coronary Renal GI Skeletal Skin
Cerebral 15 Coronary 5 Renal 25 GI 25 Skeletal 25 Skin 5
How many percent of blood are in the veins?
64%
Formula for compliance
C= V/P
The greater the reynold’s the number, the greater the probability of
Turbulent blood flow
Velocity is highest at the ____ of the blood flow
Center
Max heart rate
220-age
2 reasons for phase 2
Calcim induced cal release
Ventricular filling
Ion that causes depolarization in SA node and skeletal muscles
Calcium
The SA node has what receptors?
Beta 1 and muscarinic receptors
Most common arrhythmia post MI
Ventricular fibrillation
Basis for Vfib
Circus movements
Adverse effect of digoxin
Yello vision
Gynecomastia
Gynecomastia causing drugs
Some drugs create awesome knockers
Spirinolactone Digoxin Cimetidine Alcohol Ketoconazole
Normal CO
5 liters/ min at rest
2 mechanism that match venous return with cardiac output
Frank starling mechanism
Bainbridge reflex
Blood pressure at the large arteries
120/80
Blood pressure at the capillaries
17 mmHg
BP at the vena cava and R atrium
0 mmHg
Bp at the pulmo arteries
25/8
BP at the capillaries
7 mmHg
ECG change associated with hypokalemia
Flat/inverted T waves with U waves
ECG change associated with hyperkalemia
Low P waves, tall T waves
ECG change in hypocalcemia
Prolonged QT interval
ECG changes in hypercalcemia
Shortened QT
Region of infarct in STEMI
Transmural
Region of infarct affected in NSTEMI
Partial thicknes
Layer of the heart affected in NSTEMI
Subendocardial layer
Other name for STEMI
Q wave MI
Reynold’s number for laminar flow
<2000
Reynold’s number for turbulent flow
> 2000
Define shear
A strain produced in the structure of a substance produced by pressure when its layers are laterally shifted in relation to each other.
Shear is highest in the
Walls of the vessels
Shear is lowest in the
Center of the blood vessel
Consequence of shear
Decreased blood viscosity
Compliance of veins vs arteries
24x higher
Compliance of arteries in aging
Decreased
Highest arterial blood pressure
Systolic bp
Lowest arterial blood pressure
Diastolic bp
Pulse pressure
Systolic-diastolic
Stroke volume/arterial compliance
Pulse pressure
Formula for MAP
2/3diastole + 1/3 systole
Synonym for R atrial pressure
CVP
Estimates left atrial pressure
Pulmonary wedge capillary pressure
Differentiates cardiogenic pulmonary edema vs ARDS
PCWP