3/3- Blood Pressure And Blood Vessels (Exam 2) Flashcards
What is systolic pressure?
The maximal pressure in artery when left ventricle contracts
Recorded first (115/75) in mercury
What is diastolic pressure?
Minimal pressure when left ventricle relaxes
2nd number in recording (115/75) in mercury
What is laminar flow?
When you listen to an artery but here no sounds because it smooth uninterrupted flow
What is bruit?
Sounds if there is a blockage in the arteries
What is the brachial artery?
Large artery of the arm
What does it mean when the cuff blood pressure = systolic pressure?
Blood squirts through obstruction in artery and creates vibration in vessel that produces tapping sound in stethoscope
What happens when the cuff blood pressure = diastolic pressure?
Pressure in vessels holds walls open and laminar flow is reestablished
What is the sounds of korokoff?
The tapping noise you’re hearing
What is tapping?
A boom noise heard in arteries when there’s an obstruction
What is the units blood pressure is measured in?
Millimeters of mercury (mmHg)
What is hypertension?
High blood pressure
Diastolic is 90 and up
Can have a stroke
What is hypotension?
Low blood pressure
What is the pulse?
Expansion and contraction of arterior walls as you switch from systolic and diastolic pressure
What is the radial pulse?
Pulse in wrist
What is the carotid pulse?
Pulse from artery in neck
What is the femoral pulse?
Pulse near thigh in crotch region
Check for interruption of blood flow through leg
What is the pulse pressure?
Systolic pressure - diastolic pressure
Difference between the two
Creates throbbing sensation you feel
What are arterioles?
Farther from the heart
Red thread like arteries
Oxygenated blood
Systolic and diastolic pressure evens out= no pulse
What is the mean arterial pressure (MAP)?
Diastolic pressure + (pulse pressure/ 3)
Gives measure of perfusion pressure
MAP > 70 mmHg or danger of organ failure
What is perfusion pressure?
Pressure needed to push blood through capillary beds
What is the order of blood vessels?
Heart—-> arteries—-> arterioles—-> capillaries—-> venules—-> veins—-> heart
What are venules?
Blue thread
Deoxygenated blood
What are veins?
BDB
Back to heart
Deoxygenated blood
What is the outer layer that forms the blood vessel wall?
Tunica Externa or Tunica Adventitia
CT tissue
What is the 2nd layer that makes up the blood vessel wall?
Tunica media
Mostly smooth muscle
What is the deepest layer that surrounds the lumen?
Tunica Interna or Tunica Intima or Endothelium
Simple squamous epithelium
What is the thickest layer in an artery?
Tunica Media
What is the thickest layer in a vein?
Tunica Externa
What does the cross sections of an artery and vein look like?
Artery- circle
Vein- folded in from removing the blood
What are blood vessels?
Composed of living tissues that need a blood supply
Small arteries and veins use their own
Big arteries and veins need a supply
What layer of the blood vessel wall uses the blood from the lumen their blood supply?
Turnica Interna
What is a vasa vasorum?
Blood vessels penetrating walls and setting up capillary vessels in the tunica externa and tunica media layers
What do gap junctions do in smooth muscle cells?
Connect them electrically for vasoconstriction
What is vasoconstriction controlled by?
1) nervous system (parasympathetic and sympathetic)
2) hormonal or other chemical controls
What hormones or other chemical controls affect vasoconstriction?
1) Antidiuretic hormone (ADH)
2) renin- antigotensin
Where is Antidiuretic hormone produced?
Posterior pituitary gland
How is renin- antigiotensin formed?
Antiotensinogen ——-> angiotensin 1 ——> angiotensin 2
What is in between antiotensinogen and angiotensin 1?
Renin (from kidney)
What is between antiogensin 1 and antiogensin 2?
Angiotensin converting enzyme (ACE)
If there is too much of renin what happens?
High blood pressure
Too much of angiotensin 1 becoming angiotensin 2
What is angiotestin 2?
Powerful vasoconstriction
What inhibits angiotestin 2 from being made?
ACE Inhibitor
Enzyme ACE is not made
What is natriuretic peptides?
Vasodilation
Over stretch of heart or blood vessels triggers its release
Pressure drops
What are 2 kinds of arteries?
1) elastic arteries
2) muscular arteries
What are elastic arteries?
Tunica media- a lot of elastic fibers (elastin proteins)
Closest to the heart
Carry blood under a lot of pressure
Ex: aorta
What is elastic rebound?
During systole the walls expand and the elastic fibers come back in pressing on the blood keeping the pressure higher than otherwise
Stabilizes the blood pressure in arteries
What are muscular arteries?
Thicker walls because smooth muscles primary role is regulating blood pressure
Farther from heart
Not as much pressure
Tunica media is smooth muscle
Smaller in diameter
What is Arteriovenous Anastomoses?
Capillary bed bypass
Arterioles—-> small veins
In fingers, hands, toes and feet to keep warm
What is the ideal blood pressure?
115/75
What is a basal lamina in capillaries?
Delicate CT surrounding capillaries
What are 2 ways to get into capillaries?
1) squeeze through cells
2) diffuse through cells
Ex: blood- brain barrier
What are capillaries?
Exchange nutrients for waste
Deoxygenated
Microscopic vessels
Endothelium