3 Blood Pressure Flashcards

1
Q

What are 3 different capillary types?

A

Continuous
Fenestrated
Sinusoid

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2
Q

Where are continuous capillaries found?

A

Continuous capillaries are the most common type of capillaries found in tissues such as muscles, skin, lungs, and the central nervous system. Their role is to facilitate the exchange of gases, nutrients, and waste products between the blood and surrounding tissues. These capillaries have a continuous endothelial lining with tight junctions between cells, limiting the passage of large molecules while allowing smaller ones, like water, ions, and glucose, to pass through via diffusion. The tight junctions help maintain blood-brain barrier integrity in the brain and regulate the selective permeability in other tissues.

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3
Q

Where are fenestrated capillaries found?

A

Fenestrated capillaries are specialized capillaries found in organs that require rapid exchange of larger volumes of substances, such as the kidneys, intestines, and endocrine glands. These capillaries have endothelial cells with small pores (fenestrae) that allow for the passage of larger molecules like hormones, nutrients, and waste products, as well as water, while still maintaining some level of selectivity. In the kidneys, for example, fenestrated capillaries are involved in filtration, allowing for the rapid removal of waste from the blood. In the intestines and endocrine glands, they facilitate nutrient absorption and hormone secretion.

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4
Q

Where are sinusoid capillaries found?

A

Sinusoid capillaries are specialized, wide, and irregularly shaped capillaries that allow for the free exchange of large molecules and even cells between the blood and surrounding tissues. They are found in organs involved in the production and filtering of blood, such as the liver, spleen, and bone marrow.

The endothelial lining of sinusoid capillaries is discontinuous, with large gaps that permit the movement of larger substances, including blood cells and proteins, in and out of the bloodstream. In the liver, for example, they facilitate the exchange of nutrients, waste, and blood cells, essential for processes like detoxification and blood cell formation.

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5
Q

What does flow depend on?

A

Pressure difference

Resistance of the vessel

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6
Q

What is the equation of Ohm’s Law and purpose?

A

Calculate Flow (Q)

Q = ( Pressure at beginning - Pressure at end of vessel ) / Resistance

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7
Q

What is Poiseulle-Hagen Formula and its purpose?

A

Calculate resistance

R = ( 8 x viscosity x Length ) / pi x r^4

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8
Q

What is the equation for mean arterial pressure?

A

Cardiac output x total resistance

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9
Q

What mainly causes total peripheral resistance?

A

Arterioles are the main site of resistance because of such a small radius

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10
Q

What is capacitance?

A

Capacitance refers to the ability of blood vessels, particularly veins, to expand and hold a large volume of blood without a significant increase in pressure.

Veins are considered “capacitance vessels” because they store blood and help regulate blood volume distribution in the body.
The high compliance of veins allows them to accommodate large changes in blood volume with minimal changes in pressure.

This property plays a key role in maintaining cardiovascular stability, especially during changes in body posture or blood volume.

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11
Q

How is capacitance reduced?

A

Contraction of veins reduces capacitance

Blood volume in arterioles is small, so constriction does not change capacitance much

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12
Q

What affects total peripheral resistance the most?

A

Constriction of arterioles increases total peripheral resistance

Resistance in veins is small, so venoconstriction does not change TPR much

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13
Q

Explain capillary exchange

A
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14
Q

Explain the lymphatic circulation

A
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15
Q

Name 4 causes of oedema

A

Increase in venous pressure

Decrease in oncotic pressure

Decrease in lymphatic flow

Increase capillary permeability

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16
Q

What does diurnal variation of blood pressure mean?

A

Refers to the natural fluctuations in blood pressure that occur throughout the day and night.

Typically, blood pressure is lower during sleep and rises in the morning upon waking, reaching its peak during midday and late afternoon.

These variations are influenced by factors like the body’s circadian rhythm, physical activity, stress levels, and hormone release.

17
Q

Why does blood pressure drop upon standing? ***

A

Gravity

Compliance of veins

18
Q

How does the body sense acute change in blood pressure?

A

Arterial baroreceptors

19
Q

What is the short-term regulation of blood pressure?

A

Autonomic regulation (lasts mins to days)

Decreased parasympathetic efferent output affects SA node

Increase HR to increase CO
Blood pressure is now increased and restored

20
Q

What is the long-term regulation of blood pressure?

A

Volume regulation = fluid absorption by the kidneys

Major compensation of cardiac failure (inadequate CO)

21
Q

Why is controlling blood flow necessary?

A

Each tissue receives only a fraction of total CO

Increasing CO increases work done by the heart to pump blood

Each tissue must receive sufficient blood flow for its metabolic needs, otherwise necrosis will occur

22
Q

How is blood flow controlled?

A

Controlling tissue perfusion, so each tissue receives just enough blood while CO and heart work are MINIMISED

Arteriolar resistance determines the perfusion through an organ

Resistance of parallel systemic vascular beds determines the distribution of blood flow through organs

23
Q

What is active hyperaemia?

A

Increased metabolic rate increases blood flow

Hyperaemia = increased blood flow

24
Q

What are the metabolic mediators?

A

O2 - CO2 - H+
K+ - PO43-
Glucose
Adenosine

25
Q

What metabolic mediators have a VASODILATORY effect when increase at TISSUE level?

A

CO2 (except pulmonary)
H+
K+ (in low doses)
PO43-
Adenosine

26
Q

What metabolic mediators have a VASOCONSTRICTION effect when increase at TISSUE level?

A

O2 (except pulmonary)
Glucose

27
Q

Describe the blood flow in skeletal muscles

A

Low at rest, increase during exercise

At rest, arterioles and flow = controlled by sympathetic nerves

Strong response to active hyperaemia

During activity, flow controlled by local metabolites

Active muscles get increased blood flow, inactive muscles get less blood flow

28
Q

Describe the blood flow in coronary blood flow

A

Blood flow reduced in systole
Greater flow in DIASTOLE

Blood flow through heart is controlled by active hyperaemia (little response to sympathetic nerves or hormones)

Adenosine is important metabolite for coronary flow

29
Q

Describe the cerebral blood flow

A

Control is by autoregulation = almost constant from 60-160mmHg

Increased blood flow when you think

Responds well to metabolites but not sympathetic nerves or hormones

30
Q

Describe the blood flow in the skin

A

At rest in normal room temp = skin receives more blood flow than needed for metabolism

Skin blood flow depends on TEMP

Blood transports heat to skin and cool blood returns

Heat exhaustion = CO needs to increase to provide more blood to exercising muscles
Also needs to increase dilation so blood flow goes to skin to RELEASE HEAT

31
Q

What is pulmonary blood pressure?

A

22/8mmHg