6- Vasculature 2 Flashcards

1
Q

4 Factors Affecting Blood Flow?

A

Blood pressure
Vascular resistance
Venous return
Velocity of blood flow

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2
Q

Blood pressure (BP) is defined as…?

A

the hydrostatic pressure exerted by blood on the walls of blood vessels

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3
Q

When does a systole occur?

A

when the heart contracts to pump blood out

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4
Q

When does a dyastole occur?

A

when the heart relaxes after contraction

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5
Q

Systolic blood pressure is ..?

A

the highest pressure attained in arteries during systole

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6
Q

Diastolic blood pressure is…?

A

the lowest arterial pressure during diastole

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7
Q

What is Mean arterial pressure MAP and how is it calculated?

A

the average blood pressure in arteries

MAP = diastolic BP + 1/3 (systolic BP - diastolic BP)

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8
Q

What is vascular resistance?

A

friction between blood and the walls of blood vessels (opposition to blood flow)

Increased vascular resistance will increase blood pressure

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9
Q

What is a lumen?

A

the inside space of a tubular structure

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10
Q

3 factors affecting vascular resistance?

A

Size of the blood vessel lumen
Blood viscosity
Total blood vessel length

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11
Q

What is systemic vascular resistance (SVR) –also known as total peripheral resistance (TPR)

A

all the vascular resistances offered by systemic blood vessels

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12
Q

Venous return depends on what?

A

Pressure difference from venules
Skeletal muscle pump
Respiratory pump

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13
Q

What is a skeletal muscle pump?

A

the contraction and relaxation of skeletal muscles allowing for the opening and closure of venous valves which pumps the blood towards the heart

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14
Q

What is a respiratory pump?

A

the movement of the diaphragm with breathing which causes changes in thoracic pressure and abdominal pressure.

This helps with the opening and closure of venous valves.

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15
Q

What is circulation time?

A

the time required for a drop of blood to pass from the RIGHT TRIUM,
through the PULMONARY CIRCULATION, back to the LEFT ATRIUM, through the SYSTEMIC CIRCULATION down to the foot, and back again to the RIGHT ATRIUM

(approx 1 minute at rest)

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16
Q

What is the cardiovascular centre (CV)?

A

A group of neurons in the medulla oblongata that regulates the heart rate, contractility, and blood vessel diameter.

17
Q

The cardiovascular system receives input from where?

A

higher brain regions

sensory receptors: proprioceptors, baroreceptors and chemoreceptors.

18
Q

Baroreceptors are..?

A

pressure-sensitive sensory neurons located in the aorta, internal carotid arteries and other large arteries in the neck and chest

19
Q

The main baroreceptor reflexes are:

A

the carotid sinus reflex
(maintains normal blood pressure in the brain)

the aortic reflex
(maintains general systemic blood pressure)

20
Q

Chemoreceptor reflexes are…?

A

sensory receptors that monitor the chemical composition of blood

located close to the baroreceptors of the carotid sinus (carotid bodies) and arch of the aorta (aortic bodies).

21
Q

Name 4 hormones that alter cardiac output

A

Renin-angiotensin-aldosterone system
Epinephrine and norepinephrine
ADH (Antidiuretic hormone)
ANP (atrial natriuretic peptide)

22
Q

Explain the renin-angiotensin-aldosterone system

A

Renin is released from renal cells in response to a decrease in blood volume or a decrease in the blood flow to the kidneys. This results in a formation of angiotensin II which raises blood pressure through systemic vasoconstriction but also causes the release of aldosterone (which increases the H2O and Na+ reabsorption from the kidneys).

23
Q

Epinephrine and norepinephrine are released from..?

What do they do?

A

the adrenal medulla

increase the heart rate and force of contraction, cause vasoconstriction in the skin and abdominal organs, and vasodilation in cardiac and skeletal muscle.

24
Q

ADH (Antidiuretic hormone) is released from..? in response to?

A

the posterior pituitary in response to dehydration or decreased blood volume. This causes vasoconstriction

25
Q

ANP (Atrial Natriuretic Peptide) is released by …?

it causes..?

A

cells in the atria of the heart when blood pressure rises.

This causes vasodilation and promotes the loss of salt and water in the urine.

26
Q

normal pulse rate in a healthy person?

A

70-80 beats/min at rest.

27
Q

Define tachycardia and bradycardia

A

Tachycardia is a condition where the pulse rate is over 100 beats/min

Bradycardia is a condition when the pulse rate under 60 beats/min

28
Q

Blood pressure is measured with what?

A

sphygmomanometer

29
Q

What can you hear with a sphygmomanometer?

A

Korotkoff sounds: The various sounds that are heard while taking blood pressure

Systolic blood pressure: Blood pressure on arterial walls just after ventricular contraction

Diastolic blood pressure: Blood pressure in arteries during ventricular relaxation

Pulse pressure: The difference between systolic and diastolic.
(The normal ratio is 3:2:1 - systolic/diastolic/pulse pressure)

30
Q

What are the 3 branches of the aorta?

A

Ascending aorta
Arch of the aorta
Descending aorta (thoracic and abdominal)

31
Q

What is mesentry?

A

tissue that attaches organs to the body wall

32
Q

All venous blood drains to which 3 veins?

A

superior vena cava
inferior vena cava
coronary sinus

33
Q

All major systemic veins empty into which part of the heart?

A

the right atrium

34
Q

What is the function of the hepatic portal circulation?

A

to collect blood from the veins of the pancreas, spleen, stomach, intestines and gallbladder to direct it into the hepatic portal vein of the liver before returning it to the heart

To enable nutrient utilisation and blood detoxification by the liver.

35
Q

What is the pathway of the hepatic portal circulation?

A

The abdominal aorta transports blood from the heart to the proper hepatic artery and then to the liver. It then goes back via the hepatic veins and the inferior vena cava to the heart.

Tributaries from the stomach pancreas and large intestines drain into the splenic vein which drains into the hepatic portal vein.

Tributaries from the small intestine, stomach and the pancreas drain to the superior mesenteric vein to the portal vein. The hepatic portal vein drains into the liver.