ABP Flashcards

1
Q

Mention what is and what is the Function of arterial blood pressure ?

A

lateral pressure exerted by blood on the walls of BVS
F
Opening of the vessel \
driving force of blood to tissue
2 filtration filtration of blood to tissue at capillaries
filtration at the kideny

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2
Q

the blood pressure depend on ?

A

The Volume ?

NO Volume in relation to the diamtere ( compliance or distenability)

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3
Q

when bp constant ?

A

if amount of blood entering = leaving

this is not the case!

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4
Q

why bp is not constant in sys and dia

A

because only 1/3 of the blood of sv entering the vessel during systole leaves it to reach aretrioles

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5
Q

what is the resulut of that the the enrty is not equal what is leaving

A

SP =120 mm Hg 90-140
DP=80 mm Hg 60-90
المقصود اختلاف ضغط الدم خلال دورة القلب اثناء الانقباض والانبساط
اثناء الانقباض ودخول الدم للشرايين يكون الدم في اعلي ضعط له يوصل لمتوسط 120 بينما اثناء الانبساط يكون الدم مش بيدخل للشرايين ويعتمد تحرك الدم علي elastic recoil فهو هنا هيعدي لبقية vessel اثناء راحة القلب

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6
Q

MAP=

A

MAP=DP + 1/3PP=93 MM HG

90-100 NORMAL

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7
Q

The MAP is regulated by

A

blood pressure reflexes neither systole nor diastole

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8
Q

Why the arterial tree pressure is more or less the same ?

A

that is beacuse the small resistance in arterires compared to the arterioles and this lead to what ? leads to minimal or negligble amount of pressure lost so raidal art - unlar approximately

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9
Q

pulse pressure

A

SD-DP =40 MEAN !

30-50 NORMAL

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10
Q

Why is the pressure in femoral more than the brachial artey

A

it is because the effect of gravity !

increasing Bp below heart level than that of above it by 0.77 mm Hg for each 1cm

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11
Q

GR/ the SP IN abdominal aorta is higher than the ascending ?

A

that is because as you go peripherally the elasticity of the vessel decrease so the windkessel effect decrase and the systolic bp incrasse and diastoclic decrease

the windkessel pheomenon reprsents the storage of presser in the blood vessel in the shape of dilatation of the vessel this decrsases SP and it can be released during diastole by what is called elastic recoil and the increases the DP

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12
Q

why females during menopause have lower BP?

A

ESTROGEN!

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13
Q

Why children have less BP

A

because the vasmotor centre is not well developed so
increasing age – incresae the development of vasomotor tone and it sympathatic acitivty in vc of blood vessel incresaes the resistance and bp

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14
Q

Why is the bp changable during the intervals of the day

A

because during the morning you are still under parasymp eff after waking up
and during the afternoon the symp activitg take the upper hand !

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15
Q

during inspiration decrease the BP

A

during insp the intrathoracic pressure decrases and the vessels are dilated so the bp decresase

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16
Q

Emotions like anger
emotions like grief
effect on bp

A

1- increse symp

2-decrease parasymp

17
Q

Excercise — iso tonic المشي والسباحة

isomertic رفع الاثقال

A

SPB increases at both
the DP decrases at isotoinc
and markedly increases during isometric

18
Q

Static pressure MCP MSFP

Dynamic bp ?

A

1depends on blood volume in relation to the cirulatory capacity distensability
represnts the degree of filling of bv with blood 7-8 m during stoppage of circ

2 depends on the pumping force of the heart

19
Q

detreminants of arterial BP mention

A

^P=F x R

MAP=COP x TPR

20
Q

GR/ why the MAP increase during incresasr of HR although the pp decreased?

A

While increasing the HR the diastolic pressure increases breacuse the time of diatsole is shortened and then the pulse pressure decreses
but MAP= DP+ 1/3PP
The increase in the DP more than the decrese in the 1/3pp

21
Q

Why the TPR affect mainly the DP?

A

Becausre it depends mainly on the resist in the arterioles when to which the blood reach the diastole has already begun so increase in the peripheral resistance affect mainly the DP and therefore MAP increase and then SP increase because of the increase of DP
الدم في الانقباض هينضم لدم اصلا ضغطه عال فهيعلي عليه !

22
Q

TPR is the 2nd effector of the ABP ?

A

that is because it controls the outflow of blood to the capillary
يزود الدياستول و ال ماب و السيستول

23
Q

العامل الاهم المؤثر علي المقاومة الطرفية الكلية هو ؟

A

مساحة مقطع الوعاء الدموي
a small change in the radius cause a great effect on the the TPR
because it is related to the radius to the power 4

23
Q

العامل الاهم المؤثر علي المقاومة الطرفية الكلية هو ؟

A

مساحة مقطع الوعاء الدموي
a small change in the radius cause a great effect on the the TPR
because it is related to the radius to the power 4!

24
Q

Total blood volume in relation to the capacity of blood vessel
mention its effect on the ABP

A

لو زادت كمية الدم بالنسبة للمساحة اللي ماشي فيها هيؤدي ذلك الي شوية زيادة الرجوع الوريدي و زيادة ملء القلب وزيادة المخرج القلبي وبالتالي زيادة الضغط الدموي والعكس صحيح

25
Q

Elasticity affect the pp GR .

A

Because according to windkessel phenomenon
the bv store some of the systolic pressure as dilatation preventing
incerase in sp
and decresa in dp
and incerar in pp

26
Q

atherosclerosis increases PP

A

because this affect the elasticity and this leads to high SP
LOW DP and higher PP

27
Q

Determinant of ABP

A

MAP =CO X TPR

TOTAL BLOOD VOLUME AND CAPACITY OF BLOOD VESSELS
ELASTICITY !

28
Q

MAIN DETERMINANTS OF SP

A

SV

ELASTICITY IN AORTA AND BIG ARTERIES

29
Q

MAIN DETERMINANTS OF DP

A

TPR
ELASTICITY \
HEART RATEEEEE

30
Q

pHYSIOLOGICAL FACTORS ON ABP

A
SEB ASD
STRESS
EXERCISE
BODY POSITION 
AGE
SED
DIURENAL AND NOCTURNAL VARIATION
31
Q

The arterioles are the most effector on the TPR

A

BECAUSE THEIR DIAMETER IS ABLE TO BE CHANGE EASILHY BY NEURAL OR HORMONAL EFFECTS

32
Q

Detrminant of pp

A

The sv

elasticity

33
Q

the aortic incometence ivcrease pp why?

A

because this lead to drop of DP as blood flow back to the ventricle