arterial pressure regulation Flashcards

1
Q

is flow constant ?

A

yes , 5-6 L/m

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2
Q

speed of blood in aorta, capillaries

A

aorta 330mm/s

capillaries 0,33 mm/ s

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3
Q

pressure in aorta, capillaries and vena cava

A

aorta
SAP: 120
MAP 100
DAP 80

capillaries
arterial end: 35 mmhg
venous end : 10 mmhg

vena cava: 0 mmhg

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4
Q

speed formula

A

v=Flow/area

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5
Q

3 basic principles of circulatory function

A

1- the speed of blood flow in each tissue is controlled according to the need of each tissue
2- CO controlled by the sum of all blood flows
3- blood pressure regulation is generally independent of local blood flow controller cardiac output control

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6
Q

ohm’s law

A
flow= volume /time
flow= pressure Dif btw extremes/ vascular resistance
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7
Q

what does vascular distensibility allow

A

it allows pulsatile flow of the arteries to be continuous

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8
Q

MAP (MEAN ARTERIAL PRESSURE)

A

average of the arterial pressures measured millisecond by millisecond over a period of time
IT IS NOT DAP +SAP /2 CAUSE DIASTOLE IS LONGER THAN SISTOLE

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9
Q

VENOUS TREE : WHAT DO VALVES DO

A

valves help compensate for pressure changes

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10
Q

Autoregulation

A

mechanism applied to a whole organ that allows the organ to have a constant flow regardle of the pressures in a very wide range of pressures

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11
Q

Self-regulation

A

Every tissue in the body is able to self-regulate the flow

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12
Q

MAP FORMULA

A

MAP = 2·DAP + SAP /3

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13
Q

IF MAP INCREASES OR DECREASES WHAT HAPPENS?

A

INCREASES: vascular damage
DECREASES: hypo perfusion

total peripheral resistance is connected to cardiac output, they vary antagonistically

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14
Q

SYSTEMS TO CONTROL MAP

A

FAST: BARORRECEPTORS
SLOW: RAAS

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15
Q

BARORRECEPTORS

A

they are near the carotid and sense the pressure in the arteries and change it if neccesary

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16
Q

ANS SYMP AND PARASYM

A

symp VASOCONSTRICTION: ganglion chain, spinal nerves, simpathetic nerves
Parasympathetic NEGATIVE CHRONOTROPIC (low participation) : vagus nerve

17
Q

rapid pressure control

A

baja el Parasympathetic y sube el symp

map solubles in 5-10 sec
map divides by 2 in 10-40 seconds

18
Q

valsalva maneuver

A
aguantar la resp
increased intratorathic pressure
vena cava collapes
less vr
less cardiac output
less MAP

compensating tachycardia- restored map

when stopping- compensating bradycardia

19
Q

LONG TERM CONTROL OF MAP

A

RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM (RAAS)
Control thorugh volume
slow control

20
Q

Angiotensin 2 (Brain, arterioles, adrenal , kidney)

A

Brain - sensation of thirst - high adh
Arterioles: vasoconstriction
Adrenal: High aldosterone
kidney : High reabsorption of na and indirectamente aldosterone

21
Q

receptors regulate systems

A
  1. carotid body chemoreceptors and aortic arch
  2. central chemoreceptors
  3. pulmonary baroreceptors