Blood flow and cardiac cycle WK8 L2 Flashcards
WHAT IS THE BLOOD PRESSURE CUFF MEASURING?
LAMINAR FLOW
WHAT IS LAMINAR FLOW?
BLOOD FLOW IN ORDERED PARALELL LINES IN THE ARTERIES
WHAT IS HIGH VISCOSITY OF BLOOD?
THICK
WHAT IS LOW VISCOSITY OF BLOOD?
THINNED OUT
WHAT IS THE CARDIAC CYCLE?
1 COMPLETED CONTRACTION (SYSTOLE) AND RELAXATION (DIASTOLE) OF THE 4 CHAMBERS OF THE HEART
HOW MANY PHASES OF THE CARDIAC CYCLE IS THERE?
4
WHAT IS THE 1ST PHASE OF THE CARDIAC CYCLE?
RELAXATION:
VENTRICULAR FILLING
DIASTASIS
ATRIAL SYSTOLE
WHAT IS VENTRICULAR FILLING?
AV VALVES FIRST OPEN
WHAT IS DIASTASIS ?
SUSTAINED LOWER PRESSURE
VENOUS RETURN
WHAT IS ATRIAL SYSTOLE?
FILLING COMPLETED BY ATRIAL CONTRACTION
VENTRICLES NOW CONTAIN END DIASTOLIC VOLUME OF ABOUT 130 ML OF BLOOD
P WAVE JUST BEFORE ATRIAL SYSTOLE
WHAT IS THE 2ND PHASE OF THE CARDIAC CYCLE?
ISOVOLUMETRIC PRESSURE INCREASE:
ISOVOLUMETRIC CONTRACTION OF VENTRICLES
WHAT HAPPENS DURING ISOVOLUMETRIC CONTRACTION OF THE VENTRICLES?
ATRIAL REPOLARIZE AND RELAX VENTRICLE DEPOLARIZE QRS COMPLEX IN ECG VENTRICLES CONTRACT RISING PRESSURE CLOSES AV VALVE NO EJECTION OF BLOOD YET
WHAT IS THE 3RD PHASE OF THE CARDIAC CYCLE?
VENTRICULAR BLOOD EJECTION
WHAT HAPPENS DURING VENTRICULAR EJECTION?
RISING PRESSURE OPENS SEMI LUNAR VALVES
RAPID EJECTION OF BLOOD
FOLLOWED BY REDUCED EJECTION OF BLOOD
STROKE VOLUME AMOUNT EJECTED (EJECTS 70 MLS)
END SYSTOLIC VOLUME (BLOOD LEFT IN HEART 60 MLS)
T WAVE LATE IN PHASE
WHAT IS THE 4TH PHASE OF THE CARDIAC CYCLE?
ISOVOLUMETRIC RELAXATION OF VENTRICLES
WHAT IS ISOVOLUMETRIC RELAXATION OF THE VENTRICLES?
THE RELAXATION OF VENTRICLES WITHOUT BLOOD FILLING UP
WHAT HAPPENS WHEN THE LEFT VENTRICLE PUMPS LESS BLOOD THAN THE RIGHT?
BLOOD PRESSURE BACKS UP INTO LUNGS AND FLUID BACKS UP AND FILLS LUNG TISSUE CAUSING PULMONARY OEDEMA
WHAT CAN CAUSE PULMONARY OEDEMA?
LEFT VENTRICLE FAILURE
WHAT HAPPENS WHEN THE RIGHT VENTRICLE PUMPS LESS BLOOD THAN THE LEFT?
PRESSURE BACKS UP IN SYSTEMIC CIRCULATION AND FLUID BACKS UP AND FILLS SYSTEMIC TISSUES CAUSING SYSTEM OEDEMA
WHAT CAN CAUSE SYSTEM OEDEMA?
RIGHT VENTRICULAR FAILURE
WHAT CHEMICAL FACTORS AFFECT CO?
CHEMORECEPTORS
ELECTROLYTES
WHERE ARE THE CHEMORECEPTORS?
AORTIC ARCH - CARTOID ARTERIES - MEDULA OBLONGATTA
WHAT ARE CHEMORECEPTORS SENSITIVE TO?
BLOOD PH - CO2 - O2
WHAT DO THE CHEMORECEPTORS DO?
PRIMARILY RESPIRATORY CONTROL - CAN INCREASE HR
WHAT OTHER FACTORS AFFECT CO PRELOAD?
AMOUNT OF TENSION IN VENTRICULAR MYOCARDIUM BEFORE IT CONTRACTS
FRANK-STARLING LAW OF HEART-STROKE VOLUME IS PROPORTIONAL TO END DIASTOLIC VOLUME
WHAT IS PRELOAD?
END DIASTOLIC PRESSURE - AMOUNT OF BLOOD LEFT OVER IN VENTRICLES
WHAT IS INCREASED PRELOAD?
HYPERVOLEMIA
REGULATION OF CARDIAC VALVES
HEART FAILURE
WHAT IS AFTERLOAD?
RESISTANCE - PRESSURE IN ARTERIES
WHAT IS INCREASED AFTERLOAD?
HYPERTENSION
VASOCONSTRICTION