Blood Pressure Regulation Flashcards

1
Q

What is blood pressure?

A

The force exerted upon vessel walls as blood flows through (measured in large muscular arteries)

A minimum pressure (capillary hydrostatic pressure) is required to exchange substances/fluids across capillary networks into the interstitial fluid = capillary exchange

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2
Q

What are the determinants of blood pressure?

A

Blood pressure is determined by:
* Cardiac output (HR X SV)
* Total Peripheral Resistance

Total Peripheral Resistance is dependent upon arteriolar radius.

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3
Q

What are the two main types of blood pressure regulation?

A

Short-term = Neural (for activities such as climbing stairs)

Long-term regulation = Endocrine (for more extreme activities)

This is known as autoregulation of local flow OR intrinsic control = regulation of blood flow at rest

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4
Q

What role do baroreceptors play in blood pressure regulation?

A

Located in aortic sinus (main) and carotid sinus

Baroreceptors detect changes in blood pressure and activate cardiovascular centres in the CNS

They facilitate short-term increases in blood pressure through sympathetic nervous system activation.

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5
Q

What is the function of chemoreceptors in blood pressure regulation?

A

Chemoreceptors detect changes in blood chemistry (e.g., CO2, pH, O2) and influence cardiovascular and respiratory responses

They help maintain blood flow to the brain during low oxygen conditions.

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6
Q

Fill in the blank: The _______ system is involved in long-term regulation of blood pressure.

A

Renin-Angiotensin-Aldosterone System (RAAS)

RAAS is activated in response to low blood pressure and promotes vasoconstriction and fluid retention.

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7
Q

What happens during the activation of the sympathetic nervous system in response to low blood pressure?

A

Increased heart rate (HR), increased stroke volume (SV), and vasoconstriction

This response helps to raise blood pressure quickly.

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8
Q

List the components involved in the Renin-Angiotensin-Aldosterone System (RAAS).

A
  • Angiotensinogen
  • Renin
  • Angiotensin I
  • Angiotensin Converting Enzyme (ACE)
  • Angiotensin II
  • Aldosterone

This system is crucial for regulating blood volume and pressure.

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9
Q

True or False: Autoregulation of blood flow is sufficient to restore homeostasis in all situations.

A

False

Autoregulation is insufficient when blood pressure and flow are too low to meet tissue demands.

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10
Q

What is the primary response to severe hemorrhage?

A

Activation of endocrine responses (RAAS activation, vasopressin release, catecholamine release) to increase blood volume, cardiac stimulation and vasoconstriction

OR

SNS activation of baro & chemoreceptors to increase cardiac stimulation, systemic vasoconstriction and fluid & volume redistribution

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11
Q

How does blood flow regulation differ in the pulmonary circulation?

A

In the lungs, arterioles constrict in regions of low O2 to shunt blood flow to O2-rich areas

This is opposite to most other organs where vessels dilate when O2 falls.

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12
Q

What is the significance of the cardiovascular centre in the medulla oblongata?

A

It coordinates responses to changes in blood pressure detected by baroreceptors

It influences sympathetic and parasympathetic responses to regulate heart rate and vascular tone.

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13
Q

What happens to blood pressure when the body detects a rise in CO2 levels?

A

Blood pressure increases due to peripheral vasoconstriction and increased heart rate

This is part of the body’s effort to enhance oxygen delivery to tissues.

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14
Q

Fill in the blank: The _______ is responsible for releasing erythropoietin (Epo) in response to low oxygen levels.

A

Kidney

Epo stimulates red blood cell formation, helping to increase oxygen-carrying capacity.

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15
Q

What is the effect of increased Na+ loss in urine on blood pressure?

A

It leads to reduced blood volume and lower blood pressure

This is part of the body’s mechanism to manage high blood pressure.

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16
Q

List the special considerations for local blood flow regulation.

A
  • Coronary Circulation
  • Pulmonary Circulation
  • Cerebral Circulation

These areas have unique requirements to maintain adequate blood supply under varying conditions.

17
Q

Which branch of the autonomic nervous system is activated to restore BP in short-term regulation of blood pressure?

A

Sympathetic branch

SA node & ventricular muscle cells have receptors to receive impulses from the branch = increased HR and SV

Also increases peripheral resistance = higher blood pressure

18
Q

Describe short term regulation of blood pressure

A
  • autoregulation insufficient to restore homeostasis
  • detected by receptors sensitive to pressure/chemical changes i.e. baro/chemo receptors
  • activation of cardiovascular centres in CNS in medulla oblongata
  • short term increase in BP via SNS activation
  • increasing CO and Vasoconstriction
  • homeostasis reached
19
Q

What is the role of baroreceptor reflexes?

A

Sensitive to changes in pressure (response enhanced by NA/ adrenaline secretion from adrenal glands)

Fall in BP
Baroreceptor inhibition (less activation):
- Cardioacceloratory centre activation = increases HR & CO
- Cardioinhibitory centre inhibition (connected to parasympathetic system) = increases HR & CO
- Vasomotor centre activation = vasoconstriction (constriction of arterioles)

Rise in BP
Baroreceptor stimulation:
- Cardioacceleratory centre inhibition = decreases HR & CO
- Cardioinhibitory centre activation = decreases HR & CO
- Meaning less sympathetic activity and more parasympathetic activity
- Vasomotor centre inhibition = vasodilation

20
Q

What is the role of chemoreceptor reflexes?

A

Located in medulla oblongata (CFS) but only sensitive to CO2 and carotid body (blood) but only sensitive to any chemical changes

Coordination of cardiovascular & respiratory response

Rise in CO2
- Respiratory centre activation = increases respiratory rate
- Vasodilation of cerebral vessels (this is an anomaly to general rules) = increases blood flow to brain

Rise in CO2, Fall in O2, Fall in pH (chemical changes)
- Vasomotor centre activation = peripheral vasoconstriction
- Cardioacceleratory centre activation & Cardioinhibitory centre inhibition = increases HR & CO

21
Q

What is the role of ADH in the endocrine response to LOW blood pressure?

A

ADH = anti-diuretic hormone

  • Fall in BP or increased blood osmolarity
  • ADH in pituitary gland
  • Increases fluid retention (and increases thirst)
  • Increases vasoconstriction
22
Q

What is the role of Epo in the endocrine response to LOW blood pressure?

A

Epo = erythropoietin (main hormone to form red blood cells)

  • increases vasoconstriction
  • increases blood volume
  • Epo is in the kidneys
23
Q

What is the role of the Renin-Angiotensin-Aldosterone system (RAAS) in the endocrine response to LOW blood pressure?

A

MOST IMPORTANT RESPONSE

  • Fall in renal BP detected by kidney
  • Produces Renin
  • Angiotensinogen from liver combines with renin
  • Produces Angiotensin I which is inactivate on its own
  • This combines with angiotensin converting enzyme from the lungs
  • Produces Angiotensin II = a potent vasoconstrictor (8x more potent) causing vasoconstriction
  • Goes through adrenals and becomes aldosterone
  • Aldosterone = steroid that regulates fluid collection in kidney
  • This increases Na+ reabsorption and fluid retention = increases blood volume
24
Q

What happens in long term regulation of HIGH blood pressure?

A
  1. Rise in BP & volume
  2. Stretching of cardiac muscle cells in right atrium and ventricle
  3. Release of natriuretic peptides ANP (from atria) and BNP (from ventricles)
  4. Renal effects = DECREASES blood volume
    - increased Na+ loss in urine (less reabsorbed)
    - increased water loss in urine
    - reduced thirst
  5. Vascular effects = DECREASES blood pressure
    - inhibition of ADH, aldosterone, NA & adrenaline release
    - peripheral vasodilation
  6. Homeostasis reached