Cardiac (Exam 3) Flashcards

1
Q

What is systolic and diastolic bp?

A

systolic: how much pressure blood exerts against the artery walls when LV is beating/ contracting.
diastolic: how much pressure blood exerts against the artery walls when LV is resting/ relaxed.

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2
Q

what is mean arterial pressure

A

average pressure in arteries during cardiac cycle

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3
Q

What factors affect MAP

A

blood volume, effectiveness of heart as a pump (cardiac output)), resistance of the system to blood flow, relative distribution of blood between arterial and venous blood vessels.

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4
Q

What kind of pressure do venous blood vessels have?

A

low

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5
Q

What determines blood volume?

A

fluid intake

fluid loss: could be passive or regulated at kidneys

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6
Q

What determines the effectiveness of the heart as a pump (cardiac output)

A

the heart rate and stroke volume

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7
Q

What determines the resistance of the system to blood flow

A

The diameter of the arterioles

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8
Q

What determines the distribution of blood between arterial and venous blood vessels

A

the diameter of the veins

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9
Q

What 2 organ systems influence blood volume

A

Nervous and renal

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10
Q

What are the fast and slow responses of raised blood pressure

A

fast: compensation by cardiovascular system
slow: compensation by kidneys

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11
Q

How does the cardiovascular system compensate for high bp

A

it causes vasodilation or opening of blood vessels and lowers cardiac output, allowing the bp to go back down to normal

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12
Q

How do the kidneys compensate for high bp?

A

it causes more excretion of fluid in urine causing the blood volume to lower, bringing bp back down to normal

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13
Q

What makes blood volume go up and how does it affect bp

A

blood volume can go up if a diet has too much salt in it, causing bp to increase

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14
Q

How does cardiac output affect bp

A

by changing the amount of blood in the arteries, if cardiac output goes up, bp goes up

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15
Q

How does vessel length affect bp

A

the longer the vessel, the less resistance which lets bp stay down

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16
Q

How does vessel diameter affect bp

A

if diameter is small, resistance increase and bp goes up. if diameter larger resistance decreases and bp goes down

17
Q

What blood born substances cause vasoconstriction? And what controls the levels of these substances

A

epinephrine and norepinephrine. sympathetic nervous system

18
Q

How does resistance in the arterioles affect the body

A

affects mean arterial pressure and determines the relative blood flow to the organs

19
Q

What are the systemic controls that affect blood distribution

A

hormones or nervous signals

20
Q

What directs blood by local control

A

pre-capillary sphincters

21
Q

What is the systemic control of vessels

A

the brain and endocrine system

22
Q

Where does blood flow if the precapillary sphincters are relaxed

A

all the capillaries in the bed

23
Q

Where does blood flow if the precapillary sphincters are constricted?

A

the metarterioles, the arteriole and the venule

24
Q

Where are the capillaries

A

in the endothelium

25
Q

What are the 2 types of capillaries

A

continuous and fenestrated

26
Q

What are the characteristics of the 2 types of capillaries

A

continuous: low permeability, leaky junctions
fenestrated: high permeability, large pores

27
Q

Where are the 2 types of capillaries found

A

continuous: muscle, connective tissue, neural tissue
fenestrated: kidney and intestine

28
Q

What are the 3 ways something can move across a capillary

A

difussion, transcytosis, cell junctions

29
Q

What stays in, moves out of and moves into the capillaries through diffusion

A

stay: proteins
out: water, O2, glucose
in: CO2, nitric waste, water

30
Q

How does most capillary exchange happen?

A

diffusion and transcytosis

31
Q

What is it called when bulk flow does into the capillary? out?

A

in: absorption
out: filtration

32
Q

What is the net average of fluid that filters out of the capillaries? where does it go?

A

3, lymph vessels then returns to circulation

33
Q

When there is net absorption where does the fluid go?

A

the venules

34
Q

When there is net filtration where does the fluid go?

A

the lymph vessels or it can be reabsorbed

35
Q

At the entrance of the capillary is the net pressure positive or negative? at the end of the capillary

A

entrance: net positive, filtration
end: net negative, absorption

36
Q

What factors affect bp reading

A

rate of cuff deflation, diurnal rhythm, posture