CARDIOVASCULAR 11 Flashcards

1
Q

Where is blood pressure highest?

A

Highest in the arteries (decreases along circulatory system)

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2
Q

Measuring Arterial Blood pressure: “korotkoff” sounds

  • The snapping sound first heard at the ?
  • Silence as the cuff pressure drops below the ?
A
  • Systolic pressure

- Diastolic pressure

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3
Q

1) What is a pulse?

2) Where is it monitored?

A

1) A pulse pressure wave of circulating blood

2) Monitored at points

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4
Q

Pulse pressure Formula?

A

systolic P - diastolic P

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5
Q

Mean arterial pressure (MAP)

formula

A

= diastolic P + 1/3(systolic P -diastolic P)

=2/3 diastolic + 1/3 systolic

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6
Q

What is mean arterial pressure?

A

Mean arterial pressure is the time-average pressure in the arterial “bag”

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7
Q

What controls the pressure in the “aortic bag”?

A
  • Mean arterial pressure is a function of cardiac output and resistance in the arterioles
  • Both regulate aortic blood volume at entry and exit
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8
Q

1) Mean arterial pressure is proportional to?

2) What drives the flow in tissues?

A

1) Cardiac output x resistance

2) Blood vessel

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9
Q

Total resistance Influences ?

A

Mean arterial pressure

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10
Q

Mean arterial blood pressure is determined by?

A

Resistance of the system to blood flow

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11
Q

Resistance of the system to blood flow?

A

Determined by diameter of the arterioles

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12
Q

What is the relationship between flow, pressure and resistance?

A

Flow is proportional to change in pressure divided by resistance

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13
Q

Flow of blood in the system circuit is (2 things?)

A

1) Directly proportional to the pressure gradient

2) Inversely proportional to the resistance to flow

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14
Q

What is Total flow (CO) proportional to?

A

Pressure in the arteries minus pressure in the ventricles divided total resistance.

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15
Q

Cardiac Output influences mean arterial pressure is determined by?

A

Effectiveness of the heart as a pump (cardiac output) is determined by heart rate and stroke volume

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16
Q

Cardiac output

A

heart rate x stroke volume

17
Q

Blood distribution mean arterial pressure is determined by?

A

Relative distribution of blood between arterial and venous blood vessels

18
Q

Mean arterial blood pressure is determined by ?

A

Blood volume

19
Q

Fluid loss may be

A

1) Passive

2) Regulated at kidneys

20
Q

What does RAAS stand for?

A

Renin-angiotensin-aldosterone system

21
Q

Name the hormone responsible for a slow response

A

Aldosterone

22
Q

How is aldosterone produced

A

1) Adrenal cortex
2) Reabsorption of salt (Na) and water by kidney
3) Renin-angiotensin-aldosterone system
4) Feedback loop-salt intake vs renin secretion

23
Q

Relationship between blood volume and pressure?

A

Increase in blood volume leads to an increase in blood pressure

24
Q

Fast response?
Following steps?
Effect?

A

Compensation by cardiovascular system
1) Vasodilation
2) increase cardiac output
Decrease in blood pressure to normal

25
Q

Slow response?
secretion of?
Following step?
Effect?

A
Compensation by kidneys 
(pressure natriuresis)
Renin-angiotensin
Excretion of fluid in urine, decrease in blood volume
Decrease in  blood pressure to normal
26
Q

Baroreceptor Reflex

A

response to increased Blood pressure

27
Q

The baroreceptor reflex: the response to ?

Increases or decreases:

A

Increased blood pressure

28
Q

The baroreceptor reflex: the response to?

A

Orthostatic hypotension