CARDIOVASCULAR 11 Flashcards
Where is blood pressure highest?
Highest in the arteries (decreases along circulatory system)
Measuring Arterial Blood pressure: “korotkoff” sounds
- The snapping sound first heard at the ?
- Silence as the cuff pressure drops below the ?
- Systolic pressure
- Diastolic pressure
1) What is a pulse?
2) Where is it monitored?
1) A pulse pressure wave of circulating blood
2) Monitored at points
Pulse pressure Formula?
systolic P - diastolic P
Mean arterial pressure (MAP)
formula
= diastolic P + 1/3(systolic P -diastolic P)
=2/3 diastolic + 1/3 systolic
What is mean arterial pressure?
Mean arterial pressure is the time-average pressure in the arterial “bag”
What controls the pressure in the “aortic bag”?
- Mean arterial pressure is a function of cardiac output and resistance in the arterioles
- Both regulate aortic blood volume at entry and exit
1) Mean arterial pressure is proportional to?
2) What drives the flow in tissues?
1) Cardiac output x resistance
2) Blood vessel
Total resistance Influences ?
Mean arterial pressure
Mean arterial blood pressure is determined by?
Resistance of the system to blood flow
Resistance of the system to blood flow?
Determined by diameter of the arterioles
What is the relationship between flow, pressure and resistance?
Flow is proportional to change in pressure divided by resistance
Flow of blood in the system circuit is (2 things?)
1) Directly proportional to the pressure gradient
2) Inversely proportional to the resistance to flow
What is Total flow (CO) proportional to?
Pressure in the arteries minus pressure in the ventricles divided total resistance.
Cardiac Output influences mean arterial pressure is determined by?
Effectiveness of the heart as a pump (cardiac output) is determined by heart rate and stroke volume
Cardiac output
heart rate x stroke volume
Blood distribution mean arterial pressure is determined by?
Relative distribution of blood between arterial and venous blood vessels
Mean arterial blood pressure is determined by ?
Blood volume
Fluid loss may be
1) Passive
2) Regulated at kidneys
What does RAAS stand for?
Renin-angiotensin-aldosterone system
Name the hormone responsible for a slow response
Aldosterone
How is aldosterone produced
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
Relationship between blood volume and pressure?
Increase in blood volume leads to an increase in blood pressure
Fast response?
Following steps?
Effect?
Compensation by cardiovascular system
1) Vasodilation
2) increase cardiac output
Decrease in blood pressure to normal
Slow response?
secretion of?
Following step?
Effect?
Compensation by kidneys (pressure natriuresis) Renin-angiotensin Excretion of fluid in urine, decrease in blood volume Decrease in blood pressure to normal
Baroreceptor Reflex
response to increased Blood pressure
The baroreceptor reflex: the response to ?
Increases or decreases:
Increased blood pressure
The baroreceptor reflex: the response to?
Orthostatic hypotension