cardiovascular homestasis Flashcards

1
Q

what is cardiac output

A

the volume of blood pumped out per ventricle

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2
Q

factors affecting heart rate

A
postitive chronotropic
caffeine 
epinephrine 
negative chronotropic
sedative 
beta blockers
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3
Q

what causes pressure changes

A

hypotension

hamorrhage

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4
Q

bainbridge reflex

A

when there is an increase in the blood volume HR increases

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5
Q

factors affecting stroke volume

A

preload
amount of the ventricles are stretched by the EDV
contractibility
ability of cardiac muscle to increase the strength of pumping
after load
force placed on the ventricle wall during ejection

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6
Q

precise stroke volume

A

end diastole vol -end systolic vol

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7
Q

preload

A

amount that the ventricles are stretched by the EDV

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8
Q

contractibility

A

ability of cardiac muscle to increase the strength of pumping

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9
Q

afterload

A

force placed on the ventricle wall during ejection

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10
Q

frank starling law

A

automatic reflex

volume of blood ejected by the ventricle depends on the volume present in the ventricle at the end of diastole

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11
Q

how does preload affect SV

A

increased venous return would increase SV

decreased venous return decreases SV

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12
Q

effects on blood volume

A

hypovolemic shock caused by:
blood loss
dehydration

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13
Q

what does the body do to compensate after hypovolemic shock

A

increases HR
vasoconstriction
Renin- angiotensin- aldosterone system

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14
Q

RAAS

A

renin released from the kidney
converts ANG to ANG
Angiotension converting enzyme to ANGII
ANGII is a vasoconstrictor (increases BP) and causes adrenal glands to release aldosterone (increases water reabsorption)

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15
Q

what inhibits angiotensin covertering enzyme

A

ACE inhibitors

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16
Q

what affects the strength of contraction

A

inotropic agents

17
Q

increase in contractile strength

A

increase in sympathetic stimuli
thyroxin
Ca2+

18
Q

decrease in contractile strength

A

increased extracellular K+

Ca2+ channel blockers

19
Q

blood pressure

A
systolic
force heart pumps
diastolic
resistance of blood vessels
normal 90/60 to 120/80
20
Q

what innervates the smooth muscle of blood vessels

A

sympathetic nerve fibres

from vasomotor centre

21
Q

skeletal muscle pump

A

movement compresses intramuscular veins

pushes blood to heart

22
Q

respiratory muscle pump

A

ventilation assist in venous return
during inspiration:
lower pressure, lower atrial pressure
promotes filling and increases preload

Diaphragm presses downwards - higher abdominal pressure
- squeezes vena cava, encourages movement towards thoracic cavity

23
Q

explain muscle and respiratory pumps to exercise

A

increased venous return (pump from skeletal muscle)

increased SV

24
Q

explain sympathetic stimuli to exercise

A

increased HR
increased contractibility
increased in SV and CO

25
Q

explain chemoreceptor response to exercise

A

increases muscle respiration
decrease in pO2
increased lactic acid
decrease in pH

26
Q

what happens to BP ect when lying supine

A

blood evenly distributed
increased central venous pressure
increased EDV
increased SV

27
Q

explain syncope/fainting

A

temporary reduction in blood flow to the brain

28
Q

what syncope due to decrease in HR and BP

A

vasovagal

29
Q

what syncope occurs due to heart problems

A

cardiac syncope

30
Q

what occurs when BP lowers upon standing up

A

orthostatic hypotension