cardiovascular lecture 3 Flashcards

1
Q

_____ are the main transporters of O2 blood

A

arteries

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2
Q

what is adjusted in arterioles to regulate blood flow

A

the diameter is adjusted

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3
Q

artery walls are made up mainly of what

A

ELASTIC TISSUE and smooth muscle

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4
Q

arteriole walls are made up mainly of what

A

elastic tissue and SMOOTH MUSCLE

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5
Q

capillary walls are made up of what

A

1 layer of endothelial cells for diffusion

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6
Q

pulses of pressure move through the vasculature and __________ with distance

A

decrease the pressure amplitude with distance (from the heart)

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7
Q

what is compliance

A

the change in volume over the change in pressure

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8
Q

what is the maximum arterial pressure called

A

systolic pressure (heart is contracting)

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9
Q

what is the minimum arterial pressure called

A

diastolic pressure (heart is relaxed and filling with blood)

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10
Q

the pulse pressure is calculated as the difference b/w….

A

the SP - DP

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11
Q

Mean arterial pressure (MAP) is calculated as

A

DP + 1/3 (SP-DP). aka the diastolic pressure minus one third of the pulse pressure

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12
Q

what allows the blood to keep moving in the arteries during diastole

A

the recoil of the arteries (a result of them being stretched out during the contraction)

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13
Q

what is MAP defined as

A

the pressure driving blood into the tissues averaged over the cardiac cycle (mean pressure in your vasculature)

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14
Q

how do you calculate relative blood flow to an organ

A

Flow= MAP/Resistance (resistance to that organ)

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15
Q

what is resistance influenced by

A

the smooth muscle vasodilation and vasoconstriction in arterioles

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16
Q

blood distribution to organs is adjusted by what

A

relaxation and contraction of arteriole smooth muscle

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17
Q

intrinsic tone (which i think is the degree of constriction of b.v) is controlled via what 2 controls

A
  • local (organ itself)

- extrinsic

18
Q

local control of organ blood flow is through what 2 mechanisms

A
  1. active hyperemia

2. flow autoregulation

19
Q

what is active hyperemia

A

a mechanism of local control in which an organ’s increase in metabolic activity ultimately causes an increase in blood flow to that organ. (increase metabolic activity—> decrease O2, increase metabolites—> arteriole dilation–>increase flow to organ)

20
Q

what is flow autoregulation

A

a mechanism of local control in which an decrease in MAP in an organ ultimately causes restoration of normal blood flow to organ (decrease in MAP to an organ–> decrease in blood flow to organ–> decrease in O2, increase in metabolites, *decreased stimulation of stretch receptors in organ–> arteriole dilation–> restoration towards normal blood flow to organ)

21
Q

local control occurs in what 3 main organs

A
  1. heart
  2. active skeletal muscle
  3. brain
22
Q

what is reactive hyperemia

A

(a type of flow autoregulation?) the reaction of an organ to cessation of blood flow (organ responds by increasing the blood flow to itself=hyperemia)…the heart does this during diastole

23
Q

what is extrinsic control of intrinsic tone

A

control of blood flow to organs via: sympathetic system, psymp system, hormones, noncholinergic/adrengergic neurons

24
Q

what are the hormones used for sympathetic extrinsic control

A
  • norepinephrine (from the post-gang symp neurons)

- epinephrine (from the adrenal medulla)

25
Q

sympathetic stimulation of alpha receptors causes

A

vasoconstriction to decrease blood flow to a location

26
Q

sympathetic stimulation of beta receptors causes

A

vasodilation to increase blood flow to a location

27
Q

alpha adrenergic receptors are located where

A

all arterioles

28
Q

beta adrenergic receptors are located where

A

atria and ventricles

29
Q

the endothelial cells of an arteriole can also regulate its blood flow via:

A

-vasodilators and vasoconstrictors (molecules). this is controled by the flow within the arteriole (ex. if there is increased flow, the endothelial cells sense and release factors to decrease flow…a vasoconstrictor)

30
Q

for muscle arteriole control what is the difference b/w resting muscle and exercising muscle control

A

at rest, the muscle is under extrinsic control. when exercising, the muscle is under intrinsic control

31
Q

_____ is the primary point exchange b/w the blood and the intersitial fluid

A

the capillary. diffusion occurs here and intercellular clefts b/w the endothelial cells assist.

32
Q

blood flow in the capillaries is

A

slow moving. this allows adequate time (and surface area bc the caps are branched!) for diffusion into the interstital fluid

33
Q

define filtration

A

the movement of fluid/solutes OUT of the blood into the ISF

34
Q

define absorption

A

movement of fluid/solutes INTO the blood from the ISF

35
Q

crytalloids vs. colloids

A

crytalloids: low MW penetrating solutes, colloids: non-penetrating plasma proteins

36
Q

what is Pc/capillary hydrostatic pressure

A

pressure in cap due to blood flow favoring movement OUT of the cap

37
Q

what is Pif/ interstitial hydrostatic pressure

A

pressure in the ISF favoring movement INTO the cap

38
Q

TTc

A

osmotic force due to plasma protein [ ] that favors movement of water INTO the cap

39
Q

TTif

A

osmotic force due to interstitial fluid protein [ ] that favors movement of water OUT of the cap

40
Q

what is net filtration (movmement out of the cap) pressure

A

an interaction b/w Pc, TTif, Pif, TTc

Pc+TTif-Pif-TTc

41
Q

what causes the increase in venous return to the heart

A
  • sympathetically mediated venoconstriction
  • skeletal muscle pump
  • one-way valves