Cardiovascular Pressure Control System Flashcards
if a persons body attempts to maintain a constant arterial pressure but total peripheral pressure increases, what happens to cardiac output?
decreases, less compliant vessels
if cardiac output remains the same, but total peripheral resistance decreases, what happens to blood pressure?
decreases
a patient experiences septic shock which causes their blood vessels dilate. what effect does this have on total peripheral resistance? blood pressure? what is the benefit of providing IV fluids?
- decreases
- decreases
- increases BP by increasing preload volume
what is the renin angiotensin aldosterone mechanism (RAA)?
- decreased BP signals kidney to release renin
- signals liver to release angiotensinogen
- angiotensinogen converted to angiotensin I with renin
- ACE converts angiotensin I to angiotensin II
- angiotensin II vasoconstricts and signals adrenal cortex to release aldosterone (increase BP)
what are the downstream effects of blocking ACE?
decrease BP by decreasing angiotensin II
what are the effects of increased aldosterone?
increases Na+ reabsorption which increases fluid reabsorption which increases BP
what are the 2 main effects of ADH?
- vasoconstriction
- increases water reabsorption in the collecting ducts of the kidneys
what effect does ADH have on blood pressure and urine output?
increase blood pressure and decrease water excretion
from where is ANP released from?
cardiac cells when BP increases
what is the main effect of ANP?
decreases BP by increasing Na+ and water excretion
what happens to fluid movement in capillaries and interstitial tissues when capillary hydrostatic pressure changes?
increased hydrostatic pressure will increase fluid movement out of the capillary
what happens to fluid movement in capillaries and interstitial tissues when interstitial hydrostatic pressure changes?
increased interstitial hydrostatic pressure will decrease the fluid movement from the capillaries
what happens to fluid movement in capillaries and interstitial tissues when capillary oncotic pressure changes?
increased capillary oncotic pressure will increase fluid movement back into the capillary
what happens to fluid movement in capillaries and interstitial tissues when interstitial oncotic pressure changes?
increased interstitial oncotic pressure will decrease fluid movement back into the capillaries – edema