Cardiovascular System Design Flashcards

1
Q

Explain the five main functions of the cardiovascular system and how each contributes to homeostasis

A
  1. Transports O2, CO2, nutrients, & waste around the body
  2. Mixing of body fluids, pH, ionic composition, & osmolarity regulation
  3. Thermal regulation
  4. Hormone delivery
  5. Defense against infection
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2
Q

Identify the major body fluid compartments and approximate volume of each

A

Circulating plasma compartment (non-cellular formed materials) = 3L

Interstitial compartment = 12L

Intracellular compartment = 30L

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3
Q

Explain the function of pulmonary and systemic circulations, and how they function in series

A

Systemic blood flows entirely into and out of the pulmonary circulation, driven by the right heart pump (IVC goes into right heart).

Blood is driven into the systemic circulation by the left heart pump. Remember that the heart is a muscle.

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4
Q

Diagram the blood flow pathways between the heart and other major body organs, and through the heart itself

A

Aorta, arteries, organs, veins, IVC, right atrium

SVC & IVC –> right atrium –> tricuspid valve –> right ventricle –> pulmonary valve –> pulmonary arteries –> pulmonary veins (oxygenated, returning from lungs) > left atrium –> bicuspid/mitral valve –> left ventricle –> aortic valve –> aorta

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5
Q

Describe the relative blood flow and distribution in the major organs in the resting state

A

Organs that need a high rate of blood flow like kidneys and skin get more flow, but receive less Oxygen (for consumption) for their energy needs. The inverse is true for organs with high energy needs like the brain (less flow) since it needs lots of Oxygen for its high metabolic function.

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6
Q

State the relationship between cardiac output, heart-rate and stroke volume; given two values, calculate the unknown quantity.

What is normal cardiac output?!

A

CO (ml-beat/min) = HR (beat/min) x SV (ml)

Normal CO = 5L/min

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7
Q

Compare and contrast the major methods for blood pressure measurement

A

Auscultatory method of measuring blood pressure = indirect method

Artery or venous catheter measurement: gives a direct method of measuring blood pressure

Pulmonary artery catheterization directly measures pulmonary venous and left atrium

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8
Q

Ventricular systole

A

When the heart is at its most contracted = ejecting blood = peak pressure

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9
Q

Ventricular diastole

A

When the heart is at its most expanded = filling blood = minimum pressure

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10
Q

State Starling’s law of the heart

A

Cardiac output is almost entirely determined by the rate of blood return by the veins. Therefore, stroke volume is directly proportional to ventricular end-diastolic volume.

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11
Q

1) Give the 2 equations for pulse pressure, PP =

2) What is pulse pressure determined by?

A

PP = Systolic pressure - diastolic pressure

1) PP = SP - DP
2) PP = SV/C

SV = stroke volume

C = compliance

In resting young adults, PP = 40 mmHg; since 120-80=40

Pulse pressure reflects the volume ejected by the left ventricle (stroke volume).

Pulse pressure increases when the capacitance of the arteries decreases, such as with aging.

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12
Q

Given arterial systolic and diastolic pressures, estimate mean arterial pressure (MAP).

A

MAP = average pressure over the entire cardiac cycle

MAP = DP + (1/3)PP

MAP = DP + (1/3)(SP - DP)

DP = diastolic pressure
PP = pulse pressure
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13
Q

Arterial vs venous system

A

Arterial system = high pressure & flow velocity & less blood in it

Venous system = low pressure & flow velocity & more blood in it

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14
Q

Define mean arterial pressure

A

The mean arterial pressure (MAP) is the average blood pressure in an individual. It is defined as the average arterial pressure during a single cardiac cycle.

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15
Q

When does a decrease in pressure occur in the cardiovascular system?

A

The decrease in pressure at any level of the cardiovascular system is caused by the resistance of the blood vessels (ΔP= QxR). The greater the resistance is, the greater the decrease that decrease in pressure is.

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16
Q

Is systolic pressure higher or lower in downstream arteries?

A

Systolic pressure is actually slightly higher in the downstream arteries (e.g., renal artery) than in the aorta because of the reflection of pressure waves at branch points.

17
Q

Describe aortic insufficiency

A

In aortic insufficiency the loss of blood from the arterial system during each diastole is abnormally high, and, therefore, the aortic diastolic pressure is low, and the systolic pressure is high, and the pulse pressure (= systolic pressure - diastolic pressure) is high.

18
Q

Which structure receives the most blood flow per gram tissue (gastrocnemius, liver, heart, brain, kidney)?

A

The kidney receives 730 mL of blood per g of tissue

The brain receives 60 mL of blood per g of tissue

The heart receives 70mL of blood per tissue

The liver receives 100 mL of blood per g of tissue

The gastrocnemius muscle receives 5 mL of blood per g of tissue.

19
Q

The pulmonary circlulation is similar to the systemic circulation in that

A

the same volume of blood flows through the pulmonary vessels and systemic vessels per unit time

20
Q

The greatest pressure decrease in the circulation occurs across the arterioles because

A

they have the greatest resistance

21
Q

Describe the capillaries

A

The capillaries have the greatest surface area & cross-sectional area. Velocity of blood flow is lowest in the capillaries.