Ch 18: Hemodynamics Flashcards
This indicates the volume of blood moving during a particular time.
flow (aka volume flow rate)
Flow is measured in units of…
volume divided by time (L/min)
This indicates the speed of a fluid moving from one location to another.
velocity
Velocity is measured in units of…
distance divided by time (cm/s)
Three basic forms of flow…
- pulsatile
- phasic
- steady
This kind of flow occurs when blood moves with a variable velocity as a result of cardiac contraction.
pulsatile flow
This kind of flow commonly appears in the arterial circulation.
pulsatile flow
This kind of flow occurs when a fluid moves with a variable velocity as a result of respiration.
phasic
This kind of flow commonly appears in the venous circulation.
phasic
This kind of flow occurs when a fluid moves at a constant speed.
steady
This kind of flow is present in the venous circulation when individuals stop breathing for a moment.
steady
This is when the flow streamlines are aligned and parallel.
laminar flow
The word lamina means…
layer
Laminar flow patterns are commonly found in __ physiologic states.
normal
This flow occurs when all of the layers and blood cells travel at the same velocity.
plug flow
This flow has a bullet-shaped profile with the highest velocity in the center of the lumen.
parabolic flow
T/F? Laminar flow is silent flow.
true
This predicts whether flow is laminar or turbulent.
Reynold’s number
The Reynolds number for laminar flow is…
less than 1500.
This flow is characterized by chaotic patterns in many different directions and at many speeds.
turbulent
This is a small swirling rotational pattern appearing in turbulent flow.
eddy current or vortex
T/F? Turbulent flow is often normal.
FALSE, pathologic
This is tissue vibration associated with turbulence, a palpable murmur.
thrill
The Reynolds number for turbulent flow is…
greater than 2000.
Blood moves from regions of higher energy to lower energy. This is called…
energy gradient
Three forms of energy associated with blood…
- kinetic
- pressure
- gravitational
The energy associates with a moving object is…
kinetic
Kinetic energy is determined by two factors…
- an object’s mass
2. the speed at which it moves
The energy associated with stored or potential energy is…
pressure
This energy is associated with any elevated object.
gravity
T/F? Identical objects at the same height have the same gravitational energy.
true
The three ways energy is lost in the circulation:
- viscous loss
- frictional loss
- inertial loss
This describes the thickness of a fluid.
viscosity
Viscosity is measured in units of..
poise.
This is the percentage of blood made up of red blood cells.
hematocrit
This occurs when flow energy is converted to heat as one object rubs against another.
frictional energy loss
This is related to the tendency of a fluid to resist changes in its velocity.
inertia
Inertial energy loss in velocity changes in…
stenosis.
Maximum velocity exists where the vessel is…
narrowest.
This is a narrowing in the lumen of a vessel.
stenosis
Stenosis __ the blood’s direction.
changes
Stenosis __ the blood’s velocity.
increases
This is turbulence downstream from the stenosis.
post-stenotic turbulence
The pressure downstream from the stenosis is __ than the pressure upstream.
lower
T/F? Flow stays pulsatile after passing througha stenosis.
FALSE, it becomes steady
This describes the relationship between velocity and pressure in a moving fluid.
Bernoulli’s principle
This is derived from the principle of conservation of energy.
Bernoulli’s principle
flow x resistance =
pressure gradient
Pressure gradient increases when either…
- flow increases
2. resistance increases
Flow increases when either…
- pressure gradient increases
2. resistance decreases
current x resistance =
voltage
In an electrical system, pressure is called…
voltage.
In an electrical system, flow is called…
current.
Electrical resistance is measured in units of…
ohms.
In the circulatory system, the resistance vessels are called…
arterioles.
Veins are usually __ resistance vessels.
low
When venous inflow increases, the cross-sectional shape of a vein…
changes from hourglass to oval to round.
Normal veins increase flow with a __ increase in pressure.
small
This is the pressure related to the weight of blood pressing on a vessel measured at a height above or below heart level.
hydrostatic pressure
Hydrostatic pressure is reported in units of…
mmHg
circulatory pressure + hydrostatic pressure =
measured pressure
Hydrostatic pressure at the ankle
100 mmHg
Hydrostatic pressure at the knee
75 mmHg
Hydrostatic pressure at the waist
50 mmHg
Hydrostatic pressure at the midchest
0 mmHg
Hydrostatic pressure at the top of head
-30 mmHg
Respiration affects venous flow for two reasons…
- venous systems are low pressure
2. it alters pressures in the thorax and abdomen
During inspiration, the diaphragm moves…
downward.
When the chest cavity expands, it creates __ pressure in the chest.
negative
Negative thoracic pressure __ venous return.
increases
When the chest cavity expands, it creates __ pressure in the abdomen.
positive
Positive abdominal pressure __ venous return.
decreases
During expiration, the diaphragm moves…
upward.
When the chest cavity contracts, it creates __ pressure in the chest.
increases
Increased thoracic pressure __ venous return.
reduces
When the chest cavity contracts, it creates __ pressure in the abdomen.
negative
Decreased abdominal pressure __ venous return.
increases