Chapter 18 Flashcards
Flow
indicates the volume of blood moving at a particular time
units: volume/time ex. liters/mm “how much?”
Velocity
indicates the speed of a fluid moving from one location to another
units: distance/time ex. 200cm/sec
3 Basic Forms of Blood Flow
pulsatile
phasic
steady
Pulsatile Flow
occurs when blood moves with variable velocities, accelerates and decelerates from cardiac contraction and appears in the arterial circulation
Phasic Flow
occurs when blood moves with variable velocities, accelerates and decelerates from respiration and appears in venous circulation
Steady Flow
occurs when blood moves at a constant velocity, steady flow is present in the venous circulation when individuals stop breathing for a moment
ex. of steady flow, water running through a garden hose
Laminar Flow
when the flow streamlines and is parallel, layers of blood travel at individual speeds, commonly found in normal physiological states
2 Forms of Laminar Flow
plug flow
parabolic flow
Plug Flow
when all the layers of blood cells travel at the same velocity (center of river)
Parabolic Flow
velocities are highest in the center and gradually decrease to the minimum at the vessel wall (has a bullet-shaped profile)
Plug and Parabolic Flow are…
Laminar and associated with normal physiology. Laminar flow is silent.
Reynolds number
predicts whether flow is laminar or turbulent
laminar flow is less than 1,500
turbulent flow is more than 2,000
Turbulent Flow
chaotic flow patterns in many different directions and at many different speeds
hurricane-like, also called an eddy current or vortex
Turbulent Pathology
associated with cardiovascular pathology and elevated blood velocities
may be seen downstream from stenosis in a vessel
Turbulent Flow converts flow energy into..
sound and vibrations
Turbulence associated with sound
is called murmur or a bruit
Turbulence associated with vibrations
is called a thrill, also described as a palpable murmur, you can feel it with your fingertips
Where can turbulent flow be detected?
1 cm after the stenosis
Energy Gradient
blood moves from regions of higher energy to lower energy
What event provides energy to the circulating blood?
energy is imparted to blood by the contraction of the heart during systole
Forms of energy associated with blood
kinetic
pressure
gravitational
the total energy at a specific location with the circulation is the sum of all 3 energy forms
Kinetic Energy
is associated with a moving object
determined by 2 factors: object’s mass and the speed at which it moves