Circulation Hemodynamics and pressure reg B6 Flashcards

1
Q

All vessels are lined with __________

A

endothelium (important in controlling blood flow and pressure)

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2
Q

True/false: Aorta is very elastic and doesn’t need very much pressure.

A

True

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3
Q

___________ are very muscular, control BP and blood flow to tissues, SNS innervation- Alpha 1
B2 receptors- when dump epi out, you get some vasodilation

A

Arterioles

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4
Q

__________ are thin walled vessels, with only a single layer of endothelium.

A

Capillaries

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5
Q

_____ are thin walled vessels that are very compliant, low pressure, high volume, small amount of smooth muscle, SNS innervation-A1, B2 receptors

A

Veins

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6
Q

Systemic circuit flow of blood

A

Aorta–Artery–Arteriole–Capillaries–Venules–Veins–Vena Cava

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7
Q

Blood flows from ____ pressure to ___ pressure.

A

high

low

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8
Q

As resistance increases, flow ____.

A

slows

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9
Q

As pressure difference drops, flow ______

A

slows

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10
Q

__________ of blood flow is dependent upon size of total area of the vessels

A

Velocity

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11
Q

True/False: Blood flows slowest through single large vessels, and fastest through many small vessels.

A

False, Fastest through single large vessels

slowest through many small vessels

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12
Q

At which level of the vasculature is blood pressure most controlled.

A

Arterioles

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13
Q

At which level of the vasculature is venous return most controlled?

A

Veins

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14
Q

Administration of an Alpha 1 receptor agonist would decrease blood flow to which kind of vessel.

A

Capillaries

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15
Q

Why is the venous system such a low pressure system, despite containing the most volume?

A

High compliance vessels

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16
Q

As diameter goes down, ___________ goes up.

A

resistance

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17
Q

Circulatory system is arranged both ________ and in ________

A

in series and in parallel

18
Q

Blood flows in 2 different ways, what are they?

A

Laminar- straight line flows
Turbulent- not straight line flows
Calculated by Reynold’s number

19
Q

What can happen if you have slow blood movement?

A

Clots can form

20
Q

A carotid bruit is most likely the result of __________

A

Carotid artery plaques

21
Q

Which side of the heart has a greater cardiac output?

A

they are equal

22
Q

What is the difference between systolic and diastolic pressures?

A

Pulse pressure
SBP-DBP= PP
120-80= 40

23
Q

What is the average pressure during a complete cycle?

A

MAP, needs to stay above a certain volume to keep vessels open

24
Q

We keep MAP stable by doing what?

A
altering CO (cardiac output) and TPR (Total peripheral resistance= afterload)
Have to be careful because TPR also changes CO
25
Q

ALtering heart rate is easy, how do you do it?

A

Chronotropy

26
Q

How do you alter stroke volume?

A

Increase EDP or venous return (preload)

Increase contractility- inotropy

27
Q

MAP is mainly controlled by 2 seperate system…

A

Baroreceptor reflex- Neural control

Renin- Angiotensin Aldosterone system- (RAAS)- Changes blood volume (Mediated by kidney)

28
Q

MAP is sensed by 2 baroreceptors, what, where and what CN are they on?

A

Carotid sinus Barorecptor
-CN IX

Aortic arch Baroreceptor
-CN X

29
Q

MAP rises?

A

hypertension

30
Q

MAP falls?

A

Hemorrhage

31
Q

What is a Valsave Maneuver?

A

When you take a crap tryin to squeeze a turd out
(squeeze abdomen, increases blood pressure) increasing afterload at heart, heart has harder time ejecting blood. (transient increase in venous return) But won’t be on test…

32
Q

The _________ is very concerned about blood pressure. Needs pressure to filter blood to make urine.

A

Kidney

33
Q

Aldosterone does what?

A

Increases Na reabsorption, which increases water reabsorption, which increases blood volume

34
Q

Which system of blood pressure regulation would alter pressure the fastest?

A

Neural (Baroreceptor)

35
Q

Given sufficient time, which system of blood pressure regulation would be able to create the largest change in BP?

A

Renal (RAAS)

36
Q

Antiduretic hormone (ADh/ Vasopressin) released in response to high serum osmolarity and low blood pressure.

A

Vasopressin 1 receptors: arteriole constriction= Raises BP

Vasopressin 2 receptors: kidneys reabsorb more water- raises blood volume

37
Q

Cardiopulmonary receptors: stretch receptors

A

Located in veins, atria and pulmonary arteries
Respond to high volume
Release Atrial Natriuretic Peptide- more urine production
Decrease ADH secretion- more urine
Renal vasodilation- more urine
Increased HR- indirectly more urine

38
Q

What does hyperaldosteronism do?

A

Increase blood volume

39
Q

Immediately following a heart attack, what will happen?

A

Reduction in Cardiac output through contractility

40
Q

What happens because you have less Cardiac output? (what would it look like on a PV loop)

A

Increase preload to make up for cardiac output.