circulation of blood Flashcards

1
Q

what is the definition of perfusion pressure?

A

Perfusion pressure—the pressure gradient needed to maintain blood flow through a local tissue

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2
Q

a direct relationship exists wit arterial blood volume and arteriole blood pressure. as volume increases, what happens to pressure?

A

More volume in blood vessels, more blood pressure
Similarly if you decrease

Cardiac Output and Peripheral Resistance work to increase blood volume which will increase blood pressure

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3
Q

What is Cardiac Output?

A

CO: Volume of blood pumped out of the heart per unit of time (ml/min or L/min)

Anything that changes SV or HR will change CO, arterial blood volume, and blood pressure in the same direction

CO IS 5000 ML/PER MIN or 5L
Skeletal muscles and Gastro Intestinal system take greatest percentage of CO

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4
Q

What is Stroke Volume?

A

Stroke volume = volume pumped per heartbeat

Stroke – contraction

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5
Q

How is cardiac output calculated?

A

CO = SV x HR

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6
Q

What was starlings law?

A

More stretch on muscle = stronger contraction

***The harder your heart contracts the more volume of blood will leave the heart

–> Contraction strength also altered by:
CHEMICAL FACTORS
e.g. norepinephrine, epinephrine, with stress or exercise

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7
Q

What is Ventricular volume?

A

Ventricular volume is the blood in the ventricles after diastole – filling

**When we increase the volume that is in the ventricles after filling phase/diastole, it will have effect on contraction

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8
Q

When more volume of blood is returning to the heart, does it stretch more and is the contraction harder?

A

-YES The more volume that returns to the heart, the more stretch, the harder the contraction

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9
Q

What is end diastolic volume and end systolic volume?

A

End Diastolic Volume- Volume that is the ventricles at the end of diastole. (after it is fully done filling)

End Systolic Volume– The amount of blood left in the ventricles after a contraction

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10
Q

What is ejection fraction?

A

Ejection Fraction – ratio of stroke volume (SV) to end-diastolic volume (EDV)
An ejection fraction is the volumetric fraction of fluid ejected from a chamber with each contraction.
Fraction of blood that is ejected, because when our ventricles fill with blood and contract it is not pushing out all the blood it is pushing out a percentage of what is in there.

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11
Q

How do you calculate the total amount of blood that was pumped out?

A

Divide SV by EDV that tells you what the total amount of blood is that was pumped out

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12
Q

What is the function of baroreceptors and where are they located?

A

Baroreceptors- receptors detect difference in blood pressure that is running through main arteries
located: carotid sinus and in the aortic arch

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13
Q

How does the carotid and aortic baroreceptors feed info to the brain stem to calm tf down?

How does it do the same but to SPEED UP?

A

Carotid and Aortic
Baroreceptors- receptors detect difference in blood pressure that is running through main arteries
Feed info to brain stem
Brain tells SA node to release ACH to calm tf down
Brain stem then increases parasympathetic output

Need to know that when brain stem detects increase in pressure it will send a signal to the SA node found in the RV of heart.

Carotid rec and aortic rec will detect decrease in pressure
Send response to control center (medulla)
Affects: stimulating the SA node to increase HR will also send response to arterioles (small arteries) causing them to vasoconstrict to increase pressure
The increase pressure in the veins will pump more blood back to the heart

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14
Q

What is peripheral Resistance

What factors influence peripheral resistance?

A

PR: resistance to blood flow imposed by the force of friction between blood and the walls of its vessels

Factors that influence peripheral resistance:
Blood viscosity –thicker blood has more pr
Diameter of arterioles – larger they are the less pr

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15
Q

at rest where is most of the blood in the body?

A

At rest most blood supply is in the veins and venules

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16
Q

When/where does blood slow down in our vessels?

A

Velocity – speed
Blood will slow down in speed once we get to the branches (nutrience exchange) because of the WIDER AREA (think of river going into a large bay.)
There is a wider over all cross sectional area

17
Q

If there is a reduction in O2 or increase in CO2 or reduction in pH, what receptors will pick up the change?

A

If there is a reduction in the amount of O2 and increase in CO2 or if there is a reduction in pH these chemoreceptors will pick u the change in concentration.
Located in the medulla and located in the same place and c and a baroreceptors

Medulla will send out response to the heart in order for it to carry out a response

18
Q

What determines the amount of blood returned to the heart?

A

Four major influences

  1. Stress-relaxation effect—occurs when a change in blood pressure causes a change in vessel diameter (because of elasticity) that accommodates the new pressure and thereby keeps blood flowing (works only within certain limits)
    - Veins can adapt to increased pressure
  2. Gravity—the pull of gravity on venous blood while sitting or standing tends to cause a decrease in venous return (orthostatic effect)
    - Gravity acts DOWN so it makes it harder for venous blood to return to the heart
  3. Venous pumps
  4. Total blood volume
19
Q

What is happening when you feel your PULSE?

A

Pulse Waves
Left Ventricle – the handle of the spoon is the aorta
Lots of force of blood through the ventricle to the aorta
When the semilunar valve stretches it creates energy in aortic valves so that when the ventricle is relaxed,
stored energy is released and keeps blood moving and shuts the semilunar valves
This stored energy is what you feel when you feel your pulse

20
Q

Inspiration ___ thorax pressure and ___ blood into the central veins

Expiration ___ thorax pressure and ___ venous blood into the heart

A

Inspiration decreases thorax pressure - pulls blood into the central veins

Expiration increases thorax pressure - pushes venous blood into heart

21
Q

describe the skeletal pump

A

Skeletal PUMP

  • When muscles are relaxed, blood has a difficult time moving upward.
  • When muscles contract it will milk the blood in your veins upward towards your heart
22
Q

What increases and decreases blood volume?

A

Changes in total blood volume change the amount of blood returned to the heart

ADH increases blood volume
Aldosterone increases blood volume
ANH decreases blood volume

Amount of fluid in tissues also affects blood volume