Circulatory System Flashcards
Which way does blood flow?
From the heart, through arteries, to capillaries, and back to heart from veins.
What is blood flow involved in?
Delivery of O2 and nutrients to, and removal of waste from, tissue cells.
Gas exchange (lungs)
Absorption of nutrients
Urine formation (kidneys)
What is the rate of blood flow?
precisely the right amount to provide for proper function.
What is required to maintain blood pressure?
Cooperation of the heart, blood vessels, and kidneys.
Supervision by the brain.
When is blood flow the fastest?
in the aorta, slowest in the capillaries, increases again in veins.
What does slow capillary flow allow for?
allows adequate time for exchange between blood and tissues.
Does blood flow change?
Yes, is changes as it travels through the systemic circulation.
What is blood flow inversely related to?
the total cross sectional area.
Vital Signs
pulse and blood pressure, along with respiratory rate and blood pressure.
What is pulse?
pressure wave caused by the expansion and recoil of arteries. Routinely taken at the wrist.
What are the common places to take a pulse?
Superficial temporal artery, Facial artery, Common carotid artery, Brachial artery, Radial artery, Femoral artery, Popiteal artery, Posterior tibial artery, Dorsalis pedis artery.
Superficial Temporal Artery
Temples
Facial Artery
High Jaw
Common Carotid Artery
Base of neck
Brachial Artery
inside of elbow
Radial Artery
inside of wrist
Femoral Artery
Groin
Popliteal Artery
Behind knee
Posterior tibal artery
inside of ankle
Dorsalis pedis artery
top of foot
What are some things that may vary blood pressure?
Age, sex, weight, race, mood, and posture
When does blood pressure peak?
In the morning due to levels of hormones, making it a danger time raising the risk of heart attack.
Does Blood Pressure change?
Yes, is cycles over a 24 hour period
What is hypotension?
Low blood pressure. systolic pressure below 100 mm Hg. Often associated with long life and lack of cardiovascular illness.
Orthostatic Hypotension
temporary low blood pressure and dizziness when suddenly rising from a sitting or reclined position
Chronic hypotension
hont of poor nutrition and warning sign for Addison’s disease or hypothyroidism
Acute hypotension
important sign of circulatory shock
What is hypertension?
High blood pressure, sustained elevated arterial pressure of 140/90 or higher. Often persistent in obese people. May be transient adaptations during fever, physical exertion, and emotional upset.
What can prolonged hypertension result in?
heart failure, vascular disease, renal failure, and stroke.
Primary/Essential hypertension
90% of hypertension conditions. Due to several risk factors including heredity, diet, obesity, age, stress, diabetes mellitus, and smoking.
Secondary hypertension
Less common form or hypertension. Due to identifiable disorders, including kidney disease, arteriosclerosis, and endocrine disorders such as hyperthyroidism and Cushing’s syndrome.
Pulmonary circulation
short loop that runs from the heart to the lungs and back to the heart.
systemic circulation
long loop to all parts of the body and back to the heart.
What is the sequence of electrical excitation
- The sinoatrial node (pacemaker) generates impulses
- The impulses pause at the atrioventricle node. (AV node)
- The artioventricle bundle connects the atria to the ventricles. (AV bundles)
- The bundle branches conduct the impulses through the interventricular septum.
- The Purkinje fibers depolarize the contractile cells of both ventricles.
What is the QRS complex
Electrical signal showing when ventricles are depolarized.
What are the two fetal shunts?
Ductus arteriosus and Foramen ovale
What are arteries and vein made of?
Tunica intima, Tunica, media, Tunica externa
Lumen
central blood containing space
What are capillaries made of?
Endothelium with sparse basal lamina
Tunica intima
endothelium lies the lumen of all vessels
In vessels larger than 1mm, a subendothemlial connective tissue basement membrane is present.
Inner
Tunica media
smooth muscle and sheets of elastin
Sympathetic vasomotor nerve fibers control vasocinstriction and vasodialation of vessals
Middle
Tunica externa/tunica adventitia
collagen fibers protect and reinforce
larger vessels contain vasa vasorum to nourish the external layer.
Outer
Which are thicker arteries or veins?
Arteries
Elastic (conducting) arteries
Large thick walled arteries with elastin in all three tunics
Aorta and its major branches
large lumen offers low resistance
Act as pressure reservoirs - expand and recoil as blood is ejected from the heart.
Muscular (distributing) arteries and arterioles
distal to elastic arteries; deliver blood to body organs
have thick tunica media with more smooth muscle
active in vasoconstriction
Arterioles
smallest arteries
lead to capillary beds
control flow into capillary bed via vasodialation and vasoconstriction.
Venules
Formed when capillary beds unite
very porous; allow fluids and WBCs into tissues
Postcapillary venules consist of endothelium and a few pericytes
larger venules have one or two layers of smooth muscle cells
What is blood flow involved in?
Delivery of O2 and nutrients to, and removal of waste from, tissue cells.
Gas exchange (lungs)
Absorption of nutrients
Urine formation (kidneys)
What is the rate of blood flow?
precisely the right amount to provide for proper function.
What is required to maintain blood pressure?
Cooperation of the heart, blood vessels, and kidneys.
Supervision by the brain.
When is blood flow the fastest?
in the aorta, slowest in the capillaries, increases again in veins.
What does slow capillary flow allow for?
allows adequate time for exchange between blood and tissues.
Does blood flow change?
Yes, is changes as it travels through the systemic circulation.
What is blood flow inversely related to?
the total cross sectional area.
Vital Signs
pulse and blood pressure, along with respiratory rate and blood pressure.
What is pulse?
pressure wave caused by the expansion and recoil of arteries. Routinely taken at the wrist.
What are the common places to take a pulse?
Superficial temporal artery, Facial artery, Common carotid artery, Brachial artery, Radial artery, Femoral artery, Popiteal artery, Posterior tibial artery, Dorsalis pedis artery.
Superficial Temporal Artery
Temples
Facial Artery
High Jaw
Common Carotid Artery
Base of neck
Brachial Artery
inside of elbow
Radial Artery
inside of wrist
Femoral Artery
Groin
Popliteal Artery
Behind knee
Posterior tibal artery
inside of ankle
Dorsalis pedis artery
top of foot
What are some things that may vary blood pressure?
Age, sex, weight, race, mood, and posture
When does blood pressure peak?
In the morning due to levels of hormones, making it a danger time raising the risk of heart attack.
Does Blood Pressure change?
Yes, is cycles over a 24 hour period
What is hypotension?
Low blood pressure. systolic pressure below 100 mm Hg. Often associated with long life and lack of cardiovascular illness.
Orthostatic Hypotension
temporary low blood pressure and dizziness when suddenly rising from a sitting or reclined position
Chronic hypotension
hont of poor nutrition and warning sign for Addison’s disease or hypothyroidism
Acute hypotension
important sign of circulatory shock
What is hypertension?
High blood pressure, sustained elevated arterial pressure of 140/90 or higher. Often persistent in obese people. May be transient adaptations during fever, physical exertion, and emotional upset.
What can prolonged hypertension result in?
heart failure, vascular disease, renal failure, and stroke.
Primary/Essential hypertension
90% of hypertension conditions. Due to several risk factors including heredity, diet, obesity, age, stress, diabetes mellitus, and smoking.
Secondary hypertension
Less common form or hypertension. Due to identifiable disorders, including kidney disease, arteriosclerosis, and endocrine disorders such as hyperthyroidism and Cushing’s syndrome.
Pulmonary circulation
short loop that runs from the heart to the lungs and back to the heart.
systemic circulation
long loop to all parts of the body and back to the heart.