Control of blood pressure and volume Flashcards

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1
Q

What is the role of the CNS in reflex responses?

A

Modulate reflex responses

Initiate responses

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2
Q

Describe the baroreceptor reflex

A

Homeostatically regulates ABP

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3
Q

Where are baroreceptors found?

A

Carotid arteries

Aortic arch

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4
Q

Where do afferents from baroreceptors go?

A

To the medulla

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5
Q

What sort of receptors are baroreceptors?

A

Stretch receptors

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6
Q

What are responses of baroreceptor activity?

A

Increased sympathetic activity

Decreased parasympathetic activity

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7
Q

What is the effect of increased sympathetic activity?

A

Increased noradrenaline on a adrenoreceptors
Venous vessels constrict increasing end diastolic volume
Arterioles constrict reducing capillary hydrostatic pressure and increasing total peripheral resistance

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8
Q

What is the effect of decreased parasympathetic activity?

A

Increased noradrenaline on B1 adrenoreceptors
Increase in heart rate
Increased contractility increase end systolic volume
Increased stroke volume and increased cardiac output

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9
Q

What neurotransmitters are vasoconstrictors?

A

ADH

Angiotensin II

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10
Q

Where in the body does reflex vasoconstriction occur?

A
Skin
GIT
Skeletal muscle
Kidney
Cerebral circulation
Coronary circulation
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11
Q

How does blood flow remain constant at different mABP?

A

Due to changes in arteriolar resistance

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12
Q

When might ABP increase?

A

Coughing
Sneezing
Exercising
Pain

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13
Q

When might ABP fall?

A

Standing up
Cutaneous circulation dilates heat
Haemorrhage
Dehydration

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14
Q

Where are volume receptors found?

A

In the right atrium

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15
Q

Where do afferents of the volume receptor reflex go?

A

Medulla via vagus nerve

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16
Q

What are the effects of the volume receptor reflex when blood volume falls?

A

Increased sympathetic activity to the kidney to trigger renal vasoconstriction, decreased renal tubular flow
Increased renin release leads to increase in angiotensin II levels
Increased ADH release from pituitary gland

17
Q

How fast is the volume reflex response?

A

Slow

20 mins

18
Q

What might cause a fall in blood volume?

A

Standing position (venous pooling)
Haemorrhage
Dehydration

19
Q

What might increase blood volume?

A

Supine position
Large fluid intake
Over transfusion