Control of Venous Pressure Flashcards

1
Q

What is compliance equal to?

A

Change in volume/change in pressure

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2
Q

What does pressure depend on?

A

Compliance and volume

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3
Q

What neurotransmitter triggers venous contraction?

A

Noradrenaline

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4
Q

What does venous contraction cause?

A

Decrease compliance
Increase blood pressure

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5
Q

Where is venous pressure high when in the supine position?

A

Head and feet

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6
Q

What 3 things must be considered when moving to upright position?

A

Gravity
pressure reduced in vessels above heart level
pressure increased in vessels below heart level

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7
Q

What causes venous pooling below the heart?

A

Additional blood from thoracic region

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8
Q

What happens when unsupported veins collapse?

A

Blood flow is inhibited - redirected
Stroke volume falls

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9
Q

What causes varicose veins?

A

Incompetent valves - blood accumulates

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10
Q

What does an increase in capillary filtration in lower limbs cause?

A

Decrease in plasma volume
Reduced arterial pressure

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11
Q

How does the body compensate for upright posture?

A

Increased capillary filtration
Neuro-endocrine responses
Renal excretion of salt and water

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12
Q

Which 2 neuroendocrine responses are involved?

A

Activation of:
RAAS
Vasopressin secretion
Cause vasoconstriction

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13
Q

How is renal excretion of salt and water reduced?

A

Increase sympathetic stimulation of RAAS
Reflex vasopressin secretion

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14
Q

What are the 5 venous return drivers?

A

Skeletal muscle pump
Respiratory pump
Cardiac cycle
Sympathetically-mediated vasoconstriction
Total blood volume

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15
Q

What happens to the skeletal muscle pump during exercise?

A

Venous pressure is reduced
Blood flows only toward the heart

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16
Q

What happens to the skeletal muscle pump at rest?

A

Blood reaccumulates in veins

17
Q

What happens during inspiration?

A

Inferior vena cava blood flow increases

18
Q

How does inferior vena cava blood flow increase?

A

Decreased intrathoracic pressure (veins expand)
Increased abdominal pressure - increased venous pressure gradient (blood return from abdomen to thoracic)

19
Q

What happens to the stroke volume in the right ventricle during inspiration/expiration?

A

Inspiration - SV rises
Expiration - SV falls

20
Q

What happens to the stroke volume in the left ventricle during inspiration/expiration?

A

Inspiration - SV falls
Expiration - SV rises

21
Q

How does cardiac contraction stimulate venous return?

A

Vis-a-tergo (push from behind)
Vis-a-fronte (suction from in front)

22
Q

How does venoconstriction stimulate venous return?

A

Increased venous pressure
Reduced venous compliance