Exam 5 Flashcards
What is hemodynamics?
The Study of Blood Moving Through the body
Flow vs Verlocity
Flow = How much (Volume/time)
Velocity = How fast (distance/time)
What is Phasic flow?
Blood moves with variable velocity.
Accelerates & decelerates as a result of respiration.
Venous circulation
What is pulsatile flow?
Blood moves with a variable velocity. Accelerates and decelerates with cardiac contractions.
Commonly appears in arterial circulation
What effect will the following have on flow and resistance?
Blood vessel radius:
>diameter (bigger)/ < diameter (smaller)
viscosity:
> viscosity(thicker) / < viscosity (thinner)
Length:
>length (long) /
Blood vessel radius
• < diameter = > resistance & < Flow
• > diameter = < resistance & > Flow
Viscosity of blood • > viscosity = > resistance & < Flow • < Viscosity = < resistance & > flow Blood vessel length • > length = > resistance & < Flow • < length = < resistance & > flow
Laminar Flow
Plug Flow
Parabolic Flow
Turbulent flow
Laminar Flow: Normal Blood flow, layers of blood that travel at individual speeds.
Plug: All layers and blood cells travel at the same velocity. - Big vessels such as aorta
Parabolic: Layers travel at individual speeds. Speed is highest at center. - Most common in arteries.
Turbulent flow : flow is chaotic, moving in many different directions- Cardiovascular pathology
Reynolds number predicts what?
Reynolds number is a unit-less number indicating laminar of turbulent flow.
Laminar flow = Reynolds number < 2,000
Turbulent flow= Reynolds number >2,000
ENERGY GRADIENT
BLOOD MOVES FROM REGIONS OF HIGHER ENERGY TO LOWER ENERGY
What is stenosis?
Narrowing of a vessel
In regards to Stenosis, where will you see highest blood velocity & where would turbulent flow be seen?
Where will you see highest velocity? At/in stenosis
When will you see turbulent flow? Post-Stenosis
What effect will stenosis have on blood velocity an pressure?
In stenosis; Velocity highest, pressure down
After stenosis; Turbulent, velocity down, pressure up
What physics principle describes the relationship between blood flow and pressure?
Bernoulli’s principle
Pressure Gradient & Blood flow
The amount of flow is proportional to the pressure gradient. The bigger the pressure gradient, the more blood flow.
Hydrostatic pressure
Energy created as a result of gravity, heaviest pressure at bottom.
Measured in units of mmHg (mm per mercury)
What is the hydrostatic pressure at the level of the heart?
0 mmHg
Measured pressure equation
Measured pressure=circulating pressure + hydrostatic pressure
Example: The BP generated by the heart in a patient who is standing is 140mmHg (Circulatory pressure), what is the arterial measured pressure at the patients waist? 140mmHg+50mmHg= 190mmHg
What is the hydrostatic pressure in the following locations in a STANDING individual?
HEART
HEAD
WAIST
ANKLE
HEART; 0 mmHg
Head; -30 mmHg
Waist; 50 mmHg
Ankles; 100 mmHg
What is the hydrostatic pressure in the followin locations in a SUPINE individual? Heart Head Waist Ankle
0 mmHg
What happens during inspiration?
Diaphragm moves down - Less pressure
ABD - More pressure
Venous blood flow to legs- Decreased
What happens during experation?
Diaphragm moves up- More pressure
ABD pressure - Less Pressure
Venous blood flow to legs increased
If RBC are moving toward the transducer, the reflected frequency Doppler shift will be _____________ than the transmitted frequency. This is ________ Doppler shift
If RBC are moving toward the transducer, the reflected frequency Doppler shift will be HIGHER than the transmitted frequency. POSITIVE Doppler shift.
If the RBC are moving away from the transducer, the reflected frequency Doppler shift will be _____________ than the transmitted frequency. ________ Doppler shift
If the RBC are moving away from the transducer, the reflected frequency Doppler shift will be LOWER than the transmitted frequency. NEGATIVE Doppler shift
Th doppler equation
Doppler shift=(2 x Velocity x transducer frequency x cos)/(Propagation speed)
Which parts of the Doppler Equation are constants?
What effect does the velocity of blood have on the Doppler shifts?
What effect does transducer frequency have on the Doppler shifts?
What effect does the cosꙨ have on the Doppler shifts?
Which parts of the Doppler Equation are constants?
2 & propagation speed
What effect does the velocity of blood have on the Doppler shifts?
Directly related
What effect does transducer frequency have on the Doppler shifts?
Directly related
What effect does the cosꙨ have on the Doppler shifts?
Directly related