Haemodynamics Flashcards

1
Q

What is whole unclothed blood called?

A

Plasma

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2
Q

What is serum?

A

Blood collected from clotted blood (clotting factors removed or used up)

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3
Q

How do you stop clotting to get plasma?

A

Add heparin to sample

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4
Q

What vessel type controls total peripheral resistance?

A

Arterioles

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5
Q

What is the comments cause of increased whole blood viscosity?

A

Multiple myeloma

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6
Q

What does blood do in the peripheries if it has increased viscosity?

A

Sludge

So think of haematological problems in peripheral ischaemia

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7
Q

How is blood viscosity a marker of inflammation?

A

Raised acute phase proteins can increase viscosity slightly. Things like CRP, complement and fibrinogen. So we often measure CRP as an inflammatory marker.

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8
Q

What is the difference between flow and velocity?

A

Flow is volume per unit times

Velocity is distance moved per unit time

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9
Q

Why would blood flow change from laminar to turbulent?

A
High Rate of Flow 
Passing through and obstructed vessel 
Sharp turns in a blood vessel 
Rough blood vessel surfaces 
Increased flow resistance
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10
Q

A bruit is …

A

is the noise from turbulent flow in a vessel

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11
Q

What is a thrill?

A

Vibration felt after blood flows through a stenosis is a thrill

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12
Q

What do you feel in a pulse?

A

The pressure difference (shock wave) in a vessel immediately before blood passes

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13
Q

Why would someone develop a bounding pulse?

A

A bounding pulse means a high pulse pressure. SO a big difference between sysBP and diasBP. Could be seen in bradycardia- longer diastole means lower diasBP.

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14
Q

What is turbulent flow?

A

Blood flowing in all directions in a vessel causing a continue mixing.

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15
Q

How do you calculate pulse pressure?

A

Systollic BP- Diastollic BP

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16
Q

What two equations are there for mean arterial BP?

A

MaBP=(0.33sys+0.66dias)

MaBP=pulse pressure +0.33dias

17
Q

When is retrograde flow highest in arteries?

A

If TPR is high.

18
Q

What is a thready pulse?

A

The pulse pressure is low. This is seen where systolic pressure is reduced.

19
Q

What 3 causes are there of a reduction in systolic BP?

A

Hypovolaemia (shock)
Aortic valve stenosis
Left Ventricular Failure

20
Q

Why does a low TPR lower diastolic pressure and this increase pulse pressure?

A

Dilation of arterioles means lower pressure in the arterial system.

21
Q

What physiological state induces vasodilation?

A

Pregnancy