Hemodynamics and Circulation Flashcards
1
Q
Blood vessels have ________ (open/closed) circulation.
A
Closed
2
Q
What are the major functions of the circulatory system?
A
- Transporting nutrients to the tissues
- Carrying oxygen from the lungs to the rest of the body
- Transporting waste products aray from the tissues
- Transporting hormones
- Distributing heat
3
Q
What is the function of the aorta?
A
Transports blood to tissues under high pressure (100 mmHg)
4
Q
What is the function of the superior and inferior vena cava?
A
- Returns blood to the heart under low pressure
- Serves as a reservoir of blood
5
Q
What is the function of veins?
A
Conduit to the heart and reservoir
6
Q
What is the function of the venules?
A
Blood collectors
7
Q
What is the function of arteries?
A
To transport blood under high pressure
8
Q
What is the function of arterioles?
A
Control conduits/gate keepers
9
Q
Speed of blood flow in cm/sec is inversely related to ___________.
A
Cross sectional area
NOTE: Blood flow is slower in the arterial branches
10
Q
Blood flow is the aorta is ______ cm/sec, while flow in capillaries is _____ cm/sec.
A
40;0.1
NOTE: Slow rate in capillaries allows for exchange
11
Q
Circulation time is the time it takes a drop of blood to travel from ________ to ________.
A
Right atrium back to right atrium
12
Q
Which component of the circulation has the largest total cross-sectional area? Which has the smallest?
A
Largest: Capillaries (2500 cm)
Smallest: Aorta (2.5 cm)
NOTE: CSA of capillaries is 1000 times higher than aorta
13
Q
Rank the velocity of blood flow from component with the highest to component with the lowest.
A
Aorta> Arterioles> Small veins> Capilaries
*Velocity of blood flow= (Blood flow)/ (cross sectional area)
14
Q
What are the units of the velocity of blood flow?
A
mm/sec
15
Q
Largest pressure drop across the ___________ junction.
A
Arteriolar-capillary
16
Q
Blood pressure is the highest in the ________.
A
Aorta
17
Q
Blood pressure is defined as:
A
Pressure exerted by blood on walls of a vessel
*Caused by contraction of the ventricles
18
Q
Pressure ___________ (falls/rises) steadily in systemic circulation with distance from left ventricle.
A
Falls
NOTE: BP is 35 mmHg entering the capillaries and 0 mmHg entering the right atrium
19
Q
If decrease in blood volume is over _______%, BP drops.
A
10
20
Q
Water rentention _________ (increases/decreases) blood pressure.
A
Increases
21
Q
Compare the mean diameter of arteries and veins.
A
Mean diameter of veins (5 mm) is greater than the mean diameter of arteries (4mm).
NOTE: Arteries are thicker than veins
22
Q
Korotkoff sounds
A
blood flowsounds that healthcare providers observe while taking blood pressure with a sphygmomanometer over the brachial artery in the antecubital fossa.
23
Q
Korotkoff sounds are created by _______ blood flow through the compressed artery.
A
Pulsatile
NOTE: Blood flow is silent when the artery is no longer compressed
24
Q
Pulse pressure
A
Systolic-Diastolic
25
Mean arterial pressure
Diastolic + 1/3 of Pulse Pressure
26
What physiological factors effect arterial blood pressure?
Cardiac output
Peripheral resistance
27
What physical factors effect arterial blood pressure?
Arterial blood volume
Arterial compliance
28
Hemodynamics
**Physical** factors governing blood flow within the ciculatory system
Factors: **Flow, pressure, and resistance**
29
Overall flow int eh circulation of an adult is ______ liters/min which is the cardiac output.
5
30
Blood usually flows in streamlines with each layer of blood remaining the smae distance from the wall, this type of flow is called \_\_\_\_\_\_\_\_\_\_.
Laminar flow
**NOTE:** When laminar flow occurs, the **velocity of blood in the center of the vessel is greater** than that toward the outer edge creating a parabolic profile
31
Parabolic flow profile
Concentric rings of blood flowing at different velocities; **the farther away from the vessel wall, the faster the flow**
32
Generally in the body, blood flow is laminar. However, under conditions of **high flow**, particularly in the \_\_\_\_\_\_\_\_\_\_, laminar flow can be disrupted and become turbulent.
Ascending aorta
33
Where does turbulent flow occur?
Ascending aorta
Large arteries at branch points
Diseased and narrowed (stenotic) arteries
34
What are some causes of turbulent blood flow?
High velocities
Sharp turns in the circulation
Rough surfaces in the circulation
Rapid narrowing of blood vessels
35
Reynolds number
An important dimensionless quantity in fluid mechanics used to help predict flow patterns in different fluid flow situations.
## Footnote
**Laminar flow:** Low Reynold's number
**Turbulent flow:** High Reynold's number
36
At a critical velocity, Reynold's number exceeds \_\_\_\_\_\_\_\_.
2000
37
What are the major determinants of blood flow?
* **Pressure difference** between the two ends of the vessel
* **Resistance** of the vessel
38
Ohm's law
* Blood flow through a blood vessel is determined by two factors
39
In the systemic circulation the change in pressure is approximately \_\_\_\_\_\_\_
100 mmHg
\*This is the aortic-right atrial pressure
40
In the body the vascular beds of the various organ systems are arranged in \_\_\_\_\_\_\_\_\_.
Parallel
\*This arrangement allows each organ to vary its flow independently in proportion to requirements
41
Resistance is series is equal to...
42
Resistance in parallel is equal to...
**REMEMBER**: This is how vascular beds of various organ systems are arranged to allow each organ to vary its flow independently in proportion to the requirements.
43
\_\_\_\_\_\_\_ is a measure of the blood flow trhough a vessel for a given pressure difference.
**Conductance=** 1/ Resistance
\*Units ml/min per mmHg
44
Fourth Power Law
Small changes in vessel diameter markedly changes its conductnace
## Footnote
**Resistance=1/ r4**
45
Poiseuille's Law
* Resistance to flow is _directly_ proportional to **viscosity** of the blood and to the length to blood vessel
* Resistance to flow is _inversely_ proportional to the 4th power of the radius
**NOTE:**
* η= Viscocity
* r= radius
* L= length of tube
46
If you decrease the radius by 1/2, the resitance increases _______ fold.
16
**NOTE:** If you double radius of a tube by 2, the flow will increase 16 times
47
The _______ (longer/shorter) the vessel, the greater the resistance to flow.
Longer
**NOTE:** There are 7 miles of new blood vessels for every pound of fat. Henceforth, obesity causes high blood pressure
48
What can cause an increase in viscosity?
* Dehydration
* Polycythemia -a disease state in which the **hematocrit** (the volume percentage of red blood cells in the blood) is elevated.
**REMEMBER:** Increases in viscosity increase _resistance_
49
What is blood viscosity?
**Thickness** measured by the ratio of red blood cells to plasma volume
50
How is mean arterial pressure calculated?
Mean arterial pressure is a function of cardiac output and resistance in the **arterioles**
51
How does arterial flow through the capillaries differ between systole and diastole?
* Arterial blood flows through the capillaries throughout systole
* Arterial blood continues to flow through the capillaries throughout diastole
**NOTE:** This only applies to **compliant arteries**
52
How does blood flow through the capillaries change in rigid arteries?
* A volume of blood equal to the **entire stroke volume** must flow through the capillaries during **systole,** because when the arteries are rigid virtually none of the stroke volume can be stored in the arteries.
* Flow through the capillaries **ceases** during **diastole** because rigid arteries cannot recoil appreciably during diastole.
53
What is vascular distensibility?
* The ability of a blood vessel wall to expand and contract passively with changes in pressure.
* The fractional increase in volume for each mmHg rise in pressure
**NOTE:** Veins are 8 times more distensible than arteries
54
Arterial distensibility allows the arteries to accommodate ________ pressure.
Pulsatile
55
Venous distensibility allow the venous system to act as a \_\_\_\_\_\_\_\_\_\_.
Reservoir
56
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ stimulation increases blood pressure in arteries and veins at a given volume to facilitate blood transfer through the circulation.
Sympathetic
57
Blood pressure across the vascular networks
58
Vein characteristics compared to arteries
* Thinner walls
* Highly distensible
* Less muscle
* Less elastic
* Larger Diameter
**NOTE:** Veins do not have a pulse
59
Approximately \_\_\_\_% of blood is found in veins.
64
60
What role does the diaphragm play in blood flow?
**Contraction of the diaphragm** pumps blood into the right atrium:
* Decreasing thoracic pressure
* Increasing abdominal pressure
**NOTE:** During **inhalation**, pressure decreases in the thoracic cavity and increases in the abdominal cavity creating an upward "sucking" effect that pulls blood toward the heart.
61
What is central venous pressure?
Pressure in the right atrium
**NOTE:** Right atrial pressure or central venous pressure is normally zero but can be as high as 20-30 mmHg.
62
Abdominal pressures tend to increase venous pressures in the \_\_\_\_\_\_\_\_\_\_\_.
Legs
63
Increases in right atrial pressure causes blood to back up into the _______ system.
Venous
\*This increases venous pressures
64
What is the function fo microcirculation?
* Important in the transport of nutrients to tissues
* Site of waste product removal
\*Over 10 billion capillaries with surface area of 500-700 square meters perform function of solute and fluid exchange
65
Precapillary spincters
Provide control of perfusion through local capillary beds
66
Metarterioles
Act as a bypass channel and regulate blood flow to capillary beds
67
If precapillary sphinctors constrict, blood flow bypasses capillaries completely and flows through \_\_\_\_\_\_\_\_\_\_.
Metarterioles
\*When precapillary sphincters are relaxed, blood flows through all capillaries in the bed
68
What is the structure of capillary walls?
* Composed of unicellular layer of **endothelial cells** surrounded by a basement membrane
69
Solute and water move across capillary wall via _______ or by \_\_\_\_\_\_\_\_\_\_\_\_.
Intercellular cleft; Plasmalemma vesicles
70
What is the diameter of capillaries?
4 to 9 microns
71
How do solutes and fluids cross the capillary wall?
* **Lipid solube:** Diffuse directly through cell membrane
* **Lipid insoluble:** Cross capillary walls via **intercellular clefts**
72
How does molecular size affect passage of molecules across the capillary wall?
* The width of capillary intercellular slit pores is 6 to 7 nanometers
* The permeability of the capillary pores for different substances varies according to their molecular diameters
* The capillaries in different tissues have extreme differences in their permeabilities
73
Relative Permeability of Muscle Capillary
74
Two major types of solid structures in interstitium are _____ and \_\_\_\_\_\_\_\_\_.
Collagen fibers and proteoglycan
75
Almost all fluid in interstitium is in the form of \_\_\_\_\_\_\_.
Gel
\*There is very little free fluid under normal conditions
76
What are the determinants of net fluid movement across capillaries?
The forces that tend to move fluid out from the capillaries are the **capillary hydrostatic pressure**(estimated to about 20 mm Hg), the **interstitial-fluidosmotic pressure** (about 8 mm Hg) and the **interstitial-fluid hydrostatic pressure**, which is normally negative
77
Net fluid movement across capillaries equation
Pc= Capillary pressure
Pif= Interstitial fluid pressure
πp= Plasma colloid osmotic pressure
πif= Interstital fluid colloid osmotic pressure
78
Increase in _________ pressure forces fluid out of the capillaries.
Hydrostatic
79
Decrease of _________ pressure of proteins within the capillary pulls fluid into the capillary.
Colloid osmotic
80
About ______ 2 L/day collected by lymph vessels.
2
**NOTE:** The excess water and solutes that filter out of the capillary are picked u[ by the lymph vessels and returned to the circulation
81
The lymphatic system is a major route for absorption of nutrients from \_\_\_\_\_\_\_\_\_\_.
The GI tract
**NOTE:** The lymphatic system is also important in the immune system and preventing edema
82
\_\_\_\_\_\_\_\_ % of filtered fluid is reabsorbed on the venous end.
90
\*The remaining 90% is returned to circulation via lymphatics
83
How do changes in interstitial hydrostatic pressure affect lymph flow?
An increase in intersitial fluid hyrostatic fluid results in a increase in lymph flow?
84
What are the causes of edema?
* Increased hydrostatic blood pressure
* Decreased blood osmotic pressure
* Lymphatic capillary blockage
* Leaking capillary wall
85
What factors can lead to increase in hydrostatic blood pressure?
* Heart failure (left or right)
* Excess fluid in the blood
86
What factors can lead to decrease in blood osmotic pressure?
Liver, kidney diseases
87
What factors can lead to lymphatic capillary blockage?
Breast cancer surgery
Elephantiasis
88
What factors can lead to leaking capillary wall?
Histamine release during allergic reaction
Burn injuries
