HUBS192 Lecture 11 - Controlling Regional Bloodflow Flashcards

1
Q

what is the quote that explains why it is important for mean arterial blood pressure to be maintained?

A

“maintenance of arterial blood pressure at a constant level by a central control mechanism allows each organ or region to control its own perfusion…sufficient to meet its own metabolic needs”

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2
Q

what is the relationship between high pressure and control of flow?

A

high pressure allows for the full control of flow in different directions
-high pressure needs to be maintained for this to occur

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3
Q

what is the design of systemic circulation?

A

parallel design where cardiac output is distributed to all organs

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4
Q

what are the 2 features of the parallel design of the systemic circulation?

A

1) continual branching of arterial network

2) divides blood flow among the regional (organ) circulations and then goes back to the heart

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5
Q

what is the pressure in systemic circuit?

A

high pressure to drive unidirectional blood flow

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6
Q

what is the pressure in the pulmonary circuit?

A

low pressure with low resistance

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7
Q

what is the distribution of cardiac output at rest for the 7 organ types?

A
  • large cardiac output to the kidneys, abdominal viscera, brain and skeletal muscle
  • less cardiac output to the skin and other tissues
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8
Q

what are the 7 organ types involved in the cardiac output during exercise?

A

1) brain
2) kidneys
3) abdominal viscera
4) skin
5) other tissues
6) skeletal muscles
7) heart

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9
Q

what is the distribution of cardiac output during light and heavy exercise?

A
  • cardiac output of the brain is maintained at the same level as at rest because the demand for the brain function is always constant
  • increased cardiac output to the skeletal muscle, skin and the heart (highly increased flow to these places)
  • decreased cardiac output compared to at rest from the kidneys, abdominal viscera, other tissues and GI tract
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10
Q

what happens when we exercise to the cardiac output distribution to our organs?

A

when we exercise it activates our sympathetic nervous system response of fight or flight whereas at rest the parasympathetic nervous system is activated (rest and digest) therefore during exercise we are moving resources (blood) towards our heart and muscles and moving resources (blood) away from organs involved with rest and digest as it is no longer required

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11
Q

what helps to make the cardiac output system work?

A

the ability to determine where the blood is flowing through divergent flow depending on metabolic demands

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12
Q

where is blood flow increased to during exercise?

A
  • skeletal muscle
  • heart
  • skin
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13
Q

where is blood flow decreased to during exercise?

A
  • GI tract
  • kidneys
  • other tissues
  • abdominal viscera
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14
Q

where is blood flow constant to during exercise?

A

-brain

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15
Q

what are the 3 components of systemic circulation during exercise?

A
  • increased cardiac output (CO)
  • constant mean arterial blood pressure (MAP)
  • decreased total peripheral resistance (TPR)
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16
Q

what is the relationship between total peripheral resistance (TPR) and cardiac output during exercise?

A

TPR is decreased during exercise to allow for a greater blood flow and this increases cardiac output

17
Q

what is the resistance involved in controlling regional blood flow in the individual circulation of muscle?

A

increased flow results from decreased resistance

18
Q

what is the resistance involved in controlling regional blood flow in the individual circulations of kidneys?

A

decreased flow results from increased resistance

19
Q

what are arterioles?

A

small vessels that lead into the capillaries surrounded by smooth muscle

20
Q

what are the function of arterioles?

A

to determine blood flow “in” and blood flow “out”

21
Q

what is the equation for resistance (R)?

A

R=1/r^4

22
Q

what is the radius of a vessel?

A

half of the diameter from the centre point of the vessel

23
Q

what is the relationship between a change luminal diameter and resistance?

A

a small change will cause a HUGE change in resistance to flow

24
Q

what is the rule of 16?

A

if the luminal diameter is changed by a factor of 2 then the resistance will change by a factor of 16

25
Q

how is blood flow than organ or region controlled?

A

controlled by adjusting arteriolar (‘vascular’) tone and radius

26
Q

what is the relationship between smooth muscle and a vessel associated with exercise?

A

the smooth muscle surrounding the vessel relaxes allowing the vessel to expand=vasodilation
-doubles the radius means the resistance is decreased by 16 which means flow is increased by 16 times (16x16=256mL per minute)

27
Q

what is the relationship between smooth muscle and a vessel not associated with exercise?

A

the smooth muscle surrounding the vessel contracts constricting the size of the vessel=vasoconstriction
-halves the radius means the resistance is increased by 16 which means flow is decreased by 16 times (16/16=1mL per minute)

28
Q

what are the 3 main ways that control vascular resistance?

A

1) mechanical (response to force) through a local signal
2) neural systems through central signal
3) humoral (blood) through central signal

29
Q

what is the relationship between fine vascular control and arterial blood pressure?

A

fine vascular control by an organ depends on a sufficiently high arterial blood pressure