hypertension Flashcards

1
Q

what are the values to show hypertension

A

systolic blood pressure above 140mmHg
diastolic blood pressure over 90 mmHG

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2
Q

where are the baroreceptors

A

aortic arch and carotid sinus

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3
Q

what happens to baroreceptors when there is an increase in the blood pressure

A
  • increased stretch in blood vessels
  • activated sodium channels
  • depolarisation
  • increased action potentials to adrenal medulla
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4
Q

what is found in the vasomotor

A

C1 and A2 nuclei

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5
Q

what does the C1 nuclei of the vasomotor centre do

A

vasoconstriction

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6
Q

what does the A1 nuclei of the vasomotor centre do

A

vasodilation

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7
Q

what does an increase in blood pressure do to the medulla

A

stimulates the C1 nucleus in the vasomotor ventre
inhibits the cardiac acceletory
stimulates the cardiac inhibitory

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8
Q

what does inhibition of the cardiac acceletory do

A
  • prevent innervation to tunica media to cause vasodilation
  • adrenal medullary fibres are inhibited to decrease adrenaline and noradrenaline release
  • more vasoconstriction overall
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9
Q

what does the cardiac inhibitory centre do when there is high blood pressure

A
  • vagus releases acetylcholine to the nodes
  • acts on type two muscarinic receptors
  • g inhibitory protein activated
  • calcium entry decreases
  • potassium leaves the cell
  • interior is hyperpolarised to mean it takes more time for action potentials to occur
  • decreases cardiac output.
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10
Q

what do the atria do when there is high blood pressure

A

they stretch and stimulate endocrine cells that secrete atrial natriuretic peptide

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11
Q

what does atrial natriuretic peptide do

A

inhibit the actions of angiotensin two and aldosterone

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12
Q

when does polyuria occur

A

when we have high blood pressure as the aldosterone is inhibited and we absorb less sodium and water and pee it out

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