Lecture 14- Blood Pressure Flashcards
Sphygmomanometer
Blood pressure cuff
Measures blood pressure
What are the three adaptations critical to venous return?
- Contraction off skeletal muscles creates a muscular pump to move blood back toward heart while venous valves prevent back flow
- Pressure changes during breathing create a respirator pump to move blood by squeezing addominal veins as thoracic veins expand
- Under sympathetic control, smooth muscles undergo sympathetic vena contraction pushing blood back toward the heart
Varicose vein
A vein that has become enlarged or twisted
Most common in the legs because of gravity
Difference between arteries and veins
Arteries run deep and are well protected
Veins can run deep and parallel to arteries or superficial
Artery pathways are relatively straight
Venous pathways often have interconnections
Where does venous drainage not run parallel to arterial supply?
Dural sinuses draining the brain
Hepatic portal system draining from digestive organs to liver before entering main systemic circulation
What three factors maintain blood pressure?
Cardiac output
Peripheral resistance
Blood volume
What forms the cardiovascular centre?
Clusters of neurons in the medulla oblongata, Cardioacceleratory, cardioinhibitory and vasomotor centres
Baroreceptors (pressure sensors)
Located in carotid sinus (side of neck) an aortic arch (just above heart) detect stretch and send impulses to vasomotor centre, inhibiting its activity and promoting vasodilation of arterials and veins
What is the gas exchange in blood monitored by?
Detecting carbon dioxide
Chemoreceptors
Detect rise in carbon dioxide levels of blood and stimulate the cardioacceleratory and vasomotor centres, which increases cardiac output and vasoconstriction.
How do hormonal controls influence blood pressure?
By acting on vascular smooth muscle or vasomotor centre of the brain
Norepinephrine and epinephrine
Neurotransmitters and hormones that produce body’s fight or flight response
Both increase heat rate and blood sugar
Renin angiotensin aldosterone system
Hormone system that regulates blood pressure, fluids and electrolytes
Renin
Enzyme activate din kidneys and released in blood plasma
Liver secretes a protein that Erin activates as angiotensin I and vascular endothelial cells convert to angiotensin II
Angiotensin II
Is a vasoconstrictor and increases salt rentention in kidneys
Also stimulat the relates of aldosterone and anti diuretic hormone
Aldosterone
From adrenal glands stimulates kidneys to retain more salt and water in blood
Increases blood volume and therefore blood
Antidiuretic hormone
From pituitary gland promotes water reabsorption by kidneys, resulting in an increase in blood volume and blood pressure
Atrial natriuretic peptide
is a vasodilator that increases sodium and water excretion in the kidneys, resulting in a drop in blood volume and blood pressure.
Inhibit srelease of renin aldosterone and ADH by organs that make those hormones
Released by cardiac muscle cells in response to high blood pressure in cardiac atria
Direct renal mechanism
counteracts changes in blood pressure by altering blood volume, through adjustments in the rate of kidney filtration, resulting in an increased or decreased loss of fluids and solutes in the urine.
Indirect renal mechanism
the renin- angiotensin-aldosterone system, which counteracts a decline in arterial blood pressure by releasing aldosterone and ADH, triggering thirst and salt cravings and promoting vasoconstriction.