Lecture 15 Flashcards
Physical principles that govern blood flow.
Hemodynamics
Two things needed for blood to flow:
- Path to travel.
2. Pressure gradient (energy gradient)
The greater the pressure difference from point A to point B…
The GREATER the volume of flow.
In the body, pressure is created by:
The heart or gravity.
Q (volume flow rate) is affected by:
Viscosity
Friction
Inertia
The fluids thickness or stickiness.
VISCOSITY
UNITS: Poise
Blood viscosity is about _____ that of water.
Quadruple.
What can change viscosity of blood?
Anemia = low resistance to flow and low viscosity
Polycythemia = high resistance to flow and high viscosity
Resistance to motion because of two moving objects touching each other.
FRICTION.
Vessel walls and flowing blood produce:
Friction.
The longer the vessel, the more fiction, the…
greater the resistance to flow.
Tendency of an object to maintain its “status quo”
INERTIA.
Inertia can affect:
The volume of flow.
Pressure must rise to a level that:
will overcome inertia.
Poiseuille’s Equation predicts:
Volume flow rate (Q) in long straight tubes and assumes laminar flow.
Poiseuille’s Equation explains relationship between:
Q = volume flow rate P1 P2 = pressure gradient r = radius of vessel L = length of vessel n = viscosity of fluid
Poiseuille’s Mathematical Equation
Q = P/urR
OR
Q = (P1 - P2) pie r^4/ 8nL
When pressure increases, volume flow:
increases, vice versa.
When radius increases, volume flow:
increases, vice versa.
When viscosity increases, volume flow:
decreases, vice versa.
When vessel length increases, volume flow:
decreases, vise versa.
- Blood velocity uniform across lumen.
- Occurs at entrance of large vessels.
Plug flog
PULSATILE FLOW - ARTERIES
- HEART CONTRACTION - change in pressure and velocity
- arteries offer resistance to blood flow.
Steady flow - Veins
- Pressure and flow depend on PHASICITY (RESPIRATION) and HYDROSTATIC PRESSURE (GRAVITY).
- Hold large amounts of blood w/o change in resistance and pressure.
- Diaphragm descends.
- Intra-abdominal pressure increases
- Pressure gradient changes
- Lower extremity venous flow decreases.
INSPIRATION.
- Diaphragm ascends.
- Intra-abdominal pressure decreases
- Pressure gradient changes
- Lower extremity venous flow increases.
EXPIRATION.
- Weight of a column of blood from the heart to the point where the pressure is measured.
- Venous pressure changes between supine and standing.
HYDROSTATIC PRESSURE.
SUPINE - 15 mm/Hg
STANDING - 102 mm/Hg