Lecture 15 Flashcards

1
Q

Physical principles that govern blood flow.

A

Hemodynamics

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2
Q

Two things needed for blood to flow:

A
  1. Path to travel.

2. Pressure gradient (energy gradient)

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3
Q

The greater the pressure difference from point A to point B…

A

The GREATER the volume of flow.

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4
Q

In the body, pressure is created by:

A

The heart or gravity.

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5
Q

Q (volume flow rate) is affected by:

A

Viscosity
Friction
Inertia

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6
Q

The fluids thickness or stickiness.

A

VISCOSITY

UNITS: Poise

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7
Q

Blood viscosity is about _____ that of water.

A

Quadruple.

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8
Q

What can change viscosity of blood?

A

Anemia = low resistance to flow and low viscosity

Polycythemia = high resistance to flow and high viscosity

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9
Q

Resistance to motion because of two moving objects touching each other.

A

FRICTION.

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10
Q

Vessel walls and flowing blood produce:

A

Friction.

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11
Q

The longer the vessel, the more fiction, the…

A

greater the resistance to flow.

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12
Q

Tendency of an object to maintain its “status quo”

A

INERTIA.

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13
Q

Inertia can affect:

A

The volume of flow.

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14
Q

Pressure must rise to a level that:

A

will overcome inertia.

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15
Q

Poiseuille’s Equation predicts:

A

Volume flow rate (Q) in long straight tubes and assumes laminar flow.

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16
Q

Poiseuille’s Equation explains relationship between:

A
Q = volume flow rate
P1 P2 = pressure gradient
r = radius of vessel
L = length of vessel
n = viscosity of fluid
17
Q

Poiseuille’s Mathematical Equation

A

Q = P/urR

OR

Q = (P1 - P2) pie r^4/ 8nL

18
Q

When pressure increases, volume flow:

A

increases, vice versa.

19
Q

When radius increases, volume flow:

A

increases, vice versa.

20
Q

When viscosity increases, volume flow:

A

decreases, vice versa.

21
Q

When vessel length increases, volume flow:

A

decreases, vise versa.

22
Q
  • Blood velocity uniform across lumen.

- Occurs at entrance of large vessels.

A

Plug flog

23
Q

PULSATILE FLOW - ARTERIES

A
  • HEART CONTRACTION - change in pressure and velocity

- arteries offer resistance to blood flow.

24
Q

Steady flow - Veins

A
  • Pressure and flow depend on PHASICITY (RESPIRATION) and HYDROSTATIC PRESSURE (GRAVITY).
  • Hold large amounts of blood w/o change in resistance and pressure.
25
Q
  • Diaphragm descends.
  • Intra-abdominal pressure increases
  • Pressure gradient changes
  • Lower extremity venous flow decreases.
A

INSPIRATION.

26
Q
  • Diaphragm ascends.
  • Intra-abdominal pressure decreases
  • Pressure gradient changes
  • Lower extremity venous flow increases.
A

EXPIRATION.

27
Q
  • Weight of a column of blood from the heart to the point where the pressure is measured.
  • Venous pressure changes between supine and standing.
A

HYDROSTATIC PRESSURE.

SUPINE - 15 mm/Hg
STANDING - 102 mm/Hg