Lecture 4: Blood Vessels & Hemodynamics Flashcards
what is hemodynamics
study of flow together with the differnet forces that regulate blood flow int he body
what is the capillary blood flow in healthy conditions
-equals cardiac output
-determined by pressure (P) and resistance (R)
what is pressure (P)
the force generated by the heart to overcome resistance
pressure gradient (^P)
difference in pressure from one end of a vessel to the other
what is vascular resistance (R)
opposition to blood flow due to friction between blood and the walls of blood vessels
what does higher resistance (R) mean
it shows smaller blood flow
what does resistance (R) depend on
-Lumen size (vessels diameter): inverse relationship; has the greatest influence
-Blood Viscosity: direct proportional relationship
-Total blood vessels length: direct proportional relationship
what is velocity
the rate of change of the object’s position with respect to a frame of reference and time
describe the velocity of blood flow
-blood flow is the volume of blood that moves througha tissue in a given period
velocity of blood flow between aorta and capillaries
fastest aorta, slowest in capillaries, then increases again in veins
what is speed in velocity of blood flow related to
speed is inversely related to total cross-sectional area
why is blood flow the slowest in the capillaries
-capillaries have the largest area so the slowest flow
-slow capillary flow allows aadewuate time for exchange between blood and tissues
what is tissue perfusion
the flow of blood through body tissues
what is tissue perfusion involved in
- delivery of O2 and nutrients to, and removal of wastes from tissue cells
- gas exchange (lungs)
- absorption of nutrients (digestive tract)
- urine formation (kidneys)
-rate of flow is right amount to provide proper function to that tissue of organ
how is blood flow controlled
rate of flow is controlled by intrinsic and extrinsic factors
what are intrinsic controls of blood flow
-control is entirely from within the tissue or organ
-uses paracrines or or properties of muscle tissue
-also known as autoregulation or local control
what are extrinsic controls on blood flow
-control is from outside of the tissue or organ
-uses nerves or hormones
what are examples of when both intrinsic and extrinsic control mechanisms occur
-stroke volume in the heart
-arteriolar diameter
-glomerular filtration in kidneys
blood flow to the skeletal muscles at rest vs. during exercise
-at rest: they receive ~20% of total body
-during exercise: >70% of blood
what are some intrsinsic controls for blood flow to skeletal muscles during exercise
skeletal muscle arterioles dilate, increasing blood flow to muscle
what are some extrinsic controls for blood flow to skeletal muscles during exercise
decrease blood flow to organs such as kidneys and digestive organs
what is autoregulation
local (intrinsic) conditions that regulate blood flow to that area
what two types of intrinsic machanisms determine final autoregulatory response
-metabolic controls
-myogenic controls
what is active hyperemia
- intial stimulus: exercising skeletal muscle
- physiological response: lower O2, higher CO2 and H+ and other metabolic factors in extracellular fluid -> vasodilation of arterioles (overrides extrinsic sympathetic input)
- result: higher muscle blood flow (active hyperemia)
what is taken during vital signs (V/S)
pluse (HR), BP, respiratory (breathing) rate, and body temp
what is a pulse
-pressure wave due to alternating expansion and recoil of elastic arteries
-after systole of left ventricle
-strongest in aorta; weaker in arterioles and disappears in capillaries
-pulse rate is same as normal heart rate
taking a pulse
-radial pulse (taken at wrist): most routinely used, but there are other clinically important pulse points
-pressure points: areas where arteries are close to body surface, can be compressed to stop blood flow in event of hemorrhaging
what are some common pulse points and where to find them
-superficial temporal artery: found medial to ear
-facial artery: found on mandible (lower jawbone) on line with corners of mouth
-common carotid artery: lateral to larynx (voice box)
-brachial artery: found medial side of biceps brachii muscle