LP #107 Factors Affecting BP Flashcards

1
Q
  • increase P in aorta just after ventricular systole
  • aorta resists stretch, which maintains increase P
  • in BP readings: top value
A

Systolic P

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2
Q
  • decrease P in aorta- as it recoils

- in BP reading: bottom value

A

Diastolic P

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3
Q

In healthy adults:

  • peak P (systolic P): ~___ _ Hg
  • diastolic P: ~ __- __ _ Hg
A
  • 120mm

- 70-80mm

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4
Q

*the rhythmical expansion or dilation of the heart and arteries correlative to systole or contraction=

A

Diastole

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5
Q

*contraction of the heart=

A

Systole

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6
Q

Pre-capillary sphincters control=
Smooth m contracts; pre-capillary sphincters close=
Smooth m relaxes; pre-capillary sphincters open=
Capillary BP:~ ___ __ Hg

A
  • BF into capillaries
  • Decrease BF into capillary bed (sympathetic)
  • increase BF into capillary bed
  • 40mm
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7
Q

Capillaries have tunica intima only (1 cell thick)=
Decrease BF allows for adequate time for=
From venues, BP is ___ __ Hg

A
  • increase P would rupture capillary
  • substance exchange (nutrients & waste)
  • 28mm
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8
Q
  • 10 mm Hg
  • no blood pressure
  • venous BP changes little during cardiac cycle
  • venous BF: very decrease P & opposes gravity
A

Venous pressure

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9
Q

Venous return is driven by alternative means:

A
  1. One-way venous valves
  2. Skeletal m pump
  3. Respiratory pump
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10
Q
  • extensions of endothelium

- ensure minimal back flow

A

One-way venous valves

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11
Q
  • skeletal mm surround deep vv
  • when mm contract: compress vv & moves blood towards heart
  • valves prevent backflow when mm relax
A

Skeletal m pump

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12
Q
  • inspiration: diaphragm pushes on abdominal viscera
  • leads to increase abdominal P & decrease thoracic P
  • increase P gradient b/w abdominal & thoracic vv: pushes blood from abdomen to thoracic vv
  • as blood returns to heart via vv: pick up metabolic waste (disposed of by lungs & kidneys)
A

Respiratory pump

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13
Q
  • volume (ml) of blood pumped out by 1 ventricle w/ each heartbeat
  • correlates w/force of ventricular contraction (increase force= increase SV)
A

Stroke volume (SV)

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14
Q
  • amount of blood pumped out by both ventricles in 1 minute

* CO is influenced by HR & SV (CO= HR x SV)

A

Cardiac output (CO)

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15
Q

Cardiac output:

  • N adults total BVol is=
  • an adults total BVol passes through heart each ___
A
  • 5L

- Min

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16
Q
  • difference in CO at rest & during intense activity

- increase reserve= increase ability to engage in intense physical activity

A

Cardiac reserve

17
Q
  • arterial pulsation- felt at various points in the body
  • d/t increase arterial BP
  • force of blood ejection from heart & ability of aa to dilate/ recoil
  • increase HR & increase CO= faster & stronger pulse
  • decrease CO= weak, thready pulse
A

Pulse pressure

18
Q

Variables affecting BF:

A
  • CO
  • PR
  • BVol
19
Q

CO= ___ x ___

A

HR x SV

20
Q

BP is a fxn of?

A

CO & PR

21
Q

BP is monitored/ maintained at constant levels, ensured by:

A
  • heart (CO)
  • bv’s (PR)
  • kidneys (vasoconstriction)
  • brain (Vasomotor centres)
22
Q

Normally:

  • increase CO=
  • increase PR=
A
  • decrease PR

- decrease CO

23
Q

Short-term & long-term mechanisms medicate?

A

BP maintenance

24
Q

Affects distribution- responds to tissue needs by altering bv lumen to maintain arterial P=

A

Neural control

25
Q

Maintaining BP short-term mechanisms (2)?

A

Baroreceptor reflexes

Chemoreceptors reflexes

26
Q
  • respond to changes in arterial BP
  • mediated by stretch receptors in aortic arch & carotid sinuses
  • effectively mediate quick changes in BP,ex. D/t postural changes, emotional changes etc.
  • do not mediate long-term BP changes
A

Baroreceptor reflexes

27
Q
  • respond to changes in blood pH & other chemicals
  • mediated by receptors in aortic arch & carotid sinus
  • sensitive to decrease O2 levels, changing pH levels, & increase CO2
A

Chemoreceptor reflexes

28
Q

Chemoreceptor reflexes role in regulating ventilation (hypothalamus):

A
  • mediate changes in blood distribution
  • modify BP (via Vasomotor centre)
  • emotional situations (higher brain fxns)
29
Q

Maintaining BP long-term regulation:

A
  • mediated by renal & endocrine mechanisms
  • kidneys
  • important in maintaining BP
  • regulate fluid & electrolyte balance
  • affects distribution (vasoconstriction)