Module 1 - Vascular System Flashcards

1
Q

What is the basic equation for blood flow?

A

F = ΔP/R
F – flow rate of blood through a vessel
ΔP – pressure gradient
R – resistance of blood vessels

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2
Q

What is the pressure gradient in regards to blood flow?

A

Pressure Gradient (ΔP)
• Difference in pressure between beginning and end of a vessel
• Frictional resistance drops pressure as blood flows through a vessel
• The greater the difference, the greater the blood flow

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3
Q

What is resistance as it relates to blood flow?

A
  • Measure of opposition to blood flow

* Caused by friction of blood against vessel walls

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4
Q

What has to happen in the resistance in a vessel increases in order to try to maintain adequate blood flow?

A

o Pressure gradient must increase

o Heart works harder to maintain circulation

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5
Q

What are the 3 main factors that affect resistance?

A

Blood viscosity (η)
Refers to friction as molecules sliding over each other
Primarily determined by RBCs, which is generally consistent
Increase in RBCs causes blood flow to be more sluggish than normal

Vessel length (L) 
	Greater length results in greater resistance, but is constant

Vessel radius (r)
Arterioles most important factor to control resistance to blood flow
The greater the radius, the lesser the resistance
Resistance is inverse to the 4th power of the radius
Double radius results in only 1/16 the resistance and a 16-fold increase in flow
Half the radius results in only 1/16 the blood flow

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6
Q

What does Poiseuille’s Law tell us and what is the equation?

A
•	Integrates factors that affect flow rate 
F = πΔPr4
     8ηL
F – flow rate of blood through a vessel
ΔP – pressure gradient
r - vessel radius 
η - Blood viscosity 
L - vessel length
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7
Q

Describe the distribution of blood flow at rest, and postulate how this might change during exercise

A

At rest, blood flow is widely distributed and includes the digestive system and the kidneys. During exercise, blood flow is diverted to organs such as skeletal muscle for increase oxygen delivery and the skin to help remove excess heat. Blood flow to the digestive system and kidneys will be reduced as they are not important at this time

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8
Q

Name the reconditioning organs

A

Digestive tract, kidneys, and skin

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9
Q

Give the equation showing the relationship among flow rate of blood through a vessel, the pressure gradient, and the resistant to flow, and give the equation for the relationship between resistance and vessel radius

A

F = ΔP/R

R ∝ 1/r^4

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10
Q

What is reconditioning?

A

Blood is constantly adjusted by reconditioning organs (digestive, kidneys, and skin) to ensure that its composition remains relatively stable, despite an ongoing drain of supplies and continual addition of wastes

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11
Q

What are the 3 layers of the blood vessels?

A
Tunica intima (interna)
Tunica media
Tunica adventitia (externa)
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12
Q

Describe the tunica intima

A
  • Forms inner lining and is in contact with blood
  • Made of several layers but still very thin

Endothelium
• Innermost layer only one cell thick
• Continuous with endocardial lining of heart
• Smooth surface reduces friction for blood

Basement Membrane
•	Deep to endothelium 
•	Made of connective tissues 
•	Provides physical support 
•	Collagen fiber provides lots of tensile strength 

Internal Elastic Lamina
• Thin sheet of elastic fibers
• Facilitates diffusion through window like openings that make it looks like Swiss cheese

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13
Q

What part of the blood vessels allows diffusion through window like openings?

A

Internal elastic lamina

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14
Q

What fibers make up the blood vessels?

A
  • Collagen fibers provide tensile strength

* Elastin fibers allow for stretch

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15
Q

Describe the tunica media

A
  • Smooth muscle and connective tissue in circular arrangements
  • Thickest layer
  • Greatest variation between vessel types
  • Regulates diameter of vessel and blood pressure

External Elastic Lamina
• Forms outer part of tunica media
• Only located in some vessels

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16
Q

Describe the tunica adventitia

A

Tunica Adventitia (Externa)
• Outer covering
• Composed of elastic and collagen fibers
• Contains nerves
• Helps anchor vessels to surrounding tissues

17
Q

Describe how arteries work as pressure reservoirs

A

• Provides driving force for blood when heart is in diastole
o Allows for constant blood flow through capillaries
• Heart pumps blood but smaller vessels have higher resistance
o Elasticity allows arteries to expand to hold the excess blood and stores pressure energy
o During diastole, arteries passively recoil pushing the blood further along
o About 2/3 of blood flow occurs during diastole

18
Q

What are Korotkoff sounds?

A
  • Sounds heard when taking a blood pressure

* Blood flow is turbulent when artery is not open all the way so it can be heard

19
Q

What sounds are heard when taking a blood pressure?

A

Korotkoff Sounds

20
Q

What is pulse pressure? What would the pulse pressure be for someone who has a BP of 120/80?

A

• Allows a pulse to be felt
• Is the difference between systolic and diastolic pressures
o 120/80 would be a pulse pressure of 40 mmHg

21
Q

What is MAP? How is MAP worked out? What would the MAP be for someone with a BP of 120/80?

A

• Average pressure driving the blood forward throughout the cardiac cycle
• Regulated by blood pressure reflexes
• Equation considers that 2/3 of cardiac cycle is diastole and 1/3 is systole
MAP = diastolic pressure + 1/3 pulse pressure
Eg. At 120/80, MAP = 80 mmHg + (1/3) 40 mmHg = 93 mmHg

22
Q

Compare and contrast the composition of the walls for large arteries and large veins

A

Arteries have thick, highly elastic walls while veins are comparably thinner. Veins are highly distensible. Arteries serve as a pressure reservoir while the veins serve as a blood reservoir

23
Q

Indicate what structural feature enables arteries to serve as a pressure reservoir

A

Arteries have an abundance of elastin fibers that allow them to stretch to accommodate the extra volume of blood pumped into them during systole, and then to recoil and drive the extra blood forward into the remaining vasculature during diastole