Module 3 Flashcards
blood flow
the volume of blood flowing through: vessel, or organ circuit
BF = P/R
blood pressure
force exerted on a vessel wall by blood in its own vessel
moves from an area of high to low pressure
systemic blood pressure
- highest in aorta
- steepest drop in arterioles
arterial blood pressure
volume of blood forced into elastic arteries by ventricular contraction
systolic pressure
peak pressure generated in large arteries when ventricles contract
diastolic pressure
pressure in large arteries when ventricles relax
pulse pressure
systolic pressure - diastolic pressure
what is the goal of the circulatory system
to maintain blood flow
Mean Arterial Pressure (MAP)
MAP = COXR
resistance
measure of friction
Total Peripheral Resistance (TPR)
- blood viscosity
- blood vessel length
- blood vessel diametre
viscosity
thickness of fluid
blood vessel length
resistance to flow > as length >
blood vessel diametre
greater contact = > friction => resistance
> diametre = contact = < friction = < resistance
vasoconstriction
< diametre
which > resistance = < BF
vasodilation
> diametre
which < resistance = > BF
list 3 ways blood vessel diametre is altered
- protrusions
- vasoconstriction
- vasodilation
Capillary Blood pressure
35 mmhg at arterial end
15 mmhg at venous end
- low pressure due to thin walls and permeability
last the 5 structures of venous return
- valves
- muscular pump (pushes blood towards heart)
- respiratory pump (pressure change in breathing moves blood to heart)
- pulsation (in arteries)
- venoconstriction (of tunica media under sympathetic control)
list the 3 methods of regulation of BP
- Cardiac Output
- Total Peripheral Resistance
- Blood Volume
Regulation of BP - CO
- rapid
- short term
- > SV or HR = > BP
Regulation of BP - TPR
- rapid
- short term
- vasoconstriction > BP
- vasodilation < BP
Regulation of BP - Blood Volume
- slower
- long term
- renal and endocrine mechanisms
- auto regulation
- neural regulation
- renal mechanisms
- endocrine regulation
Regulation of BP - Blood Volume - Auto Regulation
tissues regulate their own BP + F in response to:
- diametre
- opening/closing of pre capillary sphincters
Regulation of BP - Blood Volume - Neural regulation
- cardiovascular centres + ANS
- cardio inhibitory <
- cardioacceleratory <
- vasomotor (change in diametre)
Regulation of BP - Blood Volume - Renal Mechanisms list 2
- direct
2. indirect
Regulation of BP - Blood Volume - Renal Mechanisms - Direct
rate of urine formation determined by BP
e.g. > BP = > flow to kidneys = > filtration = > urine = < BV + Bp
Regulation of BP - Blood Volume - Renal Mechanisms Indirect
Hormones - RAAS = < pressure = angiotensin 2 = - vasoconstriction - aldosterone secretion - ADh - Thirst which all increase pressure
Endocrine regulation - autoregulation
changes in patterns of BF within capillary beds
Endocrine regulation - list receptors
- baroreceptors
- stretch receptors
baroreceptor reflex - > stimulation
> BR stimulation = < CO
- peripheral vasodilation = < BP, venous return, CO
baroreceptor reflex - < stimulation
< BR stimulation = > CO
- sympathetic stimulation via cardioacceleratory
- peripheral vasoconstriction
carotid sinus reflex
monitors and protects blood flow to the brain
aortic reflex
monitors + maintains blood flow in systemic circuit
Capillary exchange - bulkflow
what is it and where does it move through
moves across capillary walls by bulk
- out at arterial end
- in at venous end
moving through:
- intracellular clefts
- fenestrations
- sinusoids
hydrostatic pressure
- fluid pushing against tissue wall
- to move fluid and small solutes through intracellular clefts/fenestrations
- out of the capillaries
colloid osmotic pressure
force related to tonicity
- pulling force back into capillaries at venous end
list the 4 pathways of exchange for :
- respiratory gases
- nutrients
- waste
- lipid soluble across plasma
- water soluble through intracellular clefts
- small water soluble through fenestrations
- large molecules in pinocytotic vessicles
compensated shock
< 30% loss
baroreceptor reflex
- intense sympatehtic
- intense vasoconstriction
progressive shock
> 35% of blood volume lost
- ischaemic tissue damage
- inadequate BP + BF = death
hypovolaemic shock
- large scale loss
- eg haemorrhage
hormones that increase BP
- adrenalin
- nor adrenalin
- angiotensin 2
- aldosterone
- adh
hormones that decrease BP
- ANP