physiology Flashcards

1
Q

main thing driving blood flow is

A

pressure
main thing driving pressure is
volume and distensibiltiu

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2
Q

pulse pressure

A

systolic pressure - diastolic pressure

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3
Q

Mean arterial pressure MAP

A

diastolic + 1/3 pulse pressure

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4
Q

hypertension

A

greater than or equal to 90 mmHg for diastolic

greater than or equal to 140 mmHg for systolic

can have either or both of these in hypertension

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5
Q

arteries -key properties

A

elastic

large diameter

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6
Q

resistance in arteries vs arterioles

A
arteries= big diameter=little resistance
arterioles= small diameter=heaps of resistance
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7
Q

active hyperaemia

A

\wen u e.g. run= increase metabolic activity of tissue= local chemical changes =causing vasodilation

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8
Q

reactive hyperamei

A

block and then due to physical n chemical changes, get vasodilaiton n massive blood flow

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9
Q

auto regulation of blood flow

A

increased stretch= increased contraction (constriction)

decreased stretch= decreased contraction (dilation

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10
Q

prostacylcin PGI2

A

vasodilator

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11
Q

EDHF

A

vasodilator

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12
Q

endothelial stimulation to get it to vasodilate or vasoconrtstict:

A

sheer stress of blood flow
laminar flow=vasodilation
turbulent flow= reduced release of vasodialtion
• blood borne factors n subs released from platelets
• Ach , used as a tool –ie used in clinical

bifurication=turbulent flow= blood clot

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13
Q

coronary angiography

for Ach

A

for Ach
if get vasodilation= endo is healthy
if get vasoconstriction= endo is impaired

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14
Q

coronary angiography

for NTG

A

for NTG
this is any endothelium-independent vasodilator, so inserting it would be testing function of the smooth muscle
if get vasodilation=smooth musucle fine

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15
Q

NO

A

vasodilator

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16
Q

veins cos stretchy

A

big change in volume=small change in pressure

17
Q

sympathetic effect on veins

A
increased sympa stim on veins
contract muslces
makes walls stiff
less stretchy/distensible
increase venous pressure
18
Q

things that affect venous return

A
  1. venous pressure=increase pressure=increase venous return
  2. skeletal muscle pump
  3. resp pump
19
Q

varicose vein

A

faulty valves

20
Q

vascular function

A

AS U INCREASE RIGHT ATRIAL PRESSURE, YOU DECREASE VENOUS RETURN

21
Q

the cardiac function

A

u increase right atrial pressure, U INCREASE END-DIASTOLIC VOLUME AND SO THEREFORE U INCREASE STROKE VOLUME

22
Q

response to haemorrhage

A

vasoconstriction
vasodilation\

take home message-fall in cardiac output is due to fall in venous return

23
Q

Mean Systemic (or circulatory) Filling Pressure (Psf)

A

pressure everywhere once u’ve stopped your heart

determined mainly by volume of blood and pressure in veins

24
Q

CO determined by

A

venous return

25
Q

MAP

A

CO x TPR

26
Q

cardiovascular system as a control system

A
baroreceptors
sensory affernt nerves
medullary cardiovascular centre
efferent nerves
heart, arterioles, veins
27
Q

baroreceptors

A

carotid sinus,arch of aorta

28
Q

baroreceptor reflex

A

increase in pressure
stretches aorta n carotids
baro increase firing
send message to brain
brain send para message back to heart telling it to slow HR
n decrease sympa message to vessels =vasodilaite=decrease pressure

incrase para
decrease sympa

SHORT TERM REGULATION
cos get adaptation

29
Q

long term control of MAP is

A

renin system

• Pressure Diuresis/Natriuresis

30
Q

RAA system

A

wen MAP falls, blood flow falls
• Renin released into circulation from juxtaglomerular cells in the kidneys
• This plasma renin converts angiotensin(from liver) to angiotensin 1
• Angiotensin 1 then converted to angiotensin 2 via angiotensin-converting enzyme
• Angiotensin 2 causes vessels to constrict, leading to increased blood pressure
• Angiotensin 2 also stimulates secretion of aldosterone from adrenal cortex. Aldosterone tells kidney to increase reabsorption of sodium n water into blood=increase blood pressure as well

31
Q

stroke volume

A

edv-esv

32
Q

75%

A

• 75% of the Ca for cardiac contraction comes from the sarcoplasmic reticulum
• 25% comes from ECF – exam question
– Cardiac muscle cell placed in solution with no calcium won’t contract.

33
Q

cardiac output

A

volume of blood ejected per min

34
Q

SA action potential

A

NA n Ca constantly leaking in

no fast voltage sensitive Na channel

Ca channel open, upward positiveness
K channel open- downwards

35
Q

tetrodotoxin

A

blocks fast voltage sensitive Na channel

36
Q

to increase filtration (pushing fluid out of capillaries)

A

dilate arterioles
increase systemic arterial pressure
increase venous pressure

37
Q

to increase reabsorption (pulling fluid back into capillaries)

A

constrict arterioles
decrease systemic arterial pressure
decrease venous pressure