Physiology wk6 Flashcards

1
Q

what is the role of each blood vessel

A

Arteries – blood delivery
Small arteries/arterioles – flow regulation
Capillaries – fluid/nutrient exchange
Venules – collection
Veins – return

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2
Q

what vessels are part of macrocirculation

A
  • Conduit arteries
  • Feed arteries
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3
Q

what vessels are part of microcirulation

A
  • Resistance arteries
  • resistance arterioles
  • terminal arterioles
  • capillaries
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4
Q

what influences help vasodilation

A
  • neural
  • hormonal – epinephrine/norepinephrine and AMP
  • myogenic – lowers flow going to brain to reduce pressure going to the brain
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5
Q

what is hyperaemia

A

blood flow increases to the metabolic activity of a tissue/organ

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6
Q

what is hyperaemia stimulated by

A
  • tissue hypoxia = not enough o2 delivery
  • co2 increase
  • pH decrease
  • lactate production
  • products of ATP
  • osmolality
  • potassium levels
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7
Q

what do prostaglandis do

A

these increase the amount of swelling at damaged tissues

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8
Q

what percentage of blood flow goes to muscles at rest and during exercise

A

20 at rest, rises to 80-85 during exercise

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9
Q

what causes such a massive increase in blood flow

A

redistribution from inactive muscles and reduced blood flow to inactive organs

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10
Q

what is autoregulation

A
  • blood flow to meet metabolic demands of tissue
  • Magnitude of vasodilation is proportional to size of recruited muscle mass
  • Due to local changes (increased NO, prostaglandins, ATP and adenosine
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11
Q

what is vascular shunting

A

blood splits off when traveling to the liver, this shunts blood to the hepatic artery to deal with products to be treated in the liver

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12
Q

how does blood flow decrease

A

through sympathetic vasoconstriction and circulating catecholamines, o2 extraction increases to compensate (GLUT1 transporters sent out)

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13
Q

what happens after splanchnic blood flow is constricted

A

venous return is increased

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14
Q

what does the portal vein do

A

takes blood back to the heart through the liver, people with spine damage will have higher volumes in their portal vein as they cant shunt blood away efficiently

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15
Q

what are the ways of sympathetic neural control of skin blood vessels

A
  1. Adrenergic vasoconstrictor (non hairy skin) – noradrenalin neurotransmitter
  2. Cholinergic vasodilator (hairy skin) – acetylcholine neurotransmitter
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16
Q

why does vasodilation occur at higher thresholds during exercise than rest

A
  • During exercise blood flow is shifted from core to surface to help cool
  • Muscle pump cant assist in aiding venous return
  • Filling of the heart is reduced and vasoconstriction must occur to maintain BP
17
Q

what happens to renal blood flow when hr increases

A

it will decrease alongside the digestive system

18
Q

how much of total cardiac output goes to the brain

A

20%

19
Q

why is habitual exercise good for the brain

A

maintains its size and usefulness

20
Q

what are the measures of brain blood flow

A

Brain perfusion imaging technique - MRI
Transcranial doppler – measures blood velocity as an index of flow
Near-infrared spectroscopy (NIRS) – measures balance of oxygen supply and demand at capillary level in cerebral cortex

21
Q

what happens to brain blood flow during exercise

A

is directly proportional to co2 levels, rises and falls at the same time/rate

22
Q

what can causae fainting

A

major increase or decrease in blood flow/pressure

23
Q

what happens to Brain blood flow during different bouts of exercise

A

with higher intensities there is more bbf

24
Q

what are the two endothelial derived relaxing factors (EDRF’s)

A

nitric oxide
prostoglandins

25
Q

what factors regulate blood flow in different vessel types

A

conduit arteries = sympathetic vasoconstriction
feed arteries = EDRF’s
arterioles = metabolic vasodilation

26
Q

what is splanchnic circulation

A

circulation to liver, GI tract, pancreas and spleen

27
Q

how is skin (cutaneous) circulation neurally controlled

A

adrenergic vasoconstrictor - for non hairy parts (palms and lips)
cholinergic vasodilator - for hairy parts (arms and legs)

28
Q

how is blood pressure/venous return maintained when it’s too hot

A

to compensate for blood flow to skin, vasoconstriction occurs to maintain bp

29
Q

what happens to blood flow during exercise regarding constriction/dilation

A

vasoconstriction at onset of exercise (to increase bp and bf), then dilation during to maintain core heat, then more constriction to maintain venous return

30
Q

what factors regulate brain blood flow

A

blood pressure
cardiac output
metabolism
sympathetic nervous activity
parasympathetic nervous activity
cerebal autoregulation

31
Q

when does brain blood flow stop increasing

A

increases from resting values till up to 65% vo2 max and then lowers after this amount (like inverted u)

32
Q

what is the brains most dominant regulator

A

pco2

33
Q

what regulates local blood flow during exercise

A

vasodilation (lowers resistance) increases bf to meet metabolic demands (cholinergenic)
due to increase: no, prostaglandin, atp and adenosine

vasoconstriction to reduce bf and increase resistance (adrenergic)

34
Q

how much blood to skin at rest/exercise

A

100-300ml at rest
7-8L during

35
Q

how much blood flow to renal

A

1200ml rest to 360 during exercise

36
Q

how much blood flow to sphlanic

A

1500ml during rest, 350 during exercise

37
Q

what was the dallas bed rest study

A

after 20 days bed rest, when returned to training stroke volume and cardiac output where higher, heart rate was lower at same intensities