Regulation Of Arterial Blood Pressure Flashcards

1
Q

What are the two pathways for ABP regulation?

A
Local regulation (one part)
Global regulation (entire body)
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2
Q

Local control of ABP involves…

A

Regulation of ABP to an organ by local control or constriction of a vessel

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3
Q

Agents responsible for local regulations are

A

Those responsible for vasoconstriction and vasodilation

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4
Q

Agents responsible for vasoconstriction

A

Angiotensin II
Vasopresine
Cytokines
Oxygen free radicals

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5
Q

Agents responsible for vasodilation

A

Nitric oxide

ANP

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6
Q

Global regulation of ABP is long-term. True or false?

A

True, but not all, just renal

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7
Q

What are the global ABP regulation methods?

A

Nervous
Hormonal
Renal

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8
Q

Nervous control of arterial blood pressure is a long-term way of regulating BP. True or false?

A

False

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9
Q

And what situations does nervous control of ABP kick in?

A

For rapid increase during exercise or stress

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10
Q

Nervous control of arterial blood pressure involves…

A

stimulation of the entire vasoconstrictor and cardioaccelerator functions and inhibition of the parasympathetic vagal inhibitory signals to the CVS

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11
Q

What are the expected changes during nervous control of arterial blood pressure?

A
  • construction of arterioles of systemic circulation to increase the total PR, thereby increasing ABP
  • constriction of veins to increase VR and CO
  • cardioacceleration by SNS
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12
Q

What is the relationship between peripheral resistance and arterial blood pressure?

A

They are directly proportional

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13
Q

The nervous system controls regulation of BP through

A

ANS and reflexes

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14
Q

The nervous system of regulation redistributes blood flow to different areas of the body. True or false?

A

True

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15
Q

What are the different reflexes responsible for short-term regulation of arterial blood pressure by the nervous system?

A

Baroreceptor reflex Chemoreceptor reflex

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16
Q

The components of a reflex

A
Receptor
Afferent neuron
Control center
Efferent neuron
Effector
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17
Q

Afferent pathway for the carotid baroreceptors

A

Hering’s nerves —> Glossopharyngeal nerves in the high neck —>
Tractus solitarius in the medullary area of the brain stem.

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18
Q

The vasomotor center for the baroreceptors is found in

A

Tractus solitarius in the medullary area of the brain stem.

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19
Q

Afferent pathway for the aortic baroreceptors

A

Vagus nerves —> Tractus solitarius in the medullary area of the brain stem

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20
Q

Location of tractus solitarius VMC

A

It is located bilaterally mainly in the reticular substance of the medulla and of the lower third of the pon

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21
Q

The baroreceptor VMC consists of:

A

CAC - Cardioacceleratory center
CIC - …inhibitory…
CEC - …excitatory…

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22
Q

Functions of the VMC

A
  • Decrease HR through vagus nerves and PNS
  • Increase HR through SNS and peripheral sympathetic nerves
  • Produce vasoconstrictor tone
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23
Q

Methods of ABP regulation by baroreceptor reflex

A

Bilateral carotid occlusion

Postural change

24
Q

Which system of arterial blood pressure regulation is called a buffer system?

A

Baroreceptor system

25
In which system of arterial blood pressure regulation are buffer nerves found?
Baroreceptor system
26
What is the stimulus for the baroreceptor reflex for arterial blood pressure regulation?
Stretch of receptors, increased rate of firing of the normal operating range
27
The organs for the chemoreceptor reflex of arterial blood pressure regulation are...
- Carotid bodies in the bifurcation of the common carotid artery - Aortic bodies adjacent to the aorta
28
Stimulus for Chemoreceptor reflex
Lack of oxygen Excess CO2 Hydrogen ion excess
29
Afferents for chemoreceptor reflex
Hering’s nerves and the vagus nerves
30
Control centre for chemoreceptor reflex
VMC
31
Efferent arm for chemoreceptor reflex
ANS
32
Effector organs for chemoreceptor reflex
Heart and blood vessels
33
The carotid sinus baroreceptors respond to increase and decrease in arterial blood pressure. True or false?
True
34
The aortic arch baroreceptors respond to increase and decrease in arterial blood pressure. True or false?
False. They respond to only increase
35
What are the reflexes involved in nervous control about your blood pressure?
- Baroreceptor reflex - Chemoreceptor reflex - Atrial and pulmonary artery reflexes - Atrial Bainbridge reflex - Brain (CNS) ischemic response - Abdominal contraction reflex
36
Hormonal control of arterial blood pressure acts through
RAAS Renin Angiotensin Aldosterone System
37
Where are epinephrine and norepinephrine produced?
The adrenal medulla
38
Where is renin produced?
Kidney nephrons
39
Where is aldosterone produced?
Adrenal cortex
40
Where is angiotensin produced?
Liver
41
Where is ADH or vasopressin produced?
Hypothalamus
42
Where is ANP produced?
Heart atrium
43
Functions of epinephrine and norepinephrine
Temporarily decreases kidney function by vasoconstriction
44
Function of renin
Increases blood pressure by acting on angiotensinogen
45
Functions of vasopressin or ADH
Promotes water retention
46
Function of ANP
- Decreases BP - Decreases sodium reabsorption - Increases glomerular filtration rate
47
Will it renin lead to increased blood pressure?
Yes, it will
48
Which hormone stimulates production of androtensin?
Renin
49
Which hormone is antagonistic to the angiotensin pathway?
ANP
50
How does ANP oppose angiotensin?
Angiotensin decreases glomerular filtration rate, and increases water retention and blood volume while ANP reduce these.
51
Effect of blood volume and ECF on arterial blood pressure
If they are high, arterial blood pressure will be high
52
What is pressure diuresis?
The process whereby an increase in body fluid leads to increased blood pressure and increased renal output of water
53
What is pressure natriuresis?
The process whereby there is an increase in salt in the body leading to increased blood pressure and increased renal output of salt
54
The renal function curve is a graph of what against what?
Urinary volume outputs against arterial blood pressure
55
The equilibrium point on the renal function curve describes...
... the level to which the arterial pressure will be regulated.
56
The two primary determinants of the long-term arterial pressure level are as follows...
1. The degree of pressure shift of the renal output curve for water and salt 2. The level of the water and salt intake line