Regulation Of Arterial Pressure Flashcards

1
Q

What N. Correspond to the Carotid sinus baroreceptor

A

Glossopharyngeal N. (CN IX)

Sinus N of Hering

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2
Q

What N.’s correspond to the Ao. Sinus Baroreceptor

A

Vagus N. (CN X)

Aortic N.

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3
Q

The afferent pathways of the baroreceptor reflex go to where in the brain and what neruoxmitter do they use here

A

The nucleus tractus solitarius (NTS)

glutamate as neuroxmitter

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4
Q

What do baroreceptors sense

A

Change sin pressure through stretch receptors on vessel walls

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5
Q

Increased stretch (increased MAP) will cause what in the baroreceptors

What about decreased stretch

A

Increased firing of parasympathetic N.S. (Need to chill out with amount of blood)

Decreased firing of parasympathetic N.S with pressure and stretch decrease, and sympathetic N.S takes over

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6
Q

The baroreceptors are most responsive to what

A

The rate of change in pressure

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7
Q

Increased stretch and thus increased pressure causes what in terms of paraympathetic and sympathetic N.S.

A

Increased stretch means increased MAP and thus increased paraympathetic N.S. And decreased sympathetic N.S.

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8
Q

The parasympathetic efferent response travels through what in the brain

A

The dorsal motor nucleus of the vagus and the nucleus ambiguus

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9
Q

The sympathetic efferent signal travels through what in the brain

A

Rostral ventrolateral medulla

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10
Q

SV is dependent on what

A

Sympathetic stimulation

Preload

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11
Q

HR is dependent on what

A

Symp and Parasymp Stimulation

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12
Q

Increased frequency of stimulation does what in terms of parasympathetic firing and what does this mean physiologically

A

Increases strength of AP

Fires until about 200 mmHg, then levels out

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13
Q

The aortic sinus has a what compared to the carotid sinus and is less sensitive to what

A

Higher threshold for activation and less sensitive to rate or decrease in AP

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14
Q

What receptor increases Hr and contractility

What about constriction of arterioles and veins

A

B1

A

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15
Q

What N effects the SA node paraympathetically and with what receptor

A

Vagus N to SA Node with mAChr

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16
Q

How does HTN effect baroreceptors

A

Resets them to a higher set point

17
Q

What does the RAAS control in general terms

A

Long-term regulation of blood volume

18
Q

Renin is stimulated by what receptors

A

B1

19
Q

Renin is secreted from what

A

Juxtaglomerular (JG) cells in the kidneys in response to low BP and sympathetic stim.

20
Q

What does Angiotensin II bind to in arterioles to cause vasoconstriction and what does this mean physiologically

A

AT1 receptors which increases TPR and BP

21
Q

What receptors does vasopressin act on

A

V1 (SM) and V2(collecting ducts) to increase TPR and water retention

22
Q

What does ANPs do and when is it secreted

A

Secreted during excessive preload of atria and vent.

Causes arteriolar dilation - decreased TRP

Increased fluid loss - decreases preload

Inhibits renin

23
Q

A decrease in VR, preload, SV, Co and MAP will do what to the vascular function curve

A

Shift it L (decreased pressure in LV)

24
Q

What receptors in the atria sense changes in blood volume

What about the ventricles

A

A fibers

B fibers

25
Q

What receptor is acted on during exercise and what happens physiologically

A

B1

Increased symp., decreased parasymp.

Increased HR/inotropy

Increased VR

Slight increase in MAP

26
Q

Vasopressin is secreted in response to what and what does it do

A

ANG II, low preload

Increases TPR and water retention