session 6 Flashcards
factors affecting blood flow
- vascular resistance
- venous return (how much blood is returning to heart)
- speed of blood flow
- blood pressure
Blood pressure is
hydrostatic pressure exerted by blood on walls of blood vessels
Caused by ventricle contraction
components of blood pressure
- systolic blood pressure
- highest artery pressure during systole
- diastolic blood pressure
- lowest artery pressure during diastole
mean arterial pressure (MAP)
- average blood pressure in arteries
- MAP = diastolic BP + 1/3(systolic - diastolic BP)
factors affecting blood pressure
- cardiac output
- dependent on HR and SV
- blood volume
- vascular resistance
- opposition to blood flow
- caused by lumen size, thickness of blood and length of the vessel
- elasticity of arteries
systemic vascular resistance (SVR)/ total peripheral resistance (TPR)
all vascular resistances offered by systemic blood vessels
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what is venous return and how is it achieved
- volume of blood flowing back to heart through systemic veins
- depends on
- pressure difference in venules and right atrium
-
skeletal msucle pump
- contraction/relaxation of skeletal muscles
- opens and closes venous valves
-
respiratory pump
- diaphragm movement changing abdominal pressure
velocity of blood flow
-
velocity inversely related to cross sectional area of blood vessels
- blow flows slowly whre cross sectional area is greatest
- Blood flow decreases from aorta to arteries, is slowest in capillaries
circulation time
time for blood drop to pass from right atrium through pulmonary circulation, back to left atrium, through systemic circulation down to foot and back to right atrium
usually 1 min in resting person
blood pressure and blood volume are controlled by adjusting heart rate, stroke volume, blood volume and vascular resistance.
This is done thorugh several negative feedback mechanisms….
- cardiovascular centre
- nervous system
- hormones
- auto regulation
cardiovascular centre for blood flow and pressure control
- group of neurons in medulla oblongata that regulate HR, contraction and vessel diameter
- output from CV centre through
- sympathetic impulses incresae HR and contractility
- parasympathetic impulses along vagus nerves decrease heart rate
- output from CV centre through
nervous system control of blood flow and pressure
- nervous system regulated BP by
-
baroreceptor reflex
- pressure sensitive neurons in aorta, carotid arteries
- monitor stretch of wall
- low BP -> low baroreceptor feedback -> CV centre increases sympahtetic stimulation -> increases HR and contractility
-
chemoreceptro reflex
- monitor chemical composotion of blood ie o2, co2 and H+
- located in carotid sinus and aortic arch
- eg hypoxia or acidosis -> chemoreceptor stimulation -> increased sympathetic stimulation -> vasoconstriction and increased BP
-
baroreceptor reflex
hormonal control of BP and blood flow
-
renin-angiotenisin-aldosterone system
- changes blood volume and therefore BP
-
epinephrine and norepinephrine
- (adrenaline and noradrenaline)
- released from adrenal medulla
-
antidiuretic hormone (ADH)
- from posterior pituitary
- causes vasoconstriction
-
atrial natriuretic peptide
- released by cells in atria of heart when BP rises
- causes vasodilation
autoregulation of BP
- automatic adjustment to meet metabolic demands
-
physical changes
- warming = vasodilation
- cooling = vasoconstriction
-
vasodilating and vasoconstricting chemicals
- vasodilators being H+, lactic acid, histamine and NO
- vasoconstrictors being thromboxane, serotonin, endothelins
-
changes in o2 levels
- systemic vessels dilate with low o2 while pulmonary vessels constrict
methods of checking circulation
- pulse
- created by pressure in elastic artery caused by left ventricle systole
- blood pressure
- measured with a sphygmomanometer
- determines systolic and diastolic pressure
- can hear heart sounds (korotkoff sounds)