Short Term Control of Blood Pressure Flashcards

1
Q

What is the driving force pushing blood through the circulation?

A

MAP

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2
Q

What happens if MAP is too low?

A

Fainting (syncope)

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3
Q

What happens if MAP is too high?

A

Hypertension

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4
Q

Where are the arterial baroreceptors found?

A

In the aortic arch and carotid sinus

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5
Q

What happens to the firing of the baroreceptors if blood pressure drops?

A

They fire slower

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6
Q

What type of receptors are the baroreceptors?

A

Stretch receptors

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7
Q

What is the relationship between the blood pressure and the stretching of the receptors?

A

The higher the blood pressure the greater the stretching of the baroreceptors

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8
Q

Where in the brain do the baroreceptors send information to?

A

The medullary cardiovascular centres

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9
Q

Which nerves take the sensory information to the medullary CV centres?

A

The vagus and glossopharyngeal nerve

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10
Q

Which nerves make up the motor innervation from the medullary CV centres?

A

Parasympathetic (vagus) and sympathetic nerves

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11
Q

Which gland does the sympathetic system also innervate with respect to blood pressure?

A

Adrenal medulla

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12
Q

What are the less important inputs to the CV centres

A

Cardiopulmonary baroreceptors, central chemoreceptors, chemoreceptors in muscle, joint receptors and higher centres

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13
Q

What effect does standing have on blood pressure?

A

The increased hydrostatic pressure causes pooling f blood in the veins of the feet and legs - this decreases VR, EDV, preload, SV, CO, MAP and therefore decreases the baroreceptor firing rate

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14
Q

How does the parasympathetic system counteract the effects of standing?

A

By decreasing vagal tone which causes an increase in heart rate and cardiac output

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15
Q

How does the sympathetic system counteract the effects of standing?

A

An increase in sympathetic tone increases HR, CO, contractility, venoconstriction and arteriolar constriction

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16
Q

What effect does increasing the contractility have?

A

It increases SV and CO

17
Q

What effect does increasing the venoconstriction have?

A

It increases VR, EDV, SV and CO

18
Q

What effect does increasing arteriolar constriction have?

A

It increases TPR

19
Q

What is the valsalva manoeuvre?

A

Forced expiration against a closed glottis

20
Q

Where is the increased pressure from the valsalva manoeuvre transmitted to?

A

The aorta

21
Q

What effect does increased thoracic pressure have?

A

It decreases VR, EDV, SV, CO and MAP

22
Q

What happens when a decrease in MAP is detected by the baroreceptors?

A

The reflex is initiated and increases CO and TPR

23
Q

Why is there a second increase in blood pressure?

A

The drop in thoracic pressure is transmitted to the aorta so VR is restored and SV increases but the reflex effects have not worn off