Test 2 - vascular hemodynamics Flashcards

1
Q

study of blood pressure and blood flow throughtout the circulatory system

A

hemodynamics

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2
Q

hydrostatic pressure measured within a given structure, either cardiac chamber, or a blood vessel

A

blood pressure

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3
Q

capacity to contain a varying volume of blood

A

distensibility

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4
Q

blood pressure is caused by

A

the recoil of the vessel walls against the blood, and its value is proportional to the stressed volume

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5
Q

determines what the pressure will be, relative to the stressed volume

“reflects the underlying stiffness of the blood vessels”

A

compliance

P - blood pressure

V - blood volume

Vo - unstressed volume

C - compliance

(V-Vo) - stressed volume

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6
Q

distension and recoil are ____ related in relationship with blood volume

A

inversely

distension: blood volume UP
recoil: blood volume DOWN

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7
Q

encompasses both the unstressed volume (Vo) and the compliance (C) of blood vessels

“capacity of how much blood a region of the circulation may contain”

A

capacitance

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8
Q

if you keep capacitance (Vo and C) constant:

blood pressure will then vary in _______ to changes in total blood volume

A

direct proportion

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9
Q

for a given blood volume: blood pressure will then vary ________ to a change in capacitance

A

inverserly

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10
Q

increased capacitance: compliance and/or Vo is ____

A

increased

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11
Q

the capacitance of ______ is under reflex control

distributing arteries

or

collecting venules and distal veins

A

collecting venules and distal veins

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12
Q

blood pressure is uniformly _____ throughout distributing arteries,

_______ within the collecting venules and veins

A

HIGH arteries

LOW venules and veins

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13
Q

T/F: blood pressure at the distal end of arteries is almost >95% as high as the pressure within the ascending aorta

A

TRUE

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14
Q

arterioles and capillaries present significant resistance to blood flowing through them

A

peripheral resistance (Rp) - reflexive control

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15
Q

T/F: central venous blood pressure is approximately 10% of the central arterial pressure

A

TRUE

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16
Q

vascular resistance is determined by the size of the blood vessel and by the viscosity of the blood

what law is this?

A

Poiseuille’s law

diameter - most important

viscosity - normally constant

length of vessel - constant

17
Q

determines how high the upstream pressure (Pup) must be (relative to the pressure downstream) to cause a given rate of flow (Qout) through the distal resistance

A

resistance (R)

18
Q

T/F:

on average Qout = Qin = Q

A

TRUE

however, at any given instant, Qout may not equal to Qin

19
Q

if resistance is held constant:

Qout is dependent upon, and varies in _______ to, upstream pressure

A

direct proportion

20
Q

if the upstream pressure is held constant:

Qout varies ______ to changes in the distal resistance (R)

A

inverse

21
Q

pressure upstream from a point of resistance, dependent upon ______ and _______

A

reate of flow through the vascular region (Q)

and

value of resistance (R)

“ohm’s law”

22
Q

(Pup-Pdown) measures the amount of pressure dissipated by flow across the ______

A

resistance

23
Q

flow of blood through the microcirculation

A

perfusion

“net flow of blood from arteries into veins

24
Q

upstream arterial pressure:

Pa > ____mmHg

downstream venous pressure

Pv < _____mmHg

A

UPstream: >70mmHg

DOWNstream: <15mmHg

25
Q

for a given Q from the L heart into system arterial circulation, the arterial blood pressure (Pa) will _____ to whatever value necessary to maintain this rate of flow through the peripheral resis. imposed by arterioles and capillaries

A

RISE

26
Q

pressure-volume: volume needed to achieve a given upstream pressure is dependent upon the _______

A

vascular capacitance

(C and Vo)

27
Q

pressure-flow: upstream pressure needed to achieve a given rate of outlow is dependent upon the __________

A

downstream vascular resistance (R)

28
Q

Qin: blood from the lungs is pumped into the disributing arteries as _______

Qout: blood flows from the distributing arteries as ______ to perfuse the tissues

A

Qin: blood from the lungs is pumped into the disributing arteries as cardiac output (Qco)

Qout: blood flows from the distributing arteries as peripheral runoff (Qa->V) to perfuse the tissues

29
Q

the collective opposition (resistance) to blood flowing through the systemic arterioles and capillaries

A

peripheral resistance (Rp)

30
Q

“windkessel” network

FLOW IN: _____ from left ventricle

FLOW OUT: ______ through microcirculation

A

IN: cardiac output

OUT: peripheral runoff

31
Q

if arterial blood pressure remains constant: peripheral runoff _____ rate of cardiac output

A

matches

32
Q

if arterial blood pressure increases: peripheral runoff _____ rate of cardiac output

match

exceeds

less than

A

less than

33
Q

if arterial blood pressure decreases: peripheral runoff _____ rate of cardiac output

matches

exceeds

less than

A

exceeds