The Vascular System Flashcards

0
Q

What is the main job of the vascular system

A

To exchange materials between the blood and tissues, takes place in the capillaries. The arteries and veins are just as important by transporting blood between the capillaries and the heart

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1
Q

What does the vascular system consist of

A

Arteries, capillaries, and veins through which the heart pumps blood through the body

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2
Q

What is blood pressure

A

The force the blood exerts against the walls of the vessels

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3
Q

What do arteries do

A

Carry blood from the heart to the capillaries

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4
Q

What are small arteries called

A

Arterioles

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5
Q

What are the three layers or tunics of tissues in an artery

A

Tunica intima
Tunica media
Tunica externa

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6
Q

What is the innermost layer of the artery

A

Tunica intima

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7
Q

Which layer of the artery is the only part that is in contact with blood

A

Tunica intima

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8
Q

What is the Tunica intima made of

A

Simple Squamus epithelium also called endothelium

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9
Q

What is the function of the endothelium in the Tunica intima

A

It has extreme smoothness and normal chemical composition which prevent abnormal blood clotting by preventing the adhesions of platelets

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10
Q

What chemicals does the endothelium produce which affect blood pressure

A

Nitric oxide (NO)which is a vasodilator, it stimulates relaxation of smooth muscle of the middle layer of the vessel

The peptide endothelin stimulates contraction of the smooth muscle and is therefore a vasoconstrictor

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11
Q

What is the middle layer of the artery

A

Tunica media

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12
Q

What is the Tunica media made of

A

Smooth muscle and elastic connective tissue

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13
Q

The smooth muscle and elastic connective tissue in the Tunica media are involved in the maintenance of what

A

Blood pressure, especially diastolic blood pressure when the heart is relaxed

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14
Q

Smooth muscle also has a nerve supply what can happen if impulses are increased or decreased

A

Increased sympathetic nerve impulses bring about vasoconstriction, and a decrease in impulses contributes to vasodilation

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15
Q

What is the outer layer of the artery

A

Tunica externa

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16
Q

Which layer of the artery is very strong and why is this important

A

Tunica externa. it is important because it prevents the rupture or bursting of the large arteries which carry blood under high-pressure

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17
Q

What enables the arteries to construct or dilate

A

The smooth muscle layer

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18
Q

Such changes in diameter of the arteries when they constrict or dilate is regulated by what three things

A

Endothelium, Medulla, and autonomic nervous system

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19
Q

What is the function of the veins

A

The carry blood from the capillaries back to the heart

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20
Q

What difference does the inner layer of a vein have compared to the inner layer of the artery

A

They both have smooth the endothelium but in intervals the lining of the veins will fold to form valves

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21
Q

What do the valves preevent in the veins

A

Backflow of blood— (and they are most numerous in veins of the legs where blood must often return to the heart against the force of gravity)

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22
Q

The middle layer of veins is thin. It is thin why

A

Because veins do not regulate blood pressure and blood flow into capillaries as arteries do

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23
Q

Veins can constrict extensively. Why is this important

A

It is useful in case of severe hemorrhage

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24
Q

The outer layer of veins is also thin compared to the arteries. Why is this necessary

A

Because blood pressure in veins is very low

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25
Q

Comparing veins and arteries which one has a greater capacity

A

Veins, their total volume is greater

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26
Q

What is an anastomosis

A

It is a connection, or joining of vessels, that is, artery to artery or vein to vein

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27
Q

What is the purpose of the connection with anastomosis

A

To provide alternate pathways for the flow of blood if one vessel becomes obstructed

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28
Q

And arterial anastomosis will help ensure what

A

That blood will get to the capillaries of an organ to deliver the oxygen and nutrients and to remove the waste products

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29
Q

What will a Venous anastomosis ensure

A

That blood will be able to return to the heart in order to be pumped again

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30
Q

Where are venous anastomoses most numerous

A

Among the veins of the legs where the possibility of obstruction increases as a person gets older

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31
Q

What do capillaries do

A

Carry blood from arterioles to venules

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32
Q

Which tissues do not have capillaries

A

Epidermis, cartilage, and the lens and cornea of the eye

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33
Q

What does the quantity or volume of capillary networks in an organ reflect

A

The metabolic activity of the Organ

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34
Q

Blood flow into capillary network’s is regulated by smooth muscle cells which are called

A

Precapillary sphincters

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35
Q

Why are precapillary sphincter’s usually slightly constricted

A

Because there is not enough blood in the body to fill all of the capillaries at once

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36
Q

What is an example of when the precapillary sphincter’s would dilate to increase bloodflow

A

In an active tissue that requires more oxygen, such as exercising muscle.

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37
Q

What are sinusoids

A

A type of capillary which is larger and more permeable than others.

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38
Q

What does the permeability of sinusoids permit

A

Large substances such as proteins and blood cells to enter or leave the blood

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39
Q

Where might you find sinusoids

A

Red bone marrow and spleen (where blood cells enter or leave the blood) and organs such as the liver and pituitary gland (which produce and secrete proteins into the blood)

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40
Q

What is hardening of the Arteries

A

Arteriosclerosis

Which really means that the arteries lose their elasticity, and their walls become weakened

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41
Q

If a week portion of an arterial wall bulges out forming a sac or bubble this is called

A

Aneurysm

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42
Q

What is a possible cause of an aneurysm

A

Arteriosclerosis but some are just congenital

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43
Q

Where are the most common sites for an aneurysm

A

Cerebral arteries and the aorta, especially the abdominal aorta

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44
Q

What can a rupture of the cerebral aneurysm cause

A

CVA—cerebrovascular accident

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45
Q

What is an inflammation of a vein

A

Phlebitis

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46
Q

Where is phlebitis most common

A

Veins of the legs

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47
Q

If a superficial vein is affected bloodflow is usually maintained why

A

Because there are so many anastomoses among these veins

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48
Q

What are varicose veins

A

Swollen and distended veins that occur most often in the superficial veins of the legs

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49
Q

What causes varicose vein

A

Sitting or standing in one place for long periods of time. Without contraction of the leg muscles blood tends to pool in the leg veins stretching their walls. When they become overly stretched the valves within them no longer close properly. These incompetent valves no longer prevent backflow of blood, leading to further pulling and further stretching of the walls of the veins.

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50
Q

What are varicose vein of the anal canal called

A

Hemorrhoids

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51
Q

Capillaries are the sites of exchanges of materials between the ____and the_____________

A

Blood

Tissue fluid surrounding cells

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52
Q

What is it called when gases move from their area of greater concentration to their area of lesser concentration

A

Diffusion

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53
Q

How does oxygen diffuse

A

From the blood in systemic capillaries to the tissue fluid

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54
Q

How does carbon dioxide diffuse

A

From tissue fluid to the blood to be brought to the Lungs and exhaled

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55
Q

When the capillary blood pressure is higher what process occurs

A

Filtration

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56
Q

What is filtration

A

Forces plasma and dissolved nutrients out of the capillaries and into tissue fluid
This is how nutrients such as glucose, amino acids, and vitamins are brought to cells

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57
Q

When does blood pressure decreases

A

When it reaches the Venous end of capillaries

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58
Q

When blood pressure decreases what protein remains in the blood

A

Albumin

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59
Q

Albumin contributes to the colloid osmotic pressure (COP)of blood what is this

A

This is an attracting pressure, a pulling rather than a pushing pressure
*At the Venous end of capillaries, the presence of albumin in the blood pulls tissue fluid into the capillaries which brings waste products into the blood that was produced by cells. The tissue fluid returning to the blood also helps maintain normal blood pressure

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60
Q

What are the two major pathways of circulation

A

Pulmonary and systemic

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61
Q

Where does pulmonary circulation begin

A

At the right ventricle

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62
Q

Where does systemic circulation begin

A

The left ventricle

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63
Q

The right ventricle pumps blood into the _____, which divides into the right and left_______, one going to each lung

A

Pulmonary artery

Pulmonary arteries

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64
Q

What surrounds the alveoli of the Lungs

A

Pulmonary capillaries

65
Q

What happens in the area of the alveoli of the Lungs

A

Exchanges of oxygen and carbon dioxide take place within the capillaries

66
Q

When capillaries unite what do they form_____
Which merge into_____
And then into the 2 ______
Which return blood to the ______

A

Venues
Veins
Pulmonary veins from each lung
Left atrium

67
Q

What veins carry blood with a high oxygen content

A

Pulmonary veins

Systemic veins have a low oxygen content

68
Q

Which part of the heart pumps blood into the Aorta

A

Left ventricle

69
Q

What do the branches of the aorta do

A

They take blood into arterioles and capillary networks throughout the body

70
Q

When capillaries merge what do they form

A

Venules and veins

71
Q

Where do the veins from the lower body take blood

A

To the inferior vena cava

72
Q

Where do veins from the upper body take blood

A

To the superior vena cava

73
Q

What veins return blood to the right atrium

A

Caval

74
Q

What are the sections of the aorta

A

Aspending aorta
Aortic arch
Thoracic aorta
Abdominal aorta

75
Q

Which section of the aorta is the 1st inch that emerges from the top of the left ventricle

A

Ascending aorta

76
Q

Where is the abdominal aorta located

And what arteries does it divided into

A

Below the level of the diaphragm and continues to the level of the fourth lumbar vertebrae, where it divides into two common iliac arteries

77
Q

What two branches does the ascending aorta have

A

Right and left coronary artery’s

78
Q

What does the left and right coronary artery supplies blood to

A

The myocardium

79
Q

What three branches does the aortic arch have

A

The brachiocephalic artery
The left common carotid artery
The left subclavian artery
Which all supply blood to the head and arms

80
Q

Which branch from the aortic arch is very short and divides into the common carotid artery and right subclavian artery

A

Brachiocephalic

81
Q

Where are the right and left common carotid artery’s

A

They extend into the neck and divide into an internal carotid artery he and external carotid artery and which supply the head

82
Q

Where are the right and left subclavian arteries located

A

In the shoulders behind the clavicles and into the arms

83
Q

As an artery enters another body area it’s name changes: the subclavian artery becomes the ______which becomes the _______

A

Axillary artery

Brachial artery

84
Q

What is a circle of arteries around the pituitary gland in the head

A

And arterial astomoses,the circle of Willis or cerebral arterial circle

85
Q

What arteries form the circle of Willis

A

The right and left internal carotid artery’s and the basilar artery, which is the union of the right and left vertebral arteries which are branches of the subclavian arteries

86
Q

In the abdominal aorta of the common iliac artery eventually becomes the _____ artery, which becomes the _____artery, which becomes the _______artery

*The same vessel has different names based on location

A

External iliac
Femoral
Popliteal

87
Q

What is the hepatic portal circulation

A

A subdivision of systemic circulation in which blood from the abdominal digestive organs and spleen circulates through the liver before returning to the heart

88
Q

During hepatic portal circulation blood flows from the capillaries of which areas that lead into two large veins

A

Stomach, small intestine, colon, pancreas, and spleen

89
Q

What two large veins does the blood from the capillaries of the stomach flow into

A

Superior mesenteric vein and splenic vein which unite to form the portal vein

90
Q

Where does the portal vein take blood

A

Into the liver, where it branches and empties blood into the sinusoids, the capillaries of the liver

91
Q

What is the flow of blood from the capillaries of the stomach

A

They flow into two large veins, the superior mesenteric vein and the splenic vein
Which unite to form the portal vein
The portal vein takes blood into the liver and empties blood into the sinusoids
From The sinusoids blood flows into the Paddock means to the inferior vina cava and back to the right atrium

92
Q

What does the portal circulation pathway enable the liver to do

A

To modify the blood from the digestive organs and spleen
Some nutrients may be stored or changed
Bilirubin from the spleen is excreted into bile
And potential poisons are detoxify before the blood returns to the heart and the rest of the body

93
Q

What is the heartbeat that is felt at an arterial site

A

Pulse

94
Q

What is it that you were actually feeling when you feel your pulse

A

The force of ventricular contraction that is transmitted through the walls of the arteries

95
Q

Why are pulses not felt in veins

A

Because veins are too far from the heart

96
Q

What are the commonly used pulse sites

A
Radial---thumb side
Carotid---the neck
Temporal---above the ear
Femoral---top of thigh
Popliteal---back of knee
Dorsalis pedis---top of foot, pedal pulse
97
Q

Where is the site of exchange of oxygen and nutrients between fetus and mother

A

Placenta – which contains fetal and maternal blood vessels which are close to each other

98
Q

How are the substances exchanged between fetus and mother

A

By diffusion and active transport mechanisms

99
Q

How was the feed is connected to the placenta

A

By the umbilical cord

100
Q

What does the umbilical cord contains

A

Two arteries and one vein

101
Q

The umbilical arteries are branches of the fetal internal iliac arteries and how do they carry blood

A

From the fetus to the Placenta

102
Q

What thing carries oxygenated blood from the placenta to the fetus

A

Umbilical vein

103
Q

With in the body of the fetus, the umbilical vein branches where does the blood go

A

One branch takes blood to the fetal liver but most of the blood passes through the ductus venosus to the inferior vina cava, to the right atrium

104
Q

What is the opening in the inter-atrial septum that permits blood flow from the right atrium to the left atrium

A

Foreman ovale

105
Q

What is the short vessel that diverts most of the blood in the pulmonary artery to the aorta, to the body

A

Ductus arteriosus

106
Q

Both the foreman ovale and the ductus arteriosus permit blood to bypass what

A

The fetal lungs

107
Q

Where is blood velocity the slowest and where does it speed up

A

The capillaries have the slowest blood velocity. When capillaries unite with Venules and veins the area decreases and bloodflow speeds up

river example

108
Q

The slow rate of blood flow and capillaries is good why

A

It permits sufficient time for essential exchanges of nutrients wastes and gases

109
Q

What is blood pressure

A

The force the blood exerts against the walls of the blood vessels

110
Q

What does filtration do

A

Brings nutrients to tissues

111
Q

What creates blood pressure

A

The pumping of the ventricles

112
Q

What is systolic pressure

A

Represents the blood pressure when the left ventricle is contracting

113
Q

What is the diastolic pressure

A

When the left ventricle is relaxed

114
Q

Where is the systemic blood pressure the highest

A

In the aorta

115
Q

Does blood pressure increase or decrease as blood moves away from the heart

A

Decreases

116
Q

What is the blood pressure at the arterial end of capillary networks

And what is the blood pressure at the Venous end of capillaries

A

30 to 35 MM HG

12 to 15 mmHg

117
Q

As the blood flows through the veins does the pressure increase or decrease

When the blood pressure is in the Caval veins It approaches zero as it enters what area of the heart

A

Decreases

The right atrium

118
Q

What area of the heart creates pulmonary blood pressure

A

The right ventricle

119
Q

The result of pulmonary arterial pressure being low and even lower and pull Merry capillaries is important to prevent what

A

Filtration in pulmonary capillaries, which prevents tissue fluid from accumulating in the alveoli of the Lungs

120
Q

What is venous return

A

The amount of blood that returns to the heart by way of the veins

121
Q

Why is venous return important

A

Venous return is important because the heart can pump only the blood receives. If penis return decreases the cardiac muscle fibers will not be stretched, the force of ventricular systole will decrease in blood pressure will decrease

122
Q

What three mechanisms help promote venous return

A

Constriction of veins
The skeletal muscle pump
And the respiratory pump

123
Q

What does the smooth muscle in veins help to enable

What do the valves prevent

A

It enables them to constrict and force blood towards the heart
Backflow of blood

124
Q

What is the skeletal muscle pump especially effective for

A

The deep veins of the legs. These veins are surrounded by skeletal muscles that contract and relax
Contractions of the leg muscles squeeze the veins to force blood towards the heart

125
Q

What things does the respiratory pump affect

A

The veins that passed through the chest cavity

The pressure changes of inhalation and exhalation expand and compress the veins, and blood is return to the heart

126
Q

What is peripheral resistance

A

Resistance the vessels offer to the flow of blood.

127
Q

Why is it important to not exercise after you eat

A

There is not enough blood to completely supply oxygen to exercising muscles and an active digestive track at the same time.

*Example: after eating a large meal there is vasodilation in the digestive tract to supply more oxygenated blood for the digestive activities. To keep blood pressure within the normal range vasoconstriction must occur somewhere else in the body

128
Q

What does normal elasticity of the large arteries do for blood pressure

A

Lower systolic pressure raises diastolic pressure and maintains a normal pulse pressure

129
Q

What is pulse pressure

A

Pulse pressure is the difference between systolic and diastolic pressure the usual ratio of systolic to diastolic to post pressure is approximately 3:2:1.
Example: 120/80 blood pressure = 120:80:40, 40 would be the pulse pressure

130
Q

What determines that the Viscosity of the blood

A

Red blood cells, plasma proteins especially albumin

131
Q

What disorder causes too many Red blood cells

A

Polycythemia vera

132
Q

What will decrease blood viscosity and blood pressure

What occurs during this type of situation to maintain blood pressure as normal as possible

A
Decreased number of red blood cells (as in anemia)
Decreased albumin (as in liver disease or kidney disease)

Vasoconstriction

133
Q

Up to what percentage of blood can a person survive a loss of

A

50% of the bodies total blood

134
Q

What hormone is secreted from the adrenal Medulla in stress situations

A

Norepinephrine and epinephrine

135
Q

What does norepinephrine stimulate

What does epinephrine cause

A

Vasoconstriction, which raises blood pressure

Epinephrine also causes vasoconstriction and increases heart rate and force of contraction which increased blood pressure

136
Q

What hormone is secreted by the posterior pituitary gland when the water content of the body decreases

A

Antidiuretic hormone (ADH)

137
Q

What does that antidiuretic hormone do

A

Increases the reabsorption of water by the kidneys to prevent further loss of water in urine and any further decrease in blood pressure

138
Q

What hormone from the adrenal cortex has a similar effect on blood as the antidiuretic hormone does

A

Aldosterone.

When blood pressure decreases secretion of aldosterone stimulates the reabsorption of Na+ ions by the kidneys. Waterfall sodium back to the blood which maintains blood volume to prevent further drop blood pressure

139
Q

What hormone is secreted by the atrium of the heart and functions in opposition to aldosterone

A

Atrial Natriuretic peptide (ANP)

Increases the excretion of Na+ ions and water by the kidneys, which decreased blood volume and lowers blood pressure

140
Q

When do precapillary sphincter’s dilate and constrict

A

They dilate and active tissues and construct and less active ones

141
Q

Why would arterioles constrict

A

To reduce blood flow to less active organs. This ensures that active organs will receive enough oxygen to function properly and blood pressure for the body will be maintained in normal limits

142
Q

What are the two mechanisms of systemic blood pressure

A

Intrinsic and nervous

143
Q

What does intrinsic mean

A

Within

144
Q

What is starlings law

A

When venous return increases, cardiac muscle fibers stretch, and the ventricles pump more forcefully

145
Q

What mechanism are the kidneys involved in

A

Renin angiotensin mechanism

146
Q

What do the kidney secrete one blood pressure decreases

A

Renin

147
Q

When renin is secreted a series of reactions occur and result in the formation of what

A

Angiotension II

148
Q

What does angiotension II cause

A

Vasoconstriction and stimulates secretion of aldosterone by the adrenal cortex which both increase blood pressure

149
Q

When a person has a blood level higher in sodium them potassium what does this cause

A

It will increase the muscle tone of the smooth muscle layer of blood vessels, which raises resting blood pressure

150
Q

What two mechanisms are directly involved in the regulation of blood pressure

A

The medulla and the autonomic nervous system

151
Q

What contains the vasomotor center

A

The medulla

152
Q

What does the vasomotor center consist of

A

A vasoconstrictor area and a vasodilator area

153
Q

Why do the veins of the legs deteriorate more so than other veins as we age

A

The walls of the veins in the legs have more pressure because blood is return to the heart against the force of gravity

154
Q

Vessels are active contributors to homeostasis

Arteries and veins help maintain blood pressure

Capillaries are sites for exchanges of materials between the blood and tissues

A

Just a summary of everything

155
Q

What is circulatory shock

A

Any condition in which cardiac output decreases to the extent that tissues are deprived of oxygen and waste products accumulate

156
Q

What are causes of circulatory shock

A

Cardiogenic shock
Hypovolemic shock
Anaphylactic shock
Septic shock

157
Q

What are the three stages of shock

A

Compensated shock
Progressive shock
Irreversible shock

158
Q

When does cardiogenic shock occur most often

A

After a severe myocardial infarction but also may result from ventricular fibrillation

159
Q

What is hypovolemic shock

A

The result of decreased blood volume due to hemorrhage

Other causes can be due to extreme sweating, extreme loss of water through kidneys (diuresis) or intestines(diarrhea)

160
Q

What is anaphylactic shock

A

Allergic reaction where histamine increase capillary permeability And vasodilation. Plasma is lost to tissue spaces which decreases blood volume blood pressure and cardiac output

161
Q

What is septic shock

A

The result of septicemia. Presence of bacteria in the blood

Inflammatory chemicals cause based dilation and loss of plasma into tissue spaces