Unit 7 - Cardiovascular Physiology Flashcards

1
Q

Arteries

A

carry blood to organs where it branches into many arterioles within organ

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2
Q

Arterioles

A

primarily resistance vessels

diameter is smaller than arteries

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3
Q

Capillaries

A

smaller branches of arterioles where exchanges made with cells

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4
Q

Venules

A

capillaries rejoin

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5
Q

Veins

A

venules merge and return blood to heart

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6
Q

Arteries characteristics

A

thick, highly elastic walls and lumen has large diameter

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7
Q

Arterial tissue contains

A

collagen fibres - provide tensile strenght against pressure of blood during systole
Elastin fibres provide elasticity to arterial walls

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8
Q

Function of arteries

A
passageways for blood from heart to organs
pressure reservoir (drives blood forward into capillaries when heart is relaxing)
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9
Q

Arterioles

A

very little elastin but have large smooth muscle layer innervated by sympathetic fibers
able to adjust circumference of arteriole and change of flow of blood
vascular tone

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10
Q

Arteriolar radius

A

when smooth muscle pressure around arteriole is changed -> radius and blood flow are changed

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11
Q

Local influences on arteriolar radius

A

local cemical and metabolic changes in specific organ, vasoactive mediators and physical influences

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12
Q

Vasodilation caused by

A

smoother muscle relaxation
local chemical and metabolic changes in organ
local vasoactive mediators
heat

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13
Q

Vasoconstriction caused by

A

smooth muscle contraction
local chemical and metabolic changes in organ
local vasoactive mediators
cold

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14
Q

Capillaries characteristics

A

thin-walled, small radius extensively branched
maximized surface area to minimize diffusion distance
narrow water filled gaps (pores) between cells

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15
Q

Pre-capillary sphincter

A

between arteriole and capillary
ring of smooth muscle around entrance but capillary has no smooth muscle
controls blood flow to capillary

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16
Q

When cells need more blood and O2

A

arterioles and sphincter relaxes allowing more blood into area

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17
Q

when chem concentration become normal

A

sphincters partially close

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18
Q

Veins

A

venous system transports blood back to heart
large radius, thin walls and less smooth muslce -> little resistance to blood flow
blood reservoid
valves prevent backflow of blood

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19
Q

Lymphatic System

A

more fluid is filtered out of cap then veins reabsord

picks up extra fluid - > venous system near RA

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20
Q

Funtions of Lymphatic System

A

return of excess fluid
phagocytes which destroy bacteria
transport of absorbed fat
return of filtered protein

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21
Q

Blood Pressure

A

force exerted by blood against a vessel wall

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22
Q

BP depends on

A

volume of blood contained within vessel and vessel compliance

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23
Q

Systolic pressure

A

pressure exerted by ejected blood against vessel walls during systole (120)

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24
Q

Diastolic pressure

A

minimun pressure in arteries when blood is draining off into vessels downstream (80)

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25
Q

Pulse pressure

A

difference between systolic and diastolic pressure

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26
Q

Mean arterial pressure (MAP)

A

average pressure driving blood forward during cardiac cycle

MAP= diastolic pressure + 1/3 pulse pressure

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27
Q

Total peripheral resistance(TPR)

A

total resistance of all systemic vessels together

the higher TPR the high BP etc.

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28
Q

Baroreceptor Reflex

A

Influence cardiac output & TPR to increase ot decrease BP when needed

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29
Q

Where are baroreceptors

A

carotic sinus and aortic arch to sence changes in MAP and pulse pressure

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30
Q

baroreceptor reflex

A

short term and long term

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31
Q

Short term control adjustments

A

occur within seconds

chemoreceptors in carotid and aortic arteries sensitive to low o2 or high levels of H+ in blood

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32
Q

how much body weight is made up of blood

A

8%

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33
Q

average blood volume

A

5L in women

5.5L in men

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34
Q

Three components of blood

A

erythrocytes
leukocytes
platelets

35
Q

erythrocytes

A

red blood cells, 02 transport

36
Q

leukocytes

A

white blood cells, immune system’s defense units

37
Q

platelets

A

cell fragments important in hemostasis

38
Q

plasma proteins

A

90% water

6-8% plasmas total weight

39
Q

albumin

A

most abundant plasma protein

contribute to osmotic pressure

40
Q

globulins

A

three subclasses: alpha and beta bind substances

theta are immunoglobins for defense mechanism

41
Q

fibrinogen

A

key factor in blood clotting

42
Q

erythrocytes

A

RBC-contain nucleus, organelles or ribosomes

43
Q

Normal RBC count

A

Male - 5.4 million/drop

Female - 4.8 million/drop

44
Q

Erythrocytes structure

A

biconcave discs
thinness of cell
flexible membrane

45
Q

Biconcave discs

A

large surface area for O2 diffusion across membrane

46
Q

Thinness of cell

A

O2 diffuses rapidly between ICF and ECF areas

47
Q

Flexible membrane

A

Doesn’t rupture through narrow capillaries

48
Q

Hematocrit

A
% of blood occupied by erythrocytes
"packed cell volume"
Female normal range 38-46% (av. 42%)
Male normal range
40-54% (av. 45%)
49
Q

Haemoglobin

A

Pigment containing iron
Found only in red blood cells
Reddish when oxygenated
bluish when deoxygenates
Lack of inner structures= more room for haemoglobin
One rbc has > 250 million haemoglobin molcules
98.5% of O2 in blood bound to haemoglobin

50
Q

Haemoglobin consists of what 2 parts

A
globin portion
4 iron (heme) groups
51
Q

Globin portion

A

protein of four highly folded polypeptide chains

52
Q

4 iron heme groups

A

each bound with 1 polypeptide

also bound to 1 O2 molecule -> each haemoglobin molecule binds to 4 O2 molecules

53
Q

Haemoglobin also binds with

A

CO2 (from tissue to lungs)
H+ of ionized carbonic acid(Hgb buffers acid to prevent change in blood pH
Carbon monoxide - nor normally in blood but prefers to bind with Hgb if inhaled
Nitric oxide - binds to NO in lungs vasodilation of arterioles

54
Q

Key Erythrocyte enzymes

A

Glycolytic enzymes

carbonic anhydrase

55
Q

Glycolytic enzymes

A

no mitichondria to make ATP

need glycolysis for ATP formation

56
Q

Carbonic anhydrase

A

catalyzes reaction that converts CO2 into bicarbonate ion HCO2
Primary form in which CO2 is transported in blood, Hgb also binds to CO2

57
Q

RBC life cycle

A

RBC’s live only 120 days - more fragile, rupture through capillaries, no nucleus no DNA, must be replaced at rate of 2 million to 3 million cells/second
macrophages in spleen and liver remove worn out cells
hemolysis products recycled

58
Q

Erythropoiesis

A

low O2 delivery -> kidneys secrete erythropoietin -> stimulates erythroiesis in bone marrow -> increaded O2 delivery to tissue

59
Q

Erythroiesis

A

pluripotent stem cells in red bone marrow differentiate into different types of blood cells reticulocytes - immature RBC, reticulocytes escape from bone marrow into blood, 1-2 days become a mature RBC

60
Q

Leukocytes

A

WBC’s - have nucleus but lack colour
mobile units of body’s immune defense system
recognizes and destroys/neutralizes materials foreign to ‘normal self’
‘clean up crew’ removes worn-out cells and tissue debris

61
Q

WBC’s

A
neutrophils
eosinophils
basophils
monocytes
lymphocytes
62
Q

eosinophils

A

live 3-4 days 1-4%

63
Q

basophils

A

live 3-4 days
least common (0.25-.5%)
dispersed throughout connective tissue

64
Q

monocytes

A

live months/years

mature and enlarge in resident issue and become macrophages

65
Q

lymphocytes

A

live 100-300 days

2nd most common (25-33%) with single nucleus occupies most of cell

66
Q

neutrophils

A
live 3-4 days 
most common (60-70%)
67
Q

platelet (thrombocyte)

A

disc shaped, 2-4 micron cell fragment with no nucleus (normal platelet count is 150 000-350 000/cu mm of blood.
FROM MEGAKARYOCYTE)
liver produces thrombopoietin ( increases # of megakaryocytes in bone marrow, each is stimulated to produce more platelets)
1/3 stored in spleen (rekeased as needed into blood, av life span 10 days, macrophages in liver and spleen remove old ones)

68
Q

functions of platelets

A

hemostasis (stop loss of blood from broken blood vessel)
Steps: 1.vascular spasm 2.platelet plug formation 3. clot formation (coagulation) 4.clot retraction 5.clot destruction
Clot temporary device until vessel repair.

69
Q

Vascular spasm

A

reduce blood flow through damaged vessel

70
Q

Platelet plug formation

A
  1. platelets aggregate when contact exposed collagen in damaged vessel
  2. platelets release ADP and thromboxane A2 -> more circulating platelets aggregate
  3. prostacyclin and NO released so platelet aggregation doesn’t spread to undamaged tissue
71
Q

Clot formation

A

transform blood from liquid into a solid gel(can’t flow)
most powerful haemostatic mechanism
steps involving 12 plasma clotting factors to form fibrin mesh
involves simultaneous extrinsic and intrinsic pathways
occur simultaneously with platelet aggregation

72
Q

extrinsic pathways

A

contact with tissue factors external to blood

thromboplastin released from traumatized tissue directly activates factor X

73
Q

Intrinsic pathways

A

uses elements in blood

begins when factor X!! activated by exposed collagen in injured vessel

74
Q

Final Common Pathway

A

Pathways meet where prothrombin converted into thrombin
thrombin(converts soluble fibrinogen to insoluble fibrin threads, activates fibrin stabilizing factor XIII to convert fibrin into tightly woven meshwork, fibrin then entraps rbc -> clot formed, fibrin wraps platelet plug, + feedback to facilitate own formation, enhances platelet aggregation)

75
Q

clot retraction

A

once clot formed, platelets contract to shrink fibrin mesh

fluid (serum) pulled from clot

76
Q

clot destruction

A

enzyme plasmin trapped in clot and breaks down fibrin
produced by liver, inactive form is plasminogen
plagocytic leukocytes remove products of clots

77
Q

ABO blood groups

A

A antigen -> Type A
B antigen -> Type B
Both A & B -> Type AB
No antigens -> Type O

78
Q

ABO blood groups antigen and antibodies

A

Type A: A antigen Anti-B antibody
Type B: B antigen Anti-A antibody
Type AB: AB antigen no antibodies
Type O: no antigens and both AB anti-bodies

79
Q

ABO blood groups remember

A

Antigen A reacts with anti-A antibody etc.

80
Q

Rh blood groups

A

Rh antigen may be on RBC surface + or -

Significance: during blood transfusion, pregnancy with Rh- mother and Rh+ fetus

81
Q

Rh+

A

Rh antigen on RBC surface and no anti-Rh antibodies in plasma

82
Q

Rh-

A

Rh antigen absent but anti-Rh antibodies develop with exosure to blood with Rh antigen (Rh+ blood)

83
Q

Whose a universal recipient

A

Blood group AB+

84
Q

who’s a universal donor

A

Blood group O-