Vascular pt 4 Flashcards

0
Q

Venoconstriction increases venous return to the heart for enhanced ?

A

SV and CO.

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1
Q

Venous pressure is determined by?

A

– Venoconstriction and other mechanisms of venous return (input)
– CO: pumping by the heart (output)

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2
Q

___overcome the effects of gravity by pushing blood up a staircase of valves increasing venous return and minimizing venous pressure in the lower extremity

A

Contracting skeletal muscles (walking, running)

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3
Q

___reduces intrathoracic pressure thus drawing blood up from the abdomen

A

Respiratory inhalation

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4
Q

explain Chronic venous insufficiency (CVI):

A

veins cannot pump enough venous blood back to the heart

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5
Q

Explain the complications associated with perforating veins

A
  • Perforating veins interconnect superficial and deep veins
  • Valves in perforating veins become incompetent
  • Contractions of calf muscles cause a reverse flow externally through the perforating veins
  • superficial & perforating veins become varicose.
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6
Q

Cardiac Function Curve = Frank-Starling

A

CO is a function of venous pressure (preload)

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7
Q

Vascular function Curve:

A

Venous pressure is a function of CO.

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8
Q

Venous pressure drops with increasing

A

• CO; heart draws on incoming venous blood

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9
Q

Equilibrium point

A

where the opposing actions of CO and venous pressure are equal and opposite

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10
Q

Increasing heart contractility moves the cardiac curve?

A

upward

• Cardiac contractility alone would be expected to increase CO But, venous pressure drops with increase in CO.

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11
Q

Vascular response to increase in CO will change equilibrium point to where?

A

CO is enhanced and venous pressure is reduced.

- CO is balanced between the effects of cardiac and vascular changes.

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12
Q

Venoconstriction or a drop in systemic vascular resistance ____venous flow (preload) into heart.

A

increases

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13
Q

Cardiac stimulation and increased venous input together produce significant increases of CO for relatively less preload.

A

Combining lower arterial blood pressure (or venoconstriction) with greater cardiac contractility, the heart becomes more efficient, i.e. it pumps more blood per amount of preload.

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