venous return and starlings law Flashcards

1
Q

where do veins carry blood

A

towards the heart

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2
Q

what blood do they carry

A

deoxygenated blood

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3
Q

what is the structure of a vein

A

no stretch, thin layer of smooth muscle
thin walled large lumen have valves to prevent backflow

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4
Q

what is venous return

A

return of blood to the right side of the heart via the vena cava
- up to 70 % of the total volume of blood is contained in the veins at rest
- large amount of blood can be returned to the heart when needed
- during exercise amount of blood returning to the heart increases
- meaning if more blood is being pumped back to the heart, then more blood has to be pumped out so stroke volume will increase= starlings law

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5
Q

under normal circumstances…

A

venous return = stroke volume (what goes in comes out)

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6
Q

what are the 6 venous return mechanisms

A
  • the skeletal muscle pump
  • the respiratory pump
  • pocket valves or valves
  • smooth muscle in the walls of veins
  • gravity
  • the suction pump action of the heart
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7
Q

the skeletal muscle pump

A
  • when muscles contract and relax they change shape, this shape change means that muscles press on the nearby veins and cause a pumping effect and squeeze the blood towards the heart
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8
Q

the respiratory pump

A

when muscles contract and relax during breathing in and out, pressure changes occur in the thoracic (chest) cavity and the abdominal (stomach) cavity

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9
Q

pocket valves

A

important that blood in the veins only flow in one direction, presence of valves ensures that this happens, this is because once the blood has passed through the valves, they close to prevent the blood flowing back

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10
Q

what are the other 2 factors that aid venous return

A
  • a very thin layer of smooth muscle in the walls of the veins. helps squeeze blood back towards the heart
  • gravity helps the blood return to the heart from the upper body
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11
Q

why is it important to maintain venous return during exercise

A

to ensure the skeletal muscles are receiving enough oxygen to meet the demands of the activity
- during exercise, demand for oxygen is greater and heart is beating faster so vascular system has to help out too
- now skeletal muscle pump and respiratory pump are needed to ensure venous return is maintained

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12
Q

what does an active cool down do

A

keep the skeletal muscle pump and respiratory pump working, therefore preventing blood pooling

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13
Q

what is blood pooling

A

blood collecting in the veins

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14
Q

blood pressure during exercise

A

important to increase blood flow through the circulatory system so the muscles receive the oxygen they require. an increase in blood pressure can achieve this

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15
Q

what is blood pressure

A

force exerted by the blood against the blood vessel wall

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16
Q

systolic pressure

A

pressure in the arteries when the ventricles are contracting

17
Q

diastolic pressure

A

pressure in the arteries when the ventricles are relaxing

18
Q

blood pressure formula

A

blood flow x resistance

19
Q

where is blood pressure measured

A

at the brachial artery in the upper arm, a typical reading at rest is 120mmHg/80 (millimetres of mercury)

20
Q

what is blood pressure largely dependant on

A

the distance of the blood vessel from the heart, the low pressure of blood in the veins means that mechanisms are needed to pump the blood back to the heart

20
Q

what is blood pressure largely dependant on

A

the distance of the blood vessel from the heart, the low pressure of blood in the veins means that mechanisms are needed to pump the blood back to the heart

21
Q

impact of blood pressure on venous return

A

when systolic pressure increases, there is also an increase in venous return and when systolic pressure decreases there is a decrease in venous return