VI Blood circulation Flashcards

1
Q

What type of receptors do epinephrine act on?

A

Mainly beta but also alpha receptors. The distribution of the adrenergic receptors and their sensitivity is tissue specific

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2
Q

What effect does acetylcholine have on blood pressure?

A

It decreases blood pressure because it sets free nitric acid and inhibits cardiac activity

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3
Q

What causes vagus apnoea?

A

Stimulating the vagus, due to the hering-breuer reflex

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4
Q

How does the pressor area act?

A

Spontaneous activity, acts by stimulating the thoracolumbar sympathetic preganglionic and postganglionic neurons. It had positive chrono, dromo, bathmo and inotrop effect of the heart

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5
Q

What happens if the depressor area is stimulated?

A

A drop in blood pressure via the vagus nerve. Has a negative dromo, bathmo, chrono and inotrop effect on the heart.

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6
Q

The vasomotor centers respond to changes in blood pressure level by altering the ___ (1) (direct effect) or __ (2) (negative effect on the heart)

A

1 - sympathetic

2 - parasympathetic (vagal)

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7
Q

What receptors do epinephrine effect?

A

Beta 2 adrenergic receptors and alpha 1 as well

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8
Q

Why does acetylcholine decrease blood pressure?

A

Sets free nitric acid and inhibits cardiac activity

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9
Q

The 2 centers in the pons?

A

Pneumotaxic and apneustic

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10
Q

Which part of the depressor nerve do you have to stimulate to cause vasodilatation?

A

Caudomedial depressor area

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11
Q

The vasomotor centre is located close to the respiratory centers in the …?

A

Reticular formation

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12
Q

What happens when the basal tone or vasoconstrictor tone decreases?

A

The blood vessel diameter increases, which results in higher perfusion

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13
Q

Large arteries

A

135/68 mmHg

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14
Q

Where can the chemoreceptors be found?

A

In the CNS at the bottom of the fourth ventricle, and in the peripheral circulation in the carotid body and aortic body

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15
Q

What happens to respiration when vagus nerve is stimulated?

A

Irregular respiration

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16
Q

Aorta

A

120/75 mmHg

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17
Q

Is the intrinsic regulation dependent on the nervous system?

A

No

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18
Q

Where are chemoreceptors located in the CNS?

A

At the bottom of the fourth ventricle

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19
Q

What does VRG stand for and what does it contain?

A

Ventral respiratory group and it contains both inspiratory and expiratory neurons

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20
Q

Afferent nerve of the Hering-Breuer reflex?

A

Vagus nerve

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21
Q

Where are the vasomotor centers located in the brain?

A

Close to respiratory centre in the reticular formation

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22
Q

What do the peripheral chemoreceptors monitor?

A

Changes in partial pressure of oxygen

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23
Q

Which vasomotor centre shows spontaneous activity?

A

Pressor area

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24
Q

What is the range of which baroreceptor mechanisms function?

A

50-170 mmHg

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25
Pulmonary artery
23/9 mmHg
26
Where does the depressor area receive information from?
Peripheral receptors. It has no spontaneous activity
27
EDRF
Endothelium derived relaxing factors
28
Bayliss effect
The Bayliss effect in vascular smooth muscles cells is a response to stretch. This is especially relevant in arterioles of the body. When blood pressure is increased in the blood vessels and the blood vessels distend, they react with a constriction; this is the Bayliss effect. Stretch of the muscle membrane opens a stretch-activated ion channel. The cells then become depolarized and this results in a Ca2+ signal and triggers muscle contraction. It is important to understand that no action potential is necessary here; the level of entered calcium affects the level of contraction proportionally and causes tonic contraction
29
Stimulating the ___ (1) area and the ___ (2) area causes vasoconstriction and vasodilatation respectively
1 - craniolareral pressor area | 2 - caudomedial depressor area
30
What happens when the vagus nerve is stimulated?
Blood pressure drop
31
Blood flow velocity capillaries
0.05 cm/sec
32
What is an important requirement for the Bayliss effect?
The metabolic demand of the organ has to remain constant
33
Large veins
2-5 mmHg
34
Left ventricle
120/8 mmHg
35
End of arteries
90/68 mmHg
36
What are baroreceptors and where are they found
They are stretch receptors and they are mostly found in the aortic arch and the carotid sinus
37
Which afferent nerve transfers stimuli from n.vagus to bronchopulmonary centre?
Expiratory neurons from pons respiratory group
38
Where are the expiratory neurons located in the brain stem?
Ventral respiratory group (VRG)
39
Extrinsic (central) control involves ...?
Nervous and humoral effects, reflex reactions and morphological changes
40
Which area of the brain show spontaneous sympathetic activity?
The pressor area
41
Increased pressure in the smooth muscle of the arterioles elicit ...?
Contraction
42
What vessels don’t contain parasympathetic innervation?
Skin and skeletal muscle resistance vessels
43
Pulse wave velocity
7 m/sec
44
What determines the actual diameter of the vessels?
A balance between the sympathetic vasoconstrictor tone and the locally produced nitric oxide by the endothelial cells
45
What are the most important humoral factors affecting humoral control of blood pressure?
Adrenal hormones
46
Decreased pressure in the smooth muscle of the arterioles elicit ...?
Relaxation
47
Venous end of capillaries
10 mmHg
48
The vagus nerve transfers signals from ___ to the respiratory centers
Bronchopulmonary stretch receptors
49
The baroreceptors in the aa have their afferents in ___ (1) and the ones in the cs have their afferents in the ___ (2)
1 - N. Vagus (X) | 2 - Herings nerve (a branch of IX)
50
What does the intrinsic (local) regulation do to the vessels?
Dilate the diameter
51
Where are the centers responsible for the control of circulation located?
Brain stem
52
What does the pontine respiratory group involve?
The pneumotaxic centre which facilitates expiration and the apneustic centre which facilitates inspiration
53
What happens to the blood vessels for the EDRF and the EDCF to be produced?
Blood pressure deforms the endothelial cells
54
What two ways inhibit the inspiration? What is this phenomenon called?
1. Stimuli from the bronchopulmonary stretch receptors excite the expiratory neurons and the pontine respiratory group 2. These stimuli inhibit the inspiratory neurons Called the inspiration inhibiting reflex of the n. Vagus or the Hering-Breuer reflex
55
Lung capillaries
23/9 mmHg
56
What depends on the myotonic control of the diameter of arterioles and metarterioles in the microcirculatory bed?
Short term intrinsic control
57
Increasing stimulation of volume receptors lead to increasing ...?
Depressor activity which leads to vasodilatation (blood pressure drop)
58
Which stump of the depressor nerve do you stimulate to decrease blood pressure?
Vagus nerve
59
What happens to the vessels after denervation?
The vasoconstrictor tone disappears completely, the remaining tone is called basal tone and is caused by the spontaneous depolarization of smooth muscles
60
Impulses transmitted by chemoreceptors induce rapid changes in ...?
Ventilation | pCO2 increase and pO2 decrease = sympathetic activation
61
EDCF
Endothelium derived contraction factors
62
What does the Goltz experiment elicit and what does it stimulate
It elicits the carotid sinus reflex and stimulates the vagus, depressor and sympathetic nerves
63
Where can you find the respiratory center/neurons?
Brain stem, pons close to the vasomotor center in the reticular formation
64
Which part of the depressor nerve do you have to stimulate to cause vasoconstriction?
Craniolateral pressor area
65
Blood flow velocity aorta
30-40 cm/sec
66
What nerve is different in rabbits and what is it called? (In relation to baroreceptors)
Herings nerve is a separate nerve in rabbits and is called n.depressor
67
Blood flow velocity large veins
15-20 cm/sec
68
What two things have to happen in parallel to inhibit inspiration?
Stretch receptors have to be activated parallel to airway distention
69
What do the Traube-Hering waves show and how are they obtained?
They show the inborn changes in the tone of the respiratory and vasomotor centers. They are obtained by connecting the lowermost points of the respiratory wave.
70
What effect does short term stimulation of the vagus nerve have on the blood pressure?
Heart rate decrease, blood pressure decrease for a while
71
What nerve ha the afferent fibers from baroreceptor in the carotid sinus?
Herings nerve
72
Where are the volume receptors found?
In the lungs and the capacitance system of circulation (e.g. th right atrial wall)
73
What are the reflex mechanisms based on?
Afferent information supplied by baro-, volume-, and chemoreceptors
74
What can the Goltz experiment examine.
The neural factors controlling blood pressure and respiration
75
What is the role of the apneustic center?
Inspiration
76
Arterial end of capillaries
32 mmHg
77
Which nerve is afferent from the heart?
N vagus
78
Left atrium
6 mmHg
79
What happens if you compress the carotid artery cranial to the carotid sinus?
Increase blood pressure
80
What is the effect of compressing both left and right vagus nerve?
Respiration stops, then deeper and less frequent respiration, heart rate increases
81
Right atrium
3 mmHg
82
Where is the nuclei for the phrenic nerve located?
In the spinal segment of C4 (mainly inspiratory)
83
What happens if you compress the carotid artery caudal to the carotid sinus?
Slow increase in systemic blood pressure
84
What do the central chemoreceptors monitor?
The pH as well as the partial pressure of CO2 of the blood and cerebrospinal fluid
85
Right ventricle
25/0
86
Right ventricle
25/0