79. Physiology - Control of arterial blood pressure 1 Flashcards

(41 cards)

1
Q

what is blood pressure

A

“the outwards (hydrostatic) pressure exerted by the blood on blood vessel walls”

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2
Q

what is ‘systemic systolic arterial blood pressure’

A

the pressure exerted by the blood on the walls of the aorta and systemic arteries when the heart contracts

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3
Q

systolic blood pressure should not reach/exceed what?

A

140 mm Hg

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4
Q

what is Diastolic Arterial Blood Pressure

A

the pressure exerted by the blood on the walls of the aorta and systemic arteries when the heart relaxes

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5
Q

diastolic blood pressure should not reach/exceed…?

A

90 mm Hg (under resting conditions)

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6
Q

what is the term for very high blood pressure

A

hypertension

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7
Q

define hypertension

A

Clinic blood pressure of 140/90 mmHg or higher and day time average of 135/85 mmHg or higher

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8
Q

what is pulse pressure

A

the difference between systolic and diastolic blood pressure

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9
Q

what is the pulse pressure is systolic BP is 120 and diastolic is 80

A

40 mm Hg

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10
Q

what is the normal rage for pulse pressure

A

30 and 50

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11
Q

can Laminar Flow in Normal Arteries be heard

A

no

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12
Q

If external pressure (e.g. cuff pressure) exceeding the systolic blood pressure is applied to an artery. What happens? Can you hear anything

A

The flow in that artery would be blocked and no sound is heard through a stethoscope

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13
Q

if the external pressure is kept between systolic and diastolic pressure the flow becomes…. and can you hear anything

A

turbulent. yes, you can hear.

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14
Q

what equipment is used for blood pressure

A

sphygmomanometer and stethoscope

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15
Q

when is diastolic pressure recorded

A

fifth Korotkoff sound (point when sound disappears)

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16
Q

when do you record systolic BP

A

1st Korotkoff sound (first appearance of sound)

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17
Q

a pressure gradient between ……and ….. …… drives blood around the systemic system

A

aorta and right atrium

18
Q

how would you calculate the pressure gradient

A

Mean Arterial Pressure (MAP) – Central Venous (right atrial) Pressure (CVP)

19
Q

what is mean arterial blood pressure (MAP)

A

the average arterial blood pressure during a single cardiac cycle, which involves contraction and relaxation of the heart

20
Q

how can MAP be estimated

A

MAP = (2x diastolic pressure) + systolic pressure
divided by 3

21
Q

so if systolic BP is 120 and diastolic BP is 80. what is MAP?

22
Q

what is the normal range of MAP

23
Q

MAP of at least … mm Hg is needed to perfuse the coronary arteries, brain, and kidney

24
Q

what happens if MAP is to high

A

puts strain on vital organs

25
what is cardiac output
The volume of blood pumped by each ventricle of the heart per minute
26
what is stroke volume
Stroke Volume is the volume of blood pumped by each ventricle of the heart per heart beat
27
what is systemic vascular resistance
The sum of resistance of all vasculature in the systemic circulation
28
which vessels are the major resistance vessels
arterioles
29
what is the short term regulation of mean arterial blood pressure
the baroreceptor reflex
30
what kind of feedback does baroreceptor reflex use
negative
31
where are the baroreceptors
Carotid Baroreceptor - carotid artery- via IXth CN Aortic Baroreceptors - aorta-via Xth CN
32
where do baroreceptors signal
send signals through the Vagus and glossopharyngeal nervs to the medulla
33
The baroreceptor reflex helps maintain stable blood pressure, especially during sudden changes like when?
Postural changes aka standign up quickly
34
when you stand up quickly, what happens to your venous return and MAP
- Gravity causes blood to pool in your legs which reduces venous return to the heart - MAP briefly drops
35
when you stand up quickly, your MAP drops. what happens next?
the drop in MAP reduces the firing rate of baroreceptors
36
what are the autonomic adjustments when you stand up quickly and decrease MAP.
1. Decrease Vagal tone increasing HR and SV (Vagal tone refers to the activity of the vagus nerve, which is a key part of the parasympathetic nervous system) 2. Increased sympathetic tone - sympathetic tone increases causing Inc. SVR (arterioles constrict) Inc Venous return (veins constrict)
37
failure of Baroreceptor responses to gravitational shifts in blood, when moving from horizontal to vertical position is called?
Postural Hypertension
38
risk factors of postural hypertension are...?
Age, medication, certain diseases, prolonged bed rest, reduced intravascular volume
39
Baroreceptors ONLY Respond to '............' Changes in Blood Pressure
Acute
40
baroreceptor firing decreases if HBP is .....?
sustained
41
Control of MAP in the longer-term is mainly by control of...?
Blood Volume