blood pressure Flashcards

(39 cards)

1
Q

what is blood pressure?

A

force exerted against blood vessel walls by the blood in the vessels (maintains blood flow in tissues)

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2
Q

where is BP high and low

A

HIGH in arteries (blood leaving heart)

LOW in veins (blood returning to heart)

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3
Q

why is arterial blood pressure important?

A

it maintains blood flow to tissues

-arterial blood pressure fluctuates with cardiac cycle

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4
Q

what is systolic pressure?

A

measured during ventricular systole (peak pressure in arteries as blood is ejected from heart)

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5
Q

what is diastolic pressure?

A

measured during ventricular diastole (low pressure in arteries as heart fills)

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6
Q

what is pulse pressure?

A

difference between systolic and diastolic

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7
Q

what are the 3 factors affecting arterial pressure?

A
  1. peripheral resistance
  2. cardiac output
  3. blood volume
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8
Q

what is peripheral resistance?

A

the resistance to blood flow, if PR is high, the heart must work harder to circulate blood flow.

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9
Q

what are the four sources of peripheral resistance?

A

blood vessel diameter- decrease diameter, increases BP
blood vessel length- increase length, increase BP
blood viscosity- thicker blood, higher BP
turbulence- more turbulence, higher BP

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10
Q

what are the “resistance vessels”?

A

arterioles

-peripheral resistance is greatest in these blood vessels

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11
Q

what are called the blood reservoirs?

A

veins

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12
Q

if you have more venous return..?

A

increased cardiac output, increased volume of blood in arteries, increased BP

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13
Q

blood volume and BP?

A

if you increase blood volume, increase blood pressure

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14
Q

what is vasomotor control?

A
ALL sympathetic regulation of BP. 
medulla oblongata-
-vasomotor center
-sympathetic division (NE)
-contraction of smooth muscle in blood vessels
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15
Q

vasoconstriction?

A

decreases diameter, increases BP

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16
Q

vasodilation?

A

increases diameter, decreases BP

17
Q

is there parasympathetic control of blood vessel diameter?

A

NO, sympathetic tone maintains BP in arteries and arterioles, facilitates venous return

18
Q

what type of receptor would detect changes in BP?

A

baroreceptor.. detects stretch and pressure

19
Q

what is the baroreceptor initiated reflexes?

A

reflexive vasoconstriction to maintain blood pressure and ensure blood delivery

20
Q

what is the carotid sinus reflex?

A

baroreceptors in internal carotid arteries to protect blood supply to the brain

21
Q

what is the aortic reflex?

A

baroreceptors in aortic arch to protect blood supply to heart and body

22
Q

what is the local intrinsic control of BP?

A

vasodilation triggered by changes in the tissue environment..
localized, nervous system is not involved

23
Q

local vasodilators include?

A
decreased O2, increased CO2
decreased pH
increased temp
histamine released
NO released by endothelial cells, triggers CA2+ uptake and relaxes smooth muscle
24
Q

ADH and hormonal control of BP

A
  • released from posterior pituitary in response to dehydration
  • baroreceptors detect decreased blood volume, osmoreceptors detect increased solute conc.
  • triggers vasoconstriction in addition to increased water reabsorption by the kidneys (increased BP)
25
ANP and hormonal control of BP
-released by cells in right atrium -lowers blood volume and blood pressures -causes kidneys to increase Na+ excretion and H20 excretion to decrease blood volume decreases sympathetic release of NE -decreases release of ADH and aldosterone
26
RAAS and hormonal control
activated in response to decreased BP in kidneys | -triggers vasoconstriction and Na+ and H20 reabsorption to increase blood pressure
27
explain the renin angiotension aldosterone system
juxtaglomerular apparatus detects low BP - JG cells release renin - renin triggers angiotensinogen which activates angiotensin I (ACE) secreted by lung capillaries - results in vasoconstriction - aldosterone released from adrenal cortex - more reabsorption of Na+ and H20 in blood - blood pressure increases
28
what is tissue perfusion?
tissue perfusion is the delivery of atrial blood to capillary beds in tissues - ensures delivery of nutrients and oxygen to all tissues - it is affected by cardiac output and blood pressure
29
where is velocity lowest?
the capillaries, the velocity varies due to huge S.A and high peripheral resistance
30
blood distribution to various organs can be altered by? (pre...)
dilating or constricting smooth muscle in precapillary sphincters
31
what is capillary exchange?
materials exchanged between interstitial fluid of tissues and capillaries decreased blood velocity and increased surface area in capillary beds facilitates exchange
32
what are capillaries?
thin walls with endothelium only, site of capillary exchange INCREASED surface area INCREASED permeability (simple squamous) DECREASED velocity
33
what does capillary exchange?
nutrients, electrolytes, waste-products, gases, hormones, water, heat DRIVEN by concentration gradients (diffusion) and pressure gradients (bulk flow)
34
what is edema?
extra fluid causing swelling in interstitial fluis
35
how does fluid get returned from interstitial tissues of the body to the blood?
lymphatic system returns to the blood
36
fluid exchange (between plasma and ECF)..
CHP and BCOP
37
what is CHP
capillary hydrostatic pressure. blood pressure pushes fluid and solutes out of capillaries
38
what is BCOP
blood colloid osmotic pressure. proteins in plasma pull fluid into capillaries by osmosis (albumin, transport proteins)
39
what is NFP
net flirtration pressure =CHP- BCOP (difference between push out and pull in) there is a NET LOSS of fluid from capillaries into interstitial fluid