Blood Pressure Regulation Flashcards

1
Q

What are the 4 ways blood pressure is regulated

A

baroreceptors, RAAS system, ADH, and natriuresis

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2
Q

Do baroreceptors raise or lower bp

A

raise

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3
Q

What type of regulation are baroreceptors

A

neural regulation

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4
Q

Where are baroreceptors located

A

carotid arteries and the aortic arch

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5
Q

What do baroreceptors do

A

sense changes in BP and correct short term imbalances caused by position changes/exercise

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6
Q

How do baroreceptors work

A

stimulate the SNS to increase heart rate, bp, and contractility

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7
Q

When do baroreceptors lose sensitivity

A

with age

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8
Q

Does the RAAS system raise or lower bp

A

raise

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9
Q

When does RAAS raise bp

A

in response to diminished circulation to the kidneys

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10
Q

Steps of the RAAS system

A

renin is released by the kidneys –> renin stimulates the liver to release angiotensinogen –> angiotensinogen is converted to angiotensin 1 in the lungs –> ACE converts angiotensin 1 into angiotensin 2 –> angiotensin 2 vasoconstricts and stimulates the adrenal gland to secrete aldosterone –> aldosterone works at the nephron to increase sodium and water reabsorption –> increase blood volume and blood pressure

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11
Q

Does ADH raise or lower bp

A

raise

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12
Q

What is another name for ADH

A

vasopressin

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13
Q

How does ADH sense bp changes

A

the posterior pituitary secretes ADH when it sense a drop in BP or increased blood osmolarity

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14
Q

How does ADH work

A

acts at the nephron to increase water reabsorption, raising blood volume and pressure

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15
Q

Does natriuresis raise or lower bp

A

lower

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16
Q

What is natural diuresis promoted by

A

the heart and brain

17
Q

What does the heart release

A

atrial natriuretic peptide (ANP)

18
Q

What does the brain release

A

brain natriuretic peptide (BNP)

19
Q

What does natriuresis do

A

acts at nephrons to release excess water into the urine, stopping when water and bp return to normal

20
Q

Normal bp

A

systolic <120 and diastolic <80

21
Q

Elevated bp

A

systolic 120-129 and diastolic <80

22
Q

High bp - hypertension stage 1

A

systolic 130-139 or diastolic 80-89

23
Q

High bp - hypertension stage 2

A

systolic 140+ or diastolic 90+

24
Q

Hypertensive crisis

A

systolic higher than 180 and/or diastolic higher than 120

25
Q

When do you immediately talk to a provider for bp concerns

A

in a hypertensive crisis