Chapter 18 Flashcards

(56 cards)

1
Q

What is hemodynamics

A

the study of blood flowing through the circulatory system

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2
Q

what is flow?

A

volume of blood at a particular time

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3
Q

What is pulsatile flow? Is it venous or arterial?

A

when the blood flow varies with cardiac contraction. Because of this, it is arterial flow.

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4
Q

What is phasic flow? Is it venous or arterial?

A

The blood flow varies with respiration and therefore appears with venous flow.

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5
Q

What is steady flow? Is it venous or arterial?

A

Fluid moves at a consistant velocity. This is possible with venous flow when a patient temporarily stops breathing.

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6
Q

What is laminar flow

A

Laminar flow is found when different layers of fluid travel at individual speeds.

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7
Q

Describe the two forms of laminar flow?

A

Plug: when all the layers travel at the same velocity
Parabolic: when the velocity is greatest in the middle layer and decreases as it goes to the edge.

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8
Q

What does the Reynold’s number predict?

A

whether the flow is laminar or turbulent.

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9
Q

What is the Reynold’s number for laminar flow?

A

less than 1,500

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10
Q

What is the Reynold’s number for turbulent flow?

A

Greater than 2,000

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11
Q

What is the sound assciated with turbulence?

A

murmur or bruit

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12
Q

What is the tissue vibration or palpable murmur associated with turbulence?

A

a thrill

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13
Q

What is an eddy current?

A

another term for turbulence or vortex

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14
Q

What is an energy gradient?

A

When the blood moves from regions of high to lower energy

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15
Q

What provides energy to circulate blood?

A

Contraction of the heart

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16
Q

What forms of energy are associated with blood?

A

kinetic, pressure, and gravitational

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17
Q

What determines kinetic energy? What kinds of objects have more kinetic energy?

A

an object’s mass and speed. Heavy and quickly moving objects have the most energy.

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18
Q

What is pressure energy?

A

A form of stored (potential) energy that has the ability to perform work.

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19
Q

How does pressure create flow?

A

it overcomes resistance

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20
Q

What is gravitational energy? When might two objects have the same amount?

A

A form of potential energy associated with elevated objects that can perform work. Two objects at the same height have the same gravitational energy.

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21
Q

In what ways is energy lost in the circulatory system?

A

Viscous, frictional, and inertial loss

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22
Q

What is viscous energy loss? How does it relate to hematocrit?

A

A thicker or more viscous fluid has more friction so it loses more energy than a thinner fluid. In blood, a lower amount of hematocrit would make blood less viscous which would reduce the energy loss.

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23
Q

What is frictional loss?

A

Frictional loss occurs when energy is transferred to heat. When the blood slides acrss the vessel walls and other layers, it creates heat but loses flow energy.

24
Q

What is inertial energy loss?

A

Energy is lost when the speed changes, regardless of how it changes.

25
When does inertial energy change occur?
pulsatile flow, phasic flow, and when velocity changes with stenosis
26
Stenosisis a narrowing of a vessel. What effects does this have?
change in flow direction, increased velocity, turbulence after stenosis, pressure gradient, and a loss of pulsatility.
27
What is Bernoulli's principle
With steady flow, the sum of all energy forms is the same and will remain constant. This principle describes the relationship between velocity and pressure.
28
Using Bernoulli's principle, where is pressure the lowest and velocity the highest?
In the area of stenosis.
29
What equation describes the pressure gradient? What else increases with the gradient?
pressure gradient = flow x resistance. Either flow or resistance must increase to increase the gradient.
30
How is the equation pressure gradient = flow x resistance described using Ohm's law?
voltage = current x resistance
31
What are characteristics of veins in relation to the flow?
Veins are thin-walled and collapsible and have low pressure
32
What does a vein's cross section look like when it has low vs high pressure?
With low pressure it is collapsed and with higher pressure it becomes circular/
33
What is hydrostatic pressure?
Pressure related to the weight of blood pressing on a vessel measured above or below the heart
34
What is the hydrostatic pressure of a supine patient
0 mmHg
35
What is the hydrostatic pressure at the patient's head?
-30 mmHg
36
What is the hydrostatic pressure at the patient's heart?
0 mmHg
37
What is the hydrostatic pressure at the patient's waist?
50 mmHg
38
What is the hydrostatic pressure at the patient's knee?
75 mmHg
39
What is the hydrostatic pressure at the patient's ankle?
100 mmHg
40
What is the equation for measured pressure
measured pressure = circulatory (blood pressure) + hydrostatic pressure
41
What happens during inspiration
diaphragm and thoracic pressure decreases, abdominal pressure increases, IVC flow to the heart increases whereas flow to the legs decreases.
42
What happens during expiration
diaphragm and thoracic pressure increases, abdominal pressure decreases, IVC flow to the heart decreases and flow to the legs decreases.
43
Turbulence is chaotic flow where coherence of flow velocities across the lumen is lost. What might cause turbulence?
high velocities, distal to obstruction, along a rough surface, within a sharp turn in a vessel
44
What is systole
Forward flow
45
What is early diastole
area of temporary flow reversal
46
What is late diastole
forward flow hits resistance and reverses
47
Where does fluid flow in a biological system?
in the path of least resistance
48
When a vessel becomes smaller with stenosis, what happens to the volume flow rate?
it decreases
49
When a vessel becomes longer, what happens to the volume flow rate?
it decreases
50
When a fluid becomes more viscous, what happens to the volume flow rate?
it decreases
51
When does pressure energy drop? When does it rise?
It drops with stenosis and rises with turbulence
52
How does stenosis affect velocity?
as diameter decreases, velocity increases by 4
53
Where is velocity increased when fluid curves?
around the outer edge
54
What is intraluminal pressure
pressure on the walls from the fluid inside
55
What is tissue pressure
pressure exerted on a vessel from outside structures
56
what is transluminal pressure
difference between intraluminal and tissue pressure.