Clin Phys 2 Flashcards

(53 cards)

1
Q

What makes up the cardiovascular system?

A
  • heart
  • arteries and arterioles
  • capillaries
  • venules and veins
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2
Q

T/F: The cardiovascular system is NOT a feedback loop

A

False. It is

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3
Q

Describe systemic circulation.

A

Left heart applies high pressure to high-O2, low CO2 blood -> systemic arteries + arterioles deliver this blood to most tissues -> systemic capillaries allow tissue to take up O2 and release CO2 -> systemic veins return low-O2, high-CO2 blood to right heart

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4
Q

Describe pulmonary circulation.

A

right heart applies moderate pressure to low-O2, high-CO2 blood -> pulmonary arteries + arterioles deliver this blood to the lung -> pulmonary capillaries allow lung tissue to deliver O2 to and extract CO2 from blood -> pulmonary veins return high-O2, low-CO2 blood to the left heart

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5
Q

Which vessels are apart of the systemic circulation?

A

aorta, vena cava, portal hepatic vein, gastric capillaries, hepatic capillaries, hepatic artery

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6
Q

Which vessels are apart of the pulmonary circulation?

A

pulmonary artery, pulmonary capillaries, pulmonary vein, hepatic vein

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7
Q

What is relaxation of the heart called?

A

diastole

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8
Q

What is contraction in the heart called?

A

systole

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9
Q

What happens during diastole?

A

pressure within heart drops and ventricles begin to fill with blood (AV valves open)

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10
Q

What happens during systole?

A

pressure it applied to blood and it is pushed out of the heart into circulatory system

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11
Q

What heart stage causes a persons blood pressure to increase?

A

systole

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12
Q

What is the vessel path of blood after systole?

A

arteries and arterioles -> capillaries -> veins and venules

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13
Q

What are the 4 chambers of the heart?

A

left atrium, left ventricle, right atrium, right ventricle

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14
Q

What is the role of the left atrium?

A

receives blood from pulmonary vein -> passes blood to left ventricle (atrial systole)

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15
Q

What is the role of the left ventricle?

A

applies pressure to blood (ventricular systole) -> ejects a proportion into the arteries of the aorta

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16
Q

What is the role of the right atrium?

A

receives blood from veins of the vena cavae -> passes blood to the right ventricle

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17
Q

What is the role of the right ventricle?

A

applies pressure to blood -> ejects a proportion into the pulmonary artery

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18
Q

Explain the cardiac cycle.

A

atriole systole (atrial contraction forces blood into ventricles) -> ventricular systole (ventricular contraction pushes AV valves closed - 1st phase) -> ventricular systole (semilunar valves open and blood is ejected - 2nd phase) -> ventricular diastole (semilunar valves closed and blood flows into atria - early) -> ventricular diastole (chambers relax and blood fills ventricles passively - late)

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19
Q

What does flow mean?

A

the volume of fluid that passes through a tube over a unity of time (mL/sec, L/min, mL/min)

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20
Q

What does pressure mean?

A

the force that fluid exerts on the walls of its container (type of potential energy)

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21
Q

What does pressure gradient mean?

A

a difference in pressure between two areas in space (one higher, one lower)

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22
Q

When a pressure gradient is present, where does fluid flow?

A

from an area of high pressure to low pressure

23
Q

What is the job of the ventricles? (hint: pressure:energy)

A

apply pressure (potential energy) which is converted to kinetic energy causing a forward movement of blood and bulging of walls)

24
Q

What does the heart do? (2 things)

A
  • applies pressure to blood during ventricular systole (pressure gradient)
  • sends proportion of full (diastolic) volume into arteries (pulmonary artery and aorta) every single systole
25
What is the volume of blood pumped out of the left ventricle called?
Stroke volume (SV)
26
Calculate CO: SV = 70 mL, HR = 70 bpm
70 mL X 70 bpm = 4900 mL/min
27
Compare and contrast arteries and arterioles.
arteries: larger, more elastic vessels that conduct blood away from the heart to large organ/tissue "beds" (pressure "reservoirs") arterioles: smaller, muscular vessels that feed capillary tissue beds (constrict or dilate to modify flow to each bed)
28
What are the pressures (in mmHg) of the left ventricle during systole and diastole?
systole: 120 mmHg diastole: 0 mmHg
29
Why does the pressure in the arteries never drop to 0 mmHg like the ventricles (during diastole)?
the elasticity of the arteries helps to main pressure (stored in the "stretch")
30
What is the function of arterioles?
To be able to constrict or dilate in different organs/tissue beds depending on overall blood pressure and metabolic needs of the tissue
31
What are capillaries? What do they do?
very small vessels that allow exchange of gases, nutrients, metabolites, wastes between blood and tissues
32
T/F: Capillary exchange is the same in pulmonary and systemic capillaries.
False. Fundamentally different
33
What is the substance exchange in pulmonary capillary beds (i.e., where is O2 and CO2 going)?
O2 diffuses from alveoli to pulmonary capillaries CO2 diffuses from pulmonary capillaries to alveoli (high concentration to low concentration)
34
What is the substance exchange in systemic capillary beds (i.e., where is O2 and CO2 going)?
O2 diffuses from systemic capillary beds to tissue CO2 diffuses from tissue to systemic capillary beds
35
What is the goal of the pulmonary system?
to exchange molecules between the atmosphere and the blood (high O2, low CO2)
36
What is the "pump" in the pulmonary system vs. the systemic circulation?
pulmonary: diaphragm systemic: ventricles (left)
37
What is the substance being pumped in the pulmonary system vs. the systemic circulation?
pulmonary: gas systemic: blood
38
What is the pH in capillary blood in the pulmonary system vs. systemic circulation?
pulmonary: higher and higher (alkaline) systemic: lower and lower (acid)
39
What is the function of veins and venuoles?
STORE blood - return blood to the heart
40
How much of the blood volume do systemic veins store?
60% (~3L)
41
What organs maintain pH?
brain, kidneys, lung
42
What do pH sensors do and where are they located?
detect H+ in form of CO2 levels within the brain
43
What are baroreceptors?
receptor that sense pressure
44
What are chemoreceptors?
gas sensors: CO2 and O2
45
Where are major baroreceptors found?
carotid arteries arch of aorta (carotid sinus -> major one)
46
How do baroreceptors control pressure when it drops?
pressure drops -> message sent to brainstem via nerves -> activation of the sympathetic nervous system -> release of epinephrine, norepinephrine (more contraction in heart, constriction of arterioles) -> elevation in HR and constriction of arterioles
47
What happens when you drop arterial O2 or increase arterial CO2?
increase in respiratory rate increase in volume ventilated each breath
48
What do the medulla and pons regulate?
activity of major muscles of ventilation
49
What is normal HR range in adults?
60-100 bpm AT REST
50
What is a healthy BP?
> 140 mmHg (systolic) / 90 mmHg (diastolic) AT REST
51
What is an abnormally low BP?
90 mmHg (systolic) / 60 mmHg (diastolic)
52
Which vital sign varies the most between individuals?
respiratory rate
53
What is a normal respiratory rate?
between 12 and 20 breaths/min