Haemodynamics:pressure, flow and resistance Flashcards Preview

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Flashcards in Haemodynamics:pressure, flow and resistance Deck (25)
0

What is the driving force of blood in the systemic circulation ?

The difference in the aortic pressure and venous pressure which is about 90mmHg approx the same as MAP

1

What is darcy's law ?

States that flow is linearly proportional to the pressure difference between 2 points
Flow= pressure gradient/resistance
A larger pressure difference means greater flow

2

How is the velocity of blood flow determined ?

Flow/total cross sectional area
- as total cross sectional area increases the velocity of flow decreases - this is why flow is slowest in the capillaries

3

What factors affect the resistance to blood flow ?

VESSEL RADIUS- smaller radius increases resistance
FLUID VISCOSITY- a highly viscous blood increases resistance
VESSEL LENGTH- an increased length increases resistance

4

When can blood viscosity change ?

Anaemia - reduces viscosity
Certain cancers - increase viscosity by increasing the proliferation of blood cells

5

What is poiseuille's law ?

Resistance to steady flow along a straight cylindrical tube is proportional to tube length and fluid velocity and inversely proportional to the radius raised to the

6

A small change in vessel radius causes...

Large change in resistance because the vessel radius is raised to the 4th power

7

What is Bernoulli's theory ?

Flow between points A and B is proportional to the difference in the fluids mechanical energy between A and B

8

If the MAP in the aorta is 95 and the MAP in the foot is 180 then darcy's law would State that blood would flow from the foot to the aorta but this doesn't happen, why ?

Because the MAP of the aorta is combined with the gravitational potential energy in the aorta which makes the pressure larger than the pressure in the foot

9

What happens to the total resistance if you add series's unit ?

Increases due to the sum of all the individual resistances

10

What happens to the total resistance if you added parallel unit ?

Decreases
Because your increasing the ease of flow which is the hydraulic conductance and this is the opposite of resistance

11

What are the 3 different ways blood flows through our circulation ?

Laminar flow
Turbulent flow - occurs in ventricles and sometimes I ascending aorta, can occur in arteries of leg of an unhealthy person
Single file flow- occurs in capillaries

12

Explain laminar flow

Streamline flow
1st layer next to blood vessel wall has no velocity due to cohesive forces with the wall
2nd later flows faster and then the 3rd flows even faster
Therefore max velocity is reached in the centre so blood flows in shell shape

13

Explain turbulent flow

Increases in pressure will increase flow up to a point until it breaks down
Point is reached when flow increases only to a proportion of square root of pressure
Some pressure energy is dissipated as heat - Reynolds number

14

What encourages turbulent flow ?

High fluid velocity
Large tube diameter
High fluid density -increases momentum of flow and causes distortions

15

What discourages turbulent flow ?

High fluid viscosity - dampens distortions

16

Explain single file flow

Rbcs flow like this in the capillaries and deform into a parachute like configuration
Efficiency of this flow is dependent critically on the deformity of the rbcs

17

What is compliance ?

Measure of distensibility
With a specific pressure change you get a specific volume change

18

What is transmural pressure ?

Pressure inside - pressure outside

19

How do you calculate compliance ?

Change in volume/ transmural pressure

20

Why does your pulse pressure increase as you get older ?

Because vessel compliance decreases

21

Do veins of arteries have a higher compliance ?

Veins - can accommodate a larger increase in blood volume in response to a small increase in BP

22

What is the law of Laplace ?

States that the tension in the blood vessel walls is necessary to withstand the transmural pressure and is influenced by both radius and thickness of the wall

23

Why do large arteries need to have thick walls ?

Because they have large transmural pressures and radius' so wall needs to be thick to compensate for that

24

How can the walls of capillaries be thin ?

Because they have a low transmural pressure and small radius