intro to VC Flashcards

1
Q

what vein is blood normally taken from in the arm and what does this do

A

medial cubital vein

blood traveling to sup vena cava

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2
Q

pressure in vena cava (lying and standing)

A

lying: 3-8mmHg

standing - 0

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3
Q

composition of blood - fluid and cells

A

55% fluid

45% cells (mainly RBS)

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4
Q

how much protein is in the blood and in what form

A

70g/L

mainly albumin

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5
Q

partial pressure of venous gases O2 and CO2

A
pO2 = 40mmHg (150ml/L)
pCO2 = 46mmHg (520ml/L)
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6
Q

what occurs a the Q point on an ECG

A

depolarisation through AV node (slow)

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7
Q

what does an increased after load do on a frank-starling curve and why

A

shifts curve down

increased resistance

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8
Q

what effect does increasing activity of cardiac sympathetic nerve fibres have on a frank starling curve and why

A

shifts up
increase CVP, stretchRV, inc pulmonary pressure, increase LV pressure, stretches and beats more forcefully
increases CO

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9
Q

why is low vascular resistance important for venous system

A

creates large surface area for gas exchange in alveoli

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10
Q

link poiseuilles law to pulmonary vessels

A

arteries are shorter and have a larger radius

lower resistance

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11
Q

what’s the pressure in the aorta

A

120/80mmHg

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12
Q

how much of the SV in the aorta is pushed into smaller arteries (forwards)

A

25%

75% stored in aorta

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13
Q

how is flow maintained during diastole from the aorta

A

stored energy in the elastic walls = arterial recoil and pushes blood forwards

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14
Q

what happens to pressure across areas of high resistance

A

falls steeply

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15
Q

what’s the flow rate

A

5L/min= CO

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16
Q

what is the microcirculation made out of

A

terminal arterioles, capillaries, post-capillary venules

17
Q

diameter of microcirculation

A

3-10 micron

18
Q

what controls terminal arterioles and what does it so

A
  • local factors

- controls flow through capillary set

19
Q

what do capillaries and post-capillary venules lack

A

no smooth muscle

20
Q

what is the role of lymphatic capillaries

A
  • absorb fluid and protein and return these to the blood

- take up and transport microorganisms to lymph glands

21
Q

what are the receptors involved in autonomic regulation of the vascular system, and what branch are they from

A
  • SNS - a1 receptors

- PNS - muscarinic and NANC (non-adrenergic, non-cholinergic e.g. NO)

22
Q

what circulating hormones regulate vascular system

A

-adrenaline
angiotensin II (vasoconstriction. increase aldosterone synthesis)
vasopressin (anti-diuretic)

23
Q

what is atherosclerosis

A

build up of cholesterol rich plaque

cause stenosis of artery

24
Q

what can thrombosis lead to if uncreated

A

unstable angina

myocardial infarction: NSTEMI (v narrow artery) or STEMI (completely blocked)

25
what can cause acute coronary syndromes
sudden decrease in coronary flow
26
what is an incisor due to (BP graph)
closure of aortic valve)
27
how much blood is in the venous system and why is this important
70% | contraction of veins = redistribute to arteries to maintain BP
28
what valves does blood flow through during atrial systole
tricuspid and mitral
29
what is the end diastolic volume (plus value)
vol at end of systole(in ventricles) | 120ml
30
what is the end systolic volume
70ml blood | ventricles eject
31
ejection fraction
60%
32
what receptors/pumps are involved in cardiac relaxation in a myocyte
Na/Ca exchanger (NCX) - pump out excess Ca | ATPase - reputare of Ca into SR