Lecture 12: Control of Blood Flow I Flashcards

1
Q

What is acute control of local blood flow?

A

rapid changes in local vasodilation/vasoconstriction
occurs in seconds to minutes
basic theories: vasodilator and oxygen lack theories

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2
Q

What is long term control of local blood flow?

A

increases in size/ numbers of vessels

occurs over a period of days, weeks, or months

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3
Q

What is vasodilator theory?

A

as metabolism increases, oxygen availability decreases resulting in formation of vasodilators

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4
Q

What is the oxygen lack theory?

A

decrease in oxygen, the blood vessels relax resulting in vasodilation

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5
Q

What is vasomotion?

A

cyclical opening and closing of precapillary sphincters

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6
Q

Number of precapillary sphincter open at any give time is ______ to nutritional requirements of tissues

A

proportional

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7
Q

What is reactive hyperemia?

A

tissue blood flow is blocked and once becoming unblocked blood flow increase 4-7x normal

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8
Q

What is active hyperemia?

A

when any tissue becomes active, rate of blood flow increases

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9
Q

What is blood flow auto regulation?

A

rapid increase in arterial pressure leads to increased blood flow
within minutes, blood flow returns to normal even with elevated pressure

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10
Q

What theories explain auto regulation?

A

metabolic theory

myogenic theory

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11
Q

What is the metabolic theory?

A

increase in blood flow —too much oxygen or nutrients —washes out vasodilators to reduce blood flow

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12
Q

What is the myogenic theory?

A

stretching of vessels– reactive vasculature constriction to reduce blood flow

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13
Q

How does the kidney control acute blood flow?

A

by tuboglomerular feedback

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14
Q

How does the brain control acute blood flow?

A

increase in CO2 or H+ —–cerebral vessel dilation —washing out excess CO2 or H+

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15
Q

How does the skin control acute blood flow?

A

blood flow linked to body temperature

sympathetic nerves via CNS

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16
Q

What contributes to vasoconstriction in humoral circulation control?

A

norepinephrine
epinephrine
angiotensin II
vasopressin

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17
Q

What contributes to vasodilation in humoral circulation control?

A

bradykinin

histamine

18
Q

the sympathetic system innervates all vessels except ______

A

capillaries

19
Q

Where is the vasoconstriction area in the brain?

A

anterolateral portions of upper medulla

20
Q

What does the vasoconstriction area in the brain do?

A

transits continuous singles to blood vessels

continual firing results in sympathetic vasoconstrictor tone

21
Q

where is the vasodilation area of the brain located?

A

bilateral in the anterolateral protons of lower medulla

22
Q

What does the vasodilator area of the brain do?

A

inhibits activity in vasoconstrictor area

23
Q

Where is the sensory area of the brain?

A

bilateral in tractus solitarius in posterolateral portion of medulla

24
Q

What does the sensory area of the brain do?

A

receive signals via

  • vagus nerve
  • glossopharyngeal nerves
25
Q

What areas of the brain are controlled by higher nervous centers?

A

reticular substance (RAS)
hypothalamus
cerebral cortex

26
Q

What causes neural rapid control of arterial pressure?

A

simultaneous changes
rapid response
increased blood pressure during exercise
alarm reaction

27
Q

What are the simultaneous changes that cause neural rapid control of arterial pressure?

A

constriction of most systemic arteries
constriction of veins
increased heart rate

28
Q

Where are baroreceptors located?

A

carotid sinuses and aortic sinus

29
Q

When are carotid sinuses stimulated?

A

by pressure >60 mm Hg

30
Q

When are aortic sinuses stimulated?

A

> 80 mm Hg

31
Q

What are the signals from baroreceptors?

A

inhibit vasoconstrictor center
excite vasodilator center
signals cause either increase or decrease in arterial pressure

32
Q

What is the primary function of a baroreceptor?

A

reduce the minute by minute variation in arterial pressure

33
Q

Where are chemoreceptors located?

A

carotid bodies in bifurcation of the common carotids and in aortic bodies

34
Q

What do chemosensitive cells do?

A

sense lack of oxygen, carbon dioxide excess, and hydrogen ion excess

35
Q

Where do chemoreceptor signals pass through?

A

Herring’s nerve and vagus nerves

36
Q

Chemoreceptors play a important role in ______

A

respiratory control

37
Q

Low pressure receptors are located in the ____ and _____ arteries and play an important role in minimizing _______ in response to changes in blood volume

A

atria; pulmonary; pressure changes

38
Q

What does increase in atrial stress result in?

A

reflex dilation of kidney afferent arterioles
increase in heart rate
signals to hypothalamus to decrease ADH
atrial natriurteric peptide signals kidneys to increase GFR and decrease sodium reabsorption

39
Q

What happens when the kidney afferent arterioles are reflex dilated?

A

increase in kidney fluid loss

decreases blood volume

40
Q

What is arterial pressure?

A

cardiac output x total peripheral resistance

41
Q

Arterial pressure rises when total peripheral resistance is ______

A

acutely increased