Lecture 28- Arterial Blood Pressure Flashcards

(28 cards)

1
Q

What pressure is recorded as blood pressure?

A

Systemic arterial pressure

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2
Q

Cardiac output x systemic vascular resistance =

A

Blood pressure

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3
Q

Which valves are open during systole?

A

Semilunar

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4
Q

How does hyperthyroidism affect Bp

A

hypertension

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5
Q

What are short-term controls of BP

A

Baroreceptor reflexes
Chemoreceptor reflexes

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6
Q

Where are baroreceptors found?

A

carotid sinus
aortic arch

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7
Q

What does the arterial baroreflex respond to?
What does it do?

A

increased BP
Vagally decrease HR

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8
Q

Where are low pressure baroreceptors found?
What triggers them?
What do they do?

A

pulmonary arteries and right atrium
Low BP
Increases urine output to increase BV

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9
Q

What factors stimulate chemoreceptor reflex?
What does it do?

A

Decrease in O2, Increase CO2, Decrease in pH
Increases sympathetic tone- arterial pressure

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10
Q

What is the most important sympathetic receptor?

A

alpha1

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11
Q

What does each receptor do?
alpha1
alpha2
beta1
beta2

A

vasoconstriction
decrease release of NE
Increases SA node stimulation
vasodilation of skeletal muscle

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12
Q

what does inotropic mean?

A

increases contractility

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13
Q

What does chronotropic mean?

A

Increases rate

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14
Q

What does lusitropic mean?

A

increases relaxation speed

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15
Q

Where are alpha receptors found?

A

Skin, GI, kidneys

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16
Q

What is longterm control of BP

A

RAAS
Natriuretic peptides
ECF renal mechanism

17
Q

What triggers renin release in the kidney?

A

Decreased BP in the kidney

18
Q

What is the renin cascade?

A

Renin -> Angiotensinogen -> angiotensin I -> angiotensin II -> aldosterone from adrenal glands

19
Q

What does angiotensin II cause

A

Release of aldosterone release
vasoconstriction

20
Q

What is the function of aldoesterone?

A

Na/water retention at the level of the kidney tubules

21
Q

What do ACE inhibitors do?

A

Stop angiotensin II

22
Q

How does increased Na retention affect intravascular voolume?

A

increased volume

23
Q

How does arterial pressure increase affect diuresis and natriuresis?

A

increase in urine output
increase in sodium excretion

24
Q

How does an increase in ecf affect
CO
Atrial pressure
Renal water/Na loss

A

Increases all in a cascade

25
Do natriuretic proteins cause vasoconstriction or vasodilation?
Vasodilation
26
What stimulates release of natriuretic proteins?
Cardiac stretch
27
High BNP (natriuretic protein) levels indicate?
Congestive heart failure
28
What local factors affect tissue perfusion?
Metabolism Nitric oxide (vasodilation) Endothelin (trauma related vasoconstriction) Adenosine Angiotensin II