Midterm 1 - Blood Vessels and Blood Pressure Flashcards

(86 cards)

1
Q

important factors of blood pressure in blood vessels

A

diameter
elasticity
contractility

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2
Q

what blood vessel is the target to regulate pressure

A

arteriole

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3
Q

how does an edema occur

A

no venous return, blood sits in capillaries and fluid builds

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4
Q

flow

A

volume of fluid transported per time unit

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5
Q

what is flow between 2 points dependent on

A

pressure difference between the 2 points and resistance to fluid

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6
Q

how to calculate flow (Q)

A

pressure difference/resistance

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7
Q

is pressure higher in arteries or veins

A

arteries

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8
Q

what are arterioles

A

the “bottlenecks” of the circulation

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9
Q

why are arterioles the main site of pressure/flow regulation

A

they have the most smooth muscle

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10
Q

what does initial pressure result from

A

heart contraction

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11
Q

does pressure progressively increase or decrease

A

decrease

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12
Q

what does resistance depend on

A

length of vessel
radius of vessel
blood viscosity

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13
Q

what is constant in an individual

A

the length of vessel

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14
Q

what is the most important factor for resistance

A

radius of vessel

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15
Q

why is radius so important for resistance

A

resistance decreases by the 4th power of the radius: if the radius increased 2 times, resistance decreases 16 times

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16
Q

what does viscosity of blood vary with

A

cells and proteins amount

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17
Q

what occurs during ventricular contraction when aortic valves open

A

rapid flow of blood
increased arterial pressure
some pressure is absorbed by aorta elasticity

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18
Q

what does aorta elasticity do with pressure

A

temporarily stores energy like a rubber plastic

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19
Q

what occurs during diastole when the aortic valve closes

A

no blood flowing from ventricle
stored energy is released
allows blood flow to continue in vessels
gradual decrease in arterial pressure

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20
Q

what are compliant

A

arteries

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21
Q

what does the elasticity and large diameter of arteries supply

A

low resistance
high flow

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22
Q

what does the recoil of wall of artery limit

A

the drop in pressure after systole

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23
Q

how can a difference in arterial blood pressure be observed

A

between systole pressure and diastole pressure

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24
Q

pulse pressure

A

difference between systolic and diastolic pressure

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25
what occurs to the mean blood pressure during rest
MBP closer to diastolic pressure (diastolic lasts longer than systole)
26
what occurs to the mean blood pressure during exercise
MBP closer to systolic pressure (heart rate increased = diastole shortened)
27
what is pulse pressure the measure of
measure of pressure on artery wall during systole
28
factors influencing arterial pressure
elasticity of artery cardiac output respiration resistance to blood flow blood volume
29
what is the main factor influencing arterial pressure
resistance to blood flow
30
what influence does aging have with elasticity of artery
low elasticity = high pressure
31
what influence does more blood from systole have on pressure
more blood = increased pressure
32
what occurs during inspiration
low pressure in thoracic cavity, high pressure in abdominal cavity
33
what does the pressure occurring during inspiration promote
venous return
34
what does total peripheral resistance depend on
vasoconstriction of arterioles. increase in TPR = increase pressure
35
what does blood volume influence
cardiac output
36
why does blood volume have minimal effect on cardiac output
vein absorb the major effect
37
what is unique about arteriole walls
they have fewer elastic fibers but larger number of smooth muscle fibers
38
what is the basal level of constriction
myogenic (basal) tone
39
what does the myogenic tone make possible
to decrease and increase vessels contraction thus diameter
40
what happens too resistance when diameter decreases
resistance increases
41
what are the 2 levels of control of arteriolar resistance
autoregulation (local mechanisms) extrinsic control factor (neuro-hormonal)
42
what does auto regulation do within organ or tissue
overrides extrinsic regulation
43
what does autoregulation control
flow to critical organs = protective mechanism
44
types of autoregulation
metabolic regulation myogenic (pressure) regulation
45
what does metabolic regulation respond to
changes in metabolism, thus blood requirement
46
what does metabolic regulation increase in
diameter (decrease in pH, increase in CO2, K+, NO)
47
what does the relative importance of factors in metabolic regulation depend on
the organ
48
what does myogenic auto regulation entail
vessels respond to changes in tone or stretch
49
what does myogenic autoregutalion maintain
the blood supply is virtually unchanged even when pressure changes
50
how does autoregulation adapt
locally with specific organs to maintain function
51
when is extrinsic regulation activated
when there is a problem
52
what does extrinsic regulation regulate
the peripheral pressure as a whole
53
what are the vasoconstrictive influences of extrinsic regulation
sympathetic stimulation on a-adrenergic receptors angiotensin II arginin vasopressin
54
what is a vasodilatory influence of extrinsic regulation
parasympathetic stimulation (vagus nerve, mainly penis and clitoris)
55
how low can pressure be when blood enters venous system
10 mm Hg
56
what does the heart act as
a pump
57
what kind of muscles do veins possess
smooth
58
what occurs when pressure in veins is too high
flow is reduced and fluid leaks out and accumulates in tissue - edema
59
how can skeletal muscle activity help with veins and venous pressure
it can help squeeze blood upward
60
what side of the heart has higher pressure
right
61
what happens to pressure during inspiration
P in thoracic cavity decreases P in abdonominal cavity increases
62
main variables of controlling blood pressure
heart rate stroke volume TPR
63
what contribute to blood pressure reflex
baroreceptors sensory fibers integration center motor fibers effectors
64
what are baroreceptors
stretch receptors
65
what do baroreceptors sense
stretching of arterial wall
66
where are baroreceptors located
sensitive areas: aortic arch carotid sinus
67
what do baroreceptors have
free nerve endings
68
where do sensory fibers ascend
via vagus nerve
69
what happens due to sensory fibers when stretch increases
increase in APs frequency
70
what happens due to sensory fibers when stretch decreases
decrease in AP frequency
71
what is the integration center
cardiovascular (vasomotor) center in the medulla oblongata
72
what does the integration center do
compares info to reference value
73
what are the effectors involved with controlling blood pressure
heart arterioles and vein
74
example of baroreceptors in action
postural hypotension
75
what is postural hypotension
change from lying to standing position
76
what does the atrial volume receptor reflex
stretch receptors in wall of atria and regulate blood volume
77
how does the atrial volume receptor reflex regulate blood volume
via autonomic nervous system activity neural input that controls this and the secretion of hormones that alter renal handling of sodium and water
78
what are the stretch receptors in wall of atria
volume receptors
79
what is atrial natriuretic peptide (ANP)
hormone synthesized in atrial wall
80
what does ANP increase
sodium excretion
81
what is renin
hormone synthesized in kidney which increases synthesis of angiotensin II to create aldosterone
82
what are hormones involved in BP regulation
atrial natriuretic peptide renin antidiuretic hormone = vasopressin (post. pituitary)
83
what does antidiuretic hormone vasopressin do
decrease water excretion in kidney - decrease water loss in urine
84
what does angiotensin II do `
vasoconstriction
85
what does aldosterone do
decrease sodium excretion
86
what is vasoconstriction
when there is a drop in blood volume, decreases arterial going into kidney