Regulation of arterial pressure Flashcards

(34 cards)

1
Q

what is the most rapid method of pressure control

A

neuronal through peripheral baroreceptors

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2
Q

what mediates the slower mediation of pressure

A

RAAS

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3
Q

what nerve innervates the carotid sinus

A

glossopharyngeal n (CN IX) aka the sinus nerve of hering

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4
Q

what innervates the aortic sinus

A

vagus n (CN X) and the aortic nerve

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5
Q

where do the nerves from the baroreceptors synapse

A

nucleus tractus solitarius (NTS)

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6
Q

what does the NTS use as its neurotransmitter

A

glutamate

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7
Q

what output from the NTS gives the vasculature response

A

rostral ventrolateral medulla

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8
Q

what output from the NTS gives the cardiac response

A

dorsal motor nucleus of the vagus and nucleus ambiguous

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9
Q

what receptor type is associated with baroreceptors

A

TRP channels

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10
Q

How do you calculate the MABP (mean arterial blood pressure)

A

HRSVTPR or CO*TPR

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11
Q

what 2 factors determine SV

A

sympathetic stim of heart and preload

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12
Q

what 2 factors affect HR

A

sympathetic and parasympathetic stim

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13
Q

how is the aortic receptor different from the carotid

A

aortic has higher threshold
for activation, continues to respond above
saturation, less sensitive to rate, less effected by
decreases

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14
Q

what are the upper and lower limits of the carotid body in regards to pressure

A

200 to 40-60 mm Hg

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15
Q

what does the sympathetic system cause in arterial pressure

A

decreased baroreceptor firing, preganglionic fibers below T1

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16
Q

what does the sympathetic innervate in the heart

A

heart muscles, SA node directly, vessels, and adrenal gland via splanchnic n

17
Q

what receptor causes constriction of the arterioles and veins

A

alpha receptors

18
Q

what receptor increases HR and contractility

19
Q

what does the parasympathetic system do to decrease heart rate

A

increased baroreceptor firing; vagus n signals SA, atria and vent; acts on muscarinic receptors; stimulates NO release in vessels

20
Q

when is renin secreted

A

in response to a drop in BP

21
Q

if BP is higher than normal, what does the body do

A

less renin is secreted

22
Q

what form of angiotensin is active? what does it do

A

2; causes secretion of aldosterone from adrenal cortex

23
Q

what does aldosterone do

A

leads Na and H2O retention by kidneys

causes increased blood volume, preload/stroke volume, CO, and BP

increased thirst

stimulates release of ADH

24
Q

what does angiotensin II do for global vasculature

A

global vasoconstriction of arterioles by binding to AT1 receptors

increases TPR and BP

25
what is a side effect of ACE inibitors
cough because of bradykinin buildup
26
what is another way of blocking angiotensin 2 besides ace inhibitors
angiotensin receptor blockers
27
what does ADH cause
increase TPR and water retention
28
what does ADH act on
V1 receptors in SM and V2 receptors in collecting ducts
29
what causes increased secretion of ANP, BNP, or CNP
excessive preload of atria and ventricles
30
what do natriuretic peptide do
arteriolar dilation - decreases TPR increases fluid loss - decreases preload inhibits renin - decreases both TPR and preload
31
what is the cushing triad
hypertension (sympathetic) , bradycardia (baroreceptor), irregular respiration (impaired brainstem function)
32
what causes cushings triad
increased intercranial pressure
33
what are the responses to increased blood volume
* Increase secretion of ANP * Decrease ADH secretions * Renal vasodilation * Increased heart rate
34
what are the general reactions to exercise
* Increased sympathetic output (beta-1 receptors) and decreased parasympathetic output * Increased HR/contractility (you name it, it goes up) * Increased venous return * Vasoconstriction due to alpha1 receptor activation (overall slight increase in MAP) * SBP will increase, DBP should not change much