regulation of blood pressure Flashcards

1
Q

4 rapidly responding systems that regulate arterial pressure.

A

BARORECEPTORS

CHEMORECEPTORS

REGULATION OF STROKE VOLUME BY ARTERIAL PRESSURE (AFTERLOAD)

CEREBRAL ISCHEMIA-INDUCED RESPONSE

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2
Q

BARORECEPTORS PROVIDE INFORMATION TO THE CNS ABOUT

A

MEAN ARTERIAL PRESSURE

PULSE PRESSURE

HEART RATE

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3
Q

what was the conclusion of the experiment in which two-hour records of arterial pressure in a normall dog and several weeks after the baroreceptors had been denervated?

A

CONCLUSION: BARORECEPTORS DO NOT SET PRESSURE BUT BUFFER PRESSURE FLUCTUATIONS

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4
Q

resetting of baroreceptor prevents the reflex from functioning as a control system for changes in _______that last more than a _________

A

resetting of baroreceptor prevents the reflex from functioning as a control system for changes in pressure that last more than a day

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5
Q

what are the baroreceptors involved in BP regulation?

A

carotid sinus and aortic baroreceptors

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6
Q

REDUCTION OF MEAN ARTERIAL PRESSURE BELOW _______mm Hg ACTIVATES CHEMORECEPTORS.

A

REDUCTION OF MEAN ARTERIAL PRESSURE BELOW 80 mm Hg ACTIVATES CHEMORECEPTORS.

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7
Q

CHEMORECEPTORS ONLY FUNCTION TO DEFEND AGAINST SEVERE HYPOTENSION. THEY ARE SENSITIVE TO LOW________AND HIGH__________.

A

CHEMORECEPTORS ONLY FUNCTION TO DEFEND AGAINST SEVERE HYPOTENSION. THEY ARE SENSITIVE TO LOW OXYGEN AND/OR HIGH CARBON DIOXIDE LEVELS.

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8
Q

UNLIKE BARORECEPTORS, ACTIVATION OF CHEMORECEPTORS STIMULATES _____________ AND ___________.

A

UNLIKE BARORECEPTORS, ACTIVATION OF CHEMORECEPTORS STIMULATES SYMPATHETIC AND PARASYMPATHETIC ACTIVITY.

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9
Q

UNLIKE BARORECEPTORS, ACTIVATION OF CHEMORECEPTORS STIMULATES SYMPATHETIC AND PARASYMPATHETIC ACTIVITY. HOWEVER, THE EFFECT OF _____________ OVERRIDES THE EFFECT OF _____________ ACTIVATION, CAUSING AN OVERALL INCREASE OF ARTERIAL PRESSURE.

A

UNLIKE BARORECEPTORS, ACTIVATION OF CHEMORECEPTORS STIMULATES SYMPATHETIC AND PARASYMPATHETIC ACTIVITY. HOWEVER, THE EFFECT OF SYMPATHETIC ACTIVATION OVERRIDES THE EFFECT OF PARASYMPATHETIC ACTIVATION, CAUSING AN OVERALL INCREASE OF ARTERIAL PRESSURE.

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10
Q

CEREBRAL ISCHEMIA-INDUCED RESPONSE: REDUCTION OF ARTERIAL PRESSURE BELOW _______ mm Hg ACTIVATES AN INTENSE SYMPATHETIC AND PARASYMPATHETIC DISCHARGE

A

CEREBRAL ISCHEMIA-INDUCED RESPONSE: REDUCTION OF ARTERIAL PRESSURE BELOW 60 mm Hg ACTIVATES AN INTENSE SYMPATHETIC AND PARASYMPATHETIC DISCHARGE

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11
Q

CEREBRAL ISCHEMIA RESPONSE:
OVERALL, THE EFFECT OF SYMPATHETIC ACTIVATION PREVAILS. THIS IS A LAST-DITCH RESPONSE TO MAINTAIN BLOOD FLOW TO BRAIN AND IS ANOTHER SYSTEM THAT ONLY FUNCTIONS TO DEFEND AGAINST__________.

A

CEREBRAL ISCHEMIA RESPONSE:

OVERALL, THE EFFECT OF SYMPATHETIC ACTIVATION PREVAILS. THIS IS A LAST-DITCH RESPONSE TO MAINTAIN BLOOD FLOW TO BRAIN AND IS ANOTHER SYSTEM THAT ONLY FUNCTIONS TO DEFEND AGAINST HYPOTENSION.

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12
Q

FYI: CUSHING RXN:

DECREASE IN BLOOD FLOW, DUE TO INCREASED COMPRESSION OF ARTERIES IN BRAIN VIA INCREASED INTRACRANIAL PRESSURE

A

FYI: CUSHING RXN:

DECREASE IN BLOOD FLOW, DUE TO INCREASED COMPRESSION OF ARTERIES IN BRAIN VIA INCREASED INTRACRANIAL PRESSURE

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13
Q

WHAT ARE THE THREE MAIN PHYSIOLOGICAL SYSTEMS THAT REGULATE ARTERIAL PRESSURE

A

THERE ARE 3 SYSTEMS :

RAPIDLY RESPONDING SYSTEMS (FULL RESPONSE TIME OF 5 SECONDS TO 1 MINUTE)-THESE MOSTLY BUFFER CHANGES.

LESS RAPIDLY RESPONDING SYSTEMS (FULL RESPONSE TIME OF 1 MINUTE TO 30 MINUTES)-THESE BUFFER CHANGES AND SET LEVELS.

SLOWLY RESPONDING SYSTEMS (FULL RESPONSE TIME OF DAYS TO MONTHS)-THESE MOSTLY SET LEVELS.

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14
Q

WHAT ARE THE LESS RAPIDLY RESPONDING SYSTEMS (1 MIN TO 30 MIN RESPONSE TIME)(5) ?

A

LOW PRESSURE RECEPTOR-MEDIATED REFLEX MECHANISMS (VIA STRETCH RECEPTORS) (THEY INCREASE ANP, DECREASE ADH, INCREASE RENAL VASODILATION, AND INCREASE HR SO THAT YOU GET AN INCREASE IN CO IN ORDER TO INCREASE RENAL PERFUSION AND INCREASE NA+ AND H20 SECRETION)

ATRIAL NATRIURETIC FACTOR

CAPILLARY FLUID TRANSFER

VASCULAR STRESS RELAXATION

RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM

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15
Q

what is stress relaxation?

A

when stretched, venous smooth muscle cells have the capacity to relax.

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16
Q

physiological regualtion of blood volume:

rapid effects:

slow effects:

A

rapid effects: capillary-fluid transfer

slow effects: renal output, GI output

17
Q

define what the rena function curve does.

A

defines renal fluid output as a function of arterial pressure

18
Q

t/f. kidneys play a predominant role in regulating the set point of arterial pressure

A

true

19
Q

what are 6 factors that shift the renal function curve to the right?

A
angiotensin II
aldosterone
sympathetic activity
vasopressin
renal disease 
obestiy
20
Q

items that shift curve to the left (3)

A

ANF, nitric oxide, some prostaglandins

21
Q

sequence of events following a shift of the renal function curve to the right. what is the important conclusion?

A

increase of total peripheral resistance is secondary to increase of cardiac output

22
Q

t/f. changes in TPR cause equal and opposite changes in cardiac output but have no effect on arterial pressure.

A

true