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WVSOM -- Physio
WVSOM -- Hemodynamic principles
Question | Answer |
---|---|
Arteries -- large to small | Aorta > Muscular Conduit Artery > Arteriole > Capillary |
Veins -- to large | venule < vein < vena cava |
Systolic | contraction |
diastolic | rest |
mean pressure | diastolic + 1/3(systolic-diastolic) |
Compliance | ability to stretch and distend with pressure |
Transmural pressure | difference between the pressure inside teh vessel and the pressure outside the vessel. net pressure is pushing against the wall |
capacitance | volume contained for a specific pressure |
Blood flow to organs altered by controlling vascular smooth muscle tone by | local and systemic |
Systemic ways to control smooth muscle tone | SNS and Hormones |
Local ways to control vascular smooth muscle tone | metabolic factors and paracrine agents |
Blood volume is distributed roughly in accordance with ___________. | Metabolic rate |
How does gravity affect blood pressure | Blood pressure increases the farther it moves away from the heart |
Majority of blood is held in the | systemic veins |
Pressure | force per unit area |
flow | volume transferred per unit time |
resistance | opposition to flow |
Relationship of blood flow to the driving pressure and vascular resistance | blood flow is proportional to the pressure difference and inversely proportional to resistance |
Cardiac Output | Q = (p1-p2)/r |
Resistance in Series | R1+ R2 + R3 = Rtotal |
Resistance in Parallel | 1/R + 1/R + 1/R = 1/Rtotal |
Main site of resistance in the systemic circulation | Arterioles |
Bernoulli Principle | increase in velocity occurs simutaneoulsy with the decrease in pressure |
Hematocrit's effect on viscocity | increases it |
Laminar blood flow | smooth parallel streamlines that slip past each other |
Shear stress | caused by velocity thru the vessel Generated by the axial streaming of blood cells pushing and shearing them orienting them in one direction |
Shear stress effect on vascular wall | can activate endothelial factors (NO). Lots of stress can cause damage on the vessel wall and cause an aneurysm |
Reynolds Number | > 2300 causes turbulence |
Turbulence | promoted by high velocity, vessel diameter and blood viscosity |
Vessel with greatest compliance | Veins |
why is mean pressure close to diastolic pressure? | heart spends longer relaxed than it does in contraction |
Right side of heart pumps to | Lungs |
Left side of heart pumps to | systemic circulation |
2 organs that receive more blood flow than is required to satisfy metabolic demands | skin and kidneys |
Blood Flow is directly proportional to | pressure gradient |
Blow flow is inversely proportional to | vascular resistance |
Why are capallaries low in overall resistance | they are numerous and arranged in parallel |
Bernoulli Principle and PE to KE | blood potential energy to kinetic energy occurs when cross-sectional area decreases. |
Highest blood velocity in laminar blood flow | center of the vessel |