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Ch 19 Blood
Functions of Blood vessels
Question | Answer |
---|---|
What results in the failure of vessels to transport blood? | Ischemia |
Symptoms of blood vessel ischemia | Pain, pulselessness, pallor, parenthesia, paralysis, coolness |
What do blood vessels regulate? | BP |
What do blood vessels exchange? | Nutrients and waste |
Blood vessels are involved with redistribution of: | Blood |
What else do blood vessels regulate? | Temperature |
BP def. | The force exerted against the walls of the (large) arteries due to the pumping of the heart |
Types of blood pressure | Systolic, diastolic, pulse pressure |
Systolic pressure def. | The pressure in the arteries at the peak of ventricular contraction |
Average Systolic Pressure | 120mmHg |
Normal range of systolic pressure | 100-140mmHg |
Diastolic pressure def. | The pressure in the arteries during ventricular relaxation |
Pulse pressure def. | Systolic - diastolic = pulse pressure |
Instruments used in measuring BP | sphygmomanometer and stethoscope |
________________ is compressed until blood flow is ___________. | Brachial artery; stopped |
First sounds heard when listening for systolic pressure | Korotkoff sounds (first heard thru stethoscope) |
What is recorded when Kortkoff sounds stop? | Diastolic pressure |
Hypertension def. | Chronic elevation of BP |
Due to low pressure in veins, blood relies on three other mechanisms to return blood back to the heart | Skeletal muscle pump, respiratory pump, venoconstriction |
Contraction of the heart muscle forces blood out the: | Ventricles from an area of high pressure to low pressure (BP - result of myocardium and blood vessels) |
Blood vessels have the ability to change _____. | Diameter |
Vasodilation def. | Increase in vessel diameter causes a decrease in resistance and a decrease in BP |
Vasoconstriction def. | Decrease in vessel diameter causes an increase resistance and an increase in BP |
Blood pressure = | 2/3 diastolic pressure + 1/3 systolic pressure |
Cardiac output = | SV x HR |
Increase in SV and/or HR can increase: | CO and therefore BP (and vice versa) |
What do arterioles primarily determine? | Vascular resistance |
What influences vascular resistance | Sympathetic NS, Hormones (epinephrine, angiotensin II), drugs |
Where are baroreceptors located? | Aortic arch, carotid sinus |
Sensory nerves involved in maintaining BP? | Glossopharyngeal (CN IX) and vagus (CN X) |
Function of medulla oblongata in maintaining BP? | Interprets info from sensory nerves |
Motor nerces involved with maintaining BP | ANS to heart in vessels |
Hormones involved in maintaining BP | Epinephrine and norepinephrine |
Rapidly acting mechanisms involved in maintaining BP? | Baroreceptors, sensory nerves, medulla oblongata, motor nerves, nor/epinephrine |
What are slow acting mechanisms? | Hormone regulated long-term maintenance |
Where is atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) produced? | The heart (also lower BP) |
At the level of the capillary, what moves out of the blood stram into the surrounding tissue space (interstinum) | Water, oxygen, electrolytes, glucose |
At the level of the capillary, waste products move from where to where? | From the interstinum into the capillary |
Characteristics of capillaries | Thin walled w/ pores, numerous, slow blood flow |
What happens during diffusion? | O2 to cells, waste to vessels |
What happens during filtration? | H2O, glucose, electrolytes from blood vessels to tissue |
What happens to during osmosis? | H2O from tissue to blood vessels and lymphatic vessels |
Edema def. | The accumulation of fluid in interstitial space |
Mechanisms of edema formation | Heart failure, severe burn, kidney disease, blocked lymphatic drainage |
Mech for edema formation: heart failure | Pulmonary edema, pedal edema |
Edema formation: severe burn | Excessive fluid build up in interstitial space |
Edema formation: kidney disease | Excess execretion of albumin in the urine (albuminuria) results in the build up of fluis in the tissue space |
What causes vasodilation of vessels of skin? | Temperature elevation |
When body temp. increases more blood flows to skin thereby releasing: | Heat and lowering body temp |
What causes vasoconstriction of vessels of skin? | Temp. decrease |
When body temp. decreases less blood flows to skin thereby: | Diverting warm blood to core of body |
What happens as walls of arties thicken with age? | Decreased blood flow and increased blood pressure |
With age, as valves become less effective they become susceptible to: | Varicosities |
As you age, roughening of the endothelial lining of vessels: | Increased blood clot formation |
With age baroreceptors become less effective. This can result in: | Dizziness and falls |
With age, increased capillary membrane permeability, there's increased: | Edema formation |