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Cardio Physio 2.1
Cardio Phys
Question | Answer |
---|---|
Long term control of blood spectrum is______ | initiate (min/hr) and lasts for days/weeks |
What organ has a regulatory control in MAP? | Kidney |
3 steps of Pressure Diuresis | 1-fluid volume increases 2-pressure increases 3-fluid excretion increases |
4 steps of Pressure Natriuresis | 1-Na level increases 2-volume increases 3-pressure increases 4-fluid excretion increases |
Explain Renin-Angiotensis System | JGA's (Macula densa) -releases-PG's-releases-Renin-circs to Liver-converts to Angiotensinogen-converts to Ang-1-converts to Ang 2-via angiotensin-converting Enzyme)= vasoconstriction-->increased TPR -->increased pressure-->increase fluid excretion |
What is the equation used for Hemodynamic flow in a blood vessel? | like Ohm's law. Flow=diff. in pressure/resistance. F=deltaP/R |
Hemodynamic flow in an organ equation? | F=(Pa-Pv)/R |
Hemodynamic flow across a heart valve equation? | F=(Piv-Pao)R |
Blood flow is produced by? | pressure gradients |
Hemodynamic laminar versus turbulent flow basic equation? | V=F/A Velocity = Flow/Area |
What is laminar flow? | smooth, steady. center mass of fluid column moves faster (Vmax) than peripheral fluid column due to peripheral fluid friction against vessel walls. |
What is turbulent flow? | Chaotic, non-linear flow of blood d/t: 1-High velocity of flow 2-Pulsatile flow 3-Large vessel diameter 4-Sudden change in vessel diameter |
Turbulent flow tendency equation? | Re=(VxDxP)/n Reynold's number (Re) V=average velocity D=diameter P=density n=viscosity |
What 4 things determine resistance to blood flow? | 1-BV size 2-series vs parallel network 3-characteristics of blood 4-External forces acting on vessels |
Blood vessel resistance equation? | R= L x n /r^4 L=Length of vessel n = viscosity of blood r = radius of vessel to 4th power |
What is Poiseuille's Law for blood flow and resistance | F=ΔPr4 π /8ηL Length of vessel (L) and viscosity (n) vary little. delta P and vessel radius (r) are main factors affecting blood flow |
Describe effects of blood vessel radius on blood flow. | ---Radius = 1 mm, Resistance = R, Blood flow = F ---Radius = 2 mm, Resistance =1/16R, Blood flow = 16F ---Radius = 1/2 mm, Resistance = 16R, Blood flow = 1/16F |
Formula for Total resistance in a series system. | Rt= R1 + R2 + R3 any increase in R 1, 2, or 3 increases Rt. |
Formula for Total resistance in a parallel system. | Rt = 1/(1/R1 + 1/R2 + 1/R3) (average of resistances) any increase in R 1, 2, or 3 yields little effect on Rt. |
Viscosity is best defined as_______ | resistance to flow of a solution as compared to water. |
What are normal % of RBCs for M/F? | M=42-54%, F = 38-46% of blood volume is RBCs |
Intrinsic ability of an organ to maintain a constant blood flow despite changes in perfusion pressure. | Autoregulation |
What 3 things does autoregulation depend on? | 1-Myogenic 2-Metabolic 3-Endothelial Controls |
Describe intrinsic myogenic control mechanisms of blood flow. | intrinsic vascular smooth muscle responds to change in arterial BP. F = P/R |
Describe intrinsic metabolic control mechanisms of blood flow. | increase or decrease in tissue activity leads to an increased or decreased release of vasoactive substances. 1-low O2-->hypoxia and adenosine 2-low pH-->d/t incr. [CO2], Lactic acid, and H+ 3-incr. ECF [K+] and paracrine signals |
Tissues undergoing high metabolic activities producing more waste, dilates vessels, increasing blood flow to that tissue. | Active hyperemia |
Constriction or ischemia causes build-up of metabolic wastes which dilates vessels, increasing blood flow to that tissue. | Reactive hyperemia |
Describe intrinsic Endothelial control mechanisms of blood flow. | Endothelium (simple squamous epithelium that lines the tunica intima) releases endo factors to regulate vasoconstriction/dilation. 1-Smooth muscle relaxation = bradykinin, NO, PG 1 =dilation 2-Endothelin-1 stims smooth muscle contraction =constriction |
What are 3 Extrinsic factors that regulate blood flow? | 1-Sympathetic activities 2- Parasympathetic 3-Hormones |
Sympathetic activities regulating blood flow? | NE acts on Alpha-1 (adrenergic) Stim's vasoconstriction EPI acts on Beta-2 (adrenergic) Stim's vasodilation |
Parasympathetic activities regulating blood flow? | ACH acts in cleft (cholinergic) with little effect on vessel tone or resistance. ACH stims vasodilation in digestive tract, external genitalia, and salivary glands. |
4 hormones that extrinsically regulate blood flow? | 1-AG-II(angiotensin-II) = VasoCon, incr. vessel resistance and BP 2-ADH = Vasocon, little vessel effect 3-Histamine = Vasodilation in response to inflammation 4-ANP (atrial natriuretic peptide released) = Vasodilation in response to incr. venous return |
Alpha-adrenergic effects on vessels? Beta-adrenergic effects on vessels? | Vasoconstriction(NE), vasodilation(EPI) |
What NT's cause Vasoconstriction? | NE-adrenergic receptor, Angiotensin-II and ADH= G-protein coupled receptor |
What NT's cause Vasodilation? | ACh(Muscarinic Rx), EPI(adrenergic Rx) |
Parasympathetic nerves effects on vessels? | Vasodilation via ACh |
how much body water is found in cells? | 2/3 is intracellular of the remaining 1/3-->80% interstitial, 20% extracellular |
Movement of water between interstitial spaces and capillaries are maintained by_________ | Osmotic forces |
Fluid is always circulating in a state of ___________ ___________ | Dynamic equilibrium |
What results from combining hydrostatic and oncotic(Starling) pressures that affect fluid movement across capillary membranes? | Net Driving Force (NDF) |
What is one Starling Force equation? (1) | (pc+πi) - (pi + πc) fluid out fluid in (BHP + IFOP) – (IFHP + BPOP) fluid out fluid in |
Typical Blood Hydrostatic Pressure (BHP) at 1-arteriolar end of capillary. 2-Venular end | 1-37 mmHg 2-17 mmHg |
Typical pressure of Interstitial Fluid Hydrostatic Pressure | 1 mmHg |
Blood plasma has _______ oncotic pressure than_________ d/t abundance of blood proteins. | higher, interstitial fluid |
Blood Plasma Oncotic Pressure? (BPOP) -1 Interstitial Fluid Oncotic Pressure? (IFOP)-2 | 1=25 mmHg 2= 0 mmHg favors movement of fluid into IntraVF |
Net pressure via Starling Forces at arteriolar end of capillary forces fluid out of intravascular space into interstitial space is also known as________ | Filtration |
Net pressure via Starling Forces at venular end of capillary forces fluid back into intravascular space is also known as_________ | Reabsorption |
Venular return is not 100%. _____ to______% remains in interstitial spaces, entering lymphatic circulation, THEN venous return. | 10-15 |
Edema can result from 6 possible things. | 1-high arterial BP 2-Venous blockage 3-Plasma protein leakage into interstitial space 4-Myxedema(excess mucin in ECF caused by Hypothyroidism) 5-Decr. plasma protein concentration 6-Lymphatic drain blockage. |
The heart myocardium receives the most blood during which phase? | The diastolic phase. blood flow is restricted during systolic phase. |
What does cardiac tissue contain that allows perfusion of oxygen during systolic phase? | myoglobin stores oxygen for used during systolic phase when blood flow is restricted. |
EPI on B1 receptors + Intrinsic metabolic control + Paracrine regulators = ______ | Functional Sympatholysis |
When and why do arterioles have higher vascular resistance? | At rest due to alpha-adrenergic sympathetic stem. Blood flow decreases during contraction, and increases during relaxation. |
What stims vasodilation during exercise? | Adrenal EPI on B2 receptors overriding muscular tone. Active hyperemia |
how much does skeletal muscle blood flow increase during exercise? | 20-50 times normal. may reach 80% of total cardiac output |
What is the flow rate of blood to the brain? | Cerebral circulation is held constant at 750 mL/min (the brain hates change) |
What happens to cerebral vessels when blood pressure falls? | cerebral vessels automatically dilate to maintain blood flow rate. F=P/R |
What happens to cerebral vessels when blood pressure rises? | cerebral vessels automatically constrict to maintain blood flow rate. F=P/R |
What causes increased blood flow to certain regions of brain? | -due to arteriole sensitivity to metabolic changes. -Active Neurons release K+, adenosine, NO, which cause vasodilation. -Astrocytes release PGE2 which stims Ca++ wave |
What is a simple fix for headache? | hyperventilation will temporarily increase blood flow which will temporarily alleviate headache. |
Approximately ____ blood is sent to the skin. | 4% |
When body temperature is higher than normal. | hypothalamus incr. Sympathetic activities increase vasodilation via B-2 EPI receptors. |
When ambient temperature is lower than body temperature. | hypothalamus incr. Sympathetic activities increases vasoconstriction via B-1 NE receptors.. |
What are 5 initial circulatory changes during exercise? (ISMDD) | 1-Increased CO 2-Symp vasodilation 3-Metabolic/endothelial vasodilation 4-Diversion of blood away from viscera 5-Diversion of blood away from skin (incr to brain a small amount during moderate, decr. to brain during intense exercise) |
Results of Endurance training on cardiac tissues. (5) | 1-Incr. coronary arteriole density 2-Incr. prod of NO 3-Decr. compression of systolic compression of arterioles 4-Lower resting HR d/t incr. SA inhibition 5-Incr. SV d/t incr. B.vol + Incr. contractility |
Equation for Net Driving Force | (BHP + IFOP) - (IFHP + BPOP) fluid out. Fluid in Blood Hydrostatic Pressure Interstitial Fluid Hydrostatic Pressure Interstitial Fluid Oncotic Pressure Blood Plasma Oncotic Pressure |
Where is ADH manufactured? and what stimulates it? | 1- origin is Supraoptic nuclei of the posterior pituitary. 2- osmoreceptors detect increased plasma osmality, stims ADH release, which acts on collecting ducts, which stimulates aquaporin production to reabsorb more water. |
Where is Aldosterone manufactured, why, and what does it do? | 1-Zona glomerulosa 2- indirectly senses reduced blood volume and blood pressure. 3- Stim's resorption of Na and K in DCT and collecting ducts of nephron(water follows minerals) |
what are 5 functions of Atrial Natriuretic Peptide (ANP) | 1-Antagonist of Aldosterone--increases diuresis 2-Increases GFR--via vasodilation of afferent, constrict of Efferent 3-Decreases Aldosterone sec. 4-Decreases Renin secretion at JGA granular cells 5-Induces systemic vasodilation--inhibition of NE |
What nerve inhibits the posterior pituitary gland from secreting ADH and why? | the vagus nerve, when atria is stretched. |