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24 Cards in this Set

  • Front
  • Back

What is a baroreflex?

Autonomic, negative feedback mechanism in response to blood pressure through the use of baroreceptors.



What does a baroreflex do?

Inhibits the SNS


- Cardiac Center


- Vasomotor Center


Excites Vagal Fiber

What effects do baroreceptors have?

- Reduces heart rate


- Reduces Cardiac output


- Dilates vessel


- Reduces Blood pressure

Vagus Nerve stimulate parasympathetic nervous system

This causes a reduction in heart rate and control force and cardiac output- all caused from baroreceptors

parasympathetic discharge - BP goes down


sympathetic discharge - BP goes up

Note

What are chemoreflexes and how do they work?

Autonomic response to chemical change through chemoreceptors


- will respond to a decrease in pH and O2 or increased Co2


- primary role is to adjust respiration


- secondary roles are vasomotor vasoconstriction and increased perfusion



What is the medullary ischemic reflex and how does it work?

Autonomic response to drop in brain perfusion


- Cardiac and vasomotor centers increase increase HR contraction and cause widespread vasoconstriction



Input from higher brain center due to stress, arousal, and anger

How does Angiotensin II affect act on vascular smooth muscle?

vasoconstriction

How does aldosterone act on vascular smooth muscle?

Sodium retention by kidneys

How does Atrial Natiurtic Peptide act on vascular smooth muscle?

Increases Sodium Excretion - come from heart hence the atrial part - release peptide when volume of atria are stretched more than normal

How does antidiuretic hormone act on vascular smooth muscle?

water retention

How does epinephrine and norepinephrine act on vascular smooth muscle?

- Norepinephrine - Vasoconstriction on most vessels


- Epinephrine - general vasoconstriction and increase in CO but Vasodilation in coronary and skeletal muscle blood vessels which increases blood to skeletal muscle and heart

What happens during localized vasoconstriction of an artery?

- Pressure downstream decreases


- Pressure upstream increases


- Blood takes the path of least resistance

Pay attention to graphs which show changes in systemic blood flow during rest and exercise

Note: Exercise greatly increases the blood flow to many parts of the body, including the brain and muscular tissue.


- The percentage of blood now within the muscle tissue is much higher.

What is the cardiac output at rest during the cardiac output during exercise?

At rest: 5 L/min.


Exercise: 17 L/min.

What is the two way moment of materials and fluids?

Delivery and Removal



Can you describe the delivery part the movement of materials and fluids?

Blood - capillary - interstitial space - tissue


- oxygen, glucose, AA, lipids, minerals, hormones



Velocity of blood slows into capillary bed


-increase in cross sectional area of blood


- increases time for exchange


Can you describe the removal part of movement of materials and fluids?

tissue - interstitial space - capillary - blood


- Co2, ammonia, other wastes

What are the 3 modes of capillary exchange?

1. Diffusion


2. Vesicular transport


- pincytosis


- exocytosis


3. Bulk flow


- filtration


- reabsorption

What are the characteristics of simple diffusion?

Requires concentration gradient


Lipid - soluble materials


- through plasma membrane


Water - soluble substances


- Fernestrations - pores in capillary cells


- intercelluarl clefts - gaps in tight junctions between cells

What are the characteristics of transcytosis vesicular transport?

- Vesicles pick up fluid by pinocytosis or receptor mediated endocytosis


- transport across cell


- discharge on other side (exocytosis)


- accounts for small percentage of transportation


-fatty acids, albumins, insulin

What is Bulk Flow and how does it work?

Balance of filtration and osmotic forces


- filtration at arterial end of capillary


- reabsorption at venous end of capillary


- fluid from interstitial pace to capillary


Two forces involved


- hydrostatic and osmotic


- Net Filtration Pressure (NFP)

Blood hydrostatic pressure is the pressure of the fluid against the walls of the capillary - about 30 mmHg in the proximal end - venous


distal end - about 10 mmHG - artery

Inerstitial fluid pressure is the pressure against the outside walls of the capillary beds.

What are some critical mechanism of venous return?

Pressure gradient


- Central Venous Pressure


Gravity


Skeletal Muscle Pump


- Contraction squeezes or "milks" veins


Respitory Pump


- Thoracic pressure


Cardiac Suction