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52 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
The ___________ influences cardiac output and blood pressure, and so must be carefully regulated.
Total Blood Volume
Pg. 209
What 2 hormones are primarily responsible for the regulation of blood volume?
ADH or (Vasopressin)
and
Aldosterone
Pg. 209
What ways does an individual normally lose blood volume?
Through: Sweating, Breathing and Production of Urine.
Pg. 209
What is the major way that the total blood volume is regulated?
The kidneys production of urine is the major way the total blood volume is regulated.
Pg. 209
What do most capillaries in the body other than those in the CNS have?
Most capillaries in the body other than those in the CNS have channels between adjacent endothelial cells.
Pg. 210
What does the fluid which is filtered out of the capillary wall due to the capillary blood pressure acts as?
It acts as a “Filtration Pressure”
Pg. 210
What is the outward movement of fluid opposed by and what produces this force?
Colloidal Osmotic Pressure
It is produced by plasma proteins
Pg. 210
The ________ of a solution is directly proportional to its solute concentration.
Osmotic pressure
Pg. 210
What is the normal concentration of plasma proteins?
6-8g/100ml
Pg. 210
What is the normal protein concentration of interstitial fluid?
2 g/100ml
Pg. 210
What are the 3 functions of the Lymphatic System?
1. It transports excess interstitial fluid back into the blood.
2. It transports absorbed fat from the small intestine into the blood.
3. Its cells (lymphocytes) help provide immunological defense against disease-causing agents.
Pg. 210
What lymphatic structures are closed-ended tubes that form a vast network in the interstitial spaces within most organs?
Lymphatic Capillaries
Pg. 210-211
How is lymph finally returned to the blood?
Through the Thoracic Duct and The Right Lymphatic Duct that drain into the left and right Subclavian Veins.
Pg. 211
What is excessive accumulation of interstitial fluid known as?
Edema
Pg. 211
What are some of the possible causes of excessive accumulation of interstitial fluid?
1. High Arterial Blood Pressure (which increases the filtration pressure in the capillaries)
2. Venous Obstruction ( which produces a congestive increase in capillary filtration pressure)
3. Leakage of Plasma Proteins into the Interstitial Fluid (which increases the colloid osmotic pressure in the interstitial fluid, thereby reducing the osmotic return of water to the capillaries)
4. Decreased Plasma Protein Concentration ( as a result of Liver Disease, Starvation or other causes which reduce the colloid osmotic pressure of the plasma)
5. Obstruction of the Lymphatic Drainage ( which prevents the elimination of excessive interstitial fluid in the lymph)
Pg. 211
____ and ______ adjust the renal regulation of blood volume.
ADH
and
Aldosterone
Pg. 211
What are the special capillaries called in the kidneys where a filtrate is produced?
Glomeruli
Pg. 211
Approximately how much filtrate do both kidneys produce per day?
180 L
Pg. 211
What is the process called where the majority of filtrate re-enters the blood?
Reabsorption
Pg. 211
Which hormone stimulates the renal reabsorption of water?
Antidiurectic Hormone (ADH)
or
Vasopressin
or
A hormone secreted by the posterior pituitary gland when stimulated by axons descending from the Hypothalamus
Pg. 211
What is the secretion of ADH influenced by?
It is influenced by the osmolarity (the total solute concentration of plasma)
Pg. 211
How can the plasma osmolarity be raised?
1. Dehydration (which reduces the amount of solvent [water] )
2. Eating salt (NaCl) (which raises the solute concentration of the plasma) (the major plasma solute is Na+)
Pg. 212
What structures are stimulated when there is increased plasma osmolarity and where are these structures located?
Osmoreceptors
Located in the Hypothalamus
Pg. 212
What is the result of osmoreceptors being stimulated?
1. A sense of thirst is produced
2. The posterior pituitary is stimulated to secrete more ADH

These combined effects dilute the blood plasma and lowers its osmolarity back to normal range.
Pg. 212
What hormone stimulates the renal reabsorption of NaCl and Water?
Aldosterone
or
A corticosteroid hormone or Mineralcorticoid secreted by the adrenal cortex
Pg. 212
What happens if dietary intake of salt is inadequate?
1. The plasma osmolarity decreases
2. Causing less stimulation of the osmoreceptors, and less secretion of ADH
3. Kidneys reabsorb less water and more water is excreted in the urine
4. Blood volume and blood pressure is lowered
Pg. 212
What is the name of the group of cells that is stimulated when dietary intake of salt is inadequate and what do these cells release?
Juxtaglomerular Apparatus
An enzyme called Renin
Pg. 212
What is the function of the enzyme secreted by the Juxtaglomerular Apparatus?
It converts a protein in the blood called Angiotensinogen into Angiotensin I.
Pg. 212
True or False. Angiotensin I is an active molecule.
False. Angiotensin I is inactive.
Pg. 212
What is Angiotensin I changed by and what is it changed into?
It is changed by Angiotensin-Converting Enzyme (ACE)
It is changed into Angiotensin II
Pg. 212
What are the 2 major actions of the active angiotensin molecule?
Angiotensin II:
Stimulates the Adrenal Cortex to secrete Aldosterone
Stimulates Vasoconstriction of arterioles
Pg. 212
What is the relationship between Renin, Angiotensin, and Aldosterone known as?
It is known as the “Renin-Angiotensin-Aldosterone System
Pg. 213
What is blood pressure directly proportional to and how is it measured?
Blood pressure is directly proportional to the cardiac output and total peripheral resistance.
Blood pressure is measured by listening for the sounds of Korotkoff
Pg. 213
True or False. Skeletal muscle cells are the only cells that contain myoglobin.
False. Myocardial cells also contain myoglobin.
Pg. 213
What hormone causes coronary arterioles to constrict and which hormone causes coronary arterioles to dilate?
Norepinephrine = Constriction
Epinephrine = Dilation
Pg. 213
What is the effect of the increase in the heart’s metabolism and the local chemical changes in the myocardium that act on the vascular smooth muscle, causing vasodilation termed?
This effect is termed Intrinsic Metabolic Vasodilation
Pg. 213
What is the general effect of the intrinsic metabolic vasodilation of the heart?
It reduces the resistance to flow, thereby increasing the blood flow through the heart.
Pg. 213
What primarily regulates the blood flow through the heart during exercise?
Intrinsic Metabolic Vasodilation
Pg. 214
What happens to blood flow through the skin and the viscera (the digestive organs) during heavy exercise?
It Decreases
Pg. 214
What happens to blood flow through the skin when body temperature is high?
Cutaneous Vasodilation occurs to increase blood flow through the skin
Pg. 214
What happens to blood flow through the skin when body temperature falls?
Cutaneous Vasoconstriction occurs to reduce blood flow through the skin
Pg. 214
What is the name of the mechanism that maintains the relatively constancy of blood flow to the brain?
Intrinsic Myogenic Regulation
Pg. 215
What is the term that describes the blood flow to active brain regions experience?
Hyperemia (Increased Blood Flow)
Pg. 215
What maintains the homeostasis of the body’s blood pressure?
The Baroreceptor Reflex
Pg. 215
What do Korotkoff sounds measure?
Systolic and Diastolic Pressures
Pg. 216
What is the difference between the Systolic and Diastolic pressures called?
Pulse Pressure
Pg. 216
What is the term used for when “the first Korotkoff sound” is heard?
Systolic Pressure
Pg. 217
What is the term used when “the last sound of Korotkoff sound” ceases?
Diastolic Pressure
Pg. 217
What is the normal blood pressure of an average healthy adult?
120/80 mmHg
Pg. 217
What is the name of blood pressure higher than the normal range termed?
Hypertension
Pg. 217
What is the term used to identify the specific form of hypertension that approximately 95% of people with hypertension have?
Essential Hypertension
Pg. 217
What can “Essential Hypertension” increase?
It can increase the risk of atherosclerosis and therefore cardiovascular disease
Pg. 217