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37 Cards in this Set

  • Front
  • Back
The primary role of the cardiovascular system is to maintain ______ in the _______ fluid
homeostasis

interstitial
The physical law that governs cardiovascular operation is that flow through any segment is equal to ________ difference across that segment divided by ________
pressure

resistance to flow

Q = deltaP/R
The heart pumps blood by rhythmically filling and ejecting blood from the ventricular chambers that are served by passive/active, one-way inlet and outlet valves
passive
Cardiac output is effected by changes in _____ ____ and ____ ______
Changes in these can be accomplished by alteration in ________ filling and by alterations in _______ _____ activity to the heart
heart rate
stroke volume

ventricular
autonomic nerve
Blood flow through individual organs is regulated by changes in the diameter of their _______
arterioles
Changes in arteriolar diameter can be accomplished by alteration in _____ _____ activity and by variations in local conditions
sympathetic nerve (ONLY SYMPATHETIC)
Blood is a complex suspension of blood cells in _____ that is ideally suited to carry gases, salts, nutrients adn waste molecules through the system
plasma
Total body water accounts for about ____ of body weight. It is distributed amongst what three compartments?
60%
intracellular, interstitial, and plasma
About __ L of our body water is intracellular and communicates with interstitium.
Interstitial water is about __ L
Plasma accounts for __ L of water
30L intracellular
12L interstitially
3L circulating in plasma
Two conditions are essential for control of interstitial fluid composition:
1) There must be adequate ____ ___ through the tissue capillaries
2) The ______ ________ of the arterial blood must be controlled to be optimal in the interstitial fluid
blood flow

chemical composition
______ is a rapid process that can move huge quantities of material a short distance (what's an example of this in the body?)

______ is when substances move along with blood flow because they are dissolved or contained and are carried between organs (example of this?)
Diffusion - capillaries

Convection - arteries
______ circulation is the right heart pump and the lungs

______ circulation is the left heart pump supplying to the systemic organs

These circulations are arranged in _____
Pulmonary

Systemic

series - they must each pump an identical volume of blood each minute (CO)
Normal cardiac output is __L/min
5-6
The systemic organs are functionally arranged in _____ so...
Nearly all systemic organs receive blood of identical ______
The flow through one organ can be controlled ________ of the flow through other organs
parallel

composition (arterial blood that has just left the lungs)

independently (exercise increases to some, decreases others, unchanged others)
Which three organs do not recondition blood for the benefit of others, but use it solely for metabolic purposes?
Brain, heart muscle, skeletal muscle
Resistance is affected by several factors.
These INCREASE resistance:
_____ radius
_____ tube length
_____ fluid viscosity
Which one is most influential?
small
long
high

radius - raised to the fourth power. Also the most regulated in vessels.
The average pressure in systemic arteries is near ___ mmHg and in systemic veins is near ___ mmHg
100
0
Cardiac Output = ____ ____ x _____ _____
heart rate
stroke volume
Effective ventricular pumping requires:
1) contractions of cells must occur at regular intervals and be ______ not _______
2) Valves must open fully, not ______
3) Valves must not leak, not _____
4) muscle contractions must be _____ not failing
5) Ventricles must fill adquately during _____
synchronized not arrhythmic
stenotic
insufficient or regurgitant
forceful
diastole
Starlings Law: ____ ____ increases as cardiac ___-_____ volume increases
stroke volume
end-diastolic
______ sympathetic nerves release _______ on cardiac cells which interacts with _-_____ receptors.
Adrenergic
Norepinephrine
beta-adrenergic
NE on beta-adrenergic receptors results in what 4 effects?
Increased HR
Increased AP conduction velocity
Increase force of contraction
increased rates of contraction and relaxation
______ parasympathetic fibers travel via the ____ nerve to innervate what 3 structures?
Cholinergic
vagus
SA node, AV node, and atrial muscle
Cholinergic parasympathetic nerves release _____ on cardiac cells which interacts with _____ receptors. This results in what 2 effects?
Acetylcholine
muscarinic
decrease heart rate (SA node)
decrease action potential conduction velocity (AV node)
May also decrease atrial contraction
Control of resistance vessels (which are these?) is purely ______ acting on ALPHA receptors
Arterioles
sympathetic
alpha
Which are the resistance vessels?
Which are the exchange vessels?
Which are the conduit vessels?
Which are the capacitance vessels?
arterioles
capillaries
arteries
veins
Blood flow through vascular beds is profoundly influenced by changes in activity of sympathetic nerves innervating ______. These nerves release _______ which interacts with _-_______ receptors on smooth muscle cells to cause contraction
arterioles
norepinephrine
alpha-adrenergic
_____ and ____ are innervated by sympathetic nerves and ____ when they are activated resulting in decreased venous volume. This increases cardiac filling and therefore cardiac _____ according to Starling's
Venules
veins
constrict
output
hematocrit = cell _____/total blood _____
volume
volume
______ is an oncotic protein – provides osmotic pressure that stays in the vascular space. It can’t exchange at the capillaries so it stays there. Modulates fluid flow across vascular space.
albumin
Which organ in the body always receives the most blood flow?
Lungs
Whenever skeletal muscle blood flow increases, blood flow to the other organs must decrease.
True or False?
False - flow depends on pressure and resistance. As long as it is constant alterations in flow through an individual bed will have no influence on those that are parallel
Would you expect a leaky aortic valve to cause a systolic or diastolic murmur?
Diastolic
Slowing of action potential conduction through the AV node will slow heart rate.
True or false?
False - heart rate is regulated by action potentials in the SA node
It will only increase time between atrial and ventricular excitement
What direct cardiovascular effects would you expect from an intravenous injection of a drug that stimulates a-adrenergic receptors but not beta-adrenergic receptors?
no direct effects on the heart (these are beta), but effects on arterioles and veins
What is the formula for resistance?
Keep in mind this is flipped in the flow equation Q= deltaP/R
R = 8Ln/3.14r^4
L is tube length
n is liquid viscosity
r is radius of the tube
Describe cardiac tamponade and hemorrhage and their effect on cardiac output.
Liquid in the pericardial sac (due to infection typically). The pressure leaves less room for cardiac filling so cardiac output is reduced (ventricles aren't filling completely)

In hemorrhage the ventricles aren't filling completely due to blood loss