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22 Cards in this Set

  • Front
  • Back

Functions of CV System

1) Meet body's metabolic needs - deliver O2 (12 fold during exercise) and remove CO2/metabolic byproducts


2) Maintain blood flow to brain and heart


3) Maintain blood pressure to drive renal filtration


4) Distribute nutrients, immune cells, hormones


5) Control core temperature

Importance of constant MAP

Allows tissues to regulate own flow by adjusting resistance

Types of vessels

Large arteries - conduit vessels


Arterioles - resistance vessels


Capillaries - exchange vessels


Veins - return vessels



Cardiac output

Flow out of aorta.


CO (L/beat) = HR (beat/min) * SV (L/beat)

Fick's Law

VO2 = deltaAVO2 * CO




VO2 - rate of O2 consumption


deltaAVO2 - difference in O2 content between arterial and venous system




For individual tissue, replace CO with flow (q) and use deltaAVO2 for tissue.

Pressure

Force/Area


Measured in mmHg


Total pressure includes hydrostatic pressure and other (respiratory, muscular, etc)

Hydrostatic Pressure

P = pgh, p = density

Flow vs Flow Velocity

Flow Q = Volume/Time - constant throughout system


Flow velocity V = Q/A - decreases in wide part

Ohm's Law for Fluid Flow

V = IR


deltaP = Q * R,


Q = flow, R = resistance

Calculating total hydraulic resistance

Series - sum individual resistances


Parallel - 1/RT = 1/R1 + 1/R2 + ... + 1/Rn

Poiseuille's Equation - Effect of tube length, radius, and viscosity on flow

Q = (Pi-Po) * pi*r^4 / 8nl = deltaP / R


R = 8nl/pi*r^4




Flow is directly proportional to r and deltaP and inversely proportional to viscosity and length.

Laminar vs Turbulent Flow

Laminar flow - silent with parabolic distribution of flow velocity. Obeys Poiseuille's equation.




Turbulent flow - Noisy with chaotic distribution of flow velocity.

Compliance

Ability to distend vessel based on pressure. Ratio of change in volume per unit change in pressure. Analogous to capacitance




C = deltaV / deltaP = deltaV / pgdeltah




Short tubes have high compliance

Pulse pressure

Systolic pressure (SBP) - diastolic pressure (DBP)

Mean arterial pressure

(1/3 * Pulse Pressure) + Diastolic Pressure

(1/3 * Pulse Pressure) + Diastolic Pressure

Taking blood pressure

Pump sphingomometer until brachial artery is occluded. Lower pressure gradually so artery opens briefly, find diastolic pressure when sound goes away.

Mean right atrial pressure

MRAP = CVP

Total peripheral resistance

Total resistance of all vessels between left ventricle and right atrium.


Small arteries, arterioles, precapillary sphincters.




R = deltaP / Q




Peripheral Resistance Unit (PRU) = mmHg/mL/sec



Systemic circulation model

CO = (MAP-MRAP) / TPR


If MRAP = 0, CO = MAP/TPR




MAP = CO * TPR = (HR * SV) * TPR

Pulmonary circulation model

CO = (MPAP - MLAP) / Total pulmonary resistance




Pattern of TPR and compliance determines dynamic changes in blood pressure (time constant)

Arterial system characteristics

No resistance


Low compliance


High pressure (MAP)


Conduit vessels


little of total blood volume


Afterload determined by compliance

Venous system characteristics

No resistance


High compliance


Low pressure (CVP)


CVP = MRAP


Much of total blood volume


Preload - filling pressure of heart