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23 Cards in this Set

  • Front
  • Back

The mechanisms for regulation of blood pressure include;

Neural Mechanism


Renal mechanism


Humoral Mechanism

_________ mechanism refers to regulation of the blood pressure by the nervous system.

Neural

The __________ mechanism is for short term blood pressure control

Neural

Components of the Neural Mechanisms includes;

Brain


Cortex & Hypothalamus


Brain stem: Medulla



Receptors


Baroreceptorscarotid - sinus & aortic arch Chemoreceptors - carotid body & aortic body



Autonomic nerves


Sympathetic fibres


Parasympathetic fibres

Write White note in the neural mechanism of the Blood pressure regulation

Done

The vasomotor centre is located in the medulla. It consists of three areas;

Sensory area :


Nucleus of tractus solitarius/solitary tract;


which inhibits/stimulates the vasocontrictor or vasodilator area depending on blood pressure signal received from the baroreceptors or chemoreceptors.



Vasoconstrictor area: the pressor or cardioaccelerator area and is located in the lateral portion of vasomotor centre. Its stimulation causes vasoconstriction



Vasodilator area: the depressor or cardioinhibitory area and is located in the medial portion of vasomotor centre. Its stimulation causes vasodilatation.

____________ is located in the medial portion of vasomotor centre

Vasodilators area

_______ is the pressor (Cardioaccelerator area) while ______ is the depressor (Cardioinhibitory area)

Vasoconstrictor


Vasodillators

Baroreceptors are pressure receptor. T/f

True

Types of Baroreceptor

Carotid sinus Baroreceptors


Aortic Baroreceptors

Carotid sinus baroreceptors are innervated by _____________

Innervated by Hering’s nerve, a branch of glossopharyngeal nerve

Aortic Baroreceptors are innervvated by

innervated by aortic branch of vagus nerve

Chemoreceptors are sensitive to the changes in the blood constituents. T/f

True

Chemoreceptors are sensitive to hypoxia, hypercapnia and increase in hydrogen ion conc. T/f

True

Renal mechanism is for a long term blood pressure control. T/f

True

The renal mechanism involves the renin angiotensinaldosterone system (RAAS) and blood volume regulation. T/f

True

Explain the Renal Contril of Blood Pressure

A decrease in blood pressure, ECC volume or plasma sodium level stimulates RAAS which mainly produce angiotensin II. Angiotensin II causes vasoconstriction which increases peripheral vascular resistance. It stimulates aldosterone release from adrenal cortex and aldosterone causes salt and water retention, thereby increasing blood volume. When Blood Pressure is elevated above normal due to fluid overload, the kidney excretes more salt and water to low the blood pressure.

When Blood Pressure is elevated above normal due to fluid overload, the kidney ________________

Excretes more salt and water to low the blood pressure.

Humoral mechanisms refers to regulation by vasoactive substances; hormones and nonhormones. T/f

True



The substances can be classified as vasoconstrictors & vasodilators.



NB:


The effects of the substances could be systemic or local

Systemic vasocontrictors include ;

Vasopressin,


Epinephrine,


Norepinephrine,


Angiotensin II,


Urotensin II



VENA.U

Local vasoconstrictors include;

Serotonin


Thromboxane A2


Endothelins

Systemic vasodilators include;

kinins,


Vasoactive intestinal peptide(VIP),


Atrial natriuretic peptide(ANP) ,


Brain natriuretic peptide (BNP)



K.VAB

Local vasodilator include;

Histamine,


Adenosine,


Lactate,


Prostacyclin,


Nitric oxide,


Decrease PaO2,


Decrease PH,


Increase PaCO2.