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Preload
The stretch of the ventricles before contraction; determined by venous return
Afterload
The resistance ventricles must overcome to eject blood
Effect of ↑ preload on stroke volume
Increases stroke volume
Effect of ↑ afterload on stroke volume
Decreases stroke volume
Which vessels have high compliance?
Veins
Which vessels have low compliance?
Arteries
Where is the greatest drop in BP?
Arterioles
Flow equation
Flow = Pressure difference ÷ Resistance
Location of baroreceptors
Carotid sinus and aortic arch
BP drop causes?
↓ Baroreceptor firing → ↑ Sympathetic → ↑ HR
BP increase causes?
↑ Baroreceptor firing → ↑ Parasympathetic → ↓ HR and vasodilation
S1 heart sound
Closure of AV valves
S2 heart sound
Closure of semilunar valves
Determinants of stroke volume
Preload
Cardiac output equation
CO = HR × SV
Normal CO
~5 L/min
P wave
Atrial depolarization
QRS complex
Ventricular depolarization
T wave
Ventricular repolarization
When AV valves open
When atrial pressure > ventricular pressure
When semilunar valves open
When ventricular pressure > arterial pressure
Highest pressure vessel
Aorta
Lowest pressure vessels
Veins / vena cava
Four processes of respiration
Pulmonary Ventilation, External Respiration, Gas Transport, and Internal Respiration
Gas exchange occurs in
Alveoli
What surrounds alveoli?
Pulmonary capillaries
Function of alveolar pores
Equalize air pressure
Tissue that allows lung recoil
Elastic fibers
Pleura definition
Double membrane around lungs
Function of pleural fluid
Lubrication
What keeps lungs expanded?
Transpulmonary pressure
Inspiration is active or passive?
Active
Main muscle of inspiration
Diaphragm
Pressure change during inspiration
Intrapulmonary pressure ↓ to –1 mmHg
Expiration active or passive at rest?
Passive
Why does air exit during expiration?
Lung recoil increases pressure
Tidal volume
500 mL
Residual volume
~1200 mL
Vital capacity
TV + IRV + ERV
FVC
Forced vital capacity
FEV1
Volume exhaled in first second
Minute ventilation equation
VE = TV × RR
Alveolar ventilation equation
VA = (TV − dead space) × RR
Physiologic dead space equation
Dead space = TV × (PaCO₂ − PeCO₂) / PaCO₂