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the study of blood moving through the circulatory system
hemodynamics
indicates the volume of blood moving during a particular time
flow (volume flow rate)
indicates "how much"
flow (volume flow rate)
units for volume flow rate
volume/time (L/min)
the speed or swiftness of a fluid moving from one location to another
velocity
indicates "how fast"
velocity
units for velocity
distance/ time (cm/sec)
three basic forms of blood flow:
- pulsatile
- phasic
- steady
blood moves at a variable velocity; it accelerates and decelerates as a result of cardiac contraction
pulsatile flow
pulsatile flow commonly appears in _______ circulation
arterial
blood moves with a variable velocity; it accelerates and decelerates as a result of respiration
phasic flow
phasic flow commonly appears in _______ circulation
venous
occurs when a fluid moves at a constant speed or velocity
steady flow
present in the venous circulation or when individuals stop breathing for a brief moment
steady flow
when the flow streamlines are aligned and parallel
laminar flow
characterized by layers of blood that travel at individual speeds
laminar flow
two forms of laminar flow:
- plug flow
- parabolic flow
all of the layers and blood cells travel at the same velocity
plug flow
bullet-shaped profile. Velocity is highest in the center of the lumen, and gradually decreases to its minimum at the vessel wall
parabolic flow
AKA silent flow
laminar flow
most common flow seen in arteries
laminar flow
characterized by chaotic flow patterns in many different directions at many different speeds
turbulent flow
small, hurricane-like, swirling, rotational patterns that appear in turbulent flow
eddy/vortex
turbulent flow may be seen downstream from a _______ in a vessel
stenosis
converts flow energy into other forms such as sound or vibration
turbulent flow
sound associated with turbulence
murmur or bruit
tissue vibration associated with turbulence, also described as a palpable murmur
thrill
a unitless number that predicts whether flow is laminar or turbulent
reynold's number
reynold's number above ______ indicates turbulent flow
2000
reynold's number under _____ indicates laminar flow
1500
blood moves from regions of higher energy to lower energy; this is called an
energy gradient
energy is imparted to blood by the contraction of the heart during
systole
3 forms of energy associated with blood:
- kinetic
- pressure
- gravitational
type of energy associated with a moving object
kinetic
kinetic energy is determined by 2 factors:
- object's mass
- the speed at which it moves
heavy/quickly moving objects have _____ kinetic energy
high
light/slowly moving objects have ______ kinetic energy
low
a form of stored or potential energy; the ability to perform work
pressure energy
a major form of energy for circulating blood and creates flow by overcoming resistance
pressure energy
a form of stored or potential energy; associated with any elevated object
gravitational energy
as blood flows through the circulation, energy is lost in 3 ways:
- viscous loss
- frictional loss
- inertial loss
the thickness of a fluid
viscosity
the _______ the fluid, the more viscous it is
thicker
units for viscosity
poise
more energy is lost with movement of _____ viscosity fluids
high
the percentage of blood made up of red blood cells
hematocrit
viscous energy loss is determined by the
hematocrit
occurs when flow energy is converted to heat as one object rubs against another
frictional loss
blood sliding across vessel walls creates heat, causing
frictional loss
energy loss caused by the speed of a fluid changing, regardless of whether the fluid accelerates or decelerates
inertial loss
the tendency of a fluid to resist changes in velocity
inertia
inertial energy loss occurs during 3 events:
- pulsatile flow
- phasic flow
- velocity changes at a stenosis
maximum velocity exists where the vessel is _______ and decreases as the blood flows out of the stenosis into a vessel segment of normal diameter
narrowest
a narrowing in the lumen of a vessel
stenosis
stenosis may cause changes in ______ as blood flows into and out of the narrow portion of the vessel
direction
stenosis may cause increased _______ within the stenosis
velocity
stenosis may cause a turbulence _________ from the stenosis
downstream
stenosis may cause a pressure ________ across the stenosis (pressure downstream is lower than pressure upstream)
gradient
stenosis may cause a conversion of pulsatile flow patterns to ______ flow
steady
describes the relationship between velocity and pressure in a moving fluid
bernoulli's principle
with a steady flow, the sum of all forms of energy is the same ________
everywhere
where kinetic energy is the _____, pressure energy will be the lowest and vise versa
highest
pressure gradient =
flow x resistance
pressure gradient _______ with an increase in flow or resistance
increases
flow _________ with an increase in pressure gradient or a decrease in resistance
increases
ohm's law applies to
electricity
voltage =
current x resistance
resistance vessels are called
arterioles
veins are ____ walled and collapsible
thin
during normal function, veins have a ____ pressure and are only partly expanded with an hourglass shape
low
veins are ______ resistance vessels
low
when venous flow increases with exercise, the cross-sectional shape of a vein changes from hourglass to _____, and then to _____
oval , round
as veins become more round, the resistance to flow ______, which increases outflow toward the heart
decreases
pressure related to the weight of blood pressing on a vessel measured at a height above or below heart level
hydrostatic pressure
units for hydrostatic pressure
mmHg
pressures are accurately assessed when the measurement is made at heart level. Measurements will be too high if measured _____ the heart, and too low if measured ____ the heart
below , above
when a person is ______ all parts of the body are at the same level as the heart; hydrostatic pressure will be zero everywhere
supine
when a person is standing, at heart level the hydrostatic pressure is _______. Any measured pressure at heart level will be accurate for circulatory pressure
zero
when a person is standing, at locations below heart level hydrostatic pressure is positive. The measured pressure will be ________ than true circulatory pressure
higher
when a person is standing, at locations above the heart hydrostatic pressure is negative. The measured pressure will be ____ than true circulatory pressure
lower
measured pressure =
circulatory pressure + hydrostatic pressure
breathing affects two venous flows:
- venous flow in the legs
- venous return to the heart
located between the abdomen and thorax; the muscle responsible for breathing
diaphragm
during inspiration, the diaphragm moves
downward
during inspiration, the chest cavity expands and ______ pressure in the chest
decreases
during inspiration, negative thoracic pressure creates suction that _______ venous return to the heart
increases
during inspiration, venous flow from the head, arms, and vena cava _______
increases
during inspiration, the diaphragm presses into the abdomen which _______ abdominal pressure
increases
during inspiration, venous flow in the legs _______
decreases
during expiration, the diaphragm moves
upward
during expiration, pressure in the chest ______
increases
during expiration, due to increased thoracic pressure, venous return to the heart ______
decreases
during expiration, venous flow from the head, arms, and vena cava all _______
decrease
during expiration, the diaphragm decompresses the abdomen which causes a ________ in abdominal pressure
decrease
during expiration, there will be an ______ in venous flow from the legs
increase
venous flow in the______ correlates with movement of the diaphragm
legs
changes in venous return to the heart are _______ to those of venous flow in the legs
opposite
Valsalva ________ pressure in the thorax and reduces all venous flows
increases
in a patient standing up:
what is the hydrostatic pressure at the level of the ankle, far below heart level
100 mmHg
in a patient standing up:
what is the hydrostatic pressure at the level of the knee, somewhat below the heart
75 mmHg