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Order of blood vessels
Aorta, arteries, arterioles, capillaries, venules, veins, vena cava
What is MAP in aorta?
100 mmHg
What is the MAP going into the capillaries?
35 mmHg
What is the MAP going into venules?
18 mmHg
Compliance
Veins can expand and hold more volume without increasing pressure
Elastance
Stretch and rebound
Q=
Delta P/R
CO=
BP/ TPR or HRxSV
CO is larger than runoff
Increase in BP, systole
CO is smaller than runoff
Smaller BP, diastole
What controls output?
Smooth muscles
Central venus pressure
Difference in pressure, influenced by blood volume, impacts preload
How does the sympathetic system impact BP?
Increases it
How does the parasympathetic system impact BP?
It decreases it
Venoconstriction
In extreme drop in BP, caused by sympathetic nervous system, caused by massive loss of blood volume or vasodilation
How are blood volume and central venus pressure related?
Proportional
How are central venus pressure and venus return related?
Proportionally
How is venus return and EDV related?
Proportionally
How are EDV and ESV related?
Inversely
How are EDV and SV related?
Proportionally
How are SV and ESV related?
Inverse
How are SV and Co related?
Proportionally
How does a slower heart rate affect filling time?
Frank-starling law
More in=more out
Preload
Venus return
Venus return
Blood coming into the heart
How do CO and TPR impact blood pressure?
Directly
How do central venus pressure and blood volume impact BP?
Indirectly
Which side of the heart pushes out more blood?
Neither, they are equal
How are afterload and stroke volume related?
Inverse
What are the kinds of blood pressure control?
Local and neural
Local blood pressure control
Autocrine and paracrine
Autocrine blood pressure control
Blood vessels respond to tissue hydrostatic pressure
Paracrine blood pressure control
Released by tissues
Neural blood pressure control
Autonomic nervous system
Where is the autonomic nervous system?
In the medulla oblongata
How does the parasympathetic system regulate blood pressure?
Through vagus nerve, decreases HR using SA node
How does the sympathetic system regulate blood pressure?
Increases heart rate, stronger contractions, and vasoconstriction/vasodilation
Where are barroreceptors?
In aorta, carotid sinus, and medulla
What regulates the autonomic nervous system?
Baroreceptors, chemoreceptors, and volume receptors
Volume receptors
In aorta, measure how much blood is coming back in
How does the endocrine system fix low BP?
Renin →angiotensin→ aldosterone→ ADH. Conserves H2O to increase blood volume
How does the endocrine system change BP?
Using blood volume
How does the endocrine system fix high blood pressure?
Natriuretic peptides (ANP and BNP), increase water loss to decrease BV
How is angiotensin made?
Renin turns angiotensinogen into angiotensin 1, then ACE turns 1 into 2
What does angiotensin 2 do?
Makes you thirsty, triggers ADH to be made, causes the adrenal cortex to release Aldosterone, and vasoconstricts peripheral vessels
Where is ADH made?
Hypothalamus?
Where is aldosterone released from?
Adrenal cortex
What does aldosterone do?
Conserves Na+ and water
Hypotension
Low blood pressure
How is low blood pressure fixed?
Bringing it back to the heart
What % of CO2 is at the brain at rest?
15
How much CO2 is soluble when at rest?
5 mL
What % of CO2 is in the GI and liver at rest?
26%
What % of blood is at the skeletal muscles when at rest?
20%
What % of CO2 is in the kidneys at rest?
20%
What % of blood is at the skeletal muscles when active?
80%
When does the CO2/O2 levels change in the brain?
Only under extreme conditions
What are the inputs of exercising?
Increased muscles activity, increased motor cortex output, increased CO2 in plasma and tissues, Temporary drop in BP due to increase in runoff
What is the integration site of cardiac system?
Medulla oblongata
What are the effectors of the cardiac system?
The heart, arteries, and veins
What equation is used to determine how much ventilation is needed?
Va/Q=1
Va
Alveolar ventilation
Q
Blood flow from R ventricle
What happens when the Po2 in the alveolus increases?
Vasodilation
What happens when Po2 in the alveolus decreases?
Vasoconstriction
Ventilation perfusion matching
Changing air/ blood flow through constriction and dilation to match
Perfusion limited gas exchange
Speed of blood flow limits gas exchange
Diffusion limited gas exchange
Surface area loss limits gas exchange
What is the Po2 in the top of the lungs?
138mmHg
What does Va/Q= in the top of the lungs?
2.1
What is the Po2 in the middle of the lungs?
100 mmHg
What is the Po2 in the bottom of the lungs?
86 mmHg
What does Va/Q= in the middle of the lungs?
1
What does the Va/Q= in the bottom of the lungs?
0.3
Why is there a difference between the top and bottom of the lungs?
Gravity
What is % hemoglobin when Po2 is at 40 mmHg?
75%
What is % hemoglobin saturation when Po2 is at 20 mmHg?
25%
Vo2=
Q(CaO2- CvO2)

Nasal cavity

Nasal chonchae

Tongue

Lingual tonsils

Hard palate


Uvula


Larynx

Hyoid bone

Hyoid bone

Thyroid cartilage

Tracheal cartilages

Thyroid cartilage

Tracheal cartilages

Diaphragm

Mediastinum

Right primary bronchus

Left primary bronchus

Epiglottis

Space
Glottis