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What system does circulation flow in? What does it have?
A closed system pathway
Has an energy gradient
Cardiovascular circulation is influenced by
Cardiac function
Elasticity of walls (compliance)
Smooth muscle tone
Vessel dimensions
Blood moves from ___ pressure to ___ pressure
High to low pressure
Name the vessels from highest to lowest pressure
Aorta (heart)
Arteries
Arterioles
Capillaries
Venules
Veins
Vena cava
What is energy?
Capability of doing work
How does energy dissipate?
Dissipates in form of heat
Energy is lost via friction
What is power?
How fast work is performed
Unit of power
Watts = Joules / Seconds
What is work?
Total energy transferred from one form to another over time
Unit for work
Joules
What is velocity?
Speed that blood is moving
Unit for velocity
Cm / second
What is potential energy?
Stored energy
Unit for potential energy
mm/Hg AKA millimeters of mercury
What does mm/Hg represent?
Force exerted on vessel walls
What is kinetic energy?
Energy due to its motion
Movement & velocity of blood
What is total energy?
Potential energy + Kinetic energy = Total energy
What is total energy always equal to?
100
If potential energy decreases, then kinetic energy _____?
Increases
What relationship does potential & kinetic energy have?
Inverse relationship
If one increases, the other decreases
Total will always come out to 100
What is pressure?
Amount of force on a vessel
Unit for pressure
mm/Hg
What gradient is needed for blood flow?
Pressure gradient
More pressure gradient causes _____ blood flow
More blood flow
More resistance causes ____ pressure gradient
More
What does Q, P, and R stand for in equations?
Q = flow
P = pressure
R = resistance
What is hydrostatic pressure?
Plays a role in blood flow
Pressure from fluid at rest due to force of gravity
Ex: standing all day causes swollen legs due to hydrostatic pressure
Factors of hydrostatic pressure
Height of vessel (h)
Density of blood (p)
Gravity (g)
What is volumetric flow (Q)?
Flow rate
Units for volumetric flow (Q)
mL/sec
What is viscosity? What does it cause?
Blood thickness
Causes flow resistance
What’s a product of viscosity?
Heat
Unit for viscosity
Poise
Higher viscosity = ____ velocity
Higher viscosity = LESS velocity
Lower viscosity = _____ velocity
Lower viscosity = higher velocity
Relationship between viscosity & velocity
Inverse relationship
What is friction?
Resistance of movement between cell layers or vessel walls
What affects friction & resistance?
Diameter
Thinner diameter means ___ flow & ___ resistance
Less flow & more resistance
Larger diameter means ___ flow & ___ resistance
More flow & less resistance
What is laminar flow?
Results from friction
Blood flow closest to the vessel wall has less blood flow, and more friction & resistance (from rubbing against vessel wall)
Where is the most blood flow?
Center of the vessel
What area has the most accurate blood velocity?
Center of the vessel
What is inertia?
Resistance of blood flow to directional change or speed
What begins initial inertia?
Aorta
Can energy be created or destroyed?
No, it just takes on different forms (potential energy to kinetic)
Net energy never changes (always at 100%)
What is Bernoulli’s Principle? What relationship does it have?
Pressure/velocity relationships
Inversely related
Maintains same energy throughout
What energy is velocity considered as?
Kinetic energy
What energy is pressure considered as?
Potential energy
If velocity increases, pressure must ____ to preserve net energy
Decrease
(Based on Bernoulli’s principle)
What relationship does pressure & velocity have?
Inverse
High pressure means ___ velocity
Low pressure means ____ velocity
High pressure = low velocity
Low pressure = high velocity
At site of blockage or stenosis, how is the pressure and speed?
Lower pressure & Higher speed
Right BEFORE & AFTER, the site of stenosis, how is the pressure and speed?
Higher pressure & Lower speed
At what site is potential energy the lowest?
At the site of stenosis (where kinetic energy is highest)
What is Poiseuille’s Law?
Relationships between pressure, flow volume, & resistance
What is vessel radius?
r^4
(radius to the fourth power)
Causes a pressure gradient
Is vessel radius directly or indirectly proportional to flow velocity?
Indirectly proportional to flow velocity
Other conditions that affect flow
Viscosity & length of vessel
Anything that increases friction will cause flow to ____
Decrease
What is resistance?
Force opposing blood flow (impedance)
What influences resistance?
Arterioles (60%)
Highest resistance vessels due to their radius & walls
Is flow directly or inversely proportional to resistance?
Inversely proportional
More resistant = less flow
Less resistant = more flow
What factors increase resistance?
Smaller radius
Longer vessel
Thicker fluid
What determines amount of blood leaving the heart?
Arterial pressure & peripheral resistance
What is peripheral resistance?
Pushback at the end
Does resistance increase or decrease as we go further from the heart?
Increase since vessels continue to split and narrow
What Doppler flow does peripheral resistance affect?
Diastolic
Peripheral resistance flow reversal at rest vs. after exercise?
At rest, LE has reversal component
After exercise, little to no flow reversal
How does higher resistance affect flow, velocity, and pressure?
Higher resistance = higher velocity, but less flow & pressure
What happens in fight or flight response?
Hypothalamus activates adrenal gland & produces epinephrine
Stimulates sympathetic nervous system
Vasodilation or constriction of vessels
What happens during sympathetic nervous system?
Increased blood flow to muscles & brain
Increased heart rate
Dilated pupils & respiratory passage
Sweat glands stimulated
Vasoconstriction of blood vessels
What happens in parasympathetic system?
Opposite of sympathetic
How to control BP?
Change blood vessel diameter & blood distribution
Sympathetic & parasympathetic activity affects ____, ____, and ____ to control HR & force of contraction?
Veins, arteries, and heart
What is compliance? How much more can veins stretch than arterial?
Ability to stretch
Venous = 20x larger than arterial
What is capacitance?
Change in fluid volume over time
“Capacity”
Venous system has ____% of blood volume
70%
Holds onto blood until needed
In curved vessels, how is the velocity on the outer edges?
Higher velocity at outer edge of vessel
Explain direction of blood flow & pressure distribution in Laminar Flow
Blood moves in uniform direction
Pressure equally distributed throughout & exerts force in all directions