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11
Haemodynamics: Pressure, flow and resistance
43
Pharmacology
Undergraduate 1
12/03/2016

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Cards

Term
What drives blood flow?
Definition
blood flows from an area of higher pressure (the aorta) to an area of lower pressure (the vena cavae). As blood flows through the circulation system, it decreases in pressure constantly.
Term
Give aortic and vena cave pressure values. What does this create?
Definition
A: 90mmHg
V: 0mmHg

This creates a pressure gradient, which is effectively equal to the MAP.
Term
Define MAP
Definition
the average blood pressure in an individual, it is the average arterial pressure during a single cardiac cycle.
Term
Sketch the following graphs of the systemic circulation:
- vessel diameter
- total cross sectional area of vessels
- average blood pressure
- velocity of blood flow
Definition
Look at notes
(make sure the lowest and highest points match the correct vessel)
Term
State Darcy's Law
Definition
Flow is linearly proportional to the pressure difference between two points.

DARCY -> Pride and Prejudice -> Proportional Pressure two Points
Term
What does Darcy's Law summarise in terms of flow? (3)
Definition
1. no pressure gradient = no flow (hydrostatic conditions)
2. pressure gradient = flow from high pressure towards low (opposite direction of increasing gradient, hence negative sign)
3. the greater the pressure gradient. the greater the discharge rate
Term
How can the discharge rate be different, if the same pressure gradient exists?
Definition
- different formation materials
- different direction
Term
What is the difference between fluid flow and fluid velocity?
Definition
F: volume/time
V: distance/time
Term
What is the relationship between total cross-sectional area and mean velocity?
Definition
as total cross sectional area increases (eg capillaries) mean velocity falls
Term
How does total flow change in each level of the vascular system?
Definition
IT DOESN'T!
it remains equal to the CO at each level of the vascular system
Term
State Poiseulle's Law
Definition
a physical law that gives the pressure in a fluid flowing through a long cylindrical pipe
Term
What acts as resistance to blood flow? (3)
Definition
- vessel radius
- fluid viscosity
- vessel length
Term
Explain why arterioles are the main site of resistance
Definition
Flow is extremely sensitive to vessel radius. A fall in radius from 1cm to 0.01cm will increase resistance by a factor of 108.
Term
Explain the problem with Darcy's Law and feet
Definition
- MAP in the aorta is around 95mmHg
- MAP in the arteries of the foot is around 180mmHg
- Darcy's Law would predict that blood would flow from the foot to the aorta through the arteries

This does not happen.
Term
What does mechanical energy equal?
Definition
Pressure energy + potential energy + kinetic energy
Term
Why doesn't blood flow from the foot to the aorta via the arteries?
Definition
- Blood in the aorta has 90mmHg potential energy
- MAP + potential energy = 185mmHg
- this is greater than the 180mmHg observed in the arteries of the feet (assuming 0 potential energy)
Term
How does resistance change in series?
Definition
- total resistance increases if series units are added
- resistance in a series is equal to the sum of each individual componenet
Term
How does resistance change in parallel?
Definition
- total resistance decreases if parallel units are added
- resistance in parallel is equal to the inverse sum of each individual component, so resistance gets smaller
Term
What are the 3 different patterns of flow in circulation?
Definition
1. Laminar flow
2. Turbulent flow
3. Single-file flow
Term
Where does laminar flow occur?
Definition
normal arteries and veins
Term
Where does turbulent flow occur?
Definition
the ventricles and sometimes in the aorta
Term
Where does single-file flow occur?
Definition
the capillaries
Term
Describe laminar flow
Definition
the liquid behaves like a series of thin concentric cells (laminae sliding past each other
Term
Where is the fastest/slowest flow in laminar flow?
Definition
- lamina in contact with the vessel wall is helf stationary but molecule cohesive forces
- adjacent lamina slides slowly past each other, gaining velocity
- max velocity is reached at the centre of the tube
Term
What can lead to turbulent flow?
Definition
an atheromatous plaque once the blood has flown past the plaque
Term
What does Darcy's Law predict when the pressure gradient increases?
Definition
flow will increase linearly
Term
What point is reached in turbulence and why?
Definition
flow increases only in proportion to the square root of the driving pressure: this is due to turbulence

(begins to plateau)

some pressure eneergy is dissipated as heat
Term
What is turbulent flow encouraged by?
Definition
- high fluid velocity
- large tube diameter
- high fluid density
Term
What is turbulent flow discouraged by?
Definition
- high fluid viscosity
Term
What do these factors combine to give?
Definition
Reynold's number
Term
What is Reynold's number?
Definition
a dimensionless quantity that is used to help predict similar flow patterns in different fluid flow situations. It is defined to be the ratio of inertial forces to viscous forces and consequently quantifies the relative importance of these two types of forces for given flow conditions.
Term
Where does single-file flow occur and why?
Definition
- the diameter in capillaries is 6-10micrometers
- diameter of RBC = 8micrometers
- RBCs are forced into single file and deform into parachute-esque configuration (RBC's biconcave shape allows them to essentially fold)
Term
When is single file flow affected?
Definition
in conditions such as sickle cell anaemia : RBCs that assume an abnormal, rigid sickle cell shape.
Term
Define compliance
Definition
the change in volume per unit change in distending pressure
Term
What is compliance the reciprocal of?
Definition
elastance
a measure of the tendency of a hollow organ to recoil towards its original dimensions upon removal of a distending or compressing force
Term
Do veins or arteries possess high compliance?
Definition
Veins due to their thin walls and ability to be stretched. They can accommodate large increases in blood volume in response to a small increase in blood pressure.
Term
Veins are _____ reservoirs.
Arteries are _____ reservoirs.
Definition
Veins are volume reservoirs.
Arteries are pressure reservoirs.
Term
Define distending pressure
Definition
The distending pressure acting on a vessel is the pressure inside minus the pressure outside (i.e. the transmural pressure)
Term
How is the distending pressure balanced?
Definition
by forces within the vessel wall (tension, T) otherwise it will rupture.

the magnitude of tension in the wall necessary to withstand the transmural pressure is influenced by both the vessel radius and the wall thickness.
Term
What is the Law of LaPlace?
Definition
the relationship between the forces in the blood vessel wall
Term
Explain why walls need to be thick in large arteries
Definition
the transmural pressure and radius are large
Term
Explain why walls are thin in capillaries in capillaries
Definition
the transmural pressure is quite low and the radius is very small
Term
Where is vessel rupture most likely?
Definition
in elastic arteries
aortic rupture is relatively common and fatal medical event
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