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Blood and control
Chapter 10
40
Physiology
Undergraduate 2
04/09/2011

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Term
Define Total peripheral resistance
Definition
It is the total resistance to flow in systemic blood vessels from beginning of aorta to ends of venia cava
Term
How does the total peripheral resistance influence arterial blood pressure?
Definition
Mean arterial pressure is equal to cardiac output time the total peripheral resistance.
Term
How is total peripheral resistance related to cardiac output?
Definition
It functions with cardiac output to control presssure. less resistance and less blood is less pressure but all of these can be different and will thus, affect one another
Term
What are the autonomic effects on blood pressure, heart rate and cardiac output?
Definition
Parasympathetic: decreases blood pressure, decreases cardiac output and decreases heart rate.
Term
What structure of the circulatory system is largely responsible for vascular resistance?
Definition
Medullary cardiovascular center is the primary integrating center for the baroreceptor
Term
What influences the activity of the medullary cardiovascular center?
Definition
The baroreceptors send input to the neurons which deetermines action potential frequency. Increases arterial barareceptors will decrease sympathethic outflow and increase parasympathetic which would leadd to decreased HR, decreased contraction and decreased arteriole and venous constriction.
Term
What mechanism controls blood pressure over the short term?
Definition
Baroreceptors reflux functions primary as short term regulator of arterial blood pressure through activation by BP change and restores BP rapidly toward normal.
Term
What mechanism controls blood pressure over the long term?
Definition
Long term regulation occures through blood volume which influences venous pressure and retrun, end- diastolic volume, SV and CO. Increase volum increases pressure.
Term
The vascular system is controlled by what divisions of the autonomic nervous system?
Definition
Vagus neurons: increased parasympathetic outflow to heart correlates with increased arterial pressure and increased firing of baroreceptors. pressure receptors called baroreceptors.
Term
How do changes in heart rate, preload, and afterload affect cardiac output and myocardial oxygen consuption?
Definition
INcreased heart rate will increase cardiac output and myocardial oxygen consuption. INcreeased stroke volume will also increase cardiac output and preload and afterload are factors that influence stroke volume.
Term
How does the isometric pressure line shift during a positive intropic response?
Definition
It will shift the line upwards
Term
What causes the isometric pressure line shift to shift upward?
Definition
Sympathetic regulation via epinephrine causes as well as an accumulation of intracellular calcium are part of the factors that regulate intropic responses.
Term
Define Starlings Law of the heart.
Definition
The relationship between stroke volume and end-diastolic volume such that stroke volume increases as end-diastolic volume increases. It is caused by a length-tension relationship- the greater the stretch, the more forceful the contraction. this effect maxes out at optimal length.
Term
Define circulatory system.
Definition
The heart and system of vessels that deliver blood to all parts of the body
Term
Define cardiovascular system.
Definition
Heart and blood vesels
Term
Define Hematocrit.
Definition
percentage of total blood volume occupied by blood cells
Term
Define formed elements.
Definition
The solid phase of blood, including cells (RBC and WBC) and cell fragments (Platelets)
Term
Define plasma.
Definition
Liquid protion of blood, component of extracellular fluid.
Term
Define serum.
Definition
blood plasma from which fibrinogen and other clotting proteins have been removed as result of clotting.
Term
What are the three major plasma protein classes and name the functions of each.
Definition

Albumins- most abundant, osmotic pressure of plasma, transport of lipophilic solutes.

Globulins- importan, transport of lipids, vitamins ADEK, sex hormones, dietary lipids, immunity and defense

Fibrinogen- blood clotting.

Term
What are the major functions of the erythrocytes?
Definition
Carry oxygen through hemoglobin and ccarry carbon dioxide using carbonic anhydrase
Term
How is the production of erythrocytes regulated?
Definition
It is regulated by negative feedback system with hematopoietic growth factors involved and erythropoietin as major control.
Term
What are reticulocytes?
Definition
The stage before erythrocytes where some nucleus and ER remains.  Alot of this stuff is a sign of something wrong.
Term
What are the general sources and functions of the leukocytes?
Definition
Leukocytes produced by bone marrow, lymph nodes, and tissues. Functions are: phagocytosis, immunity, and chemicals causing fever, aches and pains.
Term
What are the general sources and functions of platelets?
Definition
Platelets are from red bone marrow nad function in hemostasis.
Term
What circulating formed elements are produced exclusively in bone marrow?
Definition
RBC and platelets
Term
What is the immediate response of blood vessels to damage (not clotting).
Definition
Constriction
Term
What vascular reaction is thought to be adequate to stop the mildest, most minor degrees of bleeding?
Definition
Vasoconstriction
Term
What is the end product of blood coagulation?
Definition
 Fibrin is the end product.
Term
What is the precursor to blood coagulation?
Definition
Fibrinogen is the precursor
Term
What catalyzes blood coagulation formation?
Definition
Thrombin
Term
What is the source of the catalyst in blood coagulation?
Definition
The source of thrombin is prothrombin, activated by active factor X from damaged tissue 
Term
By what name is clotting factor III more commonly known and what is its source?
Definition
Tissue factor or tissue thromboplastin and its source is from damaged tissue.
Term
What are the two major sources of the clotting factors?
Definition
Liver and platelets
Term
What vitamin is uniquely necessary for the clotting factors?
Definition
Vitamin K: required by liver to produce prothrombin and several other clotting factors.
Term
What is the function of prostacyclin (PGI2) and the source?
Definition
From undamaged endothelial cells and contributes toward thrombolysis
Term
What is the function of van Wilebrand Factor and its source?
Definition
IT is secreted by endothelial cells and platelets and contributes toward hemostasis
Term
What is the function of nitric oxide and what is the source?
Definition
It is from endothelial cells release and its function is it contributes towards thrombolysis
Term
What is the function and source of thromboxane A2 in hemostasis?
Definition
From arachidonic acid in platelet plasma membrane and contributes to further stimulate platelet aggregation and release of their secretory vesicle contents.
Term
What is thrombolysis?
Definition
It is dissolving a clot
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