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BP control
Elmo
18
Physiology
Professional
10/02/2008

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Cards

Term
Where are baroreceptors located?
Definition
  • Carotid Sinus. At the very begining of the Internal Corticoid Artery branch. In the neck. Its afferent nerves run in the glossopharyngeal
  • Aortic Arch. Its afferent nerves are the vagus nerves.
Term
What are the 2 main mechanisms for regulating Mean Arteriol Pressure(MAP)?
Definition
  • Baroreceptor reflex: short-term regulation. ANS
  • Renin-angiotensin II-aldosterone system: Hormonal. Long-term regulation.

MAP=CO x TPR

Term
What components does a reflex contain?
Definition

Intergrating center: Has the set point that constitutes the desired level of what is being regulated. Takes information from receptor. Controls effector.

A receptor: to sense variable.

Afferent pathway: info from receptor to center.

Efferent pathway: center uses info to regulate effector.

Effector: muscle, organ.. ect

Term
What is a normal set point for MAP?
Definition
100mmHg
Term
What is a Valsalva maneuver?
Definition
  • Blow all the air out of your lungs while holding your nose closed.
  • Should increase sympathetic activity.
  • Test Baroreceptor reflex.
Term
Baroreceptors reflex in hypertension:
Definition

High blood pressure NOT corrected due to:

-Increased set point blood pressure in brain stem.

-Decreased sensitivity of the receptors to high blood pressure.

Term
What are 3 things that cause you to have a temporarily high blood pressure? How does your body respond?
Definition

Carotid Massage: fools medulla into thinking there is high blood pressure.

Volume Load:

No gravity(in space): Pooling blood goes into circulation and increases venous return.

  • ↑Afferent Activity
  • ↑Parasympathetic
  • ↓Sympathetic
  • ↓Blood Pressure
  • ↓Heart Rate
Term
What are 4 things that temporarily simulates low blood pressure? How does your body respond?
Definition

Orthostatic hypotension: Happens with older people. They stand up fast and feel light headed. Blood goes to legs and less venous return.

IX Nerve Cut:

Hemorrhage(bleeding):

Carotic occlusion(blockage):

  • ↓Afferent Activity
  • ↓Parasympathetic
  • ↑Sympathetic
  • ↑Blood Pressure
  • ↑Heart Rate
Term
What is the main goal of the Renin-angiotensin-aldosterone response?
Definition
To increase blood volume which increases blood pressure.
Term
What are the 3 things that cause the kindney (juxtaglomerular cells) to release renin?
Definition
  1. Increased renal sympathetic tone
  2. Decreased renal perfusion pressure
  3. Decreased NaCl in distal tubule
Term
Peripheral chemoreceptors
Definition

Location: Carotid bodies and Aortic bodies

Causes: Decrease arterial PO2, Increase PCO2 and decrease in pH

Effects:

-Increased sympathetic outflow→ arteriolar vasoconstriction in skeletal muscle, renal and splanchnic vascular beds.

-Increase parasympathetic outflow→ decrease heart rate.

-Increase ventilation→ increase heart rate (lung inflation reflex)

Term
Central chemoreceptors
Definition

Location: medulla of the brain

Causes: Change in Arterial PCO2 and pH (brain ischemia), Less sensitive to O2 changes.

Effects: Increase sympathetic outflow→ arteriolar vasocontriction (to redirect blood flow to the brain), however increase peripheral resistance→ increase arterial pressure.

Term
Cushing Reflex
Definition

Maintain cerebral blood flow via cerebral chemoreceptors.

Causes: increase intracranial pressure (e.g. brain tumors)→ compression of cerebral arteries→ decrease blood perfusion to brain→ increase PCO2 and decrease pH.

Effects: increase sympathetic outflow to blood vessels→ vasoconstriction (redirect blood to the brain) and increase in arterial pressure.

Term
Volume reflexes- Volume or Low- pressure receptors
Definition
  • Atrial A and B type receptors.
  • Minimize arterial pressure changes as a result of changes in blood volume.
  • ↑stretch: VD, ↓BP
  • ↓stretch: VC, ↑BP
Term
Anti-Diuretic Hormone (ADH)
Definition

Also called Vasopressin

Causes: Increase serum osmolarity, Decrease in blood pressure (e.g. hemorrahage).

Effects:

-V1 receptors→ vascular smooth muscle constriction

-V2 receptors(renal collecting duct)→ ↑water absorption

Term
Atrial Natriuretic Peptide (ANP)
Definition

Causes: Increase in extra cellular fluid (ECF) volume and atrial pressure.

Effects:

-Vasodilation→ ↓total peripheral resistance

-Increase Na and water excretion from the kidney.

Term
Bainbridge reflex
Definition
  • Ensures that blood volume does not back upon the venous side. (observed only when HR is low)
  • Overall net effect: increase pressureat venous side  (volume) → increase HR.
Term
Respitory sinus arrythmia
Definition
  • Combination of several reflexes
  • Overall net effect: inspiration→ increase venous return→ increase HR (tachycardia)
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