01. Bridging CVRS to CPP

    Cards (16)

    • pressure = flow x resistance
    • fluids move by convection down a pressure gradient
    • cardiac cycle = complete cycle of contraction and relaxation of the heart with each heart beat.
      • allows for a pressure gradient to eject blood from the ventricle (stroke volume).
    • Wiggers diagram = allows us to visualise the volume and pressure changes occurring in different locations during each phase of the cardiac cycle
    • respiratory cycle = complete cycle of inspiration and expiration of a single breath
      • allows generation of a pressure gradient to inspire the tidal volume
    • intrapleural pressure couples the chest wall and diaphragm to the lung tissue
      • enables muscle work to increase volume of lungs and generate the pressure gradient for inspiration.
      • reduction in lung volume increases alveolar pressure to generate the pressure gradient for expiration
    • resistance to flow work in opposition to the pressure gradient
      • increasing pressure = increased flow
      • increasing resistance = decreased flow
    • most important factor that controls resistance is radius^4
    • major site of resistance in the arterial system is the arterioles
      • innervated by sympathetic nerves with low level of background activity.
      • induces vasoconstriction, so have more background tone.
    • total peripheral resistance = sum of all resistances in the different blood vessels
      • if TPR increases, blood pressure increases.
      • energy is lost overcoming resistance so blood pressure upstream increases (aorta) and blood pressure downstream reduces (capillaries)
    • amount of flow is proportional to size of pressure gradient, and inversely proportional to resistance.
      • for laminar flow, flow = pressure / resistance
    • cardiac output = heart rate x stroke volume
    • stroke volume = end diastolic volume - end systolic volume
    • cardiac output = arterial blood pressure / total peripheral resistance
    • minute ventilation = tidal volume x respiratoy frequency
    • when gases move by diffusion, they move down their concentration gradients, and this is the partial pressure gradient