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Cardiorespiratory Physiology and Pharmacology
01. Bridging CVRS to CPP
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Evie T
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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