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