Shared Flashcard Set

Details

Hemodynamics ch1
diagnostic medical sonography
78
Medical
Undergraduate 2
03/15/2012

Additional Medical Flashcards

 


 

Cards

Term
Hemodynamics
Definition
The study of blood flow
Term
cardiac status
Definition
Important role in movement of blood throughout vascular system
Term
Heart pump
Definition

Moves the blood generating pressure

(potential energy)

Term
Stroke volume
Definition
(the amount of blood ejected) creates pressure  (or energy) waves which travel rapidly throughout system
Term

Potential energy

(pressure energy)

Definition

the main form of energy present in flowing blood

(heart pump)

Term

-pumping of heart

 

-Hydrostatic pressure

Definition
Two components of potential energy:
Term
  • Cardiac function
  • Elasticity of vessel walls
  • Tone of vascular smooth muscle
  • Patterns
  • Dimensions
  • Interconnections of branching vessels 
Definition
Factors influencing blood flow:
Term
  • A difference in the energy level between two points
  • a route which the blood flows 
Definition

For blood flow to occur between any two points there MUST be:

(boards)

Term

pressure difference

(gradient)

Definition
what is necessary to maintain blood flow?
Term
The heart
Definition
Greatest pressure is where and gradually decreases as blood flows distally?
Term
  • Friction(heat)
  • Any resistance within pathway 
Definition
Two types of energy losses from movement of fluid:
Term
higher flow rate
Definition
Lower resistance =
Term
lower flow rate
Definition
higher resistance =
Term

Kinetic energy

 

Definition
(motion)Is the ability of flowing blood to do work as a result of its velocity
Term
Gravitational energy
Definition

Heart considered 0 pressure reference point

(hydrostatic pressure)

mmHg

Term
15 mmHg
Definition
Mean venoud pressure at supine pt ankle level
Term
5 mmHg
Definition
Mean arterial pressure of supine pt ankle level
Term
Systole
Definition
acceleration phase of the pulse; pressure is evely distributed in all directions
Term
diastole
Definition
deceleration phase of the pulse; peripheral vessels exceeds volume pressure declines
Term
arterial
Definition
Higher flow rate in arterial or veins?
Term
  • laminar
  • movement
  • length
  • viscosity
  • diameter
  • inertial losses 
Definition
characteristics of blood flow:
Term
laminar flow
Definition

Blood moves in concentric layers, or laminate

Each layer flows at a different velocity

Term
vessel wall
Definition
In laminar flow velocity is slowest where?
Term
higher pressure required to maintain flow
Definition
Longer the conduit=
Term
viscositythi
Definition
thickness of fluid
Term

more freely

(faster)

Definition
thinner viscosity
Term

less freely

(slower)

Definition
Thicker viscosity
Term
decreased velocity
Definition
Increased viscosity=
Term
increased velocity
Definition
decreased viscosity=
Term
energy is lost in the form of heat
Definition
As red blood cells rub together creating friction, what happens?
Term
Smaller
Definition
Smaller or larger vessles creat greater friction and resistance
Term
Radius
Definition
What has the greatest effect on resistance?
Term
Radius^4
Definition
Slightest change in radius makes great difference, Why?
Term
  • changes in direction and/or velocity
  • increase with deviations from laminar flow 
Definition
Inertial losses are caused by what?
Term
laminar flow
Definition
blood moves in concentric layers
Term
Poiseuille's Law
Definition

Relationship between pressure, volume flow, and resistance

V=Q/A

Term
How much fluid is moving through a vessel?
Definition
Poiseuilles's Law asks what question?
Term
Volume flow
Definition
Radius is directly proportional to what?
Term

resistance increases

volume flow remains constant

to maintain volume flow, velocity must increase

Definition
If radius decreases what happens?
Term
velocity
Definition
Radius is inversely proportional to what?
Term
Reynolds number
Definition
pressure/flow relationships
Term
turbulent flow
Definition
Re # over 2,000 is what?
Term
  • body movement
  • pulsatility of blood flow
  • irregularities of vessel wall and plaque 
Definition
Lower values of reynolds number can be caused by what?
Term

total energy = potential (pressure) +

kinetic(velocity)+gravitational energy

Definition

Bernoulli

pressure/velocity

(equation)

Term
inversely
Definition
How is velocity and pressure related?
Term
  • changes in geometry of vessel
  • direction 
Definition
flow seperations include:
Term
steady flow
Definition
always moving forward; no decrease in pressure downstream, no flow away from the driving pressure
Term
pulsatile flow
Definition
systole,diastole, and late diastole
Term
systole flow
Definition
forward flow throughout periphery
Term
diastole flow
Definition
temporary flow reversal b/c negative pressure gradient and peripheral resistance
Term
Diastolic flow reversal
Definition

supply high-resistance pheripheral vascular beds

decreases with vasodilation and increases with vasoconstriciton

Term
less resistance
Definition
vasodilation
Term
high resistance
Definition
vasoconstriction
Term

Low-resistance flow

(steady)

Definition

Feeding a dilated vascular bed

ICA, Vertebral, Renal, and post prandial SMA

Term

High-resistance flow

(pulsatile)

Definition

High resistive vascular beds

ECA, aorta, extremity arteries, and fasting SMA

Term
distal to a stenosis
Definition
Reversal of flow disappears becoming monophasic when?
Term
In Stenosis
Definition

There is a major reduction in volume flow and pressure

cross-sectional area of lumen is reduced 75%

diameter reduction of 50%

During when?

Term
dampened velocities with or w/o disturbance
Definition
Proximal to stenosis what happens?
Term

increase in doppler shift frequencies and velocities

(spectral broadening)

Definition
At Entrance, passes, and/or exits of stenosis what happens?
Term
Venous
Definition
  • Highly complaint
  • Intraluminal (inside)
  • interstitial (outside)

 

Term
circular cross-sectional shape
Definition
Increased intraluminal pressure = increased transmural pressure =shape?
Term
elliptical and the "dumbbell"
Definition
Decreasing intraluminal pressure shape?
Term
pressure
Definition
Veins can carry more blood without an increase in what?
Term
hydrostatic pressure
Definition
the pressure due to the weight of a fluid in a closed system. The height of the column of blood is always referenced back to the level of the heart
Term
there is no column of blood pressing on the vessels of the body, so there is virtually no hydrostsic pressure in the legs, as they are at the same levle ar the right atrium
Definition
Why is hydrostatic pressure 0mmHg in a supine pt?
Term
10mmHg
Definition
In a supine 6 ft person venous pressure at the ankly = what?
Term
112mmHg
Definition
In a standin 6 ft person venous pressure at the ankle = what?
Term
250 mL
Definition
It is estimated that how much blood shifts to the legs when a person who is lying down stand ups?
Term
75%
Definition
About what persent of circulating blood in our body is moving through the venous system?
Term
phasic
Definition
The venous system is what, which refers to the ebb and flow that occurs in normal veins in response to respiration?
Term
  • diaphragm lowers
  • flow increases in thorax and head/arms
  • pressure decreases in thorax
  • pressure increases in abdomen 
  • Flow decreases and pressure increases in legs 
Definition
During Inspiration what happens?
Term
  • flow increases in abdomen and legs
  • pressure decreases in abdomen and legs 
  • Pressure increases in thorax
  • flow decreases in thorax
Definition
During expiration what happens?
Term
Venous valves and leg muscles
Definition
what two factors work together to overcome gravity in moving blood from lower extrimity to upper?
Term
muscles
Definition
deep veins are surrounded by what?
Term
Alternately contract and relax, causing "milking"
Definition
muscles do what to help blood move up the leg?
Term
direct its flow back to the heart
Definition
As the muscle pump moves the blood, the venous valves do what?
Term
In perforating veins (connecters)
Definition

What directs the flow from the superficial to deep veins?

 

(Boards)

Term
reflux or backflow
Definition
Veins prevent what by trapping blood in their cusps as they close?
Supporting users have an ad free experience!