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Chapter 19 - Cardiovascular System, Blood Vessels: Part B

front 1

What are the vital signs?

back 1

pulse and blood pressure, respiratory rate and body temperature

front 2

What is the pressure wave caused by the expansion and recoil of arteries?

back 2

pulse

front 3

What pulse, taken at the wrist, is routinely used?

back 3

radial pulse

front 4

Systemic arterial blood pressure is measured using what?

back 4

sphygmomanometer

front 5

When measuring blood pressure, sounds first occur when the blood ?

back 5

starts to spurt through the artery

front 6

When measuring blood pressure, sounds disappear when?

back 6

the artery is no longer constricted and blood is flowing freely

front 7

What type of pressure is heard first?

back 7

systolic

front 8

What type of pressure is heard when sounds disappear?

back 8

diastolic

front 9

What is the normal range of systolic blood pressure?

back 9

110-140 mm Hg

front 10

What is the normal range of systolic blood pressure?

back 10

70-80 mm Hg

front 11

When does blood pressure peak, and why?

back 11

in the morning, due to levels of hormones

front 12

What is low blood pressure called?

back 12

hypotension

front 13

In hypotension, the systolic blood pressure is below ?

back 13

100 mm Hg

front 14

What alteration in blood pressure is often associated with long life and lack of cardiovascular illness?

back 14

hypotension

front 15

What type of hypotension occurs with a temporary low BP and dizziness when suddenly rising from a sitting or reclining position?

back 15

orthostatic hypotension

front 16

What type of hypotension hints of poor nutrition and is a warning sign of Addison's disease or hypothyroidism?

back 16

chronic hypotension

front 17

What type of hypotension is an important sign of circulatory shock?

back 17

acute hypotension

front 18

What is high blood pressure called?

back 18

hypertension

front 19

Hypertension requires a sustained elevated arterial pressure of what?

back 19

140/90 mm Hg or higher

front 20

What type of hypertension is due to risk factors like heredity, diet, obesity, age, stress, diabetes mellitus, and smoking?

back 20

primary or essential hypertension

front 21

What type of hypertension is less common and is due to identifiable disorders like kidney disease, arteriosclerosis, and endocrine disorders like hyperthyroidism and Cushing's syndrome?

back 21

secondary hypertension

front 22

What allows for adequate time for exchange between blood and tissues?

back 22

slow capillary flow

front 23

What is the automatic adjustment of blood flow to each tissue in proportion to its requirements at any given point in time?

back 23

autoregulation

front 24

What are the types of autoregulation

back 24

metabolic and myogenic

front 25

What type of autoregulation involves the vasodilation of arterioles and relaxation of precapillary sphincters that occur in response to declining tissue O2 and substances from metabolically active tissues?

back 25

metabolic

front 26

What are the effects of metabolic controls?

back 26

relaxation of vascular smooth muscle and release of NO from vascular endothelial cells

front 27

What is the major factor causing vasodilation in metabolic autoregulation?

back 27

nitrous oxide

front 28

What type of autoregulation keep tissue perfusion constant despite most fluctuations in systemic pressure?

back 28

myogenic

front 29

In myogenic controls, what promotes increased tone and vasoconstriction?

back 29

passive stretch (increased intravascular pressure)

front 30

In myogenic controls, what promotes vasodilation and increases blood flow to the tissue?

back 30

reduced stretch

front 31

What is the formation of new blood vessels called?

back 31

angiogenesis

front 32

Long-term autoregulation (angiogenesis) occurs when?

back 32

When more blood flow is needed and when short-term autoregulation cannot meet tissue nutrient requirements

front 33

What is syncope and when does it occur?

back 33

fainting/dizziness; when MAP is below 60 mm Hg

front 34

When can cerebral edema occur?

back 34

When MAP is above 160

front 35

What is any condition in which blood vessels are inadequately filled or blood cannot circulate normally?

back 35

circulatory shock

front 36

What type of shock results from large-scale blood loss?

back 36

hypovolemic shock

front 37

What type of circulatory shock results from extreme vasodilation and descreased peripheral resistance (caused by some poisons)?

back 37

vascular shock

front 38

What type of circulatory shock results when an inefficient heart cannot sustain adequate circulation (when heart is failing/dying)?

back 38

cardiogenic shock

front 39

What are the two main circulations?

back 39

pulmonary and systemic

front 40

What type of circulation is the short loop that runs from the heart to the lungs and back to the heart?

back 40

pulmonary

front 41

What type of circulation is a long loop to all parts of the body and back to the heart?

back 41

systemic