Mean Arterial Pressure Calculation

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Questions and Answers

Which of the following best describes the relationship between pulse pressure and the elasticity of the aorta?

  • Pulse pressure is unrelated to the elasticity of the aorta.
  • Pulse pressure is related to the elasticity of the aorta, but the relationship is complex and varies with other factors.
  • Pulse pressure is inversely related to the elasticity of the aorta.
  • Pulse pressure is directly related to the elasticity of the aorta. (correct)

What is the formula used to approximate mean arterial pressure (MAP)?

  • MAP = 2/3 systolic pressure + 1/3 diastolic pressure (correct)
  • MAP = 1/4 systolic pressure + 3/4 diastolic pressure
  • MAP = 1/2 systolic pressure + 1/2 diastolic pressure
  • MAP = 1/3 systolic pressure + 2/3 diastolic pressure

How does systolic blood pressure typically change with age?

  • Systolic blood pressure first increases and then decreases with age.
  • Systolic blood pressure remains constant throughout life.
  • Systolic blood pressure decreases with advancing age.
  • Systolic blood pressure increases with advancing age. (correct)

How does diastolic blood pressure typically change with age?

<p>Diastolic blood pressure increases with advancing age. (B)</p> Signup and view all the answers

What is the typical effect of anxiety on blood pressure?

<p>Anxiety increases only systolic blood pressure. (B)</p> Signup and view all the answers

How does exercise typically affect diastolic blood pressure?

<p>Diastolic blood pressure decreases during endurance exercise. (A)</p> Signup and view all the answers

What is the primary determinant of the diastolic blood pressure?

<p>Peripheral vascular resistance (D)</p> Signup and view all the answers

During exercise, which of the following is the MAIN mechanism responsible for the increase in systolic blood pressure?

<p>Increased cardiac output (A)</p> Signup and view all the answers

What is the MAIN physiological function of the pulse pressure?

<p>To indicate the volume of blood ejected from the left ventricle (D)</p> Signup and view all the answers

Which of the following is the MOST important factor in determining the mean arterial pressure?

<p>Peripheral resistance (C)</p> Signup and view all the answers

During a Valsalva maneuver, which of the following is the MAIN reason for the temporary decrease in diastolic blood pressure?

<p>Decreased venous return (C)</p> Signup and view all the answers

Which of the following is the MOST important long-term regulator of blood pressure?

<p>Renin-angiotensin-aldosterone system (C)</p> Signup and view all the answers

Which of the following statements about the effect of gravity on blood pressure is correct?

<p>On standing, mean arterial pressure decreases above the heart and increases below the heart by 0.77 mmHg/cm. (B)</p> Signup and view all the answers

What is the recommended patient position for measuring blood pressure?

<p>Sitting position with arm leveled with mid-sternum (A)</p> Signup and view all the answers

Which of the following statements about the time of blood pressure measurement is correct?

<p>For patients taking antihypertensive medications, blood pressure should be measured before taking the scheduled dose. (D)</p> Signup and view all the answers

According to the information provided, which of the following equations correctly represents the relationship between arterial pressure, cardiac output, and peripheral resistance?

<p>Arterial pressure (∆P) = Cardiac output (Q) x Peripheral resistance (R) (A)</p> Signup and view all the answers

What is the primary driving force for blood flow through the tissues of the body?

<p>Arterial blood pressure (D)</p> Signup and view all the answers

Which of the following statements accurately describes the pressure gradient required for blood flow through a vascular bed?

<p>There must be a pressure gradient between the arterial and venous ends of the vascular bed, where the pressure gradient equals the rate of blood flow times the resistance to flow. (B)</p> Signup and view all the answers

Flashcards

Blood Pressure Measurement

Sitting, after 5 minutes, arm at mid-sternum, sphygmomanometer at eye level.

Why measure BP in supine/standing in elderly?

To check for a drop in blood pressure when standing.

Arterial Pressure Factors

Cardiac output (Q) and peripheral resistance (R).

Pressure Gradient Equation

Rate of blood flow (F) times the resistance to flow (R).

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Cardiac Output

Total blood flow through the systemic circulation.

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Short-Term BP Regulation

Nervous reflexes.

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Long-Term BP Regulation

Adjustment of body fluids, blood volume, capillary fluid shift and hormones.

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Blood Pressure

Force exerted by blood against vessel walls, measured in mmHg.

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Systolic BP

Maximum pressure in arteries during systole (100-140 mmHg).

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Diastolic BP

Minimum pressure in arteries during diastole (60-90 mmHg).

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Pulse Pressure

Difference between systolic and diastolic pressures (about 40 mmHg).

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Mean Arterial Pressure (MAP)

Average pressure throughout the cardiac cycle (about 93 mmHg).

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Blood Pressure and Age

Blood pressure increases.

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BP in Women vs. Men (Age)

Lower until 55-65, then becomes comparable to men.

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Anxiety and Blood Pressure

Raises BP, especially systolic BP.

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Blood Pressure During Sleep

Normally falls.

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Exercise and Blood Pressure

Systolic BP increases, diastolic BP stays the same or decreases.

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Obesity and Hypertension

There is an association between them.

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Study Notes

Blood Pressure Measurement

  • Blood pressure should be measured in a sitting position, after sitting for 5 minutes, with the arm levelled with the mid-sternum and sphygmomanometer at eye level.
  • In elderly patients, supine and standing positions can be used to detect postural hypotension.
  • Blood pressure should be measured at different times during the waking hours of the patient, especially for patients taking antihypertensive medications.

Factors Affecting Arterial Blood Pressure

  • Arterial pressure (∆P) is determined by cardiac output (Q) and peripheral resistance (R): ∆P = Q x R
  • The pressure gradient between the aorta and the right atrium equals the rate of blood flow (F) times the resistance to flow (R): ∆P = F x R
  • Cardiac output is the total blood flow through the systemic circulation.

Blood Pressure Regulation

  • Short-term regulatory mechanisms of ABP include nervous reflexes.
  • Long-term regulatory mechanisms of ABP involve the adjustment of body fluids and blood volume, and the role of capillary fluid shift and hormones.

Blood Pressure Definitions

  • Blood pressure is the force exerted by the blood against any unit area on a vessel wall, measured in mmHg.
  • Systolic BP is the maximum pressure exerted in the arteries during systole, ranging from 100-140 mmHg.
  • Diastolic BP is the minimum pressure within the arteries during diastole, ranging from 60-90 mmHg.
  • Pulse pressure is the difference between systolic and diastolic pressures, normally about 40 mmHg.
  • Mean arterial pressure (MAP) is the average pressure throughout the cardiac cycle, normally about 93 mmHg.

Physiological Variations of Blood Pressure

  • Blood pressure increases with advancing age.
  • BP is lower in young women than young men until age 55-65, after which they become comparable.
  • Anxiety raises BP, especially systolic BP, due to increased sympathetic stimulation.
  • BP normally falls during sleep, and increases slightly after meals due to vasodilation in the splanchnic area.
  • Systolic BP increases markedly during exercise, while diastolic BP does not change or even decreases with endurance exercise.
  • There is an association between obesity and hypertension.

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