Which of the following is the top number in a blood pressure reading quizlet?

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Terms in this set (57)

elastic artery

Carry blood away from the heart
Largest one is the Aorta
Closest to the heart
Experience the greatest blood pressure
Greatest amount of elastin
Expand and recoil passively to propel high pressure blood
Blood found inside will be pulsating with the heart beat and oxygenated

Muscular Artery

Deliver blood to specific body organs
Relatively more smooth muscle and less elastin Actively constrict and relax.
Blood pressure begins to decline.
Blood is pulsating with heart beat and oxygenated.

Arterioles

Smallest arteries led to capillaries
Tunica media almost entirely smooth muscle
Vasomotor fibers regulate the smooth muscle. The changes in diameter influence BP and blood flow.
Steepest drop in blood pressure.
Greatest resistance to blood flow.
Still pulsating with heart beat but much less oxygenated.

Capillaries

Smallest vessels mostly arranged in capillary beds, which exchange of materials between the blood and the interstitial fluid.
The link between arteries and veins in the pathway of blood
Walls consist of just a thin tunica intima
Blood flow regulated by precapillary sphincters depending on the body's needs is directed by nerve and hormone signals

Venules

Formed when capillaries unite
Smallest venules drain the capillaries
Blood pressure continues to drop but velocity starts to increase again.
Come together to form veins
Blood found inside is no longer pulsating with the heart beat, and is now low in oxygen or deoxygenated

Veins

Transport blood towards the heart
Experience the least blood pressure pressure of all vessels
Wall are thinner than arterial walls and their lumens are large to accommodate a large volume of blood
The tunica externa is the heaviest wall layer
Contain one-way venous valves to prevent blood backflow (most veins must move blood against the pull of gravity, and there is low pressure due to the distance from the heart)
The movement of blood in the veins is by the rhythmic contractions of the smooth muscle in the wall and by the action of the skeletal muscle as the body moves. Blood found in veins is not pulsating with the heart beat, and is considered deoxygenated

The heart is a muscle that works continuously, like a pump

each beat is set in motion by an electrical signal, initiated by autorhythmic cardiac cells within the heart muscle.

The autorhythmic cardiac cells initiate and distributes action potentials

throughout the heart muscle (making it beat)

autorhythmic

the heart produces its own pulses through electrochemical stimuli originating from a small group of cells in the wall of the right atrium

Heart Rate

The number of times the heart beats in ONE minute

Heart Rate Unit

BPM (Beats per Minute)

Average adult HR at rest

75 BPM

HR> 100 BPM

called Tachycardia

HR < 60 BPM

called Bradycardia

Stroke Volume

The amount of blood pumped by EACH ventricle with each heartbeat

SV=

EDV-ESV

End Diastolic Volume (EDV)

the amount of blood in each ventricle at the end of diastole

End Systolic Volume

The amount of blood in each ventricle at the end of systole

Cardiac Output (CO)

The amount of blood pumped out by each ventricle in one minute

Cardiac Output is directly related

to HR and SV

CO =

SV x HR

Cardiac Output units

Liters per minute

P wave

Electrical - depolarization of atria
Initiated by the SA node
Starts just prior to and represents the mechanical event of atrial systole (contraction)

P R segment

Represents the action potential delayed at the AV node
Atrial depolarization complete

QRS complex

Electrical - depolarization of ventricles
Starts just prior to and represents the mechanical events of ventricular depolarization
Hides atrial repolarization

Q wave

Represents the action potential traveling to the bundle of His and through the bundle branches

R wave

Represents the action potential traveling to the Purkinje fibers and the contraction of the LEFT ventricle

S wave

Represents the action potential traveling to the Purkinje fivers leading to the mechanical contraction of the right ventricle

ST Segment

Represents the completion of Ventricular depolarization
The ventricle contraction completes and blood is pushed from the heart to the lung and body

T wave

Electrical- repolarization of ventricles
Starts just prior to and represents ventricular diastole

R-R interval

Each beat of the heart produces the reading above- so they come in a sequence. The R-R interval is the time between the R waves of adjacent beats.
You can use the R-R interval to calculate heart rat if you have a regular heart beat. ECG are measured in intervals of seconds so you need to convert that into mins for HR.

Systolic Pressure

Maximum pressure your heart generates when pumping blood through your arteries to the rest of your body (pressure exerted by the blood against the artery walls)
Result of Ventricular systole (contraction)

Normal systolic pressure

120 mmHg

Diastolic Pressure

Lowest pressure exerted by the blood against the artery walls.
The amount of pressure in your arteries when your heart is relaxed between beats.
Result of diastole ( relaxation)

Normal diastolic pressure

80 mmHg

dicrotic notch

The interruption of smooth flow due to the brief backflow of blood that closes the aortic semilunar valve when the ventricles relax.

pulse pressure

Throb felt when taking a pulse
The difference between systolic pressure and Diastolic pressure (systolic pressure-diastolic pressure)

Normal pulse pressure

30-40 mmHg

Mean Arterial Pressure (MAP)

Calculated average pressure in the arteries
The force that propels the blood to the tissues throughout the cardiac cycle
Equal to Diastole pressure + 1/3 pulse pressure

Normal MAP pressure

70-105 mmHg

BP =

CO x TPR

If heart rate increases, what changes would you expect to see in the ECG

The R-R interval decreases

How are an interval and a segment different?

An interval measures at least one wave and one flat area, while a segment includes only a flat area of the tracing

Correct placements in the Einthovens triangle arrangement?

One on each wrist and one on the left ankle

How should the blood pressure cuff be positioned on the patient?

The hoses on the cuff should be facing anterior and exiting the cuff toward the hand.

Normal expected blood pressure for an adult is less than 115/70. What do the numbers indicate when writing blood pressure?

The top number (115) is systolic pressure; the bottom number (70) is diastolic pressure.

Systolic pressure is recorded when Korotkoff sounds are first heard.

. Diastolic pressure is recorded when Korotkoff sounds are no longer heard.

Why should the cuff not be inflated beyond 20-30 mmHg above expected value?

Overinflation of the cuff may result in injury to the patient.

What happens to the location of blood when you stand up compared to lying down?

Blood will pool in the lower limbs due to gravity.

Why does blood pressure increase with exercise then lower after 5 minutes?

Increased blood pressure helps to ensure muscle tissue has adequate blood supply during exercise. When exercise is over, the oxygen demands increase.

What do you predict would happen to a person's blood pressure when they go from standing to lying down?

Blood pressure would decrease lying down.

In which of the following locations did you palpate a significantly faster pulse rate?

None. Location does not affect pulse rate. Pulse rate determined by heart.

Why take the pulse rate again after 5 minutes? After lying down.

Body takes time to compensate for the new body position.

Do you expect the pulse rate to change when the patient stands up?

Yes. I expect the pulse rate to increase.

Why did the pulse rate decrease 5 mins after exercise?

Tissue demand for oxygen has decreased.

How did the intensity of pulse pressure change with the artery's proximity to the heart?

Arteries closest to the heart have a greater pulse intensity.

Which change in body position resulted in the largest change in heart rate as detected by pulse rate?

Sitting to standing position

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What is the top number in a blood pressure reading called?

Systolic blood pressure, the top number, measures the force the heart exerts on the walls of the arteries each time it beats. Diastolic blood pressure, the bottom number, measures the force the heart exerts on the walls of the arteries in between beats.

What is the top number in a blood pressure reading called quizlet?

Blood pressure readings are given in two numbers. The top number is the maximum pressure your heart exerts while beating (systolic pressure), and the bottom number is the amount of pressure in your arteries between beats (diastolic pressure).

What is the most important number on your blood pressure the top or the bottom?

Q. When I am monitoring my blood pressure, which number is most important — top, bottom, or both? A. While both numbers in a blood pressure reading are essential for diagnosing and treating high blood pressure, doctors primarily focus on the top number, also known as systolic pressure.