Blood Pressure: Measurement, Regulation, and Shock Including Fick's Principle and Clinical Insights
Introduction to Blood Pressure - Blood pressure: Force of blood against vessel walls. - Expressed as Systolic/Diastolic (e.g., 120/80 mmHg). - Key for maintaining tissue perfusion.
Measurement of Blood Pressure - Non-invasive: Sphygmomanometer. - Invasive: Arterial catheterization. - Monitoring helps diagnose hypertension, shock, and other conditions.
Fick's Principle for Cardiac Output Cardiac Output = Oxygen Consumption / Arteriovenous Oxygen Difference - Oxygen consumption (˘VO2): Measured via expired air. - Arterial and venous oxygen content: Blood samples required. - Provides a quantitative method to assess circulation.
Neural Regulation - Baroreceptors in carotid sinus and aortic arch detect changes. - Sympathetic stimulation: Increases heart rate and vasoconstriction. - Parasympathetic stimulation: Reduces heart rate and BP.
Hormonal Regulation - RAAS: Angiotensin II and Aldosterone increase BP. - ADH: Enhances water retention to raise blood volume. - ANP: Promotes vasodilation and sodium excretion.
Renal Regulation - Kidneys regulate BP by controlling blood volume. - Respond to changes in perfusion pressure (e.g., renin release). - Integral to long-term homeostasis.
Summary - Blood pressure is vital for maintaining perfusion. - Measurement includes non-invasive and invasive methods. - Fick's principle aids in cardiac output assessment. - Regulation involves neural, hormonal, and renal mechanisms. - Shock requires urgent diagnosis and management.