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Study Guide Cardiovascular System Dr. Yoga Sundram Blood Vessels Both arteries and veins have the same three layers in their walls Tunica intima, Tunica media and Tunica externa Arteries: More musculature, more elastic, thicker walls, smaller lumen and have no valve system Veins: Less musculature, less elastic, thinner walls, larger lumen and have valve system Vaso vasorum: Blood vessels supplying the walls of large blood vessels Systemic circulation Delivers blood to tissues Arteries carry oxygenated blood Veins carry deoxygenated blood Long circuit Blood pumped at high pressure Pulmonary circulation Delivers blood to lungs Arteries carry deoxygenated blood Veins carry oxygenated blood Short circuit Blood pumped at low pressure Coronary circulation is a part of the systemic circulation and delivers blood to the heart muscles Order of blood vessels from and to the heart Heart, aorta, large arteries, arterioles, capillaries, venules, large veins, vena cava, heart Vital signs: Pulse, blood pressure, respiratory rate, temperature Common locations to feel for pulse: Brachial artery (inside of elbow; ante cubital) Common carotid artery ( neck) Radial artery (wrist) Posterior tibial artery (ankle) Blood pressure: Systolic pressure at ventricular contraction Diastolic pressure at end of ventricular contraction Pulse pressure = Systolic pressure – diastolic pressure Mean Arterial Pressure = Diastolic pressure + 1/3 Pulse pressure Blood pressure is highest at the aorta and least at right atrium Sphygmomanometer: Instrument used for blood pressure mesurement Circulatory shock: Blood vessels not completely filled or Blood cannot circulate normally This could happen when there is large scale hemorrhage ( hypovolemic shock ) Or there is extreme vasodialation ( vascular shock ) Or there is cardiac insufficiency ( cardiogenic shock )