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Clinical pharmacy 2024/2025                  Level 2 Pharm D                       Physiology and Pathophysiology (MD303)
                Factors that influence mean arterial pressure  عاتب ميدقلا ملاكلا ركتفن COP , TRP


                                    Parameter                                                             Determined by

                 i.   Blood volume [in kidney failure]                                                  Fluid intake    & Fluid loss
                 ii.   Effectiveness of the heart as a pump (cardiac                                Heart rate        &   Stroke volume
                      output )
                iii.   Resistance of the system to blood flow                                          Diameter of the arterioles
                iv.   Relative distribution of blood between arterial                                    diameter of the veins

                      and venous blood vessels                                               Veins dilated ➔ blood static ➔ low pressure.
                                                                                      veins constriction ➔ increase Venous return ➔ increase BP










                                                                                     NB

                      ↑arterial blood pressure due to                    Total peripheral resistance                   VC, VD of arterioles affect :

               ↑Of heart rate , stroke volume ,  cardiac output or       sum of all the vascular resistance        •  TPR
               total peripheral resistance (TPR)                           within the systemic circulation          •  Arterial pressure

                                                                         determined by the arteriolar              •  Blood flow through capillaries
                                                                           resistance







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