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Page 1: Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings FISIOLOGI PEMBULUH DARAH PROGRAM STUDI ILMU KEPERAWATAN UNIVERSITAS ESA UNGGUL.

Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

FISIOLOGI PEMBULUH DARAH

PROGRAM STUDI ILMU KEPERAWATAN UNIVERSITAS ESA UNGGUL.

PERTEMUAN 4

Page 2: Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings FISIOLOGI PEMBULUH DARAH PROGRAM STUDI ILMU KEPERAWATAN UNIVERSITAS ESA UNGGUL.

Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

• Arteri: darah dari jantung

• Kuat & Elastis

• Mengalirkan darah ke kapiler

• Kapiler: pertukaran dengan sel

• Vena

• Membawa darah kembali ke jantung

• Katup

SISTEM PEMBULUH DARAH DAN KARDIOVASKULERSISTEM PEMBULUH DARAH DAN KARDIOVASKULER

Page 3: Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings FISIOLOGI PEMBULUH DARAH PROGRAM STUDI ILMU KEPERAWATAN UNIVERSITAS ESA UNGGUL.

Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

SISTEM PEMBULUH DARAH DAN KARDIOVASKULERSISTEM PEMBULUH DARAH DAN KARDIOVASKULER

Figure 15-1: Functional model of the cardiovascular system

Page 4: Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings FISIOLOGI PEMBULUH DARAH PROGRAM STUDI ILMU KEPERAWATAN UNIVERSITAS ESA UNGGUL.

Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

Make Up of Bllod Vessels: Arteries and ArteriolesMake Up of Bllod Vessels: Arteries and Arterioles

Figure 15-2: Blood vessels

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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

• Bypass capillaries

• Large cells

• Speed flow

MetarteriolesMetarterioles

Figure 15-3: Metarterioles

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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

Blood Pressure: Berasal dari kontrasi ventrikelBlood Pressure: Berasal dari kontrasi ventrikel

Figure 15-4: Elastic recoil in the arteries

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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

• Pulse pressure = Systolic–Diastolic

• Mean arterial pressure (MAP) = Diastolic + 1/3 pulse pressure

More Blood Pressures: Pulse and Mean Arterial PressuresMore Blood Pressures: Pulse and Mean Arterial Pressures

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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

More Blood Pressures: Pulse and Mean Arterial PressuresMore Blood Pressures: Pulse and Mean Arterial Pressures

Figure 15-5: Pressure throughout the systemic circulation

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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

Faktor-faktor yang mengatur MAP Faktor-faktor yang mengatur MAP

• Volume darah

• Cardiac output

• Resistansi

• Distribusi

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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

Faktor-faktor yang mengatur MAPFaktor-faktor yang mengatur MAP

Figure 15-10: Factors that influence mean arterial pressure

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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

Distribusi Darah pada Organ TubuhDistribusi Darah pada Organ Tubuh

Figure 15-13: Distribution of blood in the body at rest

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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

Pertukaran Kapiler: Tekanan Osmotik Koloid yang KonstanPertukaran Kapiler: Tekanan Osmotik Koloid yang Konstan

• Protein tetap berada di kapiler

• Airr, oxygen, glukosa – keluar

• CO2, sampah nitrogen, air – masuk

• Aliran keluar dari bagian arteri, masuk pada venous

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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

Pertukaran Kapiler: Tekanan Osmotik Koloid yang KonstanPertukaran Kapiler: Tekanan Osmotik Koloid yang Konstan

Figure 15-18a: Fluid exchange at the capillary

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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

• Net filtration – net absorption = net out flow

• About 2 L/day collected by lymph vessels

Net Out Flow Into ECFNet Out Flow Into ECF

Figure 15-18b: Fluid exchange at the capillary

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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

Regulasi Tekanan DarahRegulasi Tekanan Darah

• Pusat Kontrol Jantung di Medula

• Refleks Baroreceptor

• Carotid

• Aortic

• Ginjal: volume darah

• Hypothalamus & Corteks: stress, “blushing”, dll.

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Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings

Regulasi Tekanan DarahRegulasi Tekanan Darah

Figure 15-22: The baroreceptor reflex: the response to increased blood pressure