17. Circulation & Hemodynamics Pt II Flashcards

1
Q

what is the direction of microcirculation

A

small arterioles –> meta-arterioles –> thru precap shincter –> caps –> venules

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2
Q

how does exchange of O2 & CO2 occur

A

diffuse thru endothelial walls bc lipid soluble

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3
Q

what is the reason we have clefts in the caps

A

to allow water souble substances thru

h2o, glucose, electrolytes, etc

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4
Q

what drives movement of fluid in caps

A

hydrostatic P & osmotic P

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5
Q

what is starlings equation

A

forces moving fluid out - forces moving fluid in

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6
Q

where does filatration occur most

A

arteriole end

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7
Q

where does filtration occur least

A

venous end

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8
Q

how can Pc be elevated

A

heart failure

increase Pv

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9
Q

what happens with decreased albumin

A

decrease (pi)c

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10
Q

how can Pi be affected

A

restricted lymphatic flow

increased driving force out of cap

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11
Q

how can (pi)i be affected

A

restricted lymph flow

inflam

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12
Q

what is myogenic control

A

if BP increased –> arterial walls stretched –> vasoconstrict walls to maintain constant flow

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13
Q

what is active hyperemia

A

increase metabolic activity –> increase blood flow

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14
Q

what is reactive hyperemia

A

increase blood flow after period of occlusion

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15
Q

what is the basis of shear

A

vascular bed dilated bc increased metabolic demand–> flow of upstream arterioles increase –> increase shear (friction) –> release NO –> vasodilation to augment downstream metabolif effect

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16
Q

what is the result of histamine & bradykinin

A

arteriolar vasodilation

increase capillary porosity (Kf)

edema in response to damaged tissue

17
Q

what is the response to serotonin

A

vasoconstrict due to tissue damage

18
Q

what kind of regulation controls coronary circulation

A

metabolic control

19
Q

what kind of control does cerebral circulation have

A

metabolic control

20
Q

where is pulmonary vascular pressure the highest

A

RV & pul A

Rv- 24 to 0/4 mm Hg

pul A - 24 to 10/16 mm Hg

21
Q

what is the resistance of pulmonary vasculature compared to systemic

A

very low

22
Q

what happens in the pulmonary circulation whern there is hypoxia

A

vasoconstriction

23
Q

pulmonary arterial system is more _________ than systemic arteries

A

compliant

-so small changes in mean pressure will dilate As alot –> reduce resistance to maintain low pressure during large changes in flow

24
Q

how is vasculature regulated in skeletal Ms

A

at rest- central, baroreceptor control (sym innervation - NE to alpha 1 & E to beta-1)

active - local control

25
Q

what is the role of sym innervation to skin

A

body temp regulation

26
Q

what is a Right to Left shunt

A

blood passing from systemic Vs to systemic As w/o passing thru fxnal lung tissue

27
Q

what is Left to Right shunt

A

blood passing from systemic As to systemic Vs & bypassing caps