33. Pulmonary circulation. Special circulation Flashcards

1
Q

Venous blood from the whole body passes through what circulation

A

Pulmonary circulation

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2
Q

What are some characteristics of the pulmonary vessels compared w the systemic vessels

A

Short, wide highly distensible

Thinner walls

Lesser smooth muscle

Pulmonary arterioles has 1/5 of the pressure as systemic

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3
Q

Pressure in Pulmonary artery is lower than in aorta
How deos this affect stroke volume of right ventricle compared w left

A

EQUAL stroke volume

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4
Q

What is pulmonary arterial pressure in systole compared w aorta

A

25 mmHg in p.a

125 mmHg aorta

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5
Q

Does pulmonary capillaries form tissue fluid

A

No

Pressure too low (6-7mmHg)

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6
Q

Pulmonary Blood vessels have high compliance
What does this mean

A

Blood passing through them can change but does this not significantly change the pressure

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7
Q

Compare the blood flow through the apices of the lung to the base of lung

A

Much less blood flow to apices than bases

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8
Q

For regulation, what are pulmonary vessels strongly dependent on the changes on

A

alveolar pO2 and pCo2

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9
Q

What happens in an area of low pO2 but high pCO2

A

Arteriolar resistance increases
Therefore reduces blood flow

Blood is redirected to areas where ventilation is better and gas exchange is improved

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10
Q

WHch organ constantly needs a rich supply of blood

A

brain

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11
Q

Compared to total oxygen supply, how uch of it is consumes by brain

A

20%

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12
Q

What happens when interruption of 10-12 mins of O2 supplied to brain

A

Structural changes in neurons

Brain cant survive

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13
Q

What type of regualtion is very well expressed in cerebral bloood

A

Autoregulation

Eveen w/o the changes in carotid artery pressure, cerebral blood flow is still constant

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14
Q

Does neural and sympathetic incluences affect cerebral blood flow

A

Not really

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15
Q

What are the main regulators of cerebral blood flow

A

pCO2, pO2 blood pH

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16
Q

When is blood flow increased to an area in the brain

A

When cerebral activity is increased

Total blood flow not altered tho

17
Q

When can cerebrl vessels becomes compressed and impair blood flow to brain

A

When increased production/ decreased outflow of cerebral spinal fluid causes increase in intracranial pressure

18
Q

Corornary blood flow is about how much of the cardiac output

19
Q

What advantageous abt the heart capillary network

A

10 times denser than skeletal muscle so east to transport substances

20
Q

What do cardiomyocytes contain to allow them to have a high affinity for oxygen

21
Q

CAn the heart function in hypoxic conditions

A

no, very limited anaerobic capacity

22
Q

WHy during systole, the blood flow to the left ventricle is reduced

A

Due to compression on coronary vessels by the ventricular muscle

receives most of its blood flow at diastole

23
Q

when pO2 decreases and pCO2 increases- hypoxemia, how can you increase coronary blood flow

A

adenosine, Nitric oxide, lactate, H2CO3 are vasodilators that dilate the coronary vessels

24
Q

Changes in cutaneous blood flow is due to what

A

thermoregualtion

25
What is the cardiac output for cutaneous blood flow ( temperature in comfort zone)
5%
26
What are the 2 types of resistance vessels in the skin
arterioles arterio-venous anastomoses
27
Aretrio-venous anastomoses: what nerves are tey controlled by? WHere are they found? What activates their refelx mechanism
Only under sympathetic control - ( cutaneous vessels have no parasymoathetic control) Skin of palms, soles,pinna, nose, lips Thermoreceptors
28
What happens when artertio-venous anastomoses constrict/ open
constrict: Blood flows through capillary networks with large surface area, allows heat loss Open: blood bypasses capillary network and flows directly in venous vessels. doesnt allow heat loss
29
What is the blood flow throug the digestivesystem
20-25% of Cardiac output
30
Which parts of digestive system is best supplied with blood flow
muscosa of digestive tube and upper compartments
31
What happens in fasting condtions compared to feeding
fasting: capillary pressure favours filtration Feed: Splanchnic capillaries reabsorb, they dilate
32
What innervation regulates digestive organs
sympathetic arterioles has lots of a-adrenergic receptors that causes vasocontriction and decreases splanchnic blood flwo
33