Blood Flow and Metabolism in Pulmonary Circulation Flashcards

1
Q

From pulmonary veins to the capillaries, what happens to diameter?

A

Diameter decreases

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2
Q

When deoxygenated blood circulates throughout the lung vasculature to be oxygenated its called:

A

pulmonary perfusion

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3
Q

An increase in resistance can lead to_____________________

A

Pulmonary hypertension

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4
Q

What is are the short segments of capillaries on alveoli called?

A

Net capillary bed

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5
Q

Describe pressure in the pulmonary circulation vs systemic circulation

A

Low pressured system

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6
Q

What is the purpose of pulmonary circulation?

A

Gas exchange

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7
Q

What is stretched on inhalation and pulls the arteries/veins to keep them open inside the alveoli?

A

Parenchyma

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8
Q

If the TV increases what happens to gas exchange?

A

Decreases

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9
Q

Why are capillary walls exposed to outside alveolar pressure?

A

Alveolar air

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10
Q

Pulmonary Vascular resistance =

A

(input pressure - output pressure) / blood flow

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11
Q

Why is vascular resistance always low?

A

To allow for exchange to happen

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12
Q

What is the mean pressure in the pulmonary artery?

A

15 mmHg

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13
Q

Mean pressure in a systemic artery is ?

A

100 mmHg

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14
Q

When capillaries open in a higher pressure it is termed:

A

Recruitment

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15
Q

Define distension

A

Widening of capillaries as pressure increases

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16
Q

Recruitment and distension are the main mechanisms to decrease what?

A

Vascular resistance

17
Q

Why is the Fick principle clinically relevant?

A

To assess lung function in respiratory distress

18
Q

How can you measure blood flow (Q)?

A

Q = VO2 / [Arterial O2] - [venous O2]

19
Q

In supine animals, describe blood flow in the lungs?

A

More uniform

20
Q

List the zones of the lungs

A

Zone 1, 2, 3

21
Q

Around how much is the pressure difference between top and bottom of the lungs?

22
Q

Alveolar pressure is greater than pulmonary artery pressure in which zone?

23
Q

Which lung zone is the ideal diffusion zone for gases?

24
Q

Describe pressure in Zone 3

A

Artery > Venous > Alveoli

25
T/F Blood flow increases along acinus
True
26
How does active control of circulation dictate distribution?
Direct blood flow from a diseased lung
27
Low O2 in alveoli will lead to a constriction and divert blood from poorly ventilated areas. this is known as:
Hypoxic Pulmonary Vasoconstriction (HPV)
28
What happens at birth to dramatically increase pulmonary blood flow?
Release of HPV
29
HPV directs blood a- toward hypoxic area b- away from hypoxic area
b
30
Describe water balance in the lung
Capillary pressure around themselves keep water away (Starling's Law)
31
What can happen when water balance fails?
Pulmonary edema
32
Where is interstitial edema found?
Perivascular spaces
33
Lung as a metabolic organ can modify vasoactive substances. Give an example of one
Angiotensin serotonin
34
ACE is a vasodilator or constrictor?
Constrictor
35
What 2 substances are associated with arachidonic acid metabolism?
PGs and Leukotrienes
36
Alveolar edema impairs: a - gas exchange b - blood filtration c - lymph flow
A