blood vessels Flashcards

1
Q

anatomy of arteries

A

adventitia- structural strength and holds vessels in place (has small vessels called vasavorum in large vessels)
elastin- mechanical strength, stretch and recoil
endothelium- blood, body interface that filyters and secretes vasoactive products
smooth muscle- contractile power and regulates lumen diameter
pre capillary sphincter- controls blood flow to capillary beds

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2
Q

role of arterioles with MAP

A

alter levels of resistance to blood flow to distribute blood to where its needed without disturbing MAP

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3
Q

active hyperaemia
- what is it
- process
- chmical changes when metabolic rate increases

A
  • increased blood flow to satisfy the metabolic needs of a tissue
  • increased metabolic activity - less o2 and more metabolites present - arterioles dilate - increased blood flow
  • less o2, increased co2, la (pH falls), k, atp, bradykinin, nitric oxide
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4
Q

flow autoregulation
- what is it
- process

A

-maintenance of blood flow
-arterial pressure in organ falls, therfore blood flow - so arteriole dilates and blood flow is restored
- vice versa!

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5
Q

how is arterial diameter regulated in a myogenic manner

A

pressure increases eg. heart beat, muscles stretch, then constrict allowing flow to remain constant

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6
Q

regulation of arterial diameter
- how is arterial smooth muscle in its normal state
- how do arteries relax
- how do sympathetic post ganglionic neurones cause vasoconstriction
- how does the adrenal medulla affect diameter
- examples of local control, vasodilators and constrictors

A
  • in a tonic state (partially contracted)
  • withdrawal of sympathetic stimulation (little parasympathetic involvement)
  • release norepinephrine which causes vasoconstriction
  • secrete epinephrine to blood which causes vasodilation/constriction depending on what receptors it binds to.
  • con- internal blood pressure
  • dil- less o2, increased co2, k+, h+, bradykinin, nitric oxide, LA
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7
Q

capillary basics
- 2 important things about them
- ficks law of diffusion

A
  • thin so can facilitate diffusion
  • have a slow velocity of blood due to largest CSA of all vessels (very numerous and reach all of body) allowing enough time for diffusion to reach equilibrium
  • flow of gas= area/thickness x D x (P2-P1)
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8
Q

capillary endothelial cell and basement membrane arrangement (3)
- why important

A
  • continous (no gaps), fenestrated (small gaps), discontinous (larger gaps)
  • means exchange can be very selective or flow freely where needed
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9
Q

types of transport (3)

A

diffusion- o2 + co2
vesicle transport- larger molecules, eg. proteins
bulk flow- water + solutes

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10
Q

fluid balance at capillary level
- filtration and absorption
- what happens when filtration exceeds absorption

A

-fluid from caps to interstitial fluid when hydrostatic exceeds osmotic pressure.
- fluid from interstitial fluid to caps ehen colloid osmotic exceeds hydrostatic pressure
- tissue fluid accumulates and in dealt with by lymphatic system

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11
Q

veins differences to arteries (9)

A
  • larger volume
  • closer to skin
  • larger diameter
  • have valves
  • less elastic tissue and smooth muscle
  • thinner walls
  • over 60% of blood volume
  • pressure about 10mmHg
  • veins affected by hydrostatic pressure which opposes flow to heart
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12
Q

pressure and flow
- what is pressure like
- what is the driving pressure for venous return
- what is CVP determined by
- how to change compliance

A
  • low and non pulsatile
  • diff between central venous pressure and right atrial pressure
  • blood volume and compliance
  • sympathetic stimulation releasing norepinephrine to vein smooth muscle causing vasoconstriction, circulating epinephrine and paracrine vasoconstrictors and vasodilators can affect diameter
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13
Q

2 main mechanisms of venous return

A
  • skeletal muscle pump- blood squeezed to heart by surrounding muscles, also ensures CVP increases during exercise.
  • respiratory pump- inspiration- diaphragm contracts and moves down increasing volume in thoracic cavity reducing intrathoracic pressure and reducing volume of abdominal cavity increasing intra abdominal pressure, which both increase flow to heart
    - expiration- when diaphragm relaxes intrathoracic pressure increases reducing flow to heart.
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14
Q

the lymphatic system
- what does it do
- composition of lymph
- what do lymph nodes do

A
  • collects tissue fluid from interstitial space and returns it to blood at the subclavian veins which join the superior vena cava.
  • similar to plasma minus the protein which stays in blood
  • filter and trap viruses, bacteria and causes of illness
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15
Q

oedema
- what is it
2 things that cause it

A
  • accumulation of excess fluid in interstitial space when filtration exceeds lymphatic drainage.
  • high capillary hydrostatic pressure
  • low plasma osmotic pressure
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