Blood Vessels, Blood flow, Pressure,Vein,Arteries, immune Flashcards
Blood vessels
closed system
Systemic circulation
arteries carry oxygenated blood & veins carry deoxygenated blood
Three layers of blood vessels
Tunica Intima: closest to the lumen
Tunica Media: Middle layer where muscle tissue is found, where contraction and dilation occur.
Tunica Externa: Outer layer, where loose collagen and elastic fibers are found.
What are the three major blood vessels?
Arteries, veins, & capillaries
Arteries can be divided into 3 groups
Elastic, muscular, & arterioles
Elastic Arteries
Thick walls; largest diameter most elastic, large lumens; low resistance vessels, conducting arteries
Muscular Arteries
distributing arteries
* thickest tunica media = controls blood flow
* smaller lumen
* more muscle than elastic muscle
* vasomotor fibers keep blood vessels in a state of slight contraction
Arterioles
t. media is mostly smooth muscle with few elastic fibers
* lead right in capillaries
* smaller arterioles that feed into capillary beds are just a single layer of smooth muscle cells around an endothelial lining
* function = exchange
Veins
Venueles are formed by the unification of capillaries (So thin that WBCs leave through them to get to the rest of the body
* = endothelium
* larger venules have a thin t. Media & T. externa
* Do not have smooth muscle cells & elastic fibers
How are veins formed?
Venules join one another. 3 tunics but they are thinner than in arteries, with a wide lumen. Can hold a lot more blood compared to arteries
* blood reservoir
Tunica Externa in veins
thickest layer with thick longitudinal bundles of collagen & elastic fibers
* large veins in lower extremities must have valves(infoldings of t. Interna
Why are veins so important?
capacitance vessels & blood reservoirs because can hold large volumes of blood
* but blood pressure in veins is low & can’t overcome gravity. One solution = valves = folds of t. Intima that allow blood to flow only in 1 direction
* values only open when movement occurs
v. Vascular Anastomoses
Unification of vascular channels (merging of vascular channels)
Arterial Anastomoses
More than one artery supplying an organ or you have one that goes into the organ, but multiple branches stemming from that one
What is the purpose of having multiple arterial anastomoses?
In case something happens to one vessel (such as a blockage, or damage) the blood can flow through the others without causing problems for the entire system.
Where are arterial anastomoses more common around?
Joints, abdominal organs, the brain, and the heart
Where are arterial anastomoses poor?
Retina, kidney, & spleen
Arteriovenous Anastomoses
Artery connects directly to the venule without capillaries in between
Venous Anastomoses
Venules connect with venules without anything in between
Capillaries
Microscopic with thin walls
* only T. Intima
* a few smooth muscle cells on the exterior to stabilize the vessels called pericytes
* function = exchange of materials
What is the function of Capillaries?
to exchange material
3 types of Capillaries
Continuous, fenestrated, & Sinusodia
Continuous Capillaries
endothelial cells from a continuous lining with cells joined by tight junctions
* gaps called intercellular clefts (fluids and small solutes can pass through)
* simple squamous
* exception: brain capillaries (no intercellular clefts )
* the least permeable capillaries
Fenestrated Capillaries
endothelial cells have pores or fenestrations. More permeable than continuous. Found in areas of active capillary absorption:
* have tight junctions
* found in areas of absorption and endocrine organs and filtrate formation (kidneys): fluid that has solid in it.
Sinusoid Capillaries
found in bone marrow, when blood cells are made
* large lumen & irregularly shaped fenestration’s fewer tight junctions
* larger intercellular clefts
* In the liver: endothelium discontinuous, with large macrophages called kupffer (macrophages found In the liver)
* The liver is the workhorse organ of the body
* synthesize plasma proteins and blood clotting factors
What organ is the workhorse of the body?
The liver
Kupffer Cells
macrophages found in the liver
In what organs are phagocyte cells on the exterior, and what is their purpose?
In other organs such as the spleen: phagocyte cells are on exterior and send cytoplasmic extensions through the clefts
Capillaries interconnect and form
capillary beds or capillary plexuses
* microcirculation = blood → capillary bed → venule (blood leaving an arterial to capillary to venule)
* most capillary beds have 2 types of vessels:- a vascular shunt or metarteriole thoroughfare channel &, true capillaries
most capillary beds have 2 types of vessels
a Vascular shunt or metarteriole thoroughfare channel &, True capillaries
True Capillaries
exchange vessels (exchange only happens here ) (branches off metarteriole)
What happens during a contraction?
Blood flow is stopped, blocks off true capillaries (blood circulation is cut off)
What happens during relaxation?
Blood flow continues
PreCapillary sphincters
cuffs of smooth muscle, that act as valves
Open Capillary Spincters
capillaries are in a slight state of constriction due to vasomotor fibers controlled by the nervous system
Closed Capillary Spincters
if there is nothing to absorb (local chemical conditions) true capillaries stay closed ( local chemical conditions and arteriolar vasomotor nerve fibers control this)
IV venous system
Join together
Arteries
Pressure Reservoir & conducting vesssels
Arterioles
Resistance Vessels
Capillaries
Exchange Vessels
Veins
Blood reservoir & conducting vessels
Blood flow
Volume of blood flowing through a vessel organ or entire circulation in a given period (mL/ min)
Blood Pressure (BP)
Force per unit area on the wall of a vessel bt the blood contained therein, in mmHg
systemic Arteriole Blood Pressure
the pressure measured within large arteries in the systemic circulation
Resistance
a measure of the friction of blood encounters in the systemic or peripheral circulation
Peripheral Resistance
meeting resistance in the peripheral circulation (away from the heart )
Causes of resistance
blood viscosity, blood vessel length & diameter
Blood Viscosity
thickness of blood
Vessel Length
the longer the vessel the greater the resistance.
The more fat added to the body the more the vessels have to lengthen to accommodate, creating more resistance
Vessel Diameter
not constant in the body
-The smaller the diameter, the higher the resistance = arterioles
-The larger the diameter, the lower the resistance = large arteries
Blood from larger vessels
goes into smaller vessels, with higher resistance & blood flow becomes turbulent
Atherosclerosis
hardening of the atheroma (plaque build-up in vessels)
Calculation of blood flow
Fa(blood flow) = delta P (change in pressure)/ R (resistance)
Proportionality of blood flow to pressure and resistance
Blood flow is Directly proportional to changes in Pressure. As delta P increases = Blood flow increases
Blood flow is Indirectly proportional to Resistance. As R increases = Blood flow decreases
Blood flows along a pressure gradient, in a closed circuit
In a closed circuit, the closer the fluid is to the pump, the higher the pressure.
Therefore systemic b.p. Is highest in the aorta (120 mmHg) and reduces to 2 mmHg at the vena cava.
* resistance is high in the aorta due to only one aorta and only one path
* but having multiple arteries and capillaries, blood vessels, and veins decreases resistance and pressure within the system
Arterial b.p. is an indicator of
how much the elastic arteries close to the heart can be stretched, & the volume of blood moving through them.
* near the heart bp rises & falls = pulsatile pressure.
Arteriosclerosis increases blood pressure
Pulsatile Pressure
Near the heart bp rises and falls
Systolic pressure
Left ventricle contracts, blood flows into the aorta and stretches it & aortic pressure teachers its peak ~120 mmHg
Diastolic pressure
Aortic valves close & walls of the aorta recoil BUT maintains enough pressure to keep blood flowing to smaller vessels ~ 70-80 mmHg
Heart distance to MAP
MAP & pulse pressure decreases with an increase in distance from the heart
The further you move from the pump (the heart) MAP and pulse pressure decrease
Pulse Pressure
The difference between systolic & diastolic
Pulse pressure = Systolic - Diastolic
Pulse pressure INCREASES with stroke volume
MAP = mean arterial pressure
pressure moving blood through the tissues
MAP = (diastolic pressure + pulse pressure )/ 3
Capillary B.P.
at the start of capillaries ~ 30mmHg
At the end of capillaries ~ 15mmHg
Low pressure due to thinness
Filtrate = fluid with solutes
Venous b.p.
Is steady. Pressure gradient from venules to vena cavae is ~15mmHg
Is too low for venous return, so veins get help by:
* the respiratory pump = pressure increases in the abdominal region due to the diaphragm moving down creating a decreased volume & increase in pressure.
* The muscular pump = muscles need to contract to push blood (milking the veins ) up and deliver blood.
* layer of smooth muscle around veins = contraction helps move blood through
The muscular pump
muscles need to contract to push blood (milking the veins ) up and deliver blood.
Neutral Mechanisms
Vasomotor control of the medulla, baroreceptors, chemo receptors, & higher brain control
Maintaining B.P. = Homeostasis
An equal balance throughout body; illness occurs when homeostasis is thrown off
Vasomotor control
a cluster of neurons in the medulla that send impulses to sympathetic fibers called vasomotor fibers
-smooth muscle of blood vessels especially arterioles
Vasomotor tone
arterioles always in a state of mild constriction
Accommodations of the nervous system
The nervous system can make accommodations for parts of the body that are being used
Vasomotor activity can be modified by
Baroreceptors, chemoreceptors, and higher brain controls
Baroreceptor reflexes
- Arterial b.p. Increases when the stretch of baroreceptors in carotid sinuses aortic arch & large neck & thoracic arteries → impulses to vasomotor control for inhibition (inhibits vasomotor construction) → vasodilation leads to decrease in b.p.
- arterial b.p. increases when baroreceptors stretch → inhibition of cardiac. control which leads to a decrease in heart rate and a decrease in b.p.
- arterial b.p. Decrease which leads to vasoconstriction an increase in cardiac output and an increase in b.p..
Chemoreceptor reflexes
respond to chemicals in the blood
-Oxygen decreases, pH of the blood decreases or carbon dioxide levels increase which leads to impulses being sent by chemoreceptors in the aortic arch & large arteries of the neck. → cardiac, control → increase in cardiac output
Higher Brain controls
- Hypothalamus
- Nervous system
- Endocrine system
Short term mechanisms
hormonal (nervous system & endocrine system
Adrenal medulla hormones (epinephrine)
increase vasoconstriction increase blood pressure
Atrial natriuretic peptide (ANP)(Synthesized by atria)
causes blood volume to decrease, decrease b.p.
ADH
stimulates kidneys to retain water → increase in blood volume → increase in b.p.
What happens when the kidneys release renin?
Kidneys release renin → activates angiotensin II (most potent vasoconstrictor in the body) → vasoconstriction
What does renin do?
Renin → stimulates aldosterone (retain sodium → leads to water retention & blood volume & blood pressure increase) & ADH
Long Term mechanism
Renal (kidney /urinary system)
* renal regulation works by altering blood volume.
* directly, renal regulation is independent of hormones
* indirectly, renal regulation utilizes the hormone renin.
Vital Signs
heart rate, respiration, & oxygen saturation
A pulse
alternating expansion & recoil of arteries in each cardiac cycle → a pressure wave of blood
* The most common pulse that is measured is radial pulse - also known as pressure points (apply pressure & decrease blood flow)
How do we measure systemic arterial B.P.
indirectly in the brachial artery by the auscultatory method.
Sounds of korotkoff
1st sound = systolic pressure (artery begins to open and contract)
Sphygmomanometer
B.P. Cuff (placed superiorly to the elbow, constricts brachial artery)
sound ends
diastolic pressure (where the sound stops)
Factors affecting B.P.
sodium levels, stress, race, obesity, age, blood clotting
Normal adults systolic & diastolic
Systolic = 110- 120 mmHg
Diastolic = 70 - 80 mmHg
Hypotension
Low blood pressure ( diastolic is less than 70 mmHg)
Orthostatic Hypotension
temporary low B.P. Usually accompanied by dizziness (mainly happens in the elderly, due to continuous sitting or lying down)
Chronic Hypotension
due to poor nutrition (long term) (lack of protein to make hemoglobin (plasma protein). (Due to hypothyroidism. & Addison’s disease ).
Acute Hypotension
Rapid/ instantaneous B.P. drop (circulatory shock, not enough blood flowing through the system)
Hypertension
rise in blood pressure
Transient (temporary) hypertension
normal increase in systolic pressure (illness or stress-related)
Persistent Hypertension
continuous high blood pressure
-increased peripheral resistance. Strains the heart and damage arteries (sustained high blood pressure)
*Primary or essential hypertension = 90% hypertension cases (no definitive cause
Certain factors are believed to cause hypertension such as
smoking, stress, high salt intake
Secondary hypertension due to identifiable disorders
10% of all cases:
-blocked renal arteries
-kidney failure
-hyperthyroidism
-thyroid disorders
Tissue Perfusion
Blood flows through body tissue. It allows:
-Fuel lungs + gas exchange
-Urine making
-Absorb nutrients from the digestive system
-20% of blood flow →skeletal muscles
* In exercise it shunts blood from other systems to get to skeletal muscles
Blood Velocity
The velocity of blood flow is inversely proportional to the cross-sectional area.
* aorta & large arteries - fast flow (blood)
* capillaries - slow flow through (blood) (exchange happens )
* veins-slow flow
Cross section of aorta = 2.5cm → 40 - 50 cm/sec (flow of blood)
Cross section of combined capillaries = 4500 cm →0.03 cm/sec (flow of blood)
Capillary blood flow
slow due to the exchange of materials and diameter of capillaries
Autoregulation
automatic regulation of blood flow to each tissue in proportion to requirements (each organ system can regulate blood flow) (does no damage to the system)
MAP and CO are constant why? and what is its purpose?
MAP & CO are constant in order to have constant pressure. Therefore, changes in blood flow to individual organs are local or intrinsic, by changing the diameter of the arterioles; in essence, changing the resistance of the arterioles.
Myogenic
smooth muscle controls (t. Media)
* increase in, intravascular pressure → increase in stretch → vasoconstriction (protect organ)
* decrease in intravascular pressure
Metabolic
decrease in oxygen & decrease in nutrients = stimuli → relaxation of vascular smooth muscles
* inflammation chems (histamine, kinins & prostaglandins → vasodilation
* vasodilation on arterioles → temporary increase of blood flow
What is the purpose of long-term autoregulation?
Long-term autoregulation can occur over time to increase blood flow; that is angiogenesis = making the lengthening of blood vessels
angiogenesis
making lengthening of blood vessels
How is Blood flow maintained in various areas of the body even when fluctuating MAP?
-Skeletal muscles: blood flow varies with fiber type & muscle activity.
* active or exercise hyperemia = shunting blood from other systems to the skeletal muscles
Brain and blood flow
Brain: blood flow to the brain is ~ 750 ml/min
* decrease in pH & increase in carbon dioxide = vasodilation
* decrease in MAP = vasodilation to bring more blood flow to the brain to maintain pressure
* increase in MAP = vasoconstriction
* b.p. falls (60 mmHg) = fainting (syncope)
* Brain is less able to compensate for extreme press changes: cerebra edema = brain swelling
Skin and blood flow
-Skin: blood flow is to supply nutrients & help maintain body temperature.
* lots of arteriovenous anastomoses below the skin which are supplied by sympathetic nerve endings
* blood vessels vasoconstrictor when cold to regulate temperature (to shunt blood to the core of the body)
* Heat = vasodilation of vessels so the core doesn’t overheat.
Lungs and Blood Flow
Lungs: pressure is low ~ 10 mmHg
* low oxygen in lungs →> constriction of blood vessels (vasoconstriction) (opposite in lungs due to oxygen being picked up )
* increased oxygen in lungs →> opening of blood vessels (vasodilation )( In other organs loss of oxygen would cause vasodilation )
Heart and Blood flow
Heart: hemoglobin in cardiac cells store enough oxygen for the heart muscle in systole.
* blood flow is intermittent.
* myoglobin stores oxygen when constriction occurs
Blood flow through capillaries is slow & intermittent, why?
because of capillary sphincters = vasomotion
* The 3 processes moving materials across capillary walls = diffusion filtration & reabsorption
What are the 3 processes moving materials across capillary walls?
Diffusion, filtration, & reabsorption
What happens during bulk fluid flow?
What does this determine?
But, bulk fluid flow ( fluid leaves capillaries to maintain) is also happening. Fluid is forced out of the capillaries at the arteriole end, and most will return to the capillaries at the venous end.
-This determines the relative fluid in the bloodstream & the EC space.
oxygen, carbon dioxide, most nutrients & metabolic wastes diffuse, where?
What is diffusion?
oxygen, carbon dioxide, most nutrients & metabolic wastes diffuse between blood & interstitial fluid
* diffusion = flow down a concentration gradient. (Oxygen & nutrients flow down capillaries (down concentration gradient)
* lipid-soluble molecules = insoluble
* small water-soluble molecules = goes in between
* large water-soluble molecules = fenestrated capillaries used
* large molecules like proteins = active transport