BLOOD VESSLES Flashcards

1
Q

Elastic arteries (like the aorta)

A

structure: located closest to the heart, have large diameters, thick tunica media with tons of elastin.

function: to conduct blood away from the heart pressure reservoirs

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2
Q

Muscular arteries

A

structure: further away from the heart, thick tunica media, with tons of smooth muscle layers (less elastin)

function: distribute blood to the organs, perform vasoconstriction

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3
Q

arterioles

A

structure: small diameter, has a few smooth muscles layers

function: constrict and dilatate to control blood flow entering capillary beds

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4
Q

capillaries (3 kind)

A

structure: continuous fenestrated sinusoidal

function: site of exchange

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5
Q

capillaries: Continouse

A

structure: simple squamous epithelium with intercellular clefts

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6
Q

capillaries: special type: fenestrated

A

structure: have fenestra (windows) for filtration

i.e. in kidneys

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7
Q

capillaries: special type: sinusoidal

A

structure: have very wide intercellular clefts to allow large particles and entire cells through

i.e. liver and bone marrow

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8
Q

blood pressure

A

the force or push that exerts with in blood vessel walls

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9
Q

pressure gradient

*Push from arterial to venous

A

gradient= difference between one side to another
blood will flow from areas of high pressure to low pressure, arterial systems start high while venous system has low pressure

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10
Q

blood pressure from arterial system to venous system

A

i. arterial pressure:
high pressure and pulsatile
systolic pressure is high (~120 mmHg)
diastolic pressure is low (~80 mmHg)

ii. capillary pressure: low pressure but not 0 mmHg, there is some pressure so not completely 0 there is some push.

iii. venous pressure: very low, all the way down to 0 mmHg at the vena cava. Vena cava cannot pump alone which is why we need valves and external pumps

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11
Q

Mean arterial pressure (MAP)

A

this is the average BBP in the arterial system.

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12
Q

calculating blood pressure

A

recorded as a fraction 120/80
ventricular contraction= systolic pressure ~120 mmHg
ventricular relaxation= diastolic pressure
~80 mmHg

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13
Q

calculating total peripheral resistance

A

anything that gets in the way of the flow (systemic circuit)

TPR= MAP/CO
CO= HR X SV

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14
Q

calculating pulse pressure

A

recorded as a fraction 120/80
ventricular contraction= systolic pressure ~120 mmHg
ventricular relaxation= diastolic pressure
~80 mmHg

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15
Q

calculating MAP

A

we want 70-100

MAP= diastolic pressure + 1/3 pulse pressure

ex: if 120/80

MAP= 80 + 40 = 93

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16
Q

perfusion

A

the blood flow to organs and tissues to deliver O2 and nutrients

17
Q

intrinsic and extrinsic factors which determine tissue perfusion

intrinsic: autoregulation

A

b. intrinsic: autoregulation
in-house (open and close control flow)

i. goal: to maintain constant perfusion into tissues and organs

ii. metabolic: vasodilation occurs when (acts as triggers)
1. hypercapnia (high CO2)
2. acidosis (low pH)
3. hypoxia
4. elevated lactate

iii. myogenic (muscle)
1. high systemic BP stimulates vasoconstriction
2. low systemic BP stimulates vasodilation

c. extrinsic: neural and hormonal (previously converted)- ques coming from outside blood vessels

18
Q

capillary exchange and the pressure relationships of bulk flow

A

a. starling’s law of capillary exchange: osmotic pressure and hydrostatic pressure drive the movement of fluids. net filtration pressure depends on these forces.

19
Q

capillary exchange and the pressure relationships of bulk flow

A

b. on the arteriole end of capillaries:
i. osmotic pressure will want to: push fluids into capillaries

ii. hydrostatic pressure within capillaries, however, is: higher than OP/ stronger
 
iii. therefore fluids are pushed out of capillaries (AKA filtration)
20
Q

capillary exchange and the pressure relationships of bulk flow

A

c. on the venule end of capillaries:
i. hydrostatic pressure will want to: send fluids out of vessels

ii. osmotic pressure within capillaries, however is: stronger than HP

iii. therefore, fluids are pushed into capillaries (AKA reabsorption)

21
Q

hypertension

A

anything higher than 140/90

22
Q

hypotension

A

anything lower than 90/60