Capillaries II Flashcards

Fluid exchange

1
Q

How is hydrostatic pressure exerted? [2 marks]

A
  • Fluid moves across membrane to interstitial space

- Due to blood flow

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2
Q

How is osmotic pressure exerted? [2 marks]

A
  • Fluid moves into capillaries

- Due to plasma proteins

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3
Q

What is Πp and Πi? [2 marks]

A
Πp = osmotic pressure due to plasma proteins
Πi = osmotic pressure due to interstitial proteins
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4
Q

What is Pc and Pi? [2 marks]

A
Pc = hydrostatic pressure due to capillary blood pressure
Pi = hydrostatic pressure due to capillary blood
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5
Q

What does Jv mean? [1 mark]

A

Movement of fluid (flux)

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6
Q

What does Lp mean? [1 mark]

A

Hydraulic conductance of endothelium i.e. how leaky it is to fluid

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7
Q

What does σ mean? [2 marks]

A

Reflection coefficient i.e. fraction of osmotic pressure that is exerted
σ = 1 = reflected
σ = 0 = leaks out

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8
Q

What are Lp and A in normal conditions? [1 mark]

A

CONSTANT

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9
Q

What happens to hydrostatic pressure as you go down a capillary? [1 mark]

A

Decreases

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10
Q

What happens to osmotic pressure as you go down a capillary? [1 mark]

A

Nothing

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11
Q

What can excess filtration be caused by? [2 marks]

A
  • Decreased osmotic pressure

- Increased hydrostatic pressure

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12
Q

What does control of extracellular fluid balance depend on? [3 marks]

A
  • Capillary filtration
  • Capillary reabsorption
  • Lymphatic system
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13
Q

Which Starling factors determine change in fluid balance? [3 marks]

A
  • Circulation
  • Interstitial fluid
  • Lymphatic system
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14
Q

What happens to osmotic pressure in hypovolemia? [1 mark]

A

Nothing

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15
Q

What happens to hydrostatic pressure in hypovolemia? [1 mark]

A

Decreases

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16
Q

What happens to cardiac output in hypovolemia and what happens next? [2 marks]

A
  • Decreases

- Causes BP to decrease (BP = CO x TPR)

17
Q

How is hypovolemia restored? [4 marks]

A
  • Sympathetic vasoconstriction
  • Reabsorption of fluid
  • Higher CO
  • Higher BP
18
Q

What are the causes of oedema? [4 marks]

A
  • Increased Pc (due to increased pressure at venous end)
  • Decreased πp (due to less albumin)
  • Inflammatory response (leady capillaries)
  • Lymphatic problems (e.g. elephantitis and lymphoedema)
19
Q

Which clinical scenarios can cause increased capillary pressure? [3 marks]

A
  • Dependent (gravitational) oedema
  • DVT
  • Heart failure
20
Q

Which clinical scenarios can cause decreased plasma osmotic pressure? [3 marks]

A
  • Malnutrition/malabsorption
  • Nephrotic syndrome (loss of urinary protein)
  • Liver disease (less albumin made)