Cardiovascular System 42.3 Flashcards

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1
Q

What do all blood vessels contain?

A

A central lumen (cavity) lined with an endothelium

they’re tubular

endothelium: a single layer of flattened epithelial cells, continuous with endocardium

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2
Q

What does the smooth endothelial layer do?

A

minimizes resistance to fluid flow and can also produce chemicals

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3
Q

What do capillaries walls consist of?

A

an endothelium and a surrounding extracellular layer called the basal lamina. there is no smooth muscle.

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4
Q

Where does the exchange of substances between the blood and interstitial fluid occur?

A

Only in capillaries because only there are the vessels walls thin enough to permit this exchange, single file erythrocytes pass through here

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5
Q

Difference between arteries and veins?

A

Arteries and veins have walls that consist of two layers of tissue surrounding the endothelium. The outer layer is formed by connective tissue that contains elastic fibers which allow the vessel to stretch and recoil, and collagen which provides strength. The next layer to the endothelium contains smooth muscle and more elastic fibers.

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6
Q

Arterial walls are…

A

thick, strong and elastic. they can thus accommodate blood pumped at high pressure by the heart, bulging outward as blood enters and recoiling as the heart relaxes between contraction

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7
Q

What do the smooth muscles in the walls of arteries and arterioles help regulate?

A

the path of blood flow. Signals from the nervous system and circulating hormones act on the smooth muscle of these vessels, causing dilation or constriction that modulates blood flow to different parts of the body.

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8
Q

Why do veins not require thick walls?

A

because they convey blood back to the heart at a lower pressure

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9
Q

What do veins have that arteries dont?

A

valves due to the need to prevent backflow due to a strong opposition because of gravity especially in veins

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10
Q

Where is there a dramatic decrease in velocity?

A

from the arteries to the capillaries because of the increase in cross-sectional area and can hold more blood

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11
Q

From the capillaries to veins and venules what happens to velocity?

A

There is a slight increase because cross sectional area decreases

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12
Q

When is arterial blood pressure the highest?

A

when the heart contracts during ventricular systole , the pressure at this time is called systolic pressure

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13
Q

What happens when the heart contracts?

A

Blood enters the arteries faster than it can leave, and the vessels stretch to a wider diameter from the rise in pressure

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14
Q

why does blood flow continously into arterioles and capillaries?

A

because the arteries remain pressurized throughout the cardiac cycle

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15
Q

How does homeostatic mechanisms regulate blood pressure?

A

by altering the diameter of arterioles.

Vasoconstriction: if smooth muscles in arteriole walls contract, the arterioles narrow. This increases blood pressure upstream in the arteries.

Vasodilation: when the smooth muscles relax, the arterioles increase in diameter that causes the bp in the arteries to fall.

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16
Q

What is a major inducer of vasodilation and vasoconstriction

A

Nitric oxide, a gas and endothelin, a peptide (respectively). Cues from the nervous and endocrine systems regulate production of NO and endothelin in blood vessels where their opposing activites provide homeostatic regulation of bp

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17
Q

How is fainting triggered?

A

When the nervous system detects the bp in your brain is below the level needed to provide adequate blood flow. By causing your body to collapse to the ground, fainting effectively places your head at the level of your heart, quickly increasing blood flow to your brain.

an animal that has long neck has adaptation for upper extremity, they have high systolic pressure.

18
Q

Given that capillaries lack smooth muscle, how is blood flow in capillary beds altered?

A

1) constriction or dilation of the arterioles that supply capillary beds
2) precapillary sphincters, rings of smooth muscle located at the entrance to capillary beds. The opening and closing of these muscular rings regulates and redirects the passage of blood into particular sets of capillaries. Act as valves, they can be controlled by chemical conditions around that area. During relaxation (open), there’s movement all throughout and goes through thoroughfare channel, the thoroughfare channel directly connects arterial and venule, traveling through “true” capillary. During constriction, we only have blood flow straight from arterial, through thoroughfare into venule without passing through “true” capillaries.
i. e during “flight or fight” diverting blood flow from digestive system

19
Q

What signals regulate mechanisms in capillary beds?

A

nerve impulses, hormones traveling throughout the bloodstream, and chemicals produced locally

20
Q

How does exchange occur?

A

A few macromolecules are carried across the endothelium in vesicles that form on one side by endocytosis and release their contents on the opposite side by exocytosis. Small molecules, such as oxygen and co2 simply diffuse across the endothelial cells or in some tissues through microscopic pores in the capillary wall. These openings also provide the route for transport of small solutes.

21
Q

What two opposing forces control the movement of fluid between the capillaries and the surrounding tissue?

A

Blood pressure tends to drive fluid out of the capillaries and the presence of blood proteins tends to pull fluid back.

22
Q

Osmotic pressure

A

the pressure produced by the difference in solute concentration across a membrane

23
Q

Why do many blood proteins remain in the capillaries?

A

they are too large to pass readily through the endothelium. These dissolved proteins are responsible for much of the blood’s osmotic pressure.

24
Q

Approximately how many liters of fluid does a adult human body lose to the surrounding tissue?

A

4-8 L

25
Q

Via what system are lost proteins and fluids recovered and returned to the blood?

A

Lymphatic system

26
Q

How does the lymphatic system work?

A

Fluid diffuses into the lymphatic system via a network of tiny vessels intermingled with capillaries. The recovered fluid, called lymph, circulates within the lymphatic system in one way valves before draining into a pair of large veins of the cardiovascular system at the base of the neck, subclavian veins (under clavicle). This joining of the lymphatic and cardiovascular systems completes the recovery of fluid lost from capillaries as as the transfer of lipids from the small intestine to the blood.

27
Q

What mechanisms assist movement of lymph?

A

1) Lymph vesses, like veins, have valves that prevent backflow of fluid. Rhythmic contractions of the vessel walls help draw fluid into the small lymphatic vessels.
2) in addition, skeletal muscle contractions play a role in moving lymph, because lacks muscular pump.

28
Q

What can disruptions in the movement of lymph result in?

A

fluid accumulation (edema) in affected tissues

29
Q

What is elephantiasis?

A

a condition marked by extreme swelling in limbs or other body parts due to parasitic worms lodged in lymph vessels and blocking lymph movement

30
Q

What organs are found along a lymph vessel?

A

small, lymph filtering, lymph nodes. Inside each lymph node is a honeycomb of connective tissue with spaces filled by white blood cells, which function in defense. When the body is fighting an infection, the white blood cells multiply rapidly, and the lymph nodes become swollen and tender.

31
Q

Where is overstretching more likely to occur?

A

artery because of the amount of stretching required because of the pressure

32
Q

velocity and area are?

A

inversely proportional, when we have high velocity we have a low cross sectional area

33
Q

why does velocity in veins not pick up as much as in the aorta?

A

due to the distance of vessels like veins and superior/inferior vena cava from initial kinetic energy after leaves left ventricle

34
Q

what is the drop in aortic pressure?

A

diastolic pressure

35
Q

Smooth muscle pathway

A

1) acetylcholine is our ligand and binds to a receptor found on the endothelial cells of blood vessels. As a result, it activates the result and production of IP3.
2) IP3 is a second messenger, so is a ligand that can bind to a ligand gated channel for IP3.
3) the binding of IP3 to that channel allows for calcium ions to leave the lumen of the endoplasmic reticulum down their concentration gradient out into the surround fluid (cytosol). There are calcium ATPases that help ensure that calcium ion concentration are low within cytosol so more sensitive to change in concentration.
4) presence of calcium ions in cytosol results in activation of nitric oxide synthase, which leads to production of nitric oxide gas. It is utilizing argenine available in cytosol to facilitate that process.
5) nitric oxide is capable of diffusing out of endothelial cells and nearby smooth muscle cells, helping stimulate cyclic GMP synthesis (GTP to GMP). The presence of cyclic GMP triggers smooth muscle to relax, increasing blood flow. Nitroglycerin is a drug that can be used to treat chest pest caused by insufficient blood flow to the heart (angina), triggering release of nitric oxide and increase blood flow. Syldenifol, inhibits phosphodiesterase activity (enzyme converting cGMP to GTP), increasing cGMP and promoting continued muscle relaxation, trademarked viagra.

36
Q

mechanisms help assist veinous return?

A

1) muscular pump, based on the movement of skeletal muscle. Skeletal muscle is surrounding the veins and as they contract & relax they’ll squeeze blood back to the heart. The valves will prevent any backwards flow.

people who stand still will have issues with blood pooling because they won’t have enough skeletal muscle contraction to ensure blood returning to heart effectively

37
Q

measuring bp

A

done in the brakial artery.
sphingmalmonometer- cuff goes around arm above elbow and inflate cuff with air appying enough pressure to exceed 120 mm Hg. Once we exceed this pressure, blood flow is going to stop and the brakial pulse isnt felt or heard. Reduce the cuff pressure gradually, we’re going to listen for sounds within brakial artery once drops below 120 mm Hg (first sound). The first sounds are heart when there’s a small amount of blood coming from restricted artery (systolic pressure). As the blood reduces even more and the blood flows freely the sounds wont be heard so when sounds top they’re the diastolic pressure (70 mm Hg).

38
Q

flow of blood from arterial to venule

A

microcirculation

39
Q

Where does most of the fluid exit out through?

A

arterial end, rather than veinous end which has to due with pressure seen at the arterial end.

40
Q

How is fluid returned?

A

through osmosis, so osmotic pressure is applied to capillaries. within the vessels there exists plasma proteins, the size of the proteins makes it impermissible can’t escape through the pores. Meaning theres an increase of proteins in blood plasma than seen in the interstitial fluid so water wants to enter the capillaries.

41
Q

Comparing arrows length?

A

regardless at which end of capillary end we’re at the plasma protein concentration is consist so the osmotic pressure is consistent.

42
Q

abnormal pressure

A

too much capillary blood pressure can cause too much fluid to enter interstitial fluid causing oedema (swelling of tissues) commonly seen in pregnancy.