Ch. 20 - Vascular/Circulation Flashcards
Diffusion
substances leave or enter blood based on their concentration gradient. Oxygen, hormones, and nutrients move from blood to interstitial fluid and Co2 and wastes diffuse from tissue to blood.
Small solute diffusion
can diffuse through endothelial cells or intercellular clefts.
Larger solute diffusion
pass through fenestrations or gaps in sinusoids
Vesicular transport
endothelial cells use pinocytosis and exocytosis to transport certain hormones and fatty acids.
Bulk flow
fluids flow down pressure gradient. movement depends on net pressure of opposing forces of hydrostatic pressure vs. colloid pressure
Filtration
fluid moves out of blood; fluid and small solutes flow easily through capillary’s openings. Occurs on arterial end of capillary
Reabsorption
fluid moves back into blood. Occurs on venous end.
Hydrostatic pressure
force exerted by a fluid
Blood hydrostatic pressure (HPb)
force exerted per unit area by blood on vessel wall. Promotes filtration from capillary.
Interstitial fluid hydrostatic pressure (HPif)
force of interstitial fluid on outside of blood vessel. Close to 0 in most tissues.
Colloid Osmotic pressure
the pull on water due to the presence of proteins.
Blood colloid osmotic pressure (COPb)
draws fluid into blood due to blood proteins like albumin. promotes reabsorption (opposes dominant hydrostatic pressure). clinically called oncotic pressure.
Interstitial fluid colloid osmotic pressure (COPif)
draws fluid into interstitial fluid. Since few proteins in interstitial fluid, this is relatively low ( 0-5 mm Hg)
Net Filtration Pressure
difference between net hydrostat pressure and net colloid osmotic pressure. It changes along the length of a capillary (higher at arterial end because NFP favors filtration over reabsorption)
NFP= (HPb - HPif) - (COPb -COPif)
Net hydrostatic pressure
difference b/w blood and interstitial fluid hydrostatic pressures
Net colloid osmotic pressure
difference b/w blood and interstitial fluid osmotic pressure.
Lymphatic system role
picks up excess fluid (15%) not reabsorbed at venous capillary end, filters it and returns it to venous circulation.
Local blood flow
not all capillaries are filled simultaneously so local blood flow varies (measured in mL per min) Local flow is dependent on degree of tissue vascularity, myogenic response, local regulatory factors altering blood flow, and total blood flow.
Degree of vascularization
extent of blood vessels in a tissue. Metabolically active tissues (skeletal muscle, heart, brain) have high vascularization while tendons, epithelia, cornea, ect. have low or none.
angiogenesis
formation of new vessels; occurs over weeks to months to increase perfusion. Can increase in adipose tissue with weight gain, exercise, and in response to gradual blockage.
Regression
return to previous state of blood vessels. Examples: skeletal muscle when individual becomes sedentary and in adipose when fat is lost.
Tumor angiogenesis
since cancer cells require oxygen and nutrients, they trigger growth of new cells by secreting molecules that cause host cells to release growth factors.
Myogenic response
smooth muscle in blood vessel wall keeps local flow relatively constant. So if bp rises and more blood enters arteriole, it will stretch and the smooth muscle will respond by contracting to reduce flow. If too little flow, it will relax providing more flow.
Vasoactive chemicals
alter blood flow
vasodilators
a vasoactive chemical that dilates arterioles and relaxes precapillary sphincters to increase flow into capillary beds
vasoconstrictors
constrict arterioles and cause contraction of precapillary sphincters to decrease flow into capillary beds.
autoregulation
process by which tissue controls local blood flow. When tissue activity increases, varied stimuli (low o2 and nutrients and high carbon dioxide, lactic acid, H and K) signal inadequate perfusion and act as vasodilator. This is negative feedback b/c as perfusion increases, vessels constrict.