Chapter 19) Circulatory System Flashcards

1
Q

Blood Vessel Types

A
  • Arteries) Carry Blood away from the heart
    • Branch to From Capillaries
  • Capilalries) branches of arteris that connect tissue cells
    • serve cells
  • Veins) Carry blood toward the heart
    • Converge into larger vessels
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2
Q

Structure of Blood Vessel Wall

A
  • Lumen) Central Blood Containing space
  • Tunica Intimita (Inner Wall Layer) In contact with blood in lumen
    • Consists of endothelium that is a simple squamous epithelium that lines vessels
    • Continuous with lining of heart
    • Subendothelial layer (Basment Membrane) In vessels larger than 1mm, there is a basment membrane that supports endothelium
  • Tuncia Media (Middle Wall layer) Smooth muscle and sheets of elastin
    • Smooth muscle Controls Vasoconstriction and Vasodilation. Influences blood pressue/flow
  • Tuncia Externa (Adventitia) (Outer Wall Layer)
    • Contains Collegen to protect and reinforce/ anchor vessels
    • Contains nerve fibers and lymphatic vessels
    • Vasa Vasorum (vessels of the vessles) noruishes external layer.
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3
Q

Elastic Arteries

A
  • Large, Thick-walled Arteries neat the heart
    • Aorta and major branches
  • Elastin is found in all three tunics (wall layers)
  • Large Lumens allow for maximum blood flow
    • conducting arteries
  • Inctive in Vasoconstriction
    • Done to keep smooth pressure downstream
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4
Q

Muscular Arteries

A
  • Deliver blood to body organs
    • Branch from elastic arteries
    • also called distrubuiting arteries
  • Thickest tunica media of all vessels
    • More active in vasocontriction
    • Less capabile of streatching (less elastin)
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5
Q

Arterioles (Resistance Vessels)

A
  • Smallest Arteries
  • Contain all three tunics, but Tunica Media is mostly smooth muscle
  • Leads to capillary beds
    • control flow into capilaries via vasodilation and vasoconstriction
  • Arteriolar Diameter
    • Controls minute-to-minute blood flow
    • Varries in response to nueral, hormonal, and local chemical influences
    • Diameter = resistance, arterioles are called resistance vessels because they are narrow which means they are more resistant. Slows down blood speed and lowers pressure so capilaries are not damaged
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6
Q

Capillaries

A
  • Microscopic blood vessels composed of walls of thin tunica intima
    • smallest capilareis are one cell wide
  • Pericytes) contractile stem cells that can help regenrate scar tissue and stabilize the capibality
  • Found in all tissues exexpt for cartlidge, epithelia, cornea, and the lens
  • Functions
    • Exchange of things (gas, nutrients, wastes, hormones etc) between blood and interstital fluid.
  • What are the three types?
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7
Q

Continuuous Capillaries

A
  • Abundent in skin and muscles
    • held together by tight junctions
    • there are gaps in membrane called intercellular clefts that allow limited passage of fluids/ small solutes
  • Continuous capillaries of brain are unique
    • lack inercular clefts which forms blood-brain barrier
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8
Q

Fenestrated Capillaries

A
  • Endotheial cells contain pores (fenestrations)
    • more permiable than continous capillaries
  • Function in absorption or filtration
    • (small intestines, endocrine glands, and kidneys)
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9
Q

Sinsuoid Capillaries

A
  • Found only in the liver, bonw marrow, spleen and the adrenal medulla
  • Contain large inercellular clefts and fenestrations
    • largest type of capilaries because of lack of tight junctions
  • Blood flows slowly
    • large molcules and blood cells can pass between blood and surrounding tissues
    • macropages can rech into clefts to catch bacteria
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10
Q

Capillary Beds

A
  • Microcirculation and Capillary beds
    • Capillaries form interweaving networks called capillary beds
    • Networks of capillaries between arterioles and venules is known as microcirculation
  • Terminal arteriole > Metarteriole (vessel in between an artriole and capillary)
  • Metarteriole > Throughfare Channel (Between capillary and venule)
  • Throughfare Channel > Postcapillary Venule (drains bed)
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11
Q

Two types of Vessels in Capillaries

A
  • Vascular Shunt (Metaertioles and Thoroughfare channels)
    • Short vessel that directly connects terminal aereriole and venules
    • On each side of bed
  • True Capillaries
    • 10 to 100 vessels per bed
    • Branch off metarteriole or terminal arteriole
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12
Q

Blood Flow Through Capillary Beds

A
  • Terminal artiole branches into metarteriole. Metatrole branches from true capallaries which branch and retrun to thorghfare channel
    • Precapillary Sphincters lie at root of each true capillary to regulate blood flood into the capillaries
    • Can be open or closed depending on how much a specific body part needs nutrient delivery/ waste removal
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13
Q

Venules

A
  • Capillaries unite to form venules
    • smallest are postcapillary venules
  • Very Porous
    • similar to capillaries
    • Allow fluids and WBCs into the tissues
  • Consists of Endothelium and and a few Pericytes.
  • Larger venules have one or two layers of smooth muscle cells.
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14
Q

Veins

A
  • Venules Join to form Veins. Have larger lumens compared to their corresponding arteries
    • results in lower blood pressue than in arteris
  • Tunica media is thin
    • can be thin because of lower blood pressure
  • Tunica Externa is thick and filled wit collegen and elastic networkds
  • Veins are called capacitance vessels (blood reservoirs) because they can hold up to 65% of the body’s blood supply.
  • Venous Valves) prevent backflow of blood
    • most abundent in limbs
  • Venous Sinuses) flattened veins with thin walls composed of only epithelium
    • Supported by surrounding tissues.
      *
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15
Q

Vascular Anstomoses

A
  • Most Organs receive blood from more than one major arterial branch. This forms arterial anastomeses when the same teritory is covered by more than one artery
    • ensures an alternate pathway called Collateral Channels for blood to take.
    • Occur at joints, abdominal organs, the brain, and the heart
    • None in the retina, kindys or spleen (have poorly developed collateral circulation)
  • Arteriinovenous anastomoses) Vascular shunts of capillaries
  • Venous Anastomoses) common as vains interconnect freely
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16
Q

Blood Flow

A
  • Volume of blood flowing through a vessel, organ, or entire circulation in a given period
    • Measured as ml/min
    • Equilivent to Cardiac Output (volume of blood pumped by each venticle)
    • Relitvely constant at rest
      *
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17
Q

Blood Pressure

A
  • The force per unit are exerted on the wall of blood vessels
    • expressed in mm Hg
  • Measured as systemic arterial BP in large arteris near heart
  • Hydrostatic Pressure Gradient) diffrences in blood pressure in vascular system
    • keeps blood moving from higher to lower pressure and through the body
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18
Q

Resistance

A
  • Opposition to Flow
    • measure of amount of friction blood encounters with vessel walls
  • Important sources of resistance
    • Blood Viscosity (thickness)(stickiness due to formed elements and plasma proteins)
    • Total blood vessel length (More length= more resistance)
    • Blood Vessel Diameter. (smaller diameter/vasoconstriction = more resistance)
      • Greatest influence on resistance
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19
Q

Relationship Between Blood Flow, Pressure and Resistance

A
  • Blood Flow (F) is directly proportinal to the diffrence in blood pressure (ΔP) between two points
    • ΔP increses, blood flow speeds up
  • Blood flowus inversley propotinal to peripheral resistance (R)
    • If R increases, blood flow decreases
    • F=ΔP/R
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20
Q

Systemic Blood Pressure

A
  • Pressure generated when pumping action of heart encounters resistance.
    • Highest in the Aorta where it declines through the pathway (0mm Hg in right atrium)
    • Steepest drop in pressure occurs in arterioles which offer the greates resistance.
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21
Q

Arterial Blood Pressure

A
  • Pressure reflects two factors of arteries
    • Elasticicty of elastic arteries
    • Volume of blood forced in them at a time
  • Blood pressure near heart is pulsatile (rises and falls)
  • Systolic Pressure) Pressure exerted on aorta during ventricular contraction
    • About 120 mm Hg in adults
  • Diastolic Pressure) lowest level of aortic pressure
    • aoritc valve closes to prevent backflow
    • Pressure drops to 70-80 mm HG
  • Pulse Pressure) diffrence between systolic and diastolic pressure
  • Mean arterial pressure (MAP) pressure that is enough to send blood through the capalaries to the tissues
    • Roughy equal to diastolic pressure plus 1/3 of systolic pressure.
22
Q

Vital Signs

A
  • Vital Signs
    • Pule and Blood Pressure
    • Respritory rate and body temprature
  • Pulse) Pressure wave caused by expansion and recoil of arteries
  • Taking A pulse)
    • Found in an artery that is close to the surface of the body (ex. radial artery)
  • Pule Points/ Pressure Points) can be compressed to stop blood flow
23
Q

Measuring Blood Pressure

A
  • You measure systemic arterial blood pressure in the brachial artery of the arm via the Ausculatory method
    • use a pressure cuff (sphygmomanometet)
  • Systolic pressire) 120 mm HG
    • sound is heard when blood rushes through constricted artery
  • Diasotlic pressure) 80mm Hg or less
    • Sound stops as blood flow normalizes
24
Q

Capilary Blood Pressure

A
  • Ranges from 17 to 35mm Hg
    • Low pressure is desirable as high pressure would rupture apillaries
25
Q

Venous Blood Pressure

A
  • Changes little during cardiac cycle
  • Small pressure gradient is about 15 mm Hg
    • due to resistance
  • Factors aiding Venous return
    • Muscular pump) contraction of skeletal muscles
    • Respritory Pump) moves blood as we breathe
    • Sympathetic venoconstriction) reduces the volume of blood in the veins. Smooth muscle around veins contracts.
26
Q

Maintaing Blood Pressure

A
  • Requires
    • Cooperation of heart, blood vessels, and kidneys
    • supervision by the brain
  • Blood Presure = Cardiac output x Resistance
  • Blood Pressure is directly related to CO and R (Change P = CO x R)
  • Any change in one variable (P, CO,R) is normally compensated for to mantain constant blood pressure.
27
Q

Short Term Nueral Control of Blood Pressure.

A
  • Control peripheral resistabce
    • Mantain MAP by alterting blood vessel diameter
    • Will send blood to heart and brain if blood volume starts to drop.
    • Alter blood distribution to organs (ex shunts when excercise levels increase)
  • Controls operate via Reflex Arcs
    • Barorecepors (Pressure-sensitive mechanoreceptors)
    • Cardivascular center in medulla (clusters of sympathetic nuerons that moniter blood presure and control blood vessel diameter aka Vasomotor tone)
    • Chemoreceptors detect increase in CO2 or drop of pH or O2 and signal to increase CO and vasoconstrictuon (increased MAP)
  • Low MAP > Vasoconstriction > Increased CO
  • Reflexes that regulate blood pressure are locaed in the Medulla
    • not located in hypothalamus or cerebral cortex.
28
Q

Short Term Hormonal Control of Blood Pressure.

A
  • Hormones can Increase Blood Pressure
    • Epineprine and Norepineprine) Increase CO and Vasoconstriction
    • Angiotensin II) Renin from Kidneys is released when BP is low. Rennin genrates Angiotensin II which stimulates vasoconstriction and raises blood pressure.
  • Can lower Blood Pressure
    • Atrial Nural peptide (ANP) causes decreased blood volume by antagonizing (stopping) adlesterone.
29
Q

Long Term Mechanism) Renal Regulation

A
  • Baroreceptors adapt quickley so they cannot moniter long term pressure; Kidneys mantain blood pressure homeastasis
    • Kidneys regulate blood volume
    • Do so in two methoeds
  • Direct Renal Mechanism
    • Does not require hormones
    • Increadsed BP = more urine which lowers pressure
    • Decreased BP or Volume = less urine to conserve water and raise BP/Volume
  • Indrirect mechanism
    • Rennin-Aldesterone mechanism
    • Low BP > Release of Rennin> stimulates aldestrone release (increased blood volume, causes vasoconstriction)
30
Q
A
31
Q

Hypertension

A
  • High Blood Pressure
    • Sustained elevated arterial pressure of systolic pressure above 140 mm Hg or Diastolic above 90 mm Hg
  • Prehypertension) elevated pressure but not in hypertension range
    • at risk for developing hypertension
  • 30% of people above 50 are hypertensive
    • Heart works harder which enlarges and weakens it
  • Primary/Essential hypertensuon
    • No underlying cause (diet, stress, obesity, age, and smoking are risk factors)
    • No cure but can be controlled
  • Secondary Hypertension
    • Due to an identifable disorder such as kidney desiese or hyperthyroidism
32
Q

Hypotension

A
  • Low blood pressure
    • usually below 90/60 mm Hg
    • Only a concern if it leads to inadequate blood flow or backflow
  • Orthostatic Hypotension) Temporary low BP and dizziness when suddenly rising from sitting/ reclining
  • Chronic Hyotension) Sign of another desiese (addisions. hyperthyroidism, malnutrition)
  • Acute Hypotension) Sign of circulitory shock (inadquate blood flow)
    • can kill cells if persistance
    • mostly due to hypovolemic shock which results from large scale blood loss.
33
Q

Circultory Shock

A
  • Any condition where
    • blood vessels are inadequately filled
    • Blood cannot circulate
  • Hypovolemic Shock) Results from blood loss
  • Vascular shock) Results from extreme vasodilation/ decreased peripherial resistance
  • Cardiogenic shock) results when heart cannot sustain circultion
34
Q

Tissue Perfusion

A
  • Means Blood Flow through Body Tissues.
  • Involved in
    • Delivery of O2/ nutrients
    • Gas exhange in lungs
    • Absortion of nutrients (digestive)
    • Urine Formation (kidneys)
  • Rate of Flow to each tissue is percise ammount for proper function
    • Not too much or too little
    • Changes based on body needs at the time
35
Q

Autoregulation

A
  • Rate of Blood Flow is exatly right for each organ. Achieved by autoregulation
  • Intresnic Controls
    • Control of flow is withing the organ or tissue by modifying the diameter of local arterioles
    • Uses paracrines/ muscle tissue
    • Known as autoregulation or local control
  • Extrensic Cotrols
    • Controls flow via arterial smooth muscle
    • Acts via sympathetic nervous system and action of hormones.
36
Q

Meatabloic Controls (autoregulation)

A
  • Vasodilation of Artioles and Relaxtion of precapillary sphincters occur in response to
    • Declining O2 levels
    • Increase in metabolic wastes and inflamitory chemicals
    • Release of NO (powerful vasodilator)
  • Effects
    • Relaxation of vascular smooth muscle
37
Q

Myogenic Controls (Autoregulation)

A
  • Vascular smooth muscle resonds to streatch
    • Passive streach promotes increased tone/ vasoconstriction
    • Reduced streacth promotes vasodilation/ increased blood flow
38
Q

Long Term Autoregulation

A
  • occurs when short term regulation cannot meat tissue requirments
  • Angiogenisis
    • Number of vesses in region increases
    • done to increase blood flow
39
Q

Blood Flow) Skeletal Muscles

A
  • Varries with fiber type and activity
  • Active/Excercise Hypermia
    • muscles become active and blood flow increases in direct proportion to metabolic activity
    • Excercise means less O2. Blood flow/ respritory rate increase to compensate
    • Sympatetic activity reduces blood for skin/digestive system and sends it to the muscles.
40
Q

Blood Flow) Brain

A
  • Constant flow of about 750ml/ min
  • Meatabolic controls
    • Decreased pH, Increased CO2 causes vasodilation
  • Myogenic Controls
    • Decreased MAP causes dilation
    • Increased MAP caises constriction
  • Syncope/ Fainting) occurs when brain blood pressure hits below 60mmHg
41
Q
A
42
Q

Blood Flow) Skin

A
  • Blood Flow through the skin
    • Supplies nutrients to cells (autoregulation in response to O2 needs)
    • Helps regulate body temprature (neurally controlled vasoaction)
    • Provides a blood resivuior
  • Regulating Temp is main action
    • can change from 50 ml/min to 2500 ml/min depending on needs.
    • Temp rises > Warm blood flushes skin > heat is removed
    • Temp Decreases > Blood Vessels constrict > Blood is diverted to more vital organs
43
Q

Blood Flow) Lungs

A
  • Pulmonary circut is unusual in many ways
    • Pathway is shoer
    • Arteries/ Arterioles are like veins in the sense that they have thin walls and large lumens
    • Arterial resistance is low
  • Autoregultory mechanism is opposite that iun most tissues
    • O2 is Low> Causes vasoconstriction because it is nonfucntional
    • O2 is High> Promotes vasodilation to get as much O2 as possible
44
Q

Blood Flow) Heart

A
  • During Ventricular Systole
    • Cornoary Vessels are compressed. Myocardial (heart) blood flow ceases
    • Stored myoglobin provides sufficent nutrients for heart during systole
  • During Diastole
    • High pressure forces blood through cornary circut
  • During Excercise
    • Cornary vessels dialate in responde to local accumulation of vasodilators
    • Blood flow increases to cornary aretries 3-4 times
45
Q

Velocity of Blood Flow

A
  • Slow blood flow through capillaries promotes diffusion of nutrients and gases, and bulk flow of fluids
  • Velocity is inversley related to blood flow
    • Where blood flow is the faster the total area avabiale for diffusion declines
  • Vasomotion
    • Blood flow in capilaries is slow and due to vasomotion; the opening and closing of precapillary sphincters
46
Q

Capilary Exchange

A
  • Diffusion down concentration Gradients
    • O2 and nutrients from blood to tissues
    • CO2 and metabolic waste from tissues to blood
  • Four Routes across capillaries for diffrent molecules
    • Lipid soluable molecules diffuse directley through Endothelial Membranes (lipid soluable)
    • Water-soluable solutes pass through Clefts and Fenestrations
    • Larger molecules (proteins) are activally tranported in Pinocytotic Vesicles
47
Q

Hydrostatic Pressures

A
  • Direction and ammount of flpw depend on two oposing forces
  • Hydrostatic Pressures
    • Capillary Hydrostatic Pressure (HPc) (Capillary Blood Pressure) forces fluids through capaleries. greater at arteries (35mmHg) vs venule (17mmHg)
    • Interstitital Fluid Hydrostatic Pressure (HPif) Pressure that would push fluid into a vessel if lymphatic vessels were not constantly drawing from it
  • Colloid Osmotic Pressures
    • Capillary Colloid Osmotic Pressure (Oncotic pressure) (OPc) Created by nondifussiable plasma protiens which draw water to themselves (26mmHg)
    • Intersitial Fluid Osmotic Pressure (OPif) Low pressure due to low protien content (~1mmHg)
48
Q

Net Filtration Pressure

A
  • Comprises all forces acting on the capillary bed
    • Net fluid flow out of arteries
    • Net flow into the veins
  • More fluid leaves than is returned
    • Excess is returned via the lymphatic system
49
Q

Edema

A
  • An abnormal increase in the ammount of intersitial fluid
  • Causes
    • Increase in capillary Hydrostatic pressure (pushing out)
    • Increase in interstital fluid Osmotic pressire (pulling in) due to lack of protein in plasme
    • Decreased capillary OP
      • Due to hypoprotenimemia
50
Q

Develmental Aspects of Circultiory System

A
  • Vessel formation occurs
    • to support body growth
    • wound healing
    • to rebuild vessels lost during menstral cycles
  • As we agge
    • vascular desiese begins to appear
    • Atherosclerosis and increased BP may arise.