Chapter 6: The Peripheral Vascular System Flashcards

1
Q

What are the factors affecting transcapillary solute diffusion (4)?

A
  • solute concentration gradient
  • surface area
  • thickness
  • permeability to the solute
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2
Q

What is the inside diameter and wall thickness of capillaries?

A

5 micrometer
1 micrometer

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3
Q

What does the capillary wall consist of?

A

just one layer of endothelial cells

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4
Q

How do small polar particles cross the capillary membranes?

A

through pores between endothelial cells

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5
Q

Name an organ with tight capillaries and one that has more leaky capillaries

A
  • brain tight
  • kidneys leaky
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6
Q

What is the diameter of capillary pores?

A

40 A

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7
Q

Name 4 other functions of capillaries/endothelial cells than diffusing water and solutes

A
  • activation (enzymatic convertion) of circulating hormones
  • angiogenesis and remodeling of vasculature
  • hemostasis - produce factors and initiate primary hemostasis from injury
  • produce vasoactive substanes to control arteriole diameter
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8
Q

What is the normal hydrostatic and colloid osmotic pressure within the capillaries? What are they in the interstitium?

A

25 both

close to 0 in the interstitium

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9
Q

How is osmotic pressure defined?

A

the hydrostatic pressure needed to oppose the osmotic pulled created if compartments were separated by a membrane only permeable to water

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10
Q

List the traditional starlings equation

A

Efflux = Kfiltration (hydrostic pressure capillary - hydrostatic pressure interstitium) - (oncotic pressure capillary - oncotic pressure interstitium)

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11
Q

How does histamine release causer interstitial edema?

A

causes increased permeability of endothelial wall –> increased protein efflux –> increased interstitial oncotic pressure –> fluid efflux

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12
Q

How does capillary filtration change during hemorrhagic shock?

A

volume depletion will lead to a decreased hydrostatic pressure in capillaries –> favor net movement of water from the interstitium to the capillaries

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13
Q

What promotes the forward flow of lymphatic drainage?

A

pressure gradient –> interstitial tissue pressure increases with fluid accumulation or movement
active contraction of lymphatic vessels

have one way valves to prevent back-flow

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14
Q

Explain how resistance is calculated in a network of parallel vessels

A

in a parallel network the additional vessel will reduce the overall resistance as the cross-sectional area increases

1/Rn = 1/R1 + 1/R2 + 1R3 …

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14
Q

Describe how the velocity is distributed in laminar flow through vessels

A

highest velocity in the center of the flow –> reduced towards the periphery

i.e., parabolic velocity profile

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15
Q

Which vessels have the highest flow velocity?

A

aorta, arteries

16
Q

What is the percentage of blood volume in:
* pulmonary system and heart chambers
* arteries
* arterioles
* capillaries
* venules and veins

A
  • 20%
  • 12%
  • 2%
  • 5%
  • 60%
17
Q

Which vessels have the highest vascular resistance and hence the largest pressure drop?

A

arterioles

18
Q

As arteries become more distant to the heart, how does their pulse pressure change?

A

increases

19
Q

What is a normal central venous pressure?

A

0

20
Q

How does arteriolar vasoconstriction or vasodilation affect transcapillary flux?

A

vasoconstiction - decreases capillary pressure –> hydrostatic pressure is low and favors flow of water back into the capillaries from the interstitium

reverse for vasodilation

21
Q

How is compliance defined?

A

compliance = volume change / pressure change

21
Q

How does the arterial pressure not drop to zero/0 during diastole?

A

because of the elastic recoil –> arteries are stretched during systole and the energy produced by the recoil sustains forward flow and pressure during diastole

22
Q

How can you use flow and resistance to calculate MAP?

A

MAP = CO x SVR

23
Q

Name the equation to calculate MAP from SAP and DAP

A

MAP = DAP + (SAP-DAP)/3

24
Q

What are the main determinants of the pulse pressure, and which of these is usually affecting the pulse pressure actuley?

A
  • arterial compliance
  • SV

arterial compliance is very stable –> usually changes in PP are caused by changes in SV