circulation Flashcards

1
Q

important anatomy of arterioles, capillaries and veins (3)

A
  1. arterioles have muscular walls that can relax and dilate sever fold
  2. capillaries exchange fluid, nutrients, etc btwn blood and interstitial fluid- thin porous walls
  3. Venis are reservoir for blood. Thinner walls low pressure) but muscular and contractable
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2
Q

where blood is located at any given time (7)

A
  1. 84% systemic circulation;
  2. 64% veins
  3. 13% arteries
  4. 7% systemic arterioles and capillaries
  5. 16% lungs and heart
  6. 7% heart
  7. 9% lungs
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3
Q

2 types of blood flow

A
  1. laminar blood flow = long smooth blood vessels (max velocity in center)
  2. turbulent blood flow = when blood passes over obstruction, or sharp turn - occurs in large arteries (not small)
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4
Q

critical closing pressure

3- def, what causes it to occur and purpose

A
  1. pressure at which blood vessels may collapse (and unable to maintain blood flow) if pressure falls below critical value (20 mmHg)
  2. vessel will collapse when intravascular elastic and muscular forces in vascular wall, coupled with extravascular tissue pressure exceed intravascular distending pressure
  3. the point of this is to ration blood because we have 5L- not enough to fill all capillaries
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5
Q

blood vessel compliance (capacitance 3)

A
  1. vascular compliance is total quantity of blood that can be stored in portion of circulation for each mmH rise in pressure
  2. compliance = distensibility * vol
  3. result of collagen and elastin in walls
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6
Q

order of compliance (most -> least)

A

veins > aorta > arteries > arterioles

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7
Q

delayed compliance (def)

A

a vessel exposed to increased blood volume initially exhibits increase in P then progressive stretching of smooth muscle allows pressure to return to normal over minutes to hours (eg blood transfusion)

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8
Q

pulse pressure (2 def, and factors that affect it)

A
  1. diff btwn systolic and diastolic pressures (120-80 =40 mmHg)
  2. affected by stroke vol and compliance of arterial tree
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9
Q

diff btwn arterial and venous distensibility and gravitys effects (2)

A
  1. veins are 8x more distensible than arteries

2. venous return above the heart relies on gravity

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10
Q

neural factors controlling peripheral circulation (4)

  1. sympathetic/ parasympathetic
  2. arterial baroreceptors
  3. cardiopulmonary receptors
  4. CNS response*
A
  1. sympathetic vasoconstrictor- controlled by medula oblongotta (parasympathetic is relatively unimportant)
  2. arterial baroreceptors are sensitive to stretch; receptors sense p increases => release chemicals which cause vasodilation to decrease pressure
  3. cardiopulmonary receptors are sensitive to stretch; receptors sense p increases => release chemicals which decrease blood pressure
  4. CNS ischemic response - most important, and only kicks in if abp falls below 50 mmHg, we faint, which allows brain to get blood it needs
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11
Q

hormonal control of peripheral circulation

  1. epinepherine/ norepinephrine
  2. renin-angiotensene- aldosterone
  3. vasopressin
  4. Atrial natriuretic peptide
A
  1. epinephrine/ norepinephrine - increase BP by vasoconstriction
  2. renin-angiotense-aldosterone -in kidneys, decrease in arterial P eventually increases BP by salt retention
  3. vasopressin- antidiuretic hormone
  4. ANP - increase blood volume => more peeing (and therefore decreases BV and BP)
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12
Q

innervation of BV (2)

A
  1. arteries are inn by sympathetic NS

2. veins and capillaries have no innervation

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13
Q

lymph system (3)

A
  1. returns fluid, proteins and large particulate matter from interstitial space to blood (venous system!!)
  2. major route for absorption of fat in the GI system
  3. penetrates all tissues except: bone, CNS, superficial skin and endomysium of muscle
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