CV Biophysics & Kidney Flashcards
Major Functions of the Circulatory System
-Transporting nutrients to tissues
-Transporting waste products away from tissues
-Transporting hormones: signaling
Kidneys are an important part of this
Volume, Velocity, Pressure, Area
-Volume: Liters, ml, mcl
-Velocity: Distance/time (meters/sec)
-Pressure: Force; mmHg, cmH2O
-Area: Size, surface area (walls of a cyclinder)
Blood Flow Determinants
Blood Flow/ Vascular Resistance
-Blood Flow: Volume/time (ml/min, ml/sec, L/sec)
-Vascular Resistance: Typically determines what kind of BP we have. Increased resistance –> less flow
Blood Flow/Pressure & Resistance Example
The pressure will be highest between the source of blood flow and the area of resistance.
Immediately downstream from the area of resistance, the pressure should be much lower
Series vs Parallel
Blood vessels in a series: Blood vessels connected together end to end.
Ex: R1 + R2; will have double the resistance than just R1 or R2
Formula to determine resistance in series: Rtotal= R1 + R2 +R3…
Blood vessels in parallel: More pathways for the blood to flow through, stacked parallel to each other. Much lower resistance here
Cross Sectional Areas of Systemic Circulation
How does that affect velocity?
-Cross sectional area (cm2): Internal Diameter
-The lower the cross-sectional area, the faster the velocity of blood flow
-The higher the cross-sectional area, the slower the velocity of blood flow
Velocity of Blood Flow Formula
And cross-sectional diameters
Velocity= Blood flow/Cross-Sectional area
Small arteries- how do these influence blood pressure?
The further we get from the heart, blood pressure tends to decrease
-The small arteries and arterioles have a high resistance, and therefore are the determinants of our blood pressure.
If we look proximal to the small arteries, we should see a higher blood pressure
If we look distal to the small arteries, we should see a lower blood pressure
When giving phenylephrine, it increases the resistance of the small arteries, causing an increase in pressure upstream and a decrease in pressure downstream
Maintenance of pressure and resistance determines..
Circulatory Function
Blood flow is tightly controlled by..
-Blood flow is tightly controlled by tissue demands/ metabolic rate
-Maintenance of pressure and resistance determines what our blood pressure is going to be
Blood Flow Types
A) No flow
B) Laminar Blood Flow: The walls of the vessel are the resistance to movement. The blood closest to the walls of the vessel is flowing the slowest, whereas the blood in the middle in the vessel has less resistance and flows faster. Efficient. Doesn’t cause problems
C) Turbulent blood flow/disorderly: Blood is pushed into the walls of the blood vessels; slams Ca++ and cholesterol into the sides of the blood vessel causing it to be deposited into the wall. It usually caused from a blockage/narrowing in the blood vessel, causing blood to “shoot” through the narrow opening at a very fast velocity
Blood flow through the kidney? Why does it receive more than it needs?
-The kidney is one of the few organ systems that receives much more blood flow than it actually needs
-Kidneys receive about 1.1L/min of blood flow
-Without the extra blood flow, the kidney would not be an efficient filter
Ohm’s Law; Using it to solve for vascular resistance, delta P, or blood flow
-Solve for Delta P:
Delta P (change in pressure)= Flow (blood) x Resistance (Vasc.)
-Solve for Flow:
Flow= Delta P/ Resistance
-Solve for Resistance: Delta P/ Flow
Peripheral Vascular Resistance: How do we determine?
Aortic BP - R. Atrium BP / Total CO ml/min
R= Delta P/ Flow
How do we calculate this?
Vascular Conductance
If conductance is higher, what happens? If it’s lower?
-Conductance: The ease at which blood flows?
-If conductance is higher, resistance will be lower
-If conductance is lower, resistance will be higher
Conductance= 1 / Resistance
What are the functions of the capillary microcirculation?
How many capillaries do we have? Total surface area?
-Primary place of nutrient exchange and waste product collection in our circulation
-Arterioles are encased in smooth muscle, which is how blood flow through our capillaries is controlled
-Constriction of the smooth muscle will reduce blood flow at the arteriole. This causes an increase in pressure above the site of constriction, and a decrease in pressure distal to the constriction ultimately reducing blood flow
-Relaxtion of the smooth muscle will increase blood flow
- 10+ billion capillaries
- 500-700 square meters of surface area
What is significant about this picture? (Four layers)
-Area of high vascular resistance because it has four layers of smooth muscle cells. This gives our arterioles a high wall-thickness to internal diameter ratio
-This is what allows our arterioles to contract, relax, and control blood flow downstream
What determines constriction or relaxation of arterioles upstream of capillaries?
-Metabolic byproducts and gases being removed from the capillaries determines whether the upstream arterioles need to constrict or relax
- Decreased O2 delivery or increased tissue metabolism –> leads to a decrease in tissue O2 –> arterioles and precapillary sphincters relax to increase blood flow to the tissue downstream
Determine the velocity of blood flow through these vessels
CO is 5L/min
-Aorta: 1.11 L/min/cm2
-Arterioles: 0.0125 L/min/cm2
-Capillaries: 0.00111 L/min/cm2
-Venae Cavae: 0.28 L/min/cm2
5L/min divided by total cross-sectional area
Pressure of the arteriole and venous ends?
Capillary Dynamics
What area is responsible for filtration? Reabsorption?
-30mmHg on the arteriole end
-10mmHg on the venous end
-Arteriole side has forces that favor filtration; which is the process that describes movement of fluid out of the capillary and into the tissue
-Venous side has forces that favor reabsoprtion; a process of fluid being reabsorbed into the capillary bed
Capillary Starling Forces: “Pcap”
-Hydrostatic pressure in the capillary: ~30mmHg at the arteriole end of the capillary and 10mmHg at the venous end
-Physical blood pressure within the capillary
-This determines how blood flows from the arterial end to the venous end, and also plays a huge role in determining how much fluid is going to be pushed out of the capillary (filtration)
Capillary Starling Forces: Pisf
-This is the pressure outside of our capillaries and surrounding our cells
-Pressure can oppose filtration on the arteriole end and promote reabsorption on the venous end if the pressure is positive
-Typically -3mmHg. This pulls fluid out of the capillary on the arteriole end, and opposes too much reabsorption on the venous end.
-This negative pressure is due to our lymphatic system creating a “vacuum” effect and taking up extra fluid
What contributes to oncotic pressure?
Capillary Starling Forces: Plasma Colloid Osmotic Pressure; Oncotic Pressure
-There are plasma proteins (albumin, fibrinogen, immunoglobulins) mostly within the capillary
-The cell walls are not permeable to these proteins; however, they are permeable to fluid. This creates an osmotic pressure associated with the proteins within the cell and outside the cell
-Because there is a large amount of colloids dissolved in the blood within the capillary, the oncotic pressure here is higher than outside the capillary –> causing the fluid to stay within the capillary/ cardiovascular syste,
28mmHg
Conditions that cause the cell the be moer pourous?
What happens if plasma oncotic pressure is too low?
-Sepsis, liver failure, massive bleeding, or any condition that causes the cell to become more pourous than normal can cause these colloids to leak out of the capillary.
-The cell wall simply becoming permeable to the proteins causes a decrease in osmotic pressure (primary problem) and secondary is the proteins leaking out
-If we don’t have plasma proteins in the cardiovascular system, it becomes incredibly difficult to maintain a blood pressure
What kind of proteins are in the interstitial fluid?
Capillary Starling Forces: Interstitial Fluid Colloid Osmotic Pressure
-Very large strings of proteins that stay in the interstitial fluid (matrix proteins, proteoglycan filaments, hyaluronic acid, collagen)
-Osmotic pressure of 8mmHg
-Favors fluid movement into the interstial fluid ~a little~ but is outweighed by the plasma osmotic pressure