Exam 2: circulation Flashcards
Main function of systemic circulation
Deliver oxygen, nutrients to tissues and remove CO2 and waste
Systemic arteries carry blood under _____ out to tissue beds
High pressure
Arterioles and pre capillary sphincters act as
Control valves to regulate local flow
___ one cell layer thick
Capillaries
Functional unit of circulatory system
Capillaries
Capillaries exchange between
Tissues and blood
Venues collect blood from
Capillaries
Systemic veins return blood and act as
Dynamic storage
Blood flow proportional to ____ EXCEPT in ___
Metabolic demand
Lungs
Cardiac output controlled by
Local systemic tissue flow
Arterial pressure control ____ of local flow or cardiac output
Independent
Composition of aorta
Elastic tissue > fibrous tissue> smooth muscle
Composition of typical artery
Smooth muscle > elastic tissue > fibrous tissue
Composition of vein
Elastic tissue = smooth muscle = fibrous tissue
Composition of capillary
Only endothelium
At a given flow, greater drop in P in a segment =
Greater resistance to flow
Greatest resistant to flow occurs in
Pre-capillary resistance vessels
Systemic circulation is predominantly a
Parallel circuit
Advantages of parallel circuit
- Independence of local flow control
- Minimize total peripheral resistance
- Oxygen rich blood supply to every tissue
Total vascular resistance equal to
Sum of total pulmonic resistance + total peripheral resistance
Viscosity of blood
3
Viscosity of blood due to
RBCs
Viscosity of plasma
1.5
Viscosity of water
1
Velocity decrease =
Increase viscosity
___ increases flexibility of RBC’s and is 3rd most abundant protein in plasma
Fibrinogen
Cells line up in small vessels, which ____
Decreases viscosity
Normal range of hematocrit
38%-45%
Laminar flow
Streamline
Silent
Most efficient
Normal
Turbulent flow
Cross mixing
Vibrational noise
Least efficient
Associated with disease
A vessel may be occluded ____ before problems occur
75%
R < 2000, flow usually
Laminar
R > 3000, flow usually
Turbulent
Broad band associated with
Turbulent flow
Narrow band associated with
Laminar flow
RBCs moving forward transmitter compress sound waves and cause
Increase in frequency of returning waves
Distensibility
Ability of vessel to stretch
Compliance
Ability of vessel to stretch and hold volume
____ are more compliant and distensible
Veins
Systemic arteries, small change in volume associated with
Large change in pressure
Systemic veins, large change in volume associated with
Small change in pressure
Short term control of blood flow involves
Vasodilation
Vasoconstriction
Long term control of blood flow involves
Changes in tissue vascularity
Release of PGI2
Inhibit platelet aggregation
Relax vascular smooth muscle
Release NO
Vasodilator
Release of endothelin
Constricts vascular smooth muscle
Bulk of exchange occurs where
Capillary
Vasomotion
Intermittent contraction of metarterioles and precapillary sphincters
Mechanisms of exchange
Diffusion
Ultrafiltration
Vesicular Transport
Oxygen uptake equal to
Product of flow X arterial-venous oxygen difference
Functional flow
Associated with increased oxygen uptake
Nonnutritive flow increase associated with
Shunting of blood through bed
Arterioles have what receptors
Alpha
Local vasodilator therory
Active tissue release local vasodilator which release vascular smooth muscle
Autoregulation
Ability to keep blood flow constant in face of changing arterial BP
Flow proportion to
Metabolic demand
SNS can either be angiogenic via ___ or cause vasoconstriction
NPY
Colloid osmotic pressure function of
Protein concentration
Primary plasma protein
Albumin
3 most abundant plasma proteins
- Albumin
- Globulins
- Fibrinogen
Hydrostatic P gradient favors
Filtration
Colloid osmotic P favors
Reabsorption
Dominant colloid
Albumin
Donnan effect
Increases colloid osmotic effect
Leakiest capillary walls present in
Liver
Tightest capillary walls
BBB
Reflection coefficient reflects
How readily protein can cross capillary wall
RC = 0
All colloid proteins freely cross wall
None reflected
No colloid effect
RC = 1
All colloid proteins reflected
None cross capillary wall
Full colloid effect
Right lymph duct drains
Right side of head, neck, right arm, part of chest
____ drains lower body, L side head, L arm, part of chest
Thoracic duct
No true lymphatic vessels found in superficial skin, _____ and bones
Endomysium of muscle
True lymphatic vessels discovered in
CNS near dural venous sinuses
2/3 of all lymph from
Liver and intestines
Lymph nodes lined with
Macrophages
Greater than half of TPR is at
Systemic arterioles
Small horses
Ponies
How do palpate mare ovaries
Palpate through rectal canal
How low pressure falls is dependent on
Cycle length
TPR
Increase CL will ___ DBP
Decrease
Increase TPR will ___ DBP
Increase
Receptor for NorEpi
Alpha
Gold and grey
Colors of Lou’s middle school
Increase in TPR causes decrease in
PR
Constriction of veins increases
Venous return
3 exceptions from SNS causing vasoconstriction
Brain
Lungs
Heart
1987
Last time Lou could beat students
Vascular tone is proportional to
CCP
SNS stimulates arterioles to
Increase critical closing pressure
If cardiac output is stopped, arterial pressure will
Fall and venous pressure will rise
MCFP is responsible for
Pressure gradient driving peripheral venous return
At a given MCFP, as central venous pressure rises,
Venous return falls
If MCPF = CVP..
Venous return goes to 0
As central venous pressure increases..
CO increases due to both intrinsic and extrinsic effects
Central venous pressure =
Right atrial pressure
Vasomotor center
Collection of neurons in MO and pons
Vasomotor center works through
SNS
4 major regions of vasomotor center
- Pressure center
- Depressor center
- Sensory area
- Cardioinhibitory area
Pressor center increases
BP via stimulation of SNS
Depressor center decreases
BP
Sensory area mediates
Baroreceptor reflex
Cardioinhibitory area stimulates
CNX
Pressor center aka
Vasoconstrictor center C1
Pressor center located
Anterolateral portions of upper MO
Effects of pressor center
Vasoconstriction
Stimulate cardiac activity
Pressor center is ___active
Tonically
Depressor center aka
Vasodilator area A1
Effects of depressor center
Vasodilation
Decreased cardiac activity
Sensory area A2 located
Posterolateral portion of pons and MO
In nucleus tractus solitarius
Depressor center located
Anterolateral lower MO
Sensory area A2 receive input from
CN 9 and 10
Sensory area A2 mediates
Baroreceptor reflex
Inhibits pressure center
Lowers BP