Fluid Shift Flashcards

1
Q

What does interstitial act as a go-between?

A

Blood and body cells

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2
Q

What are capillaries made up of?

A

A single layer of endothelial cells

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3
Q

Capillaries allow exchange of gas, water and solute between what?

A

Blood and interstitial fluid

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4
Q

What is the relative speed of blood flow through capillaries and why?

A

Slow- to allow time for gas exchange

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5
Q

In general, can plasma proteins cross the capillary wall?

A

No

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6
Q

What can pass through the endothelial cells of capillaries and what can pass through the pores?

A

Endothelial cells- lipid soluble substances

Pores- water soluble substances

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7
Q

How are some proteins moved across the capillary wall?

A

Vesicular transport

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8
Q

Fluid movement follows what kind of gradient?

A

Pressure

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9
Q

Transcapillary fluid flow is passively driven by what?

A

Pressure gradients across the capillary wall

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10
Q

Net filtration pressure is proportional to what?

A

Forces favouring filtration - forces opposing filtration

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11
Q

What are two forces which favour filtration?

A

Capillary hydrostatic pressure and interstitial fluid osmotic pressure

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12
Q

What are two forces which oppose filtration?

A

Capillary osmotic pressure and interstitial fluid hydrostatic pressure

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13
Q

Starling forces favour filtration where?

A

Arteriolar end

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14
Q

Starling forces oppose filtration where?

A

Venular end

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15
Q

Excess fluid is returned to the circulation how?

A

Via the lymphatic system as lymph

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16
Q

What is oedema?

A

Fluid in the interstitial space

17
Q

What are 4 causes of pulmonary oedema?

A
  • Raised capillary pressure
  • Reduced plasma osmotic pressure
  • Lymphatic insufficiency
  • Changes in capillary permeability
18
Q

What way does heart failure shift the Frank-Starling curve?

A

Right

19
Q

What is a cause o changed capillary permeability?

A

Inflammation

20
Q

What is a clinical finding of pulmonary oedema?

A

Crepitations at lung bases

21
Q

A CXR of pulmonary oedema will show haziness where?

A

Perihilar region