Lecture 14-Capillary Exchange Flashcards

1
Q

How do the capillaries provide a short distance for diffusion

A

thin walls-Thin walls (1µm)
Small diameter (8µm)
Close proximity to cells

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2
Q

why does blood flow slowly in capillaries

A

large cross-sectional area of capillary network

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3
Q

how does the capillary have a large surface area for exchange

A

10+ billion capillaries
600m^2

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4
Q

what are the 3 types of capillaries

A

continuous
fenestrated
sinusoid

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5
Q

which is the most common capillary

A

continuous

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6
Q

where are fenestrated capillaries found

A

endocrine organs, intestine and kidneys

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7
Q

features of fenestrated capillaries

A

water-filled pores to allow rapid change of water and solutes

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8
Q

where are sinusoid capillaries found

A

endocrine organs, liver, bone marrow, spleen

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9
Q

features of sinusoid capillaries

A

large clefts between endothelial cells and incomplete BM to allow free exchange of water and larger solutes e.g. plasma proteins

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10
Q

what are the transport mechanisms in capillary exchange

A

diffusion (down conc gradient)
bulk flow (down pressure gradient)
transcytosis (by vesicular transport; through endothelial cells)

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11
Q

what substances travel through endothelial cells via diffusion in capillary exchange

A

-lipid soluble gases and molecules e.g. O2, CO2, Fatty Acids
-ions e.g. Na+, K+, Ca2+,Cl- (via ion channels in the ECs)

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12
Q

what substances travel between endothelial cells in capillary exchange

A

small water-soluble molecules e.g water, ions, glucose, urea, amino acids

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13
Q

what substances travel via transcytosis in capillary exchange

A

macromolecules e.g glycoproteins in vesicles

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14
Q

where does bulk flow occur during capillary exchange

A

down pressure gradients between gaps and pores

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15
Q

what is bulk flow associated with in capillary exchange

A

filtration and reabsorption

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16
Q

what determines bulk flow between capillaries and interstitial fluid

A

the net pressure difference across capillary walls

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17
Q

what 4 forces influence fluid and solute movement

A

-capillary hydrostatic pressure
-interstitial fluid hydrostatic pressure
-blood colloid osmotic pressure
-interstitial fluid colloid osmotic pressure

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18
Q

capillary hydrostatic pressure

A

the blood pressure exerted on capillary walls ‘pushing’ fluid out

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19
Q

interstitial fluid hydrostatic pressure

A

the pressure exerted on the outer capillary walls by the IF pushing fluid in

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20
Q

blood colloid osmotic pressure

A

the plasma osmotic pressure pulling the fluid in

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21
Q

interstitial fluid colloid osmotic pressure

A

the osmotic pressure of the interstitial fluid pulling fluid out

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22
Q

net filtration pressure formula

A

net filtration pressure= net hydrostatic pressure - net osmotic pressure

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23
Q

net hydrostatic pressure formula

A

capillary hydrostatic pressure (decreases along capillary) - interstitial fluid hydrostatic pressure (generally negligible- 0)

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24
Q

what does net hydrostatic pressure favour

A

favours pushing fluid from capillary to IF

25
net osmotic pressure
blood colloid osmotic pressure - interstitial fluid colloid osmotic pressure
26
what is blood colloid osmotic pressure affected by
blood volume
27
why is interstitial fluid colloid osmotic pressure generally negligible
IF has few plasma proteins in suspension
28
what does a positive net filtration pressure lead to
filtration
29
what does a negative net filtration pressure result in
reabsorption
30
what are the values of capillary hydrostatic pressure from the arterial to the venous end
35 -> 18mmHg
31
what is the value of blood colloid oncotic pressure along the capillary
25mmHg
32
what gets filtered out of the capillaries
nutrients to tissues
33
what gets absorbed into the capillary
waste from tissues
34
what volume of substance is filtered per day
24L/day
35
how many litres of filtration is delivered to the lymphatic system
3.6 L/day
36
how many liters of filtration gets reabsorbed
20.4L/day
37
max filtration pressure is greater than...
max absorption pressure
38
transition point
filtration is equal to absorption
39
where is the transition point in capillary exchange located
towards the venous end
40
what is the effect of hypertension on net filtration pressure
-increased capillary -hydrostatic pressure -increased net filtration -fluid collects in extremities -systemic oedema
41
effect of severe hemorrhage on net filtration pressure
-lower CHP -decreased net filtration pressure -increased reabsorption -fluid recalled from tissue into the bloodstream -increased BP and CO
42
effect of dehydration on net filtration pressure
-increased blood colloid oncotic pressure -reduced net filtration pressure -fluid recalled from tissue into bloodstream -delays onset of symptoms
43
effect of tissue damage on net filtration pressure
-increased ICOP as plasma proteins leak into IF -increased net filtration pressure -local swelling (oedema)
44
in pulmonary circulation, what occurs when O2 level falls? How does this differ to other organ vessels
-arterioles constrict in regions of low O2 to shunt blood flow to O2 rich areas -Enhances O2 absorption -in other organs, vessels dilate when oxygen levels fall (enhances o2 delivery)
45
how many alveoli does pulmonary circulation supply
Pulmonary circulation supplies >300 million alveoli
46
why is pulmonary vascular resistance very low
Arterioles are shorter, wider and have thinner walls
47
CHP in pulmonary circulation compared to systemic circulation
10 mmHg rather than 35 mmHg
48
why are arteries more distensible in pulmonary circulation
Can accommodate increased CO with little increase in pressure
49
what happens if pulmonary CHP exceeds 25mmHg
fluid leaks into alveoli impacting respiration causing pulmonary oedema
50
what does SNS/ adrenaline cause in the coronary circulation? How does this differ to other organs?
promotes coronary artery vasodilation increasing coronary flow -in other organs, this would cause vasoconstriction
51
why is coronary blood flow restricted during systole
due to compression of the left coronary artery
52
when is coronary flow the highest in the cardiac cycle
during diastole, enabled by arterial elastic recoil
53
how does coronary circulation compensate for loss of blood flow during systole
Cardiomyocytes have high O2 reserves The myocardium has high capillary density → increases O2 extraction
54
in neural emergencies does vasodilation or vasoconstriction occur in cerebral vessels
vasodilation
55
how much co2 does the brain consume for 2% body mass
12%
56
flow rate of the brain
750ml/min
57
do neurons have good or bad metabolic reserves
bad
58
how many arteries are used to supply the brain
4 arteries that anastomose inside the cranium to maintain flow is there is a disruption
59