Lecture: Blood Vessels, Pressure, Lymph, and Immunity Flashcards
exchange vessels
Capillaries
tunica interna has no openings or porous holes: this type of capillary is found usually in the brain
Continuous capillary
endothelial lining has openings for movement of fluid and blood filtering
often found in kidneys + gut
Fenestrated capillaries
large openings for larger molecules to get through
found in spleen and liver
Sinusoid capillaries
capacitance vessels (blood reservoirs)
Veins
event that constricts or closes artery
Vasospasm
basis for collateral circulation
Anastomoses
equation for blood flow
F = P / R
or
CO = P / R
mean arterial pressure equation
Diatolic P + PP / 3
MAP equation uses avgs.
80 mmHg(d bp) + 40 mmHg(pp) / 3 = 93 mmHg
pumps blood 1 way + has valves
Muscular pump
Uses pressure gradients: The pressure changes occurring during breathing that enhance venous return. During inhalation, pressure decreases in the thoracic cavity and increases in the abdominal cavity creating an upward “sucking” effect that pulls blood toward the heart
Respiratory pump
bld vs. (veins) uses smooth muscle in tunica media to move blood
(sympathetic NS)
Venoconstriction
bulging/distending of a bld vs. on ONE side
Saccular Aneurysm
bulging/distending of a blood vessel on BOTH sides
Fusiform Aneurysm
pushes through endothelium + stays WITHIN media
Dissecting Aneurysm
What is the blood flow equation?
F (CO) = P / R
Effect of epinephrine
Increases cardiac output (HR + contractility)
Increases peripheral resistance (vasoconstriction)
Relaxation of bronchioles
Blood volume = normal
Blood vs. become very dilated
Vascular shock
Bld. vs. dont fill correct and cannot circulate normally (cell and organ damage follows)
Circulatory shock
Heart is inefficient that it cannot sustain adequate circulation
Cardiogenic shock
Fluid build up
Edema
Fluid build up
Edema
Pumps blood 1 way + has vavles
Muscular pump
Smooth muscles have smooth muscles in tunica
Venoconstriction
Smooth muscles have smooth muscles in tunica
Venoconstriction
Effect of angiotensin 2
Increases peripheral resistance (vasoconstriction) (arterioles)
Hormone that increases peripheral resistance (vasoconstriction)
Increases blood volume (decrease blood loss)
Antidiuretic hormone (ADH)
Increase peripheral resistance (vasoconstriction)
Increases blood volume (decrease blood loss)
Antidiuretic hormone (ADH)
Medication that can decreases blood volume
Diuretic
Part of the brain that controls thirst
Hypothalamus
Part of the brain that controls thirst
Hypothalamus
Plasma protein made in liver continually + is dormant
Angiotensinogen
Where does the aldosterone come from?
From cortex of adrenal gland
Increases sodium reabsorption + water retension
Aldosterone
Increases sodium reabsorption + water retension
Aldosterone
Vasoconstriction is
systemic
HPc in arteriole end in capillary bed?
35 mmhg
HPc in venous end in cappilary
17 mmHg
What is osmotic pressure in the venous and arteriole end?
25 mmHg
too much fluid in tissues, not enough absoprtion
Pitting edema
How many L a day are filtered through the capillary beds?
20 L
How much fluid is reabsorbed into the venous end of cappilaries
17L and the 3L remaining is absorbed through lymph vessels
Senses changes in BP and where are they located
Baroreceptors and Aortic arch and Carotid sinus
What is the RAA system innervated by
Sympathetic nervous system
What do lymph nodes do?
Filter lymph
Brings lymph back to nodes
Afferent vessels
Fewer vessels than afferent because foreign things are being attacked for longer
Efferent vessels
Drains lower lymphatic vessels
Inferior to diaphragm
Cisterna chyli
Cancer that spreads through the lymphatic system
Carcinoma
Cancer that spreads through blood is
Sarcoma
Major lymphatic duct that distributes lymph back into venous system (subclavian + internal jugular that forms brachiocephallic trunk)
Thoracic duct
Drains lymph from right arm and head
Right lymphatic duct
Responsible for immunity
Lymphocytes
Attack foreign cells (antigens) and aid in cellular immunity
T cells
Cells that produce plasma cells and are responsible antibody production
B Cells and Humoral immunity
Primary lymphoid organs
Thymus organ(superior to heart) and hemopoetic tissue
Secondary lymphoid organs
Peyer’s patches
Spleen (largest lymphoid organ)
Tonsils
Appendix
Lymph nodes
Swelling of tissue
Edema
Blockage of lymphatic vessels (cannot get to inguinal node)
Lymphedema
Edema
swelling of tissue
cells (lymphocytes), chemicals, phagocytes, NK cells, inflammation, fever
Internal defenses
Skin, mucosae
Surface barriers
Adaptive defenses
Humoral (B cells)
Cellular (T cells)
3 Adaptive responses
Specific, Systemic, Memory
Makes memory cells (remembers infection)
Memory: adaptive response
All cells activated throughout all the body
Systemic: adaptive responses
Grafts from different individuals of same species
Allograft
Tissue from 1 area to another
Autograft
Graft from genetically identical individual
Isograft
Graft for different species (heart valves)
Xenograft
What are CD4 T cells?
TH (Helper T cells): activate b cells + other cells
TR (regulatory cells): modulate immune response (vs autoimmune)
The tracheal rings are composed of what type of cartilage
Hyaline
The primary function of the larynx is
Controlling airflow into the trachea
Pulmonary venules carry ________ blood, while pulmonary arterioles carry _______ blood
Oxygenated / deoxygenated
The left and right lung are morphologically identical:
False
The muscles involved in normal quiet breathing are the external intercostal and the diaphragm
True
Veins and vessels come from
Splanctic mesoderm
Where does the thymus gland come from?
Endoderm
Cardioacceleratory
Sympathetic or parasympathetic?
Sympathetic
Vasomotor nerve
Sympathetic or parasympathetic?
Sympathetic
Vagus nerve
Sympathetic or parasympathetic?
Parasympathetic
Short term regulation of BP involves what
Hormones and nervous system (symp.)
Resistance vessels that control basal motor tone
Arterioles
Renin is released from the kidney when…
Baroreceptors recieve signal that blood pressure is too low
Long term maintenance of blood pressure
RAA system in the kidney
Innate defenses?
Surface barriers: skin, mucosae
Internal defenses: cells, chemicals, NK cells, inflammation
Most prevalent immunoglobulin
IgG
First immunoglobulin on the scene
IgM
Hypersensitivity types:
Type I: Acute allergies: IgE > fatal
Type II: Subacute: IgG + IgM > pollen allergy
Type II: Delayed: contact dermatitis
Type II hypersensitivity immunoglobulins
IgG + IgM
Type I sensitivity immunoglobulin
IgE
Where do b and t cells originate
Hemocytoblasts from hemopoetic tissue
When does the thymus gland start to atrophy?
When kids hit puberty
Where do B cells gain immunocompetence?
RBM (hemopoietic tissue)
Where do T cells gain immunocompetence?
Thymus
Largest lymphoid organ
Spleen
Pulmonary ventilation:
External respiration
O2 lung to blood
CO2 blood to lung
Pulmonary ventilation:
Internal respiration
O2 blood to tissue
CO2 tissues to blood
3 opening of diaphragm
IVC, esophagus, aorta
Diaphragm is made of what?
Voluntary skeletal muscle and innervated by phrenic nerve
What keeps diaphragm alive?
Phrenic nerve: spinal nerve: cervical
C3, C4, C5
Where does pleural cavity come from?
Endoderm
Boyle’s law
Increase in pressure-decrease in volume
Decrease in pressure-increase in volume
Surfactants…
Reduce surface tension
Type II Alveolar cells
Septal (surfactants)
Dalton’s law
% of gas x 760 mmHg (atmospheric pressure)
Ex: 0.15 x 760 mmHg
Respiratory centers
Medulla + pons
Normal breathing
Eupnea
Labored breathing
Dyspia
No breathing
Apnea
Increase in amt. of breaths
Hyper apnea
Increase or decrease in CO2 levels
Hyper/hypocapnia
An increase in CO2 will…
Lower PH > acidosis > coma
A decrease in CO2 will…
Raise PH > alkaline > convulsions/tetany
Normal blood ph
7.3-7.5
Lung collapse
Atelectasis
Where are the respiratory centers?
Medulle + Pons
Brain Stem
O2 transport molecule is called
Oxyhemoglobin or de-oxyhemoglobin
CO2 transport involves
Carbamino hemoglobin
Dissolved in bicarbonate fluid
Type 1 alveolar cells lie among
The wall
How many breaths per min do infants take?
40-80 BPM
How many breaths do 5 year olds take?
35 BPM
How many breaths do adults take?
16-20 BPM
How many breaths do elderly take?
Raises as the get older, over 16-20 min
Reflex in lungs
Herring/Breuer Reflex
Pleural layers are derived from
Endoderm
What is derived from endoderm
Trachea
Bronchi
Lungs
Gut tube
Layers of lung pleura
Parietal pleura: mediastinal pleura
diaphragmatic pleura
Visceral plura:
Layers of lung pleura
Parietal pleura: mediastinal pleura
diaphragmatic pleura
Visceral plura:
^ Pressure, v Volume
v Pressure, ^ Volume
Boyles law
How much dead air space do we have?
150 ml
Inspiration does what to diaphragm?
Contracts
Histamine is a
Vasodilator and shuts bronchioles
Where are fenestrated capillaries found?
Kidney (for blood filtering)
Determines how well someone breathes
Alveolar Respiratory Rates (AVR)
Freq. x (TV - Dead Air Space (150ml))
Short term regulation of bld. vol. and pressure are
Short-term regulation: hormones and nervous system (Resistance and Cardiac Output)
Long term factors on bld volume + pressure
Long term regulation: RAA system for blood volume
When blood PH raises above 7.8
CNS becomes HYPEREXCITED > Tetany > Convulsions > Respiratory Arrest
When blood PH goes below 6.8
CNS becomes depressed > acidosis> leads to coma > death
AVR (ml/min) equation
= frequency (breaths/min) x (TV - dead space)(ml/breath)
Dalton’s Law
= % x 760 mmhg (atm. pressure)