Module 1 Lecture 3 P2 Flashcards

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1
Q

What are vascular highways?

A

Vascular highways’ that transport blood around
the body to meet demands:
– Oxygen delivery
– Nutrient delivery
– Waste removal
– Chemical messenger delivery (e.g. hormones)
– Maintain body temperature

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2
Q

What do arteries do?

A

Arteries transport blood out of the heart

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3
Q

What do arterioles do?

A

• Arterioles regulate blood flow into tissues

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4
Q

What do capillaries do

A

Capillaries exchange substances in blood

(nutrients, gases, hormones) with tissues

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5
Q

What do venules do?

A

• Venules carry away waste from tissues

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6
Q

What do veins do?

A

Veins transport blood into the heart ** the vascular tree is a closed loop

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7
Q

Explain the distribution of blood around the body and possibly label the table

A

Parallel arrangement of vessels from the
aorta ensures fresh blood to all organs
• More blood goes to organs that are
responsible for ‘reconditioning’ blood
• Other organs receive just enough blood to
meet needs & therefore ‘less tolerant’ of
reductions in blood flow – e.g. the brain
• Blood flow to each organ can be changed
independently

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8
Q

What is flow rate and what is the formula?

A

Volume of blood flowing through an area at any given
time (ml/min)
Flow rate is directly proportional to pressure gradient &
inversely proportional to vessel resistance:
F ∝ ΔP / R

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9
Q

What is pressure gradient?

A

ΔP = pressure gradient
- Difference between start & end of a vessel
- Blood flows down a pressure gradient, from
high to low
- Contraction of heart is the main driving force for
blood flow

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10
Q

What is resistence?

A

= resistance
- Opposition to blood flow caused by friction
between blood flow & vascular walls

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11
Q

How is blood flow affected by the pressure gradient?

A

The greater the ΔP, the greater the flow
- Pressure is lower at the end of a vessel because of
frictional loss (resistance) along vessel length, the flow is determined by the pressure difference between that start and end of a vessel, not the absolute pressure!

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12
Q

How is blood flow affected by resistance?

A
The greater the R, the lower the flow
- A wider vessel (↑ radius) has less opposition to blood flow,
i.e. less resistance.
Bigger radius:
= ↓ Surface contact with blood
= ↓ Resistance (R)
= ↑ Blood flow
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13
Q

Integrating factors that affect flow rate

A

Other factors contribute to
resistance (R) but radius (r)
has the greatest impact –>
to the power of 4!

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14
Q

What are arterioles (ext.)

A

Branches of an artery within an organ
• High resistance vessels due to small radius
• Profound fall in pressure as blood flows through these small
vessels. This differential helps maintain flow blood downstream

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15
Q

Pressure in arteries is identical for all organs but the amount of blood delivered varies, how it this determined

A

Pressure in arteries is identical for all organs, but the amount of
blood delivered varies & can be temporally adjusted.
Determined by:
- Arteriolar resistance
- Organ vascularisation (incl. number of ‘open’ capillaries)

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16
Q

What has the greatest impact on total peripheral resistance (TPR)

A

Of all systemic vessels,
arteriolar resistance has
greatest impact on total
peripheral resistance (TPR)

17
Q

What does elastin allow arteries to do?

A

Elastin allows arteries to expand like a
balloon & temporarily hold excess blood
- When the heart is in diastole, stretched
arterial walls recoil & exert pressure on
blood, ensuring continued flow even when
heart is relaxed & not pumping

18
Q

Elastin affect on arteries summary and label diagram

A

Elastin fibers allow arteries to expand during systole and passively recoil during diastole

19
Q

Label and explain the arteriole diagram

A

** the pump

20
Q

How can arteriolar resistance be modulated?

A

Vascular smooth muscles can contract or relax: Contraction =vasoconstriction
Relaxation = vasodilation

21
Q

What are intrinsic controls?

A

Metabolic/chemical and myogenic/physical (stretch)

22
Q

What are extrinsic controls

A

Neural (sym stim) and hormona (ADH, nAD, AD)

23
Q

Sites of exchange?

A

Exchange occurs across capillary
walls by diffusion – no carriermediated transport systems
(except for the blood-brain barrier)

24
Q

How is diffusion maximised?

A
Minimal distance
• Single layer of endothelial cells
• Thin wall (1 μm) & small diameter (7 μm)
• Proximity to cells
Maximal surface area
• High numbers (10-40 billion) = 600m2
Maximal time
• Velocity is slow due to extensive
branching
Permeability
• Molecules pass between or
through endothelial cells
25
Q

How do capillaries control the blood flow ? LABEL DIAGRAM

A
- Pre-capillary sphincters are smooth
muscle cells that spiral capillaries:
sensitive to local metabolic factors
- If metabolic activity increases,
sphincters relax à increase flow
- If metabolic activity decreases,
sphincters contract à flow is
bypassed
26
Q

What are venules p2

A

Blood flows from capillaries into venules
- These converge to form veins that exit the organ
- They have little tone or resistance
- Communicate with arterioles, chemically, to match
inflow & outflow

27
Q

What is volume resevoir?

A

It returns blood towards the heart: large radium, low resistance, less smooth muscle with little myogenic tone, less elasin so little recoil in comparison to arterioles and arteries

28
Q

What are veins highly compliant

A

They are highly compliant –> huge storage capacity therefore called capacitance vessles

29
Q

At rest, do veins store extra blood?

A

At rest, veins store extra
blood… but blood flow is
not stagnant! At rest, capillary beds are closed: blood bypasses -> enters veins
-> stretch -> total CSA increases -> blood moves more slowly
• When required, the capacity of the reservoir decreases to
increase venous return to the heart -> increasing EDV
• Venous valves prevent back-flow