Phys Exam 3 Flashcards
Basic principles of blood flow and pressure
- fluid that flows througha tube requires a pressure gradient
- pressure in the cardiovascular system is produced by the heart
- fluid flow through a tube is influenced by resistance (R). Flow is proportional to 1/R
- R depends on radius. R is proportional to 1/rad^4
- changes in resistance result from vasoconstriction and dilation
- pressure decreases as fluid traels down the tube due to friction
elastic arterties serve as a
pressure reservoir
each side of the heart functions as
an independent pump
arterioles are the site of
variable resistance: chooses where blood goes and regulates pressure by changing resistance
capillaries are the site for
exchange
systemic veins have
high compliance, not very elastic = volume reservoir
allocation of blood flow to body structures is determined by
changes in arteriolar resistance
- arranged in parallel
- controlled individually
- smooth muscle causes vasoconstriction/dilation
vasoconstriction at a specific site results in
decrease in pressure downstream, which causes an increase in pressure upstream
velocity is inversely proportional
cross sectional area of vessels
- capillaries have largest cross-sectional area, thus having the lowest velocity (allowing for diffusion)
three mechanisms of exchange at capillaries
diffusion, vesicular transport, bulk flow
- diffusion for small solutes
- vesicular transport for larger solutes and proteins
- bulk flow for water and solutes
bulk flow two possibilites
filtration: fluid going from plasma to the interstitial fluid
absorption: going from interstital fluid back into the plasma
bulk flow is determined by
hydrostatic pressure - lower at venous end due to friction
colloid osmotic pressure:
- osmotic pressure resulting from proteins restricted to plasme, not the same as total osmotic pressure
- does not vary across capillary bed
if NFP > 0
net filtration, arterial end
if NFP < 0
net absorption, venous end
filtration at arterial end usually exceeds absorption at venous end, leading to
3L of fluid lost from plasma per day
lymphatic system job
- return excess interstitial fluid (lymph) to the blood
- returns any filtered protein to the blood
- filters our pathogens at lymph nodes
- absorbs fats in the small intestine
driving pressure of blood pressure
pressure created in ventricles that is transferred to the arteries
as blood travels through arteries, capillaries, veins, the pressure
decreases
elastic arteries serve as a pressure reservoir by
- stretching during systole
- elastic recoil during diastole: maintains driving pressure
- backward flow during diastole prevented by semilunar valves
measures of blood pressure
systolic: ventricular systole
diastolic: ventricular diastole
pulse pressure
sBP- dBP
mean arterial pressure (MAP)
diastolic pressure + 1/3 pulse pressure
MAP = CO x TPR (total peripheral resistance)
the driving pressure for blood flow to tissues and indicative of whether there’s enough pressure to perfuse all organs
mean arterial pressure. Also depends on flow in vs flow out
total peripheral resistance (TPR)
resistance to flow out of arteris, due to arterioles
factors influencing MAP
- cardiac output
- diameter of arterioles
- blood volume
- diameter of veins
cardiac output (CO) and MAP
as CO increases, MAP increases
diameter of arterioles and MAP
(TPR) a smaller diameter increases TPR and increases MAP