Phys Lecture 6: Microcirculation Flashcards

1
Q

How is blood flow regulated through the capillaries?

A

sphincters

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2
Q

How does CO2 and O2 pass thru the capillary wall?

A

diffusion

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3
Q

How does water and small solutes pass thru the capillary wall?

A

clefts

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4
Q

How do plasma proteins pass thru capillary wall?

A

fenestrations in wall

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5
Q

How do large molecules pass thru capillary wall?

A

endocytosis

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6
Q

What does a reflection coefficient close to 1 mean?

A

that molecules is impermeable to the capillary endothelium

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7
Q

What does a permeability coefficient of 1 mean?

A

that the molecule is permeable to the capillary wall

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8
Q

How would the reflection coef change in an inflammatory state such as a burn?

A
would decrease (<1) 
*proteins are allowed to flow through
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9
Q

What is the starling equation?

A

flow = Kf x [(HPc-HPi) - (OPc-OPi)]

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10
Q

What are the positive pressures?

A

those that favor filtration:

-high HPc and low OPc

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11
Q

What are the negative pressures?

A

those the favor abs into capillary:

-High OPc an low HPc ??

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12
Q

In the arterial side of capillaries, there is normally net ____

A

filtration/movement of fluid into interstitial space

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13
Q

In the venous side of capillaries, there is normally net ____

A

absorption/movement of fluid into capillaries

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14
Q

Describe the starling forces along the length of capillaries and how that effects blood flow…

A

OP is constant but HP is higher at arterial end then venous = net pressure is higher at arterial end then venous… blood flows from high to low pressure = blood always flows from arterial to venous

**also the filtration pressure > abs pressure = more net filtration than abs

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15
Q

What is the relationship between Kf and R?

A

Kf = 1/R

* inc R -> dec Kf

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16
Q

How is Kf and R diff for a fenestrated endothelium and a continuous endothelium?

A

fenestrated has more permeability = higher Kf and lower R

17
Q

What effect on filtration/abs does inc the HP on the arterial end of a capillary have?

A

inc filtration

18
Q

What effect on filtration/abs does inc the HP on the venous end of a capillary have?

A

inc filtration

19
Q

By definition, edema forms when…

A

the volume of interstitial fluid (due to filtration out of the capillaries) exceeds the ability of the lymphatics to return it to the circulation

20
Q

What determines ISFV?

A

fluid filtration from capillaries (input)

fluid drainage in lymphatic vessels (output)

21
Q

How do the starling forces change to cause edema?

A

HPc inc and OPc dec

22
Q

What direction does Kf move (up or down) to cause edema.

A

up/increases

23
Q

Does inc or dec in lymphatic drainage/flow cause edema

A

decrease (lymphatic drainage = ISFV output)

24
Q

What opposes the effects of inc capillary filtration?

A

lymphatic system/drainage if ISFV in lymphatic vessels to return to to venous circulation

25
Q

How does the anatomy of the lymphatic system/vessels favor absorption of fluid from ISF?

A

contraction of the valves in the vessels pushes the fluid through the vessels

–>the vessels create negative pressure (low HP in vessel) which allows them to act like a sponge to pick up fluid in ISF

26
Q

How does edema develop? (what is the number given to us too)

A

when the fluid entry into interstitium&raquo_space;» fluid removal by lymph

*WHen ISF pressure > 5 or 6 mmHg, the lymph flow plateaus

27
Q

Describe how ISFV is maintained when there is an inc in ISFV.

A

Inc ISFV –> inc the HPi with opposes net filtration (HPc-HPi) = less fluid is filtered fromt he capillaries into the ISF

28
Q

Increase in _____ pressure causes edema. What can cause this to increase?

A

HPc

  • heart failure
  • venous obstruction
  • inflammation (local vasodilation)

OPi:

  • lymph obstruction
  • inflammation (leakage of shit into ISF)
29
Q

Decrease in _____ pressure causes edema. What can cause this to increase?

A

OPc

  • liver disease
  • malnutrition
  • kidney disease (nephrotic syndrome)
30
Q

Inc in Kf can cause edema, what causes inc in Kf?

A

increased in capillary permeability:

  • inflammation (burns)
  • inc surface area + local vasodialtion
  • reduced reflection coef = inc permeability