Pulmonary Circulation Flashcards

(31 cards)

1
Q

Is pulmonary circulation compliant?

A

Highly so

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2
Q

What does the pulmonary circulation contain?

A

Fibrinolytic system

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3
Q

What does the pulmonary circulation also function as?

A

Blood reserve
Renin-angiotensin system

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4
Q

How many bronchial arteries do we have?

A

2 for left lung
1 for right lung

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5
Q

What do bronchial arteries deliver blood to?

A

Connective supportive tissue
Septa
Bronchioles
Large blood vessels

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6
Q

What is lung perfusion?

A

Amount of blood flow to the alveoli

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7
Q

What is the systolic pressure through the pulmonary circulation?

A

25mmHg

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8
Q

What vessels are associated with respiratory bronchioles?

A

Intra-acinar vessels

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9
Q

Are pulmonary or systemic arteries more compliant?

A

Pulmonary

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10
Q

What is necessary for gas exchange?

A

Ventilation and perfusion

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11
Q

What occurs when there is perfusion without ventilation?

A

Physiological shunt

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12
Q

What occurs when there is ventilation without perfusion?

A

Physiological deadspace

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13
Q

Where is the greatest pressure in the lung?

A

The more superior part

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14
Q

When is the pulmonary vascular bed not perfused?

A

Resting cardiac output

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15
Q

What happens between the pulmonary and systemic circulations when an individual changes from a supine to erect position?

A

Around 400ml of blood is transferred to systemic circulation

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16
Q

Where do bronchial veins drain to?

A

Right side of the heart

17
Q

Where do bronchopulmonary veins drain to?

A

Left side of the heart

18
Q

What is the pressure gradient driving flow through pulmonary circulation in mmHg?

19
Q

What intrinsic tendency do pulmonary veins have?

20
Q

How are veins opened in pulmonary circulation?

A

Pulled open by traction by parenchyma

21
Q

What happens to pulmonary capillaries when the lung inflates?

A

Diameter of capillaries decrease

22
Q

Where are extra-alveolar vessels found?

A

Tethered to parenchyma

23
Q

What name is given to blood flow in pulmonary capillaries?

24
Q

What is the diameter of the capillaries and their blood flow dependent on?

A

The relationship between blood pressure and alveolar pressure

25
Why is there lower resistance in pulmonary arteries than systemic ones?
Vessels have relaxed smooth muscle When blood flow increases, resistance decreases Influence of lung expansion
26
When is there increased resistance in pulmonary vessels?
At both high and low volumes
27
When is there the least resistance in pulmonary vessels?
At the point of FRC
28
What is the flux of fluid determined by?
Capillary hydrostatic Tissue hydrostatic Capillary oncotic Tissue oncotic pressures
29
What in pulmonary oedema?
Build up of water in interstitium/alveolus
30
What does pulmonary oedema ultimately result in?
No gas exchange
31
What does a fibrinolytic system do?
Remove clotting factors