The Peripheral Circulation 2 Flashcards

1
Q

Describe the role of arterioles controlling peripheral circulation.

A

Arterles, not capillaries, play a crucial role in controlling peripheral circulation due to their smooth muscle that allows for regulation of blood flow.

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2
Q

Define Poiseuille’s law and its significance in blood flow regulation.

A

Poiseuille’s law states that resistance in a tube is proportional to the viscosity, length, and inversely proportional to the radius to the power of four. It highlights the significant impact of arteriolar radius on blood flow and mean arterial pressure.

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3
Q

How does changing the radius of arterioles affect blood flow according to Poiseuille’s law?

A

Altering the radius of arterioles has a substantial effect on blood flow, as even small changes in radius can lead to significant changes in resistance and consequently, blood flow.

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4
Q

Describe the two levels of control in regulating peripheral circulation.

A

Peripheral circulation is regulated through local control, involving factors within the tissue, and central control, which is governed by the nervous and endocrine systems.

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5
Q

Explain the concept of viscosity in the context of blood flow.

A

Viscosity refers to the thickness or stickiness of blood, with higher viscosity making it harder for blood to flow. Changes in blood viscosity can impact resistance and flow in the circulatory system.

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6
Q

How does Darcy’s law relate to blood flow through a tube?

A

Darcy’s law states that flow is equal to the pressure difference divided by resistance. It emphasizes the necessity of a pressure gradient for flow through a tube and the role of resistance in determining the ease of fluid movement.

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7
Q

Describe the relationship between mean arterial pressure flow through vascular beds.

A

A in mean arterial pressure leads to decreased flow through vascular beds, as per Darcy’s law which states that pressure difference equals flow times resistance.

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8
Q

Define arteriolar radius and its significance in blood flow regulation.

A

Arteriolar radius refers to the size of arterioles, which impacts flow through vascular beds and mean arterial pressure, crucial for regional blood redirection and overall perfusion.

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9
Q

How does the body regulate blood flow through vascular beds and maintain mean arterial pressure?

A

The body controls blood flow and mean arterial pressure through resistance adjustments in arterioles, utilizing both local (intrinsic) mechanisms for individual tissue needs and central (extrinsic) mechanisms for overall body perfusion.

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10
Q

Describe active or metabolic hyperaemia in blood flow regulation.

A

Active or metabolic hyperaemia refers to increased blood flow due to heightened metabolic activity in tissues, leading to the release of metabolites that trigger vasodilation and increased perfusion.

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11
Q

Explain the role of endothelium in response to increased metabolite concentration.

A

When metabolite concentration rises, the endothelium lining capillaries releases local chemical signals, such as paracrine signals, to regulate vasodilation and enhance blood flow.

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12
Q

What is the significance of resistance juggling in blood flow regulation?

A

Resistance juggling involves adjusting smooth muscle around arterioles to balance individual tissue needs and overall mean arterial pressure, ensuring sufficient perfusion through all vascular beds.

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13
Q

Describe the process of arteriolar dilation in response to increased local metabolism.

A

Endothelial derived relaxing factor (EDRF) or nitric oxide is released from the endothelium, causing the arteriole to dilate, leading to increased blood flow.

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14
Q

Define EDRF and its role in vascular regulation.

A

EDRF, later discovered to be structurally nitric oxide, is a paracrine signal released from the endothelium that causes arteriolar dilation, increasing blood flow to match metabolic needs.

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15
Q

How does increased blood flow help regulate metabolite concentration in tissues?

A

Increased blood flow washes metabolites away more quickly, reducing their concentration and reaching a new steady state in the tissue.

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16
Q

Do arterioles dilate in response to a decrease in perfusion pressure?

A

Yes, a decrease in perfusion pressure triggers the release of local signaling molecules like EDRF, causing arteriolar dilation to maintain blood supply despite changes in mean arterial pressure.

17
Q

Describe reactive hyperaemia and its trigger.

A

Reactive hyperaemia involves arteriolar dilation in response to occlusion of blood supply, such as using a sphygmomanometer cuff, leading to increased blood flow once the occlusion is removed.

18
Q

Explain the concept of local control mechanisms in vascular regulation.

A

Local control mechanisms like arteriolar dilation in response to increased metabolism, decreased perfusion pressure, or occlusion of blood supply help tissues regulate blood flow to match their metabolic needs.

19
Q

How does arteriolar dilation contribute to maintaining tissue blood supply during changes in arterial pressure?

A

Arteriolar dilation in response to decreased perfusion pressure ensures that tissues receive adequate blood flow by compensating for changes in mean arterial pressure.

20
Q

What is the role of EDRF in regulating blood flow in tissues?

A

EDRF, a paracrine signal released from the endothelium, causes arteriolar dilation, leading to increased blood flow and helping to match blood supply with tissue metabolic needs.

21
Q

Describe the process of arteriolar dilation in response to a paracrine signal like nitric oxide.

A

Endothelium releases nitric oxide, causing arterioles to dilate, leading to increased blood flow.

22
Q

Define pressure autoregulation in the context of blood flow.

A

Pressure autoregulation refers to the ability of tissues to maintain a relatively constant blood flow despite changes in perfusion pressure.

23
Q

How does the injury response lead to redness at the site of injury?

A

Activation of C-fibres triggers the release of substance P, which leads to histamine release, arteriolar dilation, increased blood flow, and increased permeability, causing redness.

24
Q

Describe the role of noradrenaline in the fight or flight response.

A

Noradrenaline, released from sympathetic nerves, binds to alpha 1 receptors on smooth muscle, causing arteriolar constriction and decreased blood flow.

25
Q

What is the impact of adrenaline release on arterioles in the body?

A

Adrenaline binding to alpha 1 receptors on smooth muscle leads to arteriolar constriction, decreased blood flow, increased total peripheral resistance, and mean arterial pressure.

26
Q

Explain the effect of parasympathetic nerves on blood vessels.

A

Parasympathetic nerves have minimal effect on blood vessels as they do not innervate most of them, except for notable exceptions like the genitalia and salivary glands where they cause increased blood flow.

27
Q

Describe the role of beta 2 receptors in the arterioles of the heart.

A

Beta 2 receptors in the arterioles of the heart lead to smooth muscle relaxation and arteriolar dilation when adrenaline binds to them.

28
Q

How does the cerebral circulation demonstrate pressure autoregulation?

A

The arterioles in the cerebral circulation dilate in response to a decrease in mean arterial pressure to maintain perfusion and ensure stable oxygen and glucose supply to the brain.

29
Q

Define the mechanism of ventilation-perfusion matching in the lungs.

A

Ventilation-perfusion matching is the process where arterioles in the lungs constrict in response to a decrease in oxygen partial pressure, redirecting blood flow to regions with better ventilation to optimize oxygen uptake.

30
Q

What is the main function of pressure autoregulation in the kidney’s renal circulation?

A

The main function of pressure autoregulation in the kidney’s renal circulation is to maintain a relatively constant glomerular filtration rate despite fluctuations in mean arterial pressure, protecting the glomeruli from damage caused by high blood pressures.

31
Q

Describe the response of arterioles in the pulmonary circulation to a decrease in oxygen partial pressure.

A

A decrease in oxygen partial pressure in the pulmonary circulation causes arteriolar constriction, contrary to most tissues, to optimize blood flow to lung regions with better ventilation for increased oxygen uptake.

32
Q

How does the body ensure stable oxygen and glucose supply to the brain in case of decreased mean arterial pressure?

A

The body ensures stable oxygen and glucose supply to the brain by allowing arterioles in the cerebral circulation to dilate in response to decreased mean arterial pressure, maintaining perfusion and preventing light-headedness or fainting.