Vascular Physiology 2 Flashcards

1
Q

shock: def?

A

inadequate BP to maintain critical organ function; usually when systolic <90 mmHg

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2
Q

mean BP how to calculate?

A

1/3 systolic + 2/3 diastolic BP

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3
Q

pulse pressure?

A

systolic minus diastolic pressure

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4
Q

vascular compliance: means? in arteries is proportional to?

A

stretchability of vessel: change in volume in response to change in pressure. to elasticity.

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5
Q

vascular compliance and aging? pulse pressure?

A

lose elasticity, more rigid collagen = less compliant, more stiff = higher systolic and lower diastolic = increased pulse pressure

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6
Q

tissue blood flow controlled by?

A

resistance leading to tissues –> small arteries can adjust flow by relaxing/constricting muscular layer. precapillary sphincters can regulate fine-tuned resistance and flow

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7
Q

most of resistance is in?

A

the arterioles

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8
Q

which organs have high or low resting tone? what are they sensitive to?

A

high = brain, heart, muscles –> not sensitive to sympathetic, sensitive to metabolic factors aka can only dilate. low = kidneys, skin, gut - sensitive to sympathetics, not to metabolic actors aka can only constrict.

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9
Q

3 main factors changing vessel resistance?

A

nerve endings, local chemicals, hormones

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10
Q

nerve control of vessel tone?

A

sympathetic ner

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11
Q

capillaries have ____ that allow? but not?

A

small gaps: fluid can diffuse in and out. not large enough to let protein leak out into tissue space

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12
Q

pressure at start and end of capillary? which means?

A

start ~40 mmHg, 20mmHg at end = 20 mmHg driving fluid into tissue space

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13
Q

when fluid leaves capillary, what does it leave behind? result?

A

leaves behind bulky proteins = oncotic force rises = sucks fluid back in

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14
Q

normal plasma oncotic pressure? interstitial?

A

plasma ~25 mmHg. interstitial 0 mmHg

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15
Q

net pressure driving fluid out = ?

A

blood pressure (out) m minus oncotic pressure (in) –> 15 mmHg at start, -5 mmHg at end

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16
Q

net fluid loos into tissues = ?

A

2L per day

17
Q

what are lymphatics? made up of?

A

channels carrying excess tissue fluid back to venous circulation - very thin vessels with one way valves

18
Q

lymphatics: drain into? end in?

A

lymph nodes. thoracic duct –> vena cava

19
Q

edema: shift in balance?

A

shift in balance favoring fluid leak into tissues vs. reabsorption by capillaries/lymphatics