Vascular System 3 Flashcards

1
Q

What helps exchange molecules between tissues and molecules?

A

Large surface area and slow rate
Capillaries are so branched that blood passes slowly, but still has the same amount - because many branches
-> slow movement provides time for exchange

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2
Q

What are Starlings forces and what does it affect?

A

Hydrostatic and osmotic (oncotic) pressure - the presence of protein too big to leave capillary, small enough to be dissolved -> forcing water to come in and dissolve them

It affects bulk flow (water and dissolved substances)

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3
Q

Explain different pressure in and around capillaries!

A

-Capillary hydrostatic pressure = blood pressure exerted by blood to the capillary wall

-osmotic force (oncotic) in capillary = due to proteins

-osmotic force in interstitial fluid = almost 0, due to proteins in fluid,

-Interstitial fluid: is almost 0 because the fluid is vast and spreaded

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4
Q

What is net filtration?

A

Factors affecting filtration minus Factors affecting absorption

Pc (capillary) + osmotic force (interst.) minus P(IF) - osmotic force (capillary)

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5
Q

Why does filtration occur at the arterial end?

A

Because of the capillary hydrostatic pressure, represented by hydrostatic pressure which is greater than the capillary osmotic pressure at the arterial end

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6
Q

Why does absorption occur at the venous end?

A

Because the capillary pressure at the venous is smaller than the capillary osmotic pressure

9/10 of fluid exiting at the arterial end reenters the capillary at the venous end, and 1/10 goes to lymphatic capillaries because the tissue would swell because of the increasing amount of interstitial fluid

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7
Q

How do veins ensure blood flow, despite low pressure?

A

-Thinner muscle walls
-Large lumens, helps to provide less resistance to flow
-Constriction of veins to shift blood to other parts of the heart (arteries) f.e. in case of blood loss

-Valves prevent black flow
-Breathing: pressure helps venous return
-constriction of skeletal muscle compress veins: venomotor pump

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8
Q

Where do we find the most amount of blood at any time?

A

In the veins: Blood reservoir (Capacitance vessels): 61% in veins and venules

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9
Q

How EDV (venous return) can be increased?

A

Decreasing venous volume (constriction of veins) or increase of total blood volume through hormones controlling the amount of water

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10
Q

Functions of the lymphatic system

A

Transport excess fluid away from interstitial space and back to the bloodstream (to veins)
Transport fats to the bloodstream
Help to fight diseases

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11
Q

What is lymph?

A

It is basically the interstitial fluid, formed by the mismatch between filtration and absorption, that enters the lymphatic system and returns via the veins

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12
Q

Explain the direction of flow in the lymphatic system!

A

branched between systemic and pulmonary circulation
In one direction towards the heart from the pulmonary and systemic circulation, the capillaries are one-site ended
connected to the pulmonary and systemic circulation

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13
Q

Order of lymph transport!

A

Lymphatic capillaries collecting fluid from systemic circulation -> collecting vessels (one-way valve) -> Lymph nodes -> Lymph trunk ->right lymphatic duct and thoracic ducts -> veins

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14
Q

What are the two major lymphatic ducts?

A

Right lymphatic duct: below the subclavian vein -> drains the right upper arm and right side of the arm, head, and thorax

Thoracic lymphatic duct: drains the rest of the body

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15
Q

Where do lymph nodes come together?

A

Behind the neck - cervical: vessel draining face, nasal cavity tissue, pharynx

axillary (armpit): vessels draining upper limbs, abdomen, mammary glands (women)

inguinal: vessel draining lower limbs, external genitalia, lower abdomen

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16
Q

How does lymph move?

A

-Contraction of smooth muscle in the walls
-contraction of skeletal muscles
-valves ensure direction in one way

17
Q

How are factors of blood pressure defined? (formula)

A

Flow = delta P(pressure) / R
Flow = MAP (mean arterial pressure) / TPR (total resistance to blood flow)

Flow is equal to cardiac output (CO)

CO = MAP / TPR –> !! CO * TPR = MAP !!

18
Q

What are baroreceptors and where are they located?

A

Pressure or stretch receptors -> they fire when they get stretched by blood pressure

in main arteries:
carotid sinus baroreceptor in carotid arteries (neck)
aortic arch baroreceptor in the aorta

19
Q

Which NS gets turned off and on when baroreceptors stretch and why?

A

Sympathetic gets off because homeostatic
Parasympathetic turned on and decreases heart rate and cardiac output -> normalize blood pressure

20
Q

What happens in case of hemorrhage (blood loss)?

A

loss of blood volume -> decrease of blood pressure -> firing of baroreceptors decreases -> sympathetic gets turned on to increase blood pressure