Venous Circulaiton And Control Of Cardiac Output Flashcards
Lymph function
Valve allow for unidirectional flow
Flow via muscle contractio (skeletal and smooth) and respiration
Approximately 1x total volume passes through lymph system daily
Lymph dysfunction
Edema
Increases filtration pressure beyond the capacity of the lymphatics
- arterioles dilation
- increase venous pressure - low pressure obstructions, conceive heart failure, increases volume (pregnancy), valve dysfunction
- increased capillary permeability
Venous return is dependent upon
The pressure gradient between:
Peripheral venous pressure (12-18 mmHg)
Great veins (5-6 mmHg)
RAP (0-3 mmHg)
Differences between peripheral and central venous pressure determine
Venous return
What factors determine peripheral venous pressure
Venous sympathetic nerve activity
Blood volume
Skeletal muscle pump
What factor determines venous return
Inspiratory movements
Blood volume and venous tone infleunces
Venous return curves
Rise in central venous pressure causes
An increase in diastolic filing or preload
Anatomy of lymph and venous circulation
Vessels converge and empty into right and left subclavian veins
Increases contractility allows for an
Increase in cardiac output even in the face of decreased central venous pressure
Cardiac factors influencing cardiac output
Heart rate
Myocardial contractility
Coupling factors influencing cardiac output
Preload
Afterload
Peripheral venous pool
Blood returning from the capillaries to the venous system