Vessels Flashcards

1
Q

What are the three types of vessels in the cardiovascular system

A

Arteries, Veins and capillaries.

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2
Q

How do you define an artery? Vein? What’s a capillary?

A

An artery takes blood away from the heart. Veins bring blood back towards the heart. Capillaries are the smallest vessels. They are simple squamous epithelium and are only big enough to allow one red blood cell through at a time. This is where nutrients, wastes and gases (oxygen and carbon dioxide) are exchanged between the blood and the tissues/cells of the body.

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3
Q

What’s the role of the lymphatic system?

A

In a capillary bed, fluids from the blood are forced into the intersticial space at the entry side (the artery side) and much of this fluid is picked back up and reenters the veins on the vein side. However, as much as 3 liters of fluid would be left behind per day, which is more than half the blood plasma. Lymphatic capillaries pick up this fluid and return it to the heart.

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4
Q

Describe the following structures in a blood vessel:

A

Lumen, tunica intima, endothelium, subendothelial layer, inner and outer elastic membranes, tunica media, tunica externa. Starting from the inside, the space inside a vessel (and any organ) is called the lumen. The very first layer of tissue that articulates with the lumen is the tunica intima. The tunica intimas first layer is simple squamous epithelium (the endothelium). Behind that is a very thin layer of areolar connective tissue that forms a basement membrane. In arteries, this layer has a inner elastic membrane (made out of elastic tissue). Capillaries only have the endothelium and the very thin basement membrane in the tunica intima. Outside of the tunica intima is the tunica media. This is a layer of smooth muscle (innervated by the autonomic nervous system, the ANS). In arteries there is an external elastic membrane behind this. Outside of the tunica media there is one more layer called the tunica externa or adventicia. This is made up of collagen fibers and there is a blood supply to this layer called the vaso vasorum.

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5
Q

Compare and contrast elastic and muscular arteries.

A

Said simply, elastic arteries have a lot more elastic tissue in the inner and outer elastic membranes and a lot less smooth muscle as compared to muscular arteries. Muscular arteries have much less elastic tissue and a thicker layer of smooth muscle. Also, elastic arteries are closer to the heart and lead into muscular arteries. The aorta is an elastic artery. Elastic arteries have a larger diameter than muscular arteries. The function of an elastic artery is to expand when a pulse of blood comes through (when the heart contracts) and then be able to recoil after the pulse of blood moves through. The function of a muscular artery is to use the muscular layer to constrict or relax and therefore control the supply of blood to certain parts of the body. For example, during stress, more blood moves to the brain and muscle. During relaxation, more blood moves to the digestive tract.

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6
Q

How does an elastic artery maintain a blood pressure gradient and protect arteries downstream from high blood pressure?

A

When blood is pumped from the heart into the aorta (an elastic artery), the aorta expands to accomodate this increase in volume of blood that is entering. The pressure that the blood is exerting on the walls of the aorta increases, but because the walls of the aorta expand, allowing the vessel to hold more volume, the pressure doesn’t get too high. If the walls didn’t expand, then the pressure would become very high every time blood entered from the heart. This increase in pressure could cause damage to the artery. Then, between heart beats the blood moves downstream (on to the next part of the vessel). As blood leaves, the vessel has the ability to retract or recoil. If it didn’t do this, the diameter of the vessel remained high, then the pressure that the blood could exert on the walls would fall dramatically. There wouldn’t be any force that was forcing blood to move downstream to the next artery - as blood moves from an area of high pressure to an area of low pressure. Vessels would go from very high pressure every time blood came through to very low pressure and a trickle of blood moving through. Instead the walls expand and recoil, so blood pressure is continually exerted on the walls of the vessel. In this way, blood can continue to move from an area of high pressure to an area of low pressure, and therefore be delivered to the entire body along this gradient.

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7
Q

Describe the structure of an arteriole.

A

Larger arterioles have all three tunics, but smaller arterioles that lead to capillary beds are just the tunica intima with a small layer of tunica media (smooth muscle) surrounding it.

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8
Q

Describe the main function of an arteriole and how its structure is suited to carry out this function.

A

The function is to control how much blood any particular tissue/organ in the body is receiving at any given time. By constricting the smooth muscle layer in the arterioles near capillary beds, blood supply can be reduced to a tissue. If the smooth muscle relaxes, the diameter of the arteriole increases and more blood is delivered to a tissue.

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9
Q

What is the function of capillaries?

A

To exchange oxygen, carbon dioxide, nutrients and wastes between the blood and cells.

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10
Q

How is a capillaries structure ideally suited for its function?

A

They are only one cell thick, so it is easy for diffusion of these things to take place.

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11
Q

What is a pericyte and what is its function?

A

A pericyte is a cell attached to the outside of a capillary. It’s job is to generate new vessels, scar tissues, and help control the permeability of the capillary.

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12
Q

What is meant by the term ‘microcirculation’?

A

This is the flow of blood from the arteriole end of a capillary bed to the venule end of the capillary bed.

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13
Q

What’s a capillary bed? What two types of vessels does it connect?

A

Capillaries don’t exist by themselves, they form capillary beds which are networks of capillaries interwoven together. They connect arterioles to venules.

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14
Q

Describe how blood is cut off from certain places in the body at certain times. Give an example of when this might happen.

A

The smooth muscle surrounding arterioles contracts, decreasing blood flow to the adjacent capillary bed. One example is that during stress, blood flow decreases to the digestive tract and increases to the brain and muscle tissues.

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15
Q

What is bulk flow and describe how fluid moves into and out of capillaries in the capillary bed. What role does the lymphatic system have in this?

A

Bulk flow is the movement of water and solutes across a membrane based on the pressure gradients between the two spaces (on either side of the membrane). If there is high pressure inside the capillary bed, then fluids are forced out. If there is high pressure outside the capillary bed, then fluids and the solutes they contain are forced into the capillary bed. When fluids enter a capillary bed from the arteriole, there is high pressure in the capillaries. The diameter of the arteriole is much bigger then the combined diameter of the capillaries in the capillary bed, creating high pressure. Because of this bulk flow occurs and fluids and solutes move out of the capillary and into the interstitial space around the capillary. At the venule side of the capillary bed the pressures reverse and fluids move back into the capillary. Some fluid, however, is left behind. The lymphatic system picks these fluids up and returns them to the heart.

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16
Q

Describe the structure of a venule.

A

This is the smallest kind of vein. Smaller venules are like small arterioles - they are the tunica intima with a thin layer of tunica media (smooth muscle). Larger venules have thin layers of all three tunics.

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17
Q

What are some main differences between veins and arteries?

A

Arteries are defined as vessels that are moving away from the heart. Veins are vessels moving towards the heart. All arteries except for the pulmonary artery are oxygenated (carrying oxygenated blood to the tissues of the body). All veins except for the pulmonary vein are deoxygenated (carrying deoxygenated blood from the tissues back to the heart).

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18
Q

What parts of the body would you find valves in the veins? Why?

A

In the extremities because there is a very low pressure gradient there, so blood is moving slowly. Also, blood is fighting gravity to be delivered back to the heart. Valves prevent backflow of blood on its way back to the heart.

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19
Q

Define the term ‘blood flow’.

A

The volume of blood flowing through a vessel or organ.

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20
Q

Define the term ‘blood pressure’.

A

The pressure exerted by the blood on the vessel wall surrounding it. The hydrostatic pressure gradient is the pressure difference throughout the vascular system.

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21
Q

Define the term ‘resistance’.

A

Resistance is the opposition to blood flow. The amount of friction blood encounters as it passes through the system.

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22
Q

What is a hydrostatic pressure gradient?

A

same as blood pressure, the pressure difference throughout the vascular system

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23
Q

What are three sources of resistance?

A

Blood viscosity, vessel length, and vessel diameter.

24
Q

What two sources of resistance are relatively constant? Which one varies widely?

A

Blood viscosity, vessel length, vessel diameter. Vessel diameter can vary, while the other two remain relatively constant. Vessel diameter varies because of the ability of the arterioles smooth muscle to constrict and relax, allowing more or less blood through at any given time.

25
Q

What is the average blood pressure in the capillaries? What are two advantages of such a low pressure in this area?

A

The pressure on the arteriole side if about 35 mm Hg. On the venule side it is about 17 mm Hg. Higher pressure would cause such a delicate vessel to rupture. Also, this lower pressure is still high enough to force fluids out of the blood (capillary) and into the interstitial space.

26
Q

How does blood return to the heart from the capillaries? Name and describe three mechanisms that help with this function.

A

Blood flows through venules and then bigger veins back to the heart from the capillary beds. It uses the contraction of skeletal muscle to move it along, breathing (which compresses and releases veins in the thoracic area) and the constriction of smooth muscle around the venules and veins to help move blood along. Blood in the venous return needs help because the pressure gradient is so much lower. It is at 17 mm Hg leaving the capillary beds, so the gradient back to the heart is lower. Compare that to the pressure from the heart (120 mm Hg to the capillary bed, 34 mm Hg) on the arterial side.

27
Q

What are two mechanisms that control short term regulation of blood pressure?

A

Neural controls and hormonal controls.

28
Q

What part of the nervous system controls heart rate?

A

Autonomic nervous system.

29
Q

Describe how baroreceptors control blood pressure.

A

Baroreceptors are receptors that pick up on an increase in pressure. They are found int eh aorta, internal carotid arteries and most of the arteries of the head and neck. When these vessels stretch because there is higher pressure than usual, the baroreceptors send messages to the brain. THere are two responses. FIrst, vasodilation. Decreased output from the brain allows arterioles and veins to dilate, reducing total peripheral resistance by increasing the diameter of the lumen and pressure falls. Second, there is decreased cardiac output as a response. Sympathetic input decreases and parasympathetic input increases, reducing heart rate, CO falls, blood pressure falls.

30
Q

Describe how chemoreceptors control blood pressure.

A

These are receptors that pick up on an increase in CO2 levels and a decrease in O2 levels in the system. Vasoconstriction occurs causing a rise in blood pressure which speeds up the rate at which blood is delivered to tissues and the lungs. CO2 is released, O2 is picked up.

31
Q

Epinephrine and norepinephrine

A

are released under stress. They cause the heart rate to increase, which delivers blood to tissues at a faster rate.

32
Q

Renin

A

(an enzyme) is released when blood pressure/volume is low. This causes vasoconstriction to increase pressure, causes aldosterone to be released and ADH to be released. These hormones help the kidney retain water to increase blood pressure.

33
Q

ANP

A

is released when blood pressure is high. This causes the kidney’s to excrete more water, decreasing blood pressure.

34
Q

Describe the direct method that the kidneys use to influence blood pressure.

A

When blood volume/pressure rises, the rate that fluid filters from the blood to the filtrate increases - more fluid from the blood becomes filtrate simply because there is higher pressure in the glomerulus. Kidney’s can’t reabsorb all of this fast enough, more of it leaves as urine. When blood pressure/volume is low, less fluid from the blood is filtered into the filtrate. Water is conserved and returns to the blood.

35
Q

Describe how angiotensin II is formed.

A

When blood pressure is low, renin is released from the kidney. Renin splits angiotensinogen, converting it to angiotensin I. Angiotensin converting enzyme (ACE) converts angiotensin I to angiotensin II.

36
Q

What are the four ways that angiotensin II regulates blood pressure.

A

First, it stimulates the adrenal cortex to secrete aldosterone. This enhances the re-absorption of sodium from the filtrate in the kidney. Water follows this re-absorption and increases blood volume/pressure. Second, it acts on teh posterior pituitary and tells it to release ADH. ADH causes the kidney to retain more water in the collecting duct (the principle cells make more aquaporins). Third, it triggers your thirst sensation, so you drink more. Last, it causes vessels to constrict, increasing blood pressure by increasing resistance.

37
Q

How is hypertension defined? What are the risks?

A

Hypertension is having a systolic pressure above 140 mm Hg and diastolic above 90. This strans the heart and can damage the vessels. It can cause heart failure, renal failure, stroke and vessel disease. It can increase the rate of atherosclerosis, which increases the resistance even more (increasing pressure).

38
Q

What is tissue perfusion?

A

Blood supply to tissues. A tissue is well perfused if it is getting a rich blood supply.

39
Q

Do all organs receive an equal amount of blood at all times? Explain.

A

No, blood is shunted to the organs/tissues that we need the best function out of at that particular time. For example, during stress, blood goes to the brain and muscle. During relaxation it goes to the digestive system.

40
Q

What is autoregulation?

A

This is when the organ itself controls how much blood perfusion it is getting at any given time.

41
Q

How does the metabolism of a specific tissue influence the blood flow to that tissue?

A

Concentrations of the products of metabolism can influence how much blood comes to a certain tissue. Metabolism uses up O2 and produces CO2. If there is a low concentration of oxygen and a high concentration of CO2, it stimulates the endotheliums to produce NO, nitric oxide. Nitric oxide causes dilation of the vessel, increasing blood flow to that area. If there is high O2 and low CO2, then the endothelium produces endothelins, a very powerful vasocontrictor. Less blood flow to that organ is the outcome.

42
Q

What are myogenic controls of blood pressure?

A

Myogenic control is the response of smooth muscle to stretch. If pressure increases and the smooth muscle surrounding the vessel starts to stretch, its response is to increase its muscle tone, which resists the stretch. Reduced stretch (low blood pressure) causes the smooth muscle to relax, dilating the vessel, allowing more blood to enter and then blood pressure increases.

43
Q

Describe autoregulation in skeletal muscle.

A

When muscles become active they use up O2 and generate CO2. Sympathetic activity increases and norepinephrine is produced. This causes vasocontriction of arterioles in other places in the body, which allows for more blood flow to the muscle tissue.

44
Q

Describe autoregulation in the brain.

A

Neurons need constant blood supply. The brain doesn’t have a way to store oxygen or glucose, so it depends on constant blood supply. High levels of CO2 cause vessels to dilate, delivering more blood. Low levels of CO2 cause the opposite.

45
Q

Explain why blood flow is fast in the arteries, slowest in the capillaries, and faster in the veins.

A

Blood flow is fast in the arteries because the pressure gradients are the biggest here (120 in the aorta and 34 in the arterioles). Slowest in the capillaries because their diameter is so small, only one cell can pass through at a time, slowing flow down. Any extra is moved by bulk flow into the interstitial space. Flow is faster in the veins compared to the capillaries because the diameter of these vessels is bigger. Pressure gradients are very low though, so the movement is slower than arteries.

46
Q

Explain the exchange of oxygen, carbon dioxide, nutrients and waste materials between the blood and cells.

A

Blood collects oxygen from the lungs and nutrients from the digestive system and moves those things to the cells of tissues and organs. They move out of the capillary beds by diffusion and bulk flow and then into the cells by diffusion. They are diffusing down their gradient, from an area of higher concentration to an area of lower concentration. This is passive. Wastes and CO2 generated by cells move by diffusion from cells to the blood.

47
Q

What is hydrostatic pressure?

A

Pressure exerted by the fluid against the vessel walls surrounding the fluid (blood).

48
Q

What is colloid osmostic pressure?

A

This is pressure that occurs on the venule end of the capillary bed. At the arteriole end, pressure is high and a lot of fluid moves out by bulk flow. Proteins are too big to move out, they remain in the capillaries. At the venule side, the solute concentration in the capillary is high because of these proteins and this draws water back into the capillaries. this pressure is called colloid osmotic pressure.

49
Q

In a capillary bed, where does filtration happen? Reabsorption? Why?

A

Filtration occurs on the arteriole side, solutes and fluids are leaving the blood. Reabsorbtion occurs on the venule side - water and solutes are reabsorbed back into the blood.

50
Q

What role does the lymphatic system play?

A

The lymphatic system picks up excess fluid left behind in the capillary beds.

51
Q

Be able to trace pulmonary circulation:

A

right atria, right ventricle, pulmonary trunk, pulmonary arteries, lobar arteries, pulmonary capillaries, pulmonary veins.

52
Q

systemic (body) circulation Supply to the head and arms

A

aortic arch, brachiocephalic, right and left subclavian, right and left common carotid, axillary artery, brachial artery, radial artery, ulnar artery.

53
Q

systemic (body) circulation Supply to the abdomen

A

celiac trunk, superior mesenteric artery, renal artery, gonadal artery, inferior mesenteric artery, common iliac artery, internal iliac artery, external iliac artery, femoral artery.

54
Q

Be able to trace systemic circulation Supply from the head and arms:

A

superior vena cava, right and left brachiocephalic veins, right and left subclavian, right and left jugular, axillary vein, cephalic vein,.

55
Q

systemic circulation Supply from the body

A

inferior vena cava, saphenous vein, femoral vein, external iliac vein, internal iliac vein, common iliac vein, renal veins, hepatic portal, hepatic veins