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75 Cards in this Set

  • Front
  • Back

What are the delivery system of dynamic structures that begins and ends at the heart?

Arteries; Capillaries; Veins

________ carry blood away from heart; mostly oxygenated except for __________ and _________

Arteries; pulmonary circulation and umbilical vessels of fetus

contact tissue cells; directly serve cellular needs

Capillaries

________ carry blood towards the heart

Vein

Defined as Central blood-containing space

Lumen

Three wall layers in arteries andveins

Tunica intima, tunica media, and tunica externa

What is the structure of the capillaries?

–Endothelium with sparse basal lamina

Outer layer of connective tissue




Collagen fibers

Tunica externa (adventitia)

Middle layer of smooth muscle

Tunica media

Innermost simple squamous endothelium




Layerof elastin




lumen

Tunica interna

3 Types of Arteries

Elastic Arteries


Muscular (distributing) arteries


Arterioles

•Largest type of artery


•Closest to heart


•Stretch during systole


•Recoil during diastole


•Aorta and its major branches

Elastic Arteries

•deliver blood to body organs


•Have thick tunica media


•Active in vasoconstriction

Muscular (Distributing) arteries

•Smallest arteries


•Lead to capillary beds

Arterioles

Where exchange between blood and cells takes place

Capillaries

•Microscopic blood vessels


•Walls of thin tunica intima, one cell thick


•Size allows only a single RBC to pass at a time

Capillaries

What part of the body does not have capillaries?

cartilage, epithelia, cornea and lens of eye

What are the functions of capillaries?

Exchange of gases, nutrients, wastes, hormones, etc., between blood and interstitial fluid

What are the 3 types of capillaries?

1.Continuous capillaries


2.Fenestrated capillaries


3.Sinusoid capillaries (sinusoids)

Least permeable and most common capillary (e.g., skin, muscle).

Continuous capillaries

Large pores increase permeability.




Occurs in areas of active absorption or filtration (e.g., kidney, small intestine).

Fenestrated Capillaries

Most permeable capillary




Occurs in special locations(e.g., liver, bone marrow, spleen).




Macrophages in lining to destroy bacteria

Sinusoid capillaries

Interwoven arterioles and venules

Capillary beds

metarteriole–thoroughfare channel connecting an arteriole directly with a postcapillary venule

Vascular shunts

10 to 100 exchange vessels per capillary bed

True Capillaries

_____________ regulate blood flow into true capillaries

Precapillary sphincters

___________ is where exchange occurs

Microcirculation

Fill in the Blank




__________ to feed the capillaries




__________ exchange with the tissues




__________ to receive capillary blood



Arterioles to feed the capillaries




Capillaries exchange with the tissues




Venules to receive capillary blood

Exchange in Capillaries due to: 3 things

Diffusion


Filtration


Reabsorption

Water, ions, small molecules


Large water soluble compounds


Lipids


Plasma proteins-sinusoids of the liver

Diffusion

Removal of solutes due to hydrostatic pressure in vessels; in most capillaries, large solutes and proteins remains in the blood vessel

Filtration

Result of osmosis -diffusion of water across a membrane toward solution with higher osmotic pressure (amount of solutes)

Reabsorption

Exerted against the inner capillary wall.




Promotes formation of tissue fluid.




Net filtration pressure.

hydrostatic pressure

Exerted by plasma proteins.




Promotes fluid reabsorption into circulatory system.

Colloid osmotic pressure

Distribution of ECF (extracellular fluid) between plasma and interstitial compartments is in state of ____________. Balance between tissue fluid and blood plasma.

dynamic equilibrium

Are formed when capillary beds unite




Allow fluids and WBCs to pass from the bloodstream to tissues

Venules

Formed when venules converge




Blood pressure is lower than in arteries




Called capacitance vessels (blood reservoirs); contain up to 65% of the blood supply

veins

Veins are also called _____ contain up to _____% of the blood supply

capacitance vessels (blood reservoirs); 65%

Veins have ____ blood pressure and _____ than arteries

much lower; thinner walls

_______ offer little resistance

Large-diameter lumens

__________ prevent backflow of blood


Most abundant in veins of limbs

Venous valves

__________: flattened veins with extremely thin walls




(e.g., coronary sinus of the heart and dural sinuses of the brain)

Venous sinuse

Defined as volume of blood flowing through vessel, organ, or entire circulation in given period

Blood flow

Blood Flow: Fill in the blank


Measured as ______


__________ for entire vascular system


Relatively _______ when at rest


_______ widely through individual organs, ______

Measured as ml/min


Equivalent to cardiac output (CO) for entire vascular system


Relatively constant when at rest


Varies widely through individual organs, based on needs

Force per unit area exerted on wall of blood vessel by blood

Blood Pressure

______________ provides driving force that keeps blood moving from higher to lower pressure areas

Pressure gradient

Opposition to flow ( wall of blood vessels)




Measure of the amount of friction blood encounters

Resistance

Three important sources of resistance

1. Blood viscosity


The “stickiness” of the blood




2. Blood vessel length


The longer the vessel, the greater the resistance encountered




3. Blood vessel diameter


Varies inversely with the fourth power of vessel radius E.g., if the radius is doubled, the resistance is 1/16 or decreased

__________ are the major determinants of peripheral resistance

Small-diameter arterioles

Pumping action of heart generates blood flow




Pressure results when flow is opposed by resistance




Steepest drop occurs in arterioles

Systemic Blood Pressure

Systemic pressure: Fill in the blank




Highest in ________


_______ throughout pathway


0 mm Hg in _______

Highest in aorta




Declines throughout pathway




0 mm Hg in right atrium

What does the Arterial Blood Pressure reflect?

Two Factors:




1. Elasticity (compliance or distensibility)


2. Volume of blood forced into them at any time

Pressure exerted in aorta during ventricular contraction




Averages 120 mm Hg in normal adult

Systolic Pressure

Lowest level of aortic pressure

Diastolic

Different between systolic and diastolic pressure

Pulse Pressure

pressure that propels blood to tissues

Mean Arterial Pressure

MAP (Mean Arterial Pressure) =

MAP = [(2xdiastolic pressure) + systolic pressure]/3

Pulse pressure and MAP both _____ with increasing distance from heart

decline

Capillary Blood Pressure: Fill in the Blank




Ranges from ______ mm Hg




_________ is desirable




____________, thin-walled capillaries




_________ so low pressure forces filtrate into interstitial spaces





Ranges from 17 to 35 mm Hg




Low capillary pressure is desirable




High BP would rupture fragile, thin-walled capillaries




Most very permeable, so low pressure forces filtrate into interstitial spaces

Venous Blood Pressure: Fill in the Blank




Changes _______ during cardiac cycle




______ pressure gradient; about _____ mm Hg




Low pressure due to _______

Changes little during cardiac cycle




Small pressure gradient; about 15 mm Hg




Low pressure due to cumulative effects of peripheral resistance

contraction of skeletal muscles "milks" blood toward heart; valves prevent backflow

Muscular pump

pressure changes during breathing move blood toward heart by squeezing abdominal veins as thoracic veins expand

Respiratory pump

under sympathetic control pushes blood toward heart

Venoconstriction

What does maintaining blood pressure require? 2 things

Cooperation of heart, blood vessels, and kidneys


Supervision by brain

What are the 3 main factors influencing blood pressure?

Cardiac output (CO)




Peripheral resistance (PR)




Blood volume

Blood Pressure =

Blood pressure = CO × PR (and CO depends on blood volume)

Cardiac Output =

CO = SV × HR




normal = 5.0-5.5 L/min

What counteracts fluctuations in blood pressure by altering peripheral resistance and CO?

Short-term neural and hormonal controls

What counteracts fluctuations in blood pressure by altering blood volume

Long-term renal regulation

Neural controls operate via reflex arcs that involve:

Baroreceptors



Cardiovascular center of medulla




Vasomotor fibers to heart and vascular smooth muscle




Sometimes input from chemoreceptors and higher brain centers

Baroreceptors located in: 3 places

Carotid sinuses




Aortic arch




Walls of large arteries of neck and thorax

Decrease in blood pressure due to what 3 things?

Arteriolar vasodilation


Ventilation


Decreased cardiac output

Fill in the blank:




Short term regulation via changes in ________




Long term regulation via changes in ________

Short term regulation via changes in peripheral resistance




Long term regulation via changes in blood volume

Alters blood volume independently of hormones

Direct Renal Mechanism

Fill in the Blank:




Increased BP or blood volume causes ___________




Decreased BP or blood volume causes __________

Increased BP or blood volume causes elimination of more urine, thus reducing BP




Decreased BP or blood volume causes kidneys to conserve water, and BP rises