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44 Cards in this Set

  • Front
  • Back

Flow Rate (of blood through a vessel)

- Directly proportional to the pressure gradient and inversely proportional to vascular resistance.


- Force = Pressure gradient / Resistance

Pressure Gradient

- The difference in pressure at the beginning and end of the vessel.


- Blood flows from high to low pressure (same as garden hose at home)


- Pressure is highest close to the heart and drops as you get further away.

Resistance

- Measure of hindrance to blood flow.


- The higher, the more difficult it is for blood to flow, flow rate will decrease.


- The heart must pump blood harder to compensate for high friction


- This is directly proportional to viscosity (thickness) of blood and vessel length, inversely proportional to


vessel radius.



Resistance ( FC #2)

- Your heart will pump harder


- "Clogged Arteries" could be an increase in


resistance


- If a vessel is short it won't have friction for that long.

Viscosity

- How much friction occurs between molecules of a fluid


- Greater = greater resistance to flow

Blood Viscosity

- Determined by how many RBC


- RBC concentration can be altered by drugs and altitude (below oxygen concentration, being higher than sea level).

Vessel Length

- Longer the vessel, the greater the surface area.


- Our vessels are always the same length


- The larger the blood vessel radius, the lower the surface area in contact with the blood.


- low surface area = low resistance


- radius of the arterioles (change in size the most) are constantly adjusting



Vessel Length (FC #2)

- The length can change when we grow, but during adulthood they do not change.


- We are always micromanaging vessels in our body ( always changing size {not length})


- Less resistance = not many blood cells touching



Arteries

- Large radius and low resistance


- Allows blood to be quickly sent to organs


- They have elastic walls (stretch & rebound)


- They stretch when the heart pumps and contract when the heart is at rest.


- Blood is kept flowing through vessels at the same rate at all times.

Arteries (FC #2)

- Really big


- Have to be able to accept large amounts of blood


-Diastolic (resting) the artery walls recoil and squeeze blood forward.


- Systolic (flowing) blood is flowing forward



Blood Pressure

- The force exerted by the blood against vessel walls


- Depends on the volume of blood and the compliance (stretch-ability) of the vessel


- arteries (highest pressure)


- How much force blood is pushing on the walls


- Blood pushes out and forward

Systolic Pressure

- Max pressure exerted in arteries blood is ejected from the heart


- about 120 mm Hg


- When heart is pushing blood out



Diastolic Pressure



- Minimum pressure exerted in arteries as the heart relaxes


- About 80 mm Hg


- Amount of pressure pushing on arterial walls.

Mean Arterial Pressure (MAP)

- Mean = average


- Must be high enough to maintain adequate blood flow to the tissues


- Must not be so high to stress the heart or cause vascular damage


- Systolic & diastolic



High Blood Pressure



- A lot of stress on the heart


- Can lead to ruptures and aneurisms



Low Blood Pressure

- Tissues are not being fed


- Stress on the whole body

Mean Arterial Pressure (MAP)

- Measured by baroreceptors within the circulatory system

Short - Term Control Measures

- Alters cardiac output and total peripheral resistance


- Autonomic nervous influence on heart, veins, and arterioles.


- How frequent and how hard the heart beats



Long - Term Control Measures

- Adjust total blood volume by changing salt/water balances


- Kidneys (renal system)


- Changes take time



Changes in MAP

- Triggers an autonomic baroreceptor reflex


- The heart and blood vessels adjust to correct cardiac output and total peripheral resistance


- Carotid sinus (brain needs blood up the neck) and aortic arch (The spot that has the highest pressure) baroreceptors are mechanoreceptors (monitors changes in size in the cell)

Increasing MAP

- Baroreceptors fire action potentials at faster rates


- The cardiac control center in the brain stem integrates inputs


- Sympathetic and parasympathetic activities are controlled


- Sympathetic dominance = BP increases


- Parasympathetic dom. = BP decreases





Arterioles

- When an artery reaches an organ, it branches which spreads throughout the organ.


- The radius (can be adjusted) is much smaller


- Resistance is increased and pressure decreases.


Adjustment of Arterioles


- Helps to properly distribute blood to organs


- Helps to regulate arterial pressure

Arteriole Smooth Muscle


- Normally partially contracted


- Vascular tone


- Allows for vessel enlargement or narrowing


- Control of contraction of arteriolar smooth muscle comes from intrinsic and extrinsic factors.



Intrinsic Control of Arterioles

- Comes from within the organ they reside in


- Chemical influences:


- Metabolic changes, histamine release


- Physical influences:


- Stretch response, heat/cold





Arterioles perform Active Hyperemia


- Due to chemical changes from organ activity


- Contracting skeletal muscle reduces local O2 concentrations and increases ATP and CO2 concentrations.


- Relaxation of arterioles is triggered


- Blood flow is increased

Vasoconstriction


- High O2 concentrations trigger this


- Blood flow is reduced

Adjustments of Size to Arterioles


- Paracrines released from the vessel's endothelial cells.


- The paracrines act upon the smooth muscle beneath the endothelium.


- EX: Nitric Oxide (NO) is a vasodilator, Endothelin is a vasoconstrictor.





Long-Term Vascular changes in Arterioles


- This can occur due to vascular endothelial growth factor (VEGF), another paracrine.


- Angiogenesis is triggered


- Histamine can be released from damaged connective tissue or WBCs


- Histamine causes local vasodilation (Redness and swelling will result.

Passive Stretch in Arterioles


- Initiates contraction


- This auto regulation is a safety mechanism to protect organs from high BP


- Local physical changes also affect arteriolar smooth muscle



What causes local vasodilation?

Heat
What causes local vasoconstriction?
Cold
Extrinsic control of Arteriolar radius


-Comes from nervous and endocrine systems


- Increased sympathetic activity results in widespread vasoconstriction


- Parasympathetic neurons do no innervate most arterioles

How does the endocrine system affects the arteriole radius?

- Epinephrine reinforces sympathetic signals


- vasoconstricts


- Vasopressin and Angiotensin II


- Increased water and salt retention by kidneys


- Vasocontstrictors

Capillaries


(Capillaries -> Venules -> Veins -> Heart)


- These are the site of exchange of materials between blood and tissue


- There are many of these branches to supple all cells with blood flow


- Almost all cells are within 0.01cm from this


- Most materials are exchanged across these walls via diffusion

Capillary Walls


- Very thin and the vessels have tiny diameters


- Faster diffusion


- A single layer of endothelial cells about 1uM thick


- No smooth muscle or connective tissue

Movement of materials in Capillaries


- They pass from capillaries to the interstitial fluid passively


- Concentration gradients drive most movement across capillary walls


- Bulk flow of all materials dissolved in plasma also occurs



Bulk Flow of Capillaries


- Allows protein-free plasma to exit the capillaries


- Water and solutes move as one


- Not driven by a concentration gradient


- Occurs due to a combination of all 4 factors



Ultrafiltration


- Material exits the capillaries


- Normally occurs at the beginning of the capillary

Reabsorption


- Occurs when material enters the capillary


- Normally occurs at the end of the capillary



Veins


- When blood leaves the capillary beds it enters the venous system


- Which then returns to the heart


- A large radius which causes little resistance


- Blood flow speeds up as it gets closer to the heart


- Able to act as capacitance vessels (blood reservoir)


- They can hold large volumes of blood by easily expanding their walls


- They lie between skeletal muscles which can act as a pump



Sympathetic Nervous System


(methods on returning blood to the heart)

- Stimulates venous vasoconstriction


- Increases venous return of blood to the heart


- Also increases cardiac output


- When skeletal muscle contracts it increases venous return


- Makes vessels smaller


- When venous return is high so is the cardiac output

Venous Valves

- These prevent backflow of blood once it has been squeezed closer to the heart


- Blood is moving up one step at a time (it fights gravity)

Pressure Gradient in Veins


- Due to respiratory activity, the pressure in the chest is lower


- This is between the lower limbs and the chest aids in venous return


- This is known as the respiratory pump