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67 Cards in this Set

  • Front
  • Back
List the 3 layers of the vessel wall
1. tunica externa (outer)
2. tunica media (middle)
3. tunica intima or interna (inner)
Arteries carry blood where?
Veins?
Capillaries?
1. away from the heart
2. back to the heart
3. take smallest arteries to veins
What are vaso vasorum?
small vessels in the tunica externa that supply blood to larger vessels
tunica media?
thickest and uses smooth, muscle for vasoconstriction and vasodilation to prevent blood from rupturing
tunica intima?
inner most layer; repels blood cells and platelets;
secretes chemicals that stimulate dilation or constriction of vessel
What is another name for arteries?
resistance vessels
Conducting or elastic artery
largest; pulmonary, aorta, or carotid
Distributing or muscular artery
distributes blood to specific organs; femoral and splenic
Resistance (small) arteries
arterioles control amount of blood to various organs
Metarterioles (smallest)
short vessels that connect arterioles to capillaries; has precapillary sphincter
Aneurysm
weak point in an artery or the heart wall; causes pain and can lead to hemmorage
Dissecting aneurysm
blood separates the walls of the artery by a tear; common in the abdominal aorta, renal arteries, and base of the brain
3 categories of arteries
1. conducting (large)
2. distributing (medium)
3. resistance (small)
Precapillary sphincter?
Muscle cells that encircle the entrance to one capillary to constrict and divert blood
Carotid sinus
The type of arterial sense organ that respond to blood pressure (baroreceptor)
Carotid bodies
arterial sense organs that are (chemoreceptors) and monitor changes in blood composition and adjust breathing, pH, and O2 and CO2 levels; located near common carotid arteries
Aortic bodies
arterial sense organs that are (chemoreceptors) located in aortic arch and monitor changes in blood composition.
Capillaries
connect the smallest arteries to the smallest veins
3 types of capillaries
1. continuous - most tissue
2. fenestrated - kidneys, small intestine
3. sinusoids (discontinuous) - liver, bone marrow, spleen
Postcapillary venueles?
Muscular venules?
Medium veins?
smallest veins
up to 1 mm
up to 10 mm
Varicose veins
when blood pools in the lower legs in people who stand for long periods stretching the veins
Hemorrhoids
varicose veins of the anal canal
Where does the blood in the portal system flow?
through two consecutive capillary networks before returning to the heart
Arteriovenous anastomosis (shunt)
when blood flows from an artery directly into a vein, bypassing capillaries
Venous anastomosis
the most common anastomoses in which one vein empties directly into another:
Arterial anastomosis
when two arteries merge and provide alternative routes of blood supply to a tissue:
Blood flow?
Perfusion?
1. the amount of blood flowing through a tissue in a given time
2. the rate of blood flow per given mass of tissue
What is hemodynamics?
the physical principles of blood flow based on pressure and resistance; F= the change of P/R
Blood pressure (BP)
the force that blood exerts against a vessel wall
Where is bp measured?
the brachial artery of the arm using a sphygomomanometer
Systolic pressure?
Diastolic pressure?
1. peak arterial BP taken during ventricular systole or contraction
2. minimum arterial BP during ventricular diastole or relaxation
What is normal BP for a young adult?
120/75 mm Hg
Pulse pressure
the difference between systolic and diastolic pressure
Mean arterial pressure (MAP)
measurements taken at intervals of throughout the cardiac cycle OR (diastolic pressure) + (1/3 of pulse pressure)
Hypertension?
Hypotension?
high blood pressure; causes aneurysms
low resting blood pressure; causes blood loss, dehydration, anemia
cardiac output, blood volume, and peripheral resistance determine __.
blood pressure
List 3 things peripheral resistance is determined by.
1. blood viscosity (thickness)
2. vessel length
3. vessel radius
Vasomotion?
2 types?
change in vessel radius
1. vasorestriction - tightening
2. vasodilaton- relaxation
Reactive hyperemia
blood supply cut off then restored
Angiogenesis
growth of new vessels
Neural control
vessels under remote control by the central and autonomic nervous system
Vasomotor center
in the MO that exert sympathetic control over blood vessels throughout the body; (baroreceptors, chemoreceptors, medullary ischemic reflex)
Baroflexes
maintains blood pressure in short-term
Chemoreflex
an autonomic response to changes in the blood stream; receptors are in the aortic bodies and carotid bodies
What is the primary and secondary role for changes in blood chemistry?
1. adjust respiration (rerouting)
2. vasomotion
Medullary ischemic reflex
the autonomic response to a drop in perfusion of the brain; inreases HR and BP
What does the hormone Angiotensin II do to blood vessels?
it is a very potent vasoconstrictor
What does the hormone Atrial Natriuretic Peptide do to blood vessels?
increases urinary sodium excretions
What does Epinephrine and Norepinephrine do to blood vessels?
it constricts blood vessels and dilates cardiac and skeletal muscle blood cells
Localized vasoconstriction
constriction of a specific artery or for a specific organ
Where is the most important blood in the body?
the capillaries
Capillary exchange is the ___
2-way exchange movement of fluids across walls
Colloid osmotic pressure (COP) does what? and results from?
draws fluid into the capillaries
results from plasma proteins (albumin)
What is oncotic pressure?
the difference between the blood COP an the tissue COP
Edema
is the accumulation of excess in a tissue
3 causes of edema
1. increased capillary filtration
2. decreased capillary reabsorption
3. reduced capillary absorption
Some mechanisms of Venous return include:
pressure gradient, gravity, skeletal muscles for pumping, thoracic pumps, and cardiac suction
Venous return?
the flow of blood back to the heart; exercise helps this
Circulatory shock?
any state where cardiac output is insufficient to meet metabolic needs
cardiogenic shock?
inadequate pumping of heart (MI)
Low venous return (LVR) shock
cardiac output is low because too little blood is returning to the heart
hypovolemic shock?
obstructed venous return shock?
venous pooling (vascular) shock?
1. most common, loss of blood
2. tumor or aneurysm
3. long periods of standing
neurogenic shock?
septic shock?
anaphylactic shock?
4. loss of vasomotor tone, emotional shock
5. bacterial toxins
6. immune reaction to antigen, histamine release
Hypercapnia is when?
Hypocapnia is when?
1. CO2 levels increase in brain, pH decreases, vasodilation
3. raises pH, vasoconstriction, hyperventilation
Transient ischemic attacks (TIA)?
brief episodes of lack of blood to the brain (cerebral ischemia), mini stroke
Cerebral vascular accident (CVA)?
stroke, sudden death of brain due to lack of blood
What happens to arterioles during exercise?
they dilate in response to epinephrine and sympathetic nerves