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106 Cards in this Set

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What are the 5 types of blood vessels

1.arteries


2.arterioles


3. Capillaries


4. Venules


5. Veins

What are the three walls of the arteries

Tunica interna


Tunica meDia


Tunica externa

Describe the tunica interna

Innermost layer


Touches lumen


Made of smooth muscle (elastic lamina), endothelium (endothelial cells), and basal membrane

Describe the tunica media

The middle layer


Involved in vasodilation and vasoconstriction


Made of elastica lamina and smooth muscle

Describe the tunica externa

Outermost layer


Supplies nerves and anchors vessels to tissues


Does NOT regulate blood flow

Where do arteries transport blood

From the heart to tissues and organs

What are the two groups of arteries?

Elastic


Muscular/distributing

Describe elastic arteries (aka conducting arteries)

Largest


Elastic fiber


Expand during contraction


Recoil during relaxation


Pushes blood further away

Describe muscular ( aka distributing arteries)

Medium


Branch from elastic arteries


Thick tunica media (vasodilation/vasoconstriction)


Distribute blood to skeletal muscle and internal organs

What are arterioles

Larger arterioles have all three tunics


Very small arteries only have tunica interna (incomplete media) and smooth muscle


Regulate blood flow into capillaries


(Via resistance)

What are capillaries (aka exchange vessels)

Microscopic blood vessels


Connect atrioles to venules


Tunica interna ONLY


Exchange nutrients etc via interstitial fluid


Form capillary beds

What are the 3 types of capillaries

1.continuous


2. Fenestrated


3. Sinusoids

Describe continous capillaries

Most common


Lining only interrupted at clefts


Permeable to water and lipid solubles

Describe fenestrated (means pore) capillaries

Pores into endothelial cells


Located where active capillary absorption or filtrate formation occurs

Describe sinusoids

Large pores and clefts


Very permeable


Where are sinusoids found

Liver


Endocrine


Spleen


Bone marrow

What do kupffer cells do

Cleans passing blood in liver

Describe venules

Collect blood from capillaries


Drain into veins


(Same characteristics as atrioles)

Describe veins

Carry blood from tissues to heart


Tunica externa is thickest

What do venous valves do

Prevent backflow

Where are venous valves found

In limbs where upward flow of blood is opposed by gravity

Why are venous valves necessary

To prevent back flow of blood due to low blood pressure

What are varicose veins

Twisty veins due to less blood pressure

What are hemorrhoids

Varicose veins in anal canal

What are anastosomes

Union of branches of 2+ blood vessels

What is the advantage of anastasomes

Allows for alternate route for blood in case of blockage

Where is the blood reservoir

Liver spleen and skin

Where is the majority of blood located most of the time

Systemic veins and venules

What is capillary exchange

Movement of substances into and out of capillaries

What are the 3 methods of capillary exchange

Diffusion


Transcytosis


Bulk flow

Describe diffusion

Most important!!


Move down concentration gradient


Co2 o2 amino acids and nutrients

What is transcytosis

Endo/exocytosis


Used for large lipid soluble substances (insulin/antibodies)

What is bulk flow

Substances that move down pressure gradient!!


(Filtration and reabsorption)

What is filtration

Flow out of capillaries into interstitial fluid

What kind of pressure is needed for filtration out of capillaries

Blood Hydrostatic pressure


pressure

What is reabsorption (in capillaries)

Liquid flow back into the blood from interstitial fluid

What kind of pressure is needed for reabsorption (into capillaries)

Blood Colloid osmotic pressure

What happens when reabsorption and filtration work together

A balance between the volume of blood and interstitial fluid

How many liters of fluid are filtered out of the capillaries per day

20

How many liters of fluid are reabsorbed into the capillaries per day

17

How many liters of fluid end up in the lymphatic capillaries per day?

3

What is edema?

Interstitial fluid build up due to decreased osmotic pressure or increased hydrostatic pressure

What is the purpose of net filtration pressure?

Determines if filtration or reabsorption will occur

What is BHP?

Blood pressure due to heart beat


Favors blood leaving the vessels


"Filtration"

What is BCOP?

Blood colloid osmotic pressure


Water follows solute


"Reabsorption"

What is IFOP?

Interstitial fluid osmotic pressure


Tiny pressure pushing fluid out (towards the solute)


"Filtration"


Counted as 1

What is IFHP?

Lil fluid pushed into cell


Counted as 0 bc its so small


"Reabsorption"

What is the NFP equation

Nfp= (BHP+IFOP)-BCOP)


BCOP = 26


IFOP = 1

What does a positive NHP mean?

Filtration


Out

What does a negative NHP mean?

Reabsorption


In (to capillaries)

Define blood flow

The volume of blood that flows thru any tissue in any given period of time

What is hemodynamics?

Factors affecting blood flow

Define blood pressure

Force exerted by blood against vascular walls

What are the two factors that affect blood flow

Pressure difference


Resistance

What unit is blood pressure measure in?

mmHg

What happens to blood pressure as it gets further from the heart

It decreases

What is systolic blood pressure

Highest pressure in the arteries


Happens during contraction

What is diastolic blood pressure

Lowest blood pressure in arteries


During relaxation

What blood pressure maintains flow

35 mmHg

What is MAP (mean arterial pressure)

The average pressure in the arteries

What is the blood pressure as it reaches the right atrium?

0 mmHG

What does blood pressure depend on?

Cardiac output and total blood volume

What is resistance?

Opposition to flow

What is vascular resistance

The opposite of blood flow

What are the 3 factors blood resistance depends on?

Size of lumen (biggest effect)


Blood viscosity


Total length of blood vessel

What has the biggest effect on blood resistance?

Size of lumen


Bigger lumen = less resistance

What is venous return?

The volume of blood going back to the heart thru systemic veins

What factors aid in venous return

Skeletal muscle pump


Respiratory pump

Describe the skeletal muscle pump

When leg muscle compress veins to push blood up against gravity


Involves venous valves

Describe the respiratory pump

During inhalation the diaphragm moves down and puts pressure on the abs which push blood up

What are the 4 major categories that ensure proper tissue perfusion

Cardiovascular center


Nueral control


Hormonal control


Autoregulation

Describe the cardiovascular center

Found in medulla


Controls heart rate, blood pressure, the resting level of systemic vascular resistance

What are the 3 receptors that the cardiovascular center receives info from

Propioceptors


Baroreceptoes


Chemoreceptors

What are propiocepters

Sense balance and space and movement

What are baroreceptors

Pressure sensors

What are chemoreceptors

Chemical receptors

What parts of the ANS are involved in the cardiovascular center

Both!


Parasympathetic and sympathetic

What does increased blood pressure do

Vasodilation

What does decreased blood pressure mean

Vasoconstriction

What are the 4 hormonal controls

RAA


epi/norepi


ADH


ANP

What does RAA do

Appears when BP levels are low causes vasoconstriction


(Works similar to ADH)

What does epi/norepi do?

Allows for fight or flight responses to occur

What does ADH do

Causes vasoconstriction due to decreased blood pressure in order to keep more fluid to increase blood volume

What does anp do

Release from the pituitary and mjamnies

What is autoregulation

The ability of tissue to automatically adjust its blood flow thru local dilation or constriction

Joshus What are the 2 stimuli that affect autoregulation

Physical changes (warm=dilation cold=constriction)


Presence of dilation chemicals

What is a pulse

Expansion and recoil of elastic arteries after each constriction of the left ventricle

What is shock

Lack of oxygen or nutrients to tissues, reduced blood flow

What r the 4 types of shock

Hypovolemic


Cardiogenic


Obstructive


Vascular

What is hypovolemic shock

Shock due to low blood volume

What is cardiogenic shock

Shock due to heart not working good

What is obstructice shock

When the is a blockage in blood vessel

What is vascular shock

Shock when too many vessels are open and blood is trying to go to too many places

What is the homeostatic response to shock


RAA activation


ADH secretion


Activation of sympathetic division


Local vasodilator released

Negative feedback systems

What are signs/symptoms of shock

Low BP


Increased heart rate, thirst, craziness, metabolism


Weak pulse, low pH, cool clammy skin,

What is the function of endothelial cells in the tunica interna?

They prevent friction to allow efficient blood flow


(And chemical release & permeability)

Where is the basal membrane located

Deepest layer of tunica interna

What is the basal membrane for?

Support and elasticity and aid in molecular movement

What does elastic lamina do

Facilitates diffusion thru tunica interna to the tunica media

What are the largest arteries in the body?

Elastic arteries

What is "vascular tone"?

Stiffens the vessel walls and is important in maintaing vessel pressure and efficient flow

Found in muscular arteries

Define collateral circulation

The alternative route of blood flow to a body part thru anastomosis

What are end arteries?

Arteries that do not have anastosomes

What happens if there is an obstruction at end arteries

Necrosis (death) of that segment

What does a precapillary sphincter do?

Monitors blood flow into capillary from arteriole

What is vasomotion

The contraction/relaxation in capillaries due to chemicals released from endothelial cells