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25 Cards in this Set
- Front
- Back
What does Fick's Law state about diffusion of small, water-soluable substances across a capillary wall?
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The law states that the rate (ease) and direction of diffusion depends on both the permeability and the concentration gradient.
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What is an A-V Shunt?
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An ateriovenous anastomoses, which is a vessel that runs from an arteriole to a venule, bypassing the capillary bed.
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Name 3 reasons that capillaries are good exchange vessels
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1. Capillary walls are very thin at only one cell thickness
2. Capillary walls are porous 3. Blood flow is relatively slow (because there are millions of them) |
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According to the Starling Hypothesis, the exchange of water and solutes between capillaries and the interstitial tissue space rely on the balance of what factors?
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1. Capillary hydrostatic pressure
2. Interstitial hydrostatic pressure 3. Capillary oncotic pressure 4. Interstitial oncotic pressure 5. the capillary permeability |
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What is oncotic pressure?
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The osmotic pressure due to the presence of colloids (non-diffusable substances) in solution.
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Define filtration
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When fluid leaves the capillary because the net net hydrostatic pressure is greater than the net oncotic pressure
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Define reabsorption
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When fluids enters the capillary because the net hydrostatic pressure is lower than the net oncotic pressure.
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What is the purpose of the lymphatic system?
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To recapture fluid and plasma proteins that have leaked from vessels into the interstitial space, in order to filter them and return back into the blood circulation via a vein.
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Define edema
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the accumulation of excess fluid in the interstitial spaces. This is due to a shift in one of the factors of Starling's hypothesis.
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Name three mechanisms that cause edema
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1. a hydrostatic pressure gradient
2. a colloid-osmotic pressure gradient 3. increased capillary permeability |
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Name a cause of increased capillary permeability based edema
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histamine release (allergic reaction)
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Name a cause of increased hydrostatic pressure edema
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pulmonary edema from left-sided heart failure, systemic edema from right-sided heart failure
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Name a cause of decreased oncotic pressure edema
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hypo-proteinemia associated with malnutrition, severe burns,
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Name some alternative reasons for edema
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lymphatic obstruction or atresia (narrowing), immobilization, increased endothelial permeability to proteins
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High Altitude Pulmonary Edema
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Not completely understood:
Lower atmospheric pressure with reduced oxygen concentration. Pulmonary arteriole vasoconstriction occurs, with increased capillary permeability. The edema that accumulates is very proteinaceous. |
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systolic pressure (SP)
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the peak (highest) arterial pressure in the cardiac cycle
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diastolic pressure (DP)
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the lowest arterial pressure in the cardiac cycle
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Mean Arterial Blood Pressure (MABP) calculation
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DP + 1/3(SP - DP)
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dicrotic notch
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in the recording of the arterial pressure, indicates the closure of the aortic valve and the end of ventricular systole
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pulse pressure (PP)
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the difference between systolic and diastolic pressures
SP - DP |
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Blood pressure reporting (manual)
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is written SP/DP such as 120/90
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Physical attributes of systolic pressure
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the blood flow into the arteries during systolic contraction is higher than the flow out of the arteries (into the arterioles), which causes an increase in arterial volume and pressure.
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Physical attributes of diastolic pressure
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the result of aortic/arterial vessel wall recoil.
During diastole, the elastic recoil of the arterial walls provides the driving force to propel blood out the arteries |
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What happens when the aorta is stiff or has reduced elasticity?
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during systole the aorta does not expand at all, so the systolic pressure is increased (same volume in a smaller space).
during diastole, there is less recoil in the aorta, so the diastolic pressure is reduced. |
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What are general cardio/circulatory factors that will affect blood pressure?
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stroke volume, heart rate, total peripheral resistance, compliance of the blood vessels
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