33. Pulmonary circulation. Special circulation Flashcards

1
Q

Venous blood from the whole body passes through what circulation

A

Pulmonary circulation

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2
Q

What are some characteristics of the pulmonary vessels compared w the systemic vessels

A

Short, wide highly distensible

Thinner walls

Lesser smooth muscle

Pulmonary arterioles has 1/5 of the pressure as systemic

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3
Q

Pressure in Pulmonary artery is lower than in aorta
How deos this affect stroke volume of right ventricle compared w left

A

EQUAL stroke volume

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4
Q

What is pulmonary arterial pressure in systole compared w aorta

A

25 mmHg in p.a

125 mmHg aorta

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5
Q

Does pulmonary capillaries form tissue fluid

A

No

Pressure too low (6-7mmHg)

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6
Q

Pulmonary Blood vessels have high compliance
What does this mean

A

Blood passing through them can change but does this not significantly change the pressure

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7
Q

Compare the blood flow through the apices of the lung to the base of lung

A

Much less blood flow to apices than bases

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8
Q

For regulation, what are pulmonary vessels strongly dependent on the changes on

A

alveolar pO2 and pCo2

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9
Q

What happens in an area of low pO2 but high pCO2

A

Arteriolar resistance increases
Therefore reduces blood flow

Blood is redirected to areas where ventilation is better and gas exchange is improved

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10
Q

WHch organ constantly needs a rich supply of blood

A

brain

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11
Q

Compared to total oxygen supply, how uch of it is consumes by brain

A

20%

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12
Q

What happens when interruption of 10-12 mins of O2 supplied to brain

A

Structural changes in neurons

Brain cant survive

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13
Q

What type of regualtion is very well expressed in cerebral bloood

A

Autoregulation

Eveen w/o the changes in carotid artery pressure, cerebral blood flow is still constant

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14
Q

Does neural and sympathetic incluences affect cerebral blood flow

A

Not really

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15
Q

What are the main regulators of cerebral blood flow

A

pCO2, pO2 blood pH

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16
Q

When is blood flow increased to an area in the brain

A

When cerebral activity is increased

Total blood flow not altered tho

17
Q

When can cerebrl vessels becomes compressed and impair blood flow to brain

A

When increased production/ decreased outflow of cerebral spinal fluid causes increase in intracranial pressure

18
Q

Corornary blood flow is about how much of the cardiac output

A

5%

19
Q

What advantageous abt the heart capillary network

A

10 times denser than skeletal muscle so east to transport substances

20
Q

What do cardiomyocytes contain to allow them to have a high affinity for oxygen

A

myoglobin

21
Q

CAn the heart function in hypoxic conditions

A

no, very limited anaerobic capacity

22
Q

WHy during systole, the blood flow to the left ventricle is reduced

A

Due to compression on coronary vessels by the ventricular muscle

receives most of its blood flow at diastole

23
Q

when pO2 decreases and pCO2 increases- hypoxemia, how can you increase coronary blood flow

A

adenosine, Nitric oxide, lactate, H2CO3 are vasodilators that dilate the coronary vessels

24
Q

Changes in cutaneous blood flow is due to what

A

thermoregualtion

25
Q

What is the cardiac output for cutaneous blood flow ( temperature in comfort zone)

A

5%

26
Q

What are the 2 types of resistance vessels in the skin

A

arterioles

arterio-venous anastomoses

27
Q

Aretrio-venous anastomoses: what nerves are tey controlled by? WHere are they found?

What activates their refelx mechanism

A

Only under sympathetic control - ( cutaneous vessels have no parasymoathetic control)

Skin of palms, soles,pinna, nose, lips

Thermoreceptors

28
Q

What happens when artertio-venous anastomoses constrict/ open

A

constrict: Blood flows through capillary networks with large surface area, allows heat loss

Open: blood bypasses capillary network and flows directly in venous vessels. doesnt allow heat loss

29
Q

What is the blood flow throug the digestivesystem

A

20-25% of Cardiac output

30
Q

Which parts of digestive system is best supplied with blood flow

A

muscosa of digestive tube and upper compartments

31
Q

What happens in fasting condtions compared to feeding

A

fasting: capillary pressure favours filtration

Feed: Splanchnic capillaries reabsorb, they dilate

32
Q

What innervation regulates digestive organs

A

sympathetic

arterioles has lots of a-adrenergic receptors that causes vasocontriction and decreases splanchnic blood flwo

33
Q
A