capillary circulation Flashcards

1
Q

purpose of capillaries

A
  • exchange fluid, nutrients, electrolytes, hormones, wastes, etc between blood and interstitial fluid
  • have thin walls with pores to allow for passage of water and molecules
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

vasomotion

A
  • intermittent blood flow thru capillaries based on contractions of metarterioles and precapillary sphincters (in the arterioles that have smooth muscle that can contract- therefore it’s an upstream mechanism from the capillaries)
  • can allow for complete closure of capillaries
  • purpose: to allow for shift in blood flow for areas in need
  • makes sure to INCREASE SURFACE AREA AND DECREASE VELOCITY TO ENABLE EXTRA OXYGENATION OF THE AREA IN NEED
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what does blood flow thru capillaries depend on?

A
  • what can get thru upstream- is thru arterioles and sphincters/metarterioles etc
  • the constriction of the upstream elements is directly related to what’s going on IN THE TISSUE- is tissue needs it, then yes, if not, then no!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

in skeletal muscles what does “work” do to pO2, pCO2, pH, and flow?
brain?
heart?

A

pO2 = decreases, pCO2 increases, decreases pH, and flow increases = get vasodilation

brain= increase CO2, decrease pO2, increase adenosine

heart= increase adenosine, increase CO2, decrease O2, decrease pH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
state whether this constricts or dilates:
epi:
norepi:
Dopamine:
Histamine:
Ach:
Angiotensin II:
kinins:
ADH/Vasopressin:
VIP (vasoactive intestinal peptide):
A

epi: both- alpha constricts and beta dilates
norepi: constricts
Dopamine: dilates in renals but constricts elsewhere
Histamine: dilates
Ach: dilates
Angiotensin II: constricts
kinins: dilates
ADH/Vasopressin: constricts (PRESSIN- constricts)
VIP (vasoactive intestinal peptide): dilates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
state whether this constricts or dilates:
adenosine, adenine, nucleotides-
hypoxemia-
H and K-
hypercapnia- 
Krebs cycle intermediates-
endothelin-
EDRF (NO)-
A
adenosine, adenine, nucleotides- both
hypoxemia-dilates
H and K- dilates
hypercapnia (lots of CO2)- dilates
Krebs cycle intermediates- dilates
endothelin- constricts 
EDRF (NO)- dilates
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what dictates good diffusion across a capillary

A

-lipid solubility and small size to get thru pore

water soluble things need pores to get in when lipid soluble things can just use direct diffusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

reabsorption vs filtration

A

reabsorption- bringing things back INTO the blood

filtration- bringing things out of the blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

hydrostatic pressure vs colloid pressure

A

hydrostatic- pressure generated by fluid itself

colloid is pressure generated by the material in the fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what will increased fluid pressure in the capillaries do?

A

-moves fluid out of the capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

besides an increase in fluid pressure in the capillaries, what also draws blood out into the interstitium?

A

the low interstitial fluid conc- this is the function of the lymphatic system!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what does capillary oncotic pressure do?

A
  • tends to move fluid in

- increase oncotic pressure, increase fluid into the capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

if there is a lot of proteins etc in the interstitium, what does that do with the capillaries?

A
  • causes fluid to move out of the capillaries

- therefore, to keep fluid in, you increase oncotic pressure of the capillaries (adding albumin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how do you calculate the total net pressure on capillaries?

if net>0 what does that mean? net<0?

A
Pressure in the capillaries (hydrostatic) pushing fluid out - hydrostatic pressure on the outside of the capillaries (usually neg so  you add)pushing fluid back in - colloid pressure keeping stuff in + the interstitial pressure pulling stuff out
\+--+
net>0 -fluid moving out
net< 0- fluid moving in 
=> NEGATIVE IS IN
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

If the net hydrostatic pressure is less than the net oncotic pressure, what occurs

A

-it’s a signal to move fluid OUT of the capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

if you have an increase in plasma proteins, what is that a trigger for

A

reabsorption

17
Q

if hydrostatic pressure is less than oncotic pressure, what does that signal

A

reabsorption

18
Q

if you have an decrease in plasma proteins, what does that trigger

A

filtration (loss of fluid)

19
Q

interstitial edema

A
  • excess filtration either from increased Pc (hydrostatic pressure) or decreased pieC which is colloid pressure
20
Q

what can cause a decrease in colloid pressure

A

pregnancy, starvation, nephrotic syndrome

21
Q

what can cause a increase in hydrostatic pressure

A

-standing, heart failure, venous thrombus