L14 Flashcards

1
Q

What characteristics of the capillary make perfect for two way exchanged?

A
  • Steep conc gradient
  • Short distance diffusion pathway
  • Slow blood flow
  • large surface area
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2
Q

What are the three type of capillaries?

A
  • Continuous =
  • Fenestrated = Contains pores allow allow exchange of WATER and solutes
  • Sinusoidal = Large clefts and incomplete basement membrane, allows exchange of WATER and LARGE SOLUTES
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3
Q

Forces in the capillary that affect blood flow?(4)

A
  • Capillary hydrostatic pressure
  • Interstitial hydrostatic pressure
  • Blood colloid osmotic pressure
  • interstitial fluid COLLOID osmotic pressure
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4
Q

What is Capillary hydrostatic pressure in terms of what it does it to the fluid in capillaries?

A
  • blood pressure exerting on pushing fluid out
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5
Q

What is interstitial hydrostatic pressure?

A

Pressure exerted by interstitial fluid pushing blood in the capillaries

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6
Q

What is blood colloid osmotic pressure?

A

plasma pressure that draws blood into capillary

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7
Q

What is interstitial colloid osmotic pressure?

A

osmotic pressure that pulls fluid out of the capillary

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8
Q

How can you measure NET FILTRATION PRESSURE?

A

Net hydrostatic pressure - Net osmotic pressure

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9
Q

How can net HYDROSTATIC pressure be calculated?

A

Capillary hydrostatic pressure - interstitial fluid hydrosstatic pressure

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10
Q

What movement of the fluid does net HYDROSTATIC pressure favour?

A

Movement of the fluid out of the capillary into interstitial fluid= FILTRAATION is favoured

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11
Q

What movement of the fluid does the net OSMOTIC pressure favour?

A

Favours reabsorption of fluid into capillary

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12
Q

Where will fluid move with positive NET filtration pressure?

A

into interstitial fluid

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13
Q

Where will fluid move when -ve NET filtration pressure?

A

reabsorption into capillary

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14
Q

What happens to Capillary hydrostatic pressure (CHP) from arteriole to venous end?

A

It decreases from 35 to 18

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15
Q

What is the mmHg pressure value of Cpillary hydrostatic pressure?

A

35

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16
Q

What is interstitial hydrostaTIC PRESsure mmHg value?

A

0

17
Q

What is the typical BLOOD colloid osmotic pressure?

A

25 (across all capillary)

18
Q

What is the typical mmHg interstitial colloid osmotic pressure?

A

0

19
Q

WHAT is net Hydrosattic pressure value in mmHg?

A

35 to 18 to venule end

20
Q

What is net colloid osmotic pressure value in mmHg?

A

25 across all capillary (25 - 0)

21
Q

Why is FILTRATION greater than reabsorption overall?

A

Because net HYDROSTRATIC pressure is 35 compared to net OSMOTIC pressure which is 25, so more fluid exit the capillaries than it is reabsorbed to overall during the day

22
Q

What is the typical net filtration pressure?

A

NFP = NHP - NCOP = 10

23
Q

How does hypertension affect the net filtration pressure at arteriole end?

A
  • Increased net filtration pressure to 20 (45 - 25 instead of 35 - 25)
  • High BP = Higher CHP which means more filtration
  • which collects in extremities
  • leads to systemic oedema
24
Q

How would haemorrhage affect net filtration pressure at venous end?

A
  • Haemorrhage = lower BP = Lower CHP = 5 instead of 18

instead 18 - 25, its 5-25 = -20 net filtration pressure, so more fluid is reabsorbed into blood
- leads to increase in BP and CO

25
Q

What happens if BCOP increases to 30 at venous end?

A

18-30 = -12 NFP
more fluid from tissues to blood
leads to dehydration

26
Q

What happens if ICOP increases to 10 at venous end?

A

25- 10 = 15 net osmotic pressure
net filtration pressure is = NHP- NOP= at venous end NHP = 18
18 - 15 = +3
Local swelling (oedema)