Lecture 21 Flashcards

(30 cards)

1
Q

Three primary functions of lymphatic system

A
  1. Drains excess interstitial fluid
  2. Transports dietary lipids
  3. Carries out immune response
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2
Q

Drains excess interstitial fluid

A

Drains ISF from tissue space and returns it to blood
Once ISF is in lymphatic it becomes lymph

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3
Q

Transports dietary lipids

A

Transport lipids and lipid-soluble vit (ADEK) absorbed by gi tract

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4
Q

Carries out immune response

A

Production, maintenance and distribution of lymphocytes (WBC, B&T cells)
Lymphocytes are WBC part of immune system

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5
Q

Lymphatic system is a drainage system that

A

Removes excess fluid from body tissues and returns it to bloodstream

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6
Q

Usually, blood plasma moves out of capillaries at the arterial end of capillary beds while

A

Tissue fluid containing wastes reabsorbs back in the venous end

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7
Q

How much fluid is left in the tissues in stead of being drawn back to the bloostream

A

15% (would cause swelling if accumulated

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8
Q

Lymphatic vessels begin as

A

Lymphatic capillaries (located in spaces bet cells, closed at one end)

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9
Q

Why can lymphatic capillaries absorb proteins and lipids (large) when blood cannot

A

Bc have a greater permeability

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10
Q

Lymphatic capillaries characteristics

A
  1. Slightly larger in diameter than blood capillaries
  2. Made of overlapping squamous epithelial cells that function as a one-way valve
  3. This one way valve structure permits ISF flow into them but not out
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11
Q

How and when does interstitial fluid enter lymphatic capillary

A

When pressure is greater in fluid than lymph, cells separate slightly like opening of one way door

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12
Q

When P is greater inside lymphatic capillary than ISF,

A

Cells adhere more closely and close gaps so lymph cannot escape

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13
Q

Bc gaps in lymphatic capillaries are big, they allow bacteria, WBC and others to enter, so

A
  1. Lymphatic syst is useful for large particles to reach bloodstream
  2. Used for dietary fat absorption in intestines
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14
Q

Lymphatic capillaries unite to firm lymphatic vessels, and along those there are

A

Lymph nodes (contains B&T cells)

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15
Q

Lymph nodes act to

A

Filter foreign particles from blood, playing an important role in immune response to infection

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16
Q

Majority of lymph nodes located within

17
Q

B & T cells exposed to fluid as it passes through nodes so

A

Can mount immune response if detect pathogen

18
Q

What in the nodes filter foreign particles out of fluid, engulfing pathogens to destroy them?

19
Q

Sequence of fluid flow is

A
  1. Blood capillaries
  2. Interstitial fluid
  3. Lymphatic capillaries
  4. Lymphatic vessels
  5. Lymph nodes
  6. Lymphatic duct
  7. Junction and into veins (blood)
20
Q

Interconnection between lymphatic and cardio

A

Lymph goes through vessels and nodes and then enters drainage points into veins just above heart

21
Q

Primary lymphatic organs

A

Red bone marrow
Thymus

22
Q

Stem cells in red bone marrow give rise to

A

Mature, immunocompetent B cells and pre-T cells

23
Q

Where do pre T cells go to become immunocompetent

24
Q

Secondary lymphatic organs and tissues (where most immune response occur)

A

Lymph nodes, spleen, lymphatic nodules (include tonsils)

25
Tonsils are strategically positioned to
Participate in immune response against inhaled or ingested foreign substances
26
What is the largest single mass of lymphatic tissue in the body
Spleen
27
B T cells in spleen function
Immune functions like in nodes
28
Spleen macrophages function
Destroy blood borne pathogens by phagocytosis
29
Risk for patients without a spleen
Risk for sepsis (blood infection) due to loss of filtering and phagocytic functions of the spleen
30
How to reduce risk of sepsis
Pts who have undergone splenectomy take preventive antibiotics before any invasive procedures