Microcirculation Flashcards

(35 cards)

1
Q

Label the microcirculation

A
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2
Q

What is the overall aim of the Cardiovascualr system?

A

Adequate blood flow through capillaries

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3
Q

What is the blood flow rate and give the equation of Darcy’s Law

A

Blood flow rate is the volume of blood passing through a vessel per unit time

Darcy’s Law:

Pressure gradient= Flow Rate x Resistance

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4
Q

What is the pressure gradient across the microcirculation

A

Difference in pressure between 1st order arteriole and end of arteriole (middle of capillary bed)

Pressure A- pressure B

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5
Q

How can you get more blood to a tissue

A

Increase the pressure gradient across the microcirculation by mainly increasing pressure at the start of arteriole

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6
Q

What causes resistance in blood flow (physics concept)

A

Hindrance to blood flow due to friction between moving fluid and stationary vessel walls

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7
Q

What is the equation for Resistance

Pseullmoiles law

A

L- Vessel length

r- vessel radius

N- blood viscosity

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8
Q

Why is arteriole the major determinant of resistance?

A

Has lots of smooth muscles that can dilate; hence affect pressure

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9
Q

What determines the pressure at te start if the arteriole in microcirculation

A

Mean arteriole pressure

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10
Q

Why is there greatest resistance at the middle of capillary bed (end of arteriole)

A

Lowest radius

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11
Q

What is the flow rate of blood across an organ? What factor is the real determinant of flow rate

A

F= P/R : F is flow rate, P= pressure gradient, R =resistance

greatest determinant of flow rate IS RESISTANCE

pressure gradient is MAP (Mean arteriole pressure) ;since pressure in venule is zero.

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12
Q

What is vascular tone and it’s importance

A

When arteriole smooth muscle display a state of partial construction at rest.

It is important because it allows the smooth muscle to easily constrict and dilate when needed

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13
Q

The radii of arteriole are adjusted independently to accomplish 2 functions which are:?

A
  1. Match blood flow to the metabolic needs of specific tissues depending on the body’s momentary needs
  2. Help regulate systemic arterial blood pressure
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14
Q

What regulates the ability of arterioles to reduce radii to match blood flow to metabolic needs f tissues?

A

Regulated by local intrinsic controls and independent of nervous or endocrine stimulation

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15
Q

What regulates the ability of arteriole to help regulate systemic arterial blood pressure (by adjusting it’s rain independently)

A

Regulated by extrinsic controls which travel via nerves or blood and are usually centrally coordinated

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16
Q

What is active hyperaemia and what causes it?

A

VASODILATION OF ARTERIOLES

this may be driven chemically by:

  • increased metabolites
  • increased oxygen usage

this chemical change is detected by chemoreceptors on arterioles anhence causing vasodilation

17
Q

What is myogenic auto regulation and what causes it?

A

VASOCONSTRICTION of arterioles

this may be PHYSICALLY DRIVEN by:

  • Reduced blood temperature
  • increased stretch of arterioles due to high blood pressure
18
Q

Describe how the graph of perfusion pressure, flow rate and resistance will change with and without autoregulation

draw it

19
Q

What is the equation for MAP in terms of Cardiac output

A

MAP= cardiac output x total peripheral resistance

20
Q

Describe how the neural network help to regulate arterial blood pressure

A

Cardiovascular control centre in medulla

send impulses down to arterioles smooth muscle and this causes vasoconstriction

this could divert blood from specific organs

21
Q

What are the different Hormones that can regulate arteria;l blood pressure and what do they do?

A
  • Vasopressin/ADH via V1 receptors
  • Angiotensin II- MOST powerful vasoconstrictor
  • Adrenaline/noradrenaline

they all cause vasoconstriction

22
Q

Describe the parameters of a capillary endothelial cell and also the features of the network

A
  • 7 micrometers lumen diameter
  • 1 micrometer cell width
  • very narrow
  • highly branched network; so that no tissue cell is far away from capillary

this all helps capillary to carry out it’s function

23
Q

What is the purpose of capillary exchange

A

Delivery of metabolic substrates to the cells of the organism which is the ultimate function of the CVS

24
Q

Do all tissues have te same capillary density?

A

No, the more metabolic active a tissue is, the more capillary density it has/needs.

25
Why is capillary density important?
Helps to minimise diffusion distance maximise surface area and time for diffusion fick's law
26
The lungs has the most dense capillary network- 3500cm2/g why?
Although it is not as metabolically active as the brain; it has this large capillary density to enable **ventilation** - NOT FOR METABOLISM
27
Complete the sentence and explain how this is achieved
1) Huge capacity , 2) limited flow caused by vasoconstriction of arterioles
28
What are the different types of capillaries in terms of gaps between them
* Continuous * fenestrated * Disocntinous
29
What are the substance that can pass through continuous capillaries
* Small molecules pass through water filled gap junction * lipid soluble substances diffuses past membrane * vesicular transport
30
What can pass through fenestrated capillaries and where can you find them
Found in glomerulus and sinusoid larger molecules pass thorough it
31
Where can you find discontinuous capillaries, what are it's features and what can pass through it
Least common type; it's disorganised seen in **bone marrow;** allow m=very large compounds to pass through it. E.g. white cells to enter blood
32
What type of capillary is in the Brain (blood brain barrier)
Continuous with NO GAP JUCNTION allow a tight control of what enters brain; help to protect the brain
33
What are the different forces that determines movement of fluid in and out of capillaries
Hydrostatic pressure- caused by large amount of fluid in arteriole. Causes ULTRAFILTRATION if it's greater. It ***changes*** as fluid moves down capillaries ***Oncotic*** pressure- caused by lots of **proteins** to pull fluid back in. Hence prevent continuous loss of blood. Causes reabsorption if oncotic pressure is greater than hydrostatic pressure. It ***doesnt change as proteins are stay constant.***
34
There's more ultrafiltration than reabsorption; What does it signify and how does the body compensate
More net fluid loss has lymphatic system
35
What is Starling's hypothesis for fluid movement