Microcirculation Flashcards

1
Q

Give an equation relation flow rate, pressure gradient and resistance

A
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2
Q

Give the overall purpose of the CV system and the def of blood flow rate

A

Adequate blood flow through the capillaries

Volume of blood passing through a vessel per unit of time

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3
Q

How is blood pressure determined in a capillary and how will increased pressure gradient influence blood flow?

A

Increased ΔP will increase blood flow rate

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4
Q

What is the def of resistance in a blood vessel?

A

‘Hindrance to blood flow due to friction between moving fluid and stationary vascular walls’

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5
Q

How can you relate flow rate, vessel length,pressure, vessel radius and blood viscosity

A
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6
Q

How does raised blood pressure / arteriolar vasoconstriction influence ‘deltaP, resistance and flow rate’

A
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7
Q

How can you mathematically relate blood flow rate, pressure gradient and resistance in an organ?

A
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8
Q

Why is vascular tone important?

A

Vascular tone-Natural partial contraction of arteriolar muscle

-It allows the artery to undergo vasodilation or vasoconstriction at any time

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9
Q

How does vasoconstriction/vasodilation affect flow rate, resistance and vessel radius?

A
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10
Q

What 2 functions do arteries regulate their radii independently for and through what means are they regulated?

A

Function 1: Match blood flow to the metabolic needs of specific tissues (depending on body’s momentary needs)
Regulated by local (intrinsic) controls and independent of nervous or endocrine stimulation

Function 2: Help regulate systemic arterial blood pressure
Regulated by extrinsic controls which travel via nerves or blood and are usually centrally coordinated

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11
Q

What is arteriolar vasodilation normally driven by and what is another term for it?

A

Chemically driven
-Metabolites(ATP metabolites are powerful vasodilators)
-O2 usage

Active hyperaemia

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12
Q

What is arteriolar vasoconstriction normally driven by and what is another term for it?

A

Physically driven
-Drop in blood temp
-Vessel distension due to increased BP

Myogenic autoregulation

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13
Q

Explain these graphs

A

Pressure gradient across the arteriole is higher(higher perfusion pressure)
Vessel senses increased pressure, in turn constricts the vessel, increasing resistance and reducing blood pressure back to normal

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14
Q

How can you mathematically relate cardiac output, total peripheral resistance and blood pressure?

A
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15
Q

How is arterial blood pressure regulated neurally and hormonally?

A

Neural:
CV control center in the medulla sends signals through the sympathetic trunk

Hormonal:
Vasopressin/ADH from pituitary
Angiotensin II from lungs
Adrenaline/Noradrenaline from adrenal glands

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16
Q

Why is capillary density so important?

A

Minimise the diffusion distance
Maximise the surface area and time for diffusion

-Ficks law

17
Q

How does capillary network density vary?

A

More dense capillary networks in more metabolically active tissue

18
Q

What are the 3 capillary types and how are they different?

A

Continuous-Has regular H20 gap junctions between endothelial cells

Fenestrated-Has ~80nm wide fenestrae

Discontinuous-Has open gaps between endothelial cells

19
Q

Outline hydrostatic and oncotic force in capillaries and what causes them

A
20
Q

What is the premise of starlings’(1896) hypothesis

A

“…there must be a balance between the hydrostatic pressure of the blood in the capillaries and the osmotic attraction of the blood for the surrounding fluids. “

” …and whereas capillary pressure determines transudation, the osmotic pressure of the proteins of the serum determines absorption.”

21
Q

What causes capillary ultrafiltration and reabsorption?

A

If pressure inside the capillary > in the IF - Ultrafiltration

If inward driving pressures > outward pressures across the capillary – Reabsorption

22
Q

Ultrafiltration is slightly greater than reabsorption in capillaries, what is the significance of this in the capillaries?

A

There is a net loss of fluid, which the lymphatic system absorbs.

23
Q

Outline the structure of a lymphatic vessel

A
24
Q

Give the general structure+main ducts+drainage capacity of the lymphatic system

A
25
Q

What is the disease called when rate of lymphatic production is greater than the rate of drainage and what is a common cause of this?

A

Elephantiasis
-Parasitic blockage of lymph nodes

26
Q

What occurs to hydrostatic and oncotic pressures over the length of a vessel?

A

Hydrostatic pressure drops

Oncotic pressure remains the same

-Overall force is a reabsorption