Pulmonary circulation Flashcards

1
Q

Where does oxygen-poor blood leave the heart?

A

It leaves through the right ventricle

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2
Q

What are the two arteries that supply blood to the lung?

A

Pulmonary arteries and Bronchial arteries

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3
Q

What are pulmonary alveolar vessels?

A

Thin walled capillaries that are subject to pressure changes

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4
Q

What are pulmonary extra-alveolar vessels?

A

Pulmonary arteries and veins that accompany the bronchi in a connective tissue ‘sheath’

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5
Q

What is the bronchovascular bundle?

A

The connective tissue sheath in the lungs

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6
Q

What determines the behaviour of the extra alveolar vessels?

A

Determined by pressure changes within the connective tissue space of the bronchovascular bundle

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7
Q

What is the peribronchial plexus?

A

A network of blood vessels around the bronchi

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8
Q

How much of the total output from the left ventricle goes towards bronchial circulation?

A

Around 2%

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9
Q

What is the azygous vein?

A

The azygous vein carries blood from the back of your chest and abdomen to your heart

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10
Q

What is the vasa vasorum?

A

small blood vessels that supply the walls of larger arteries

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11
Q

What is the consequence of the bronchial vessels anastomose with the pulmonary vessels?

A

It means that the lungs will not die if one of the circulations is obstructed

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12
Q

What is cardiac output?

A

The volume of blood that is pumped out the heart per minute (Heart rate X Stroke Volume)

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13
Q

How do pulmonary vessels reduce their resistance when more blood is pumped through the lungs?

A

Using their smooth muscle they increase their diameter

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14
Q

What is capillary recruitment?

A

Vessels that were previously closed open up which decreases the overall pressure

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15
Q

How do Horses increase their blood flow?

A

The right hand side of the heart pumps out around 120ml of blood, so the capillary bed in the lungs receives around 100 (it is specially adapted for this)

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16
Q

What is the species adaptation for smooth muscle in the capillaries

A

Cows have a large volume of smooth muscle in comparison to dogs/ humans (horses have an intermediate amount) meaning they have a larger response to hypoxia

17
Q

What is the response to hypoxia in pulmonary circulation?

A

Vasoconstriction, this means that a lower volume of blood is reaching the lungs

18
Q

What are the two branches/ Splitting of bronchial circulation?

A

One branch goes down to the pulmonary level to anastomose with pulmonary circulation and the other part supplies the upper airways before feeding into the azygous vein

19
Q

What two arteries supply blood to the lungs?

A

Pulmonary arteries and bronchial arteries

20
Q

What is the blood flow of the pulmonary arteries?

A

they carry deoxygenated blood from the RHS of the heart

21
Q

What is the blood flow of the bronchial arteries?

A

carries oxygenated blood around the lungs

22
Q

Where does the bronchial blood flow inevitably drain into?

A

Thea zygous vein

23
Q

What do blood vessels do when the blood flow through them increases?

A

They dilate/ decrease their resistance

24
Q

What is the main purpose of distension and recruitment?

A

To ensure that the pulmonary circulation stays at a lower pressure than systemic circulation

25
Q

Why do horses need larger changes in pulmonary pressure?

A

allows for faster ventricular filling

26
Q

How is EIPH caused in horses?

A

High pressures cause the capillary beds to burst

27
Q

What veins become distended when pulmonary vessels constrict due to hypoxia?

A

there is a backflow of blood so jugular veins become distended

28
Q

What is pulmonary vascular resistance?

A

PVR is the relationship between the pressure difference between the pulomary arteries and left atria and the cardiac output