Venous and lymphatic systems Flashcards

1
Q

What are the 2 functions of veins?

A
  1. Transport of blood back to the heart

2. Store blood and mobilise when required

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2
Q

What site are arterioles ?

A

The principle site of resistance to blood flow within the vascular tree

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3
Q

Velocity of flow is _______ proportional to the total ________ _________ area

A

Inversely

Cross-sectional

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4
Q

What is venous return?

A

The volume of blood returning to heart from systemic veins

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5
Q

How is venous return determined ?

A
  1. Pressure gradient

2. Venous resistance

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6
Q

What is the average pressure of the venous system and the right atrial pressure ?

A

Pressure system - 18mmHg

Right atrial pressure - 0mmHg

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7
Q

How do other factors promote venous return?

A

Increase the pressure gradient

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8
Q

What are the factors that facilitate venous return?

A
Venous valves 
Cardiac suction effect 
Pressure of blood due to cardiac contraction 
Skeletal muscle pump
Respiratory muscle pump 
Increase in blood volume 
Increase in venous tone
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9
Q

What is the cardiac suction effect ?

A

Pressure in the heart decreases and therefore increases the pressure gradient

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10
Q

What does Venus tone refer to?

A

The degree of contraction of smooth muscle within the veins

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11
Q

What are the factors that increase venous tone?

A
  1. Sympathetic stimulation
  2. Activated venous stretch receptors
  3. Hormones (catacolamines)
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12
Q

And increase venous return will cause an increase in the ________________, _____________ and _____________.

A

End-diastolic volume
Stroke volume
Cardiac output (should equal the venous return)

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13
Q

What is venous compliance ?

A

The rate of change in volume (V) with changing pressure (P)

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14
Q

How can venous compliance be calculated ?

A

Change in volume / change in pressure

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15
Q

Does arteries or veins have a higher vascular compliance?

A

Veins

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16
Q

Why can veins be used as an arterial bypass grafts?

A

At high pressures, the compliance of veins and arteries are the same and if you take a segment of vein and remove the valves you can use this as a bypass as arteries are always under high amounts of pressure.

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17
Q

How much of the TBV is present in the systemic venous system at rest?

18
Q

What senses a drop in central blood volume due to haemorrhage?

A

Atrial volume receptors

19
Q

What are the 4 large sites of venous blood?

A

The spleen
The liver
Large abdominal veins
Venous plexus

20
Q

What are the 2 components of venous pressure?

A
  1. Pressure generated by heart

2. Hydrostatic pressure

21
Q

Why are the veins above the heart collapsed?

A

The pressure in the veins are less than atmospheric pressure (negative hydrostatic pressure)

22
Q

What causes hydrostatic pressure ?

23
Q

What is central venous pressure ?

A

Pressure in the thoracic vena cava near right atrium

24
Q

What does central venous pressure depend on ?

A

1) Venous return

2) Right ventricular function

25
What is normal right atrial pressure ?
0-5mmHg
26
What are varicose veins caused by?
Valve incompetence or venous obstruction
27
How do you treat varicose veins?
You can have the varicose veins removed
28
Name the lymphoid tissues in the body.
``` Tonsils Thymus Lymph nodes Lymphatic vessels Liver Spleen Peyer’s patch Appendix Bone marrow ```
29
What is the function of lymphatic nodules?
Filter and attack antigens
30
What are the functions of MALT (mucosa-associated lymphatic tissue)?
Filter and attack antigens in air, food or urine
31
What are the functions of tonsils in the lymphatic system ?
Protect against inhaled and ingested materials
32
What are the functions of the thymus in the lymphatic system ?
Site of T-lymphocytes maturation and differentiation; stores maturing lymphocytes
33
What are the functions of lymph nodes in the lymphatic system ?
Filter lymph; mount immune response
34
What are the functions of the spleen in the lymphatic system ?
Filters blood and recycles aged RBCs and platelets; serves as a blood reservoir; houses lymphocytes; mounts immune response to foreign antigens in the blood.
35
What is lymph?
Clear, yellowish fluid containing WBCs, proteins and fats
36
What are the 3 primary functions of the lymphatic system ?
1. Fat absorption 2. Defence against disease 3. Fluid balance
37
How many litres enter lymph everyday?
3L/day
38
What drains lymph from the right side of the body?
Right lymphatic duct
39
The thoracic duct drains the fluid from___________
The rest of the body (LHS)
40
Why do lymphatic vessels have valves?
Prevent the back flow of lymph
41
How is lymph returned to the right side of the heart ?
Skeletal muscle contraction and also pulsation
42
How does a cancer metastasise?
The cancer cells travel in the lymphatic tissue from the primary cancer or in the blood.