chapter 20
what are the three factors that determine resistance to blood flow?
1) blood viscosity- thickness, RBC count. 2) blood vessel length- the farther the blood travels down a tube it decreases the flow and pressure. 3) blood vessel radius- most powerful.
what are the 3 types of arteries?
1) conducting/elastic(biggest, stretch and recoil and regulates BP). 2) distributing/muscular (they go to specific major organs). 3) resistance/small (not elastic, thick, major in controlling blood flow
what are the 3 types of capillaries?
1) continuous (with or without intercellular clefts). 2) fenestrated (rapid, absorption/filtration). 3) sinusiods (discontinued, spaces filled with blood and allows proteins.
what are the different types of veins?
1) postcapillary venules (porus, thin, smallest). 2) muscular venules (smooth muscle). 3) median veins (intermediate, they have one way venous valves. 4) large vein (thickest ex. SVC). 5) venous sinuses (thin walls, collect b lood from brain).
anaphlactic shock
allergic reaction
what are precapillary sphincters?
allows blood to bypass capillary bed
low venous return (LVR)
anytime blood is not enough in heart
what are the arteries, capillaries, and veins?
arteries-resisting vessels. capilaries- exchange. veins- capacitance
what is mean atrial pressure and how do you find it?
average pressure throughout cardiac cycle. (diastolic+diastolic+systolic)/3
septic shock
bacterial toxins
what is the portal system?
blood flows through 2 capillary networks
hypovolemic shock
common, decrease blood volume
what are the responses to shock?
compensated shock- recovery. decompensated shock- life-threatening and positive feedback loop
what is pulse pressure and how do you find it?
difference between systolic and diastolic pressure. (systolic-diastolic)
what are the mechanism of movement across capillaries?
diffusion, transcyosis, filtration and reabsorption
neurogenic shock
disruption of sympathetic nervous system ex: emotional shock
colloid osomtic pressure
draw fluids into cappilary
blood pressure
force that blood exerts against vessel wall
filtration and reabosption
happens at capillary beds, fluid will squeeze out and come back in.
what is the general route usually taken by the blood from the heart and back again?
heart-arteries-arterioles-cappilaries-vanules-veins
what is a sphygmomanometer and what is it measured in
how they measure BP and mmHg
what is hypercapnia and hypocapnia
hypercapnia- increase in CO2 and triggers vasodilation. hypocapnia- decrease in CO2 and triggers vasocontriction
what is cardiogenic shock
inadequate pumping of the heart
3 primary cuases of edema
increase cappilary filteration, reduce cappilary absorption and obstructed hymphatic drainage
what is the importance of physical activity in venous return?
increases HR, increases blood flow and increases respiratory pumps
what are the three ways of controlling vasomotion?
local control, neural control and hormonal control
describe the structure of a blood vessel
lumen (empty space). 3 layers: tunica interna (endothelial cell layer), tunica media (smooth muscle layer), tunica externa (connective tissue layer)
diffusion
most important, glucose and oxygen go out and cardon dixoside and waste go in. down concentration gradient.
what are the factors of venous return?
pressure gradient (BP), gravity((drains blood from neck and head) , skeletal muscle pump (in limbs, squeezes blood through veins), respiratory pump (forces blood through inferior vena cava) , and cardiac suction (atria creates suction to pull blood from vena cava and pulmary veins)
hydrostalic pressure
pressure when fluid is being pushed against surface
interstitial hydrostatic pressure
pulls fluid out, suction
blood hydrostatic pressure
pushes fluid out. postive number
what are metarterioles?
short vessels that link arterioles to venues and have capillary beds
venous pooling shock
sitting/standing for long periods of time
obstructed venous return
something is blocking the vein
systolic and diastolic
systolic- peak arterial pressure. diastolic- minimum arterial pressure
what is venous return
the flow of blood back to the heart
what are anastomoses and the three different types?
they are points where two blood vessels merge. 1) ateriovenous (no cappliary, goes artery to vein). 2) venous (common, vein drains into another vein). 3) arterial (arteries merge).
what are the three routes chemicals cross the capillary wall?
through endothelial cells, between cells, and through filtration pores
4 primary effects of edema
tissue death, pulmonary edema, cerebral edema, and circulatory shock
transcytosis
transporting across the cell, particles are too big and bulky to fit through. Ex. albumin, fatty acids
difference between vasomotion, vasconstriction and wasodialiation?
vasomotion: change in vessel radius. Vasocontriction- narrow, contraction. vasodialation: relaxing