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Alternations in Blood Flow
Alternations in Blood Flow
21
Nursing
Undergraduate 2
09/23/2012

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Term
Layers of vessels (except capillaries) and function
Definition
-Tunica adventitia: fibrous connective support (Outside layer)
-Tunica media: smooth muscle that constricts and relaxes
the control diamete
-tunica intima: elastic layer that joins the media to the endothelium (smooth inner lining & prevents platelet adherence and blood clotting)
Term
Arteries and Arterioles characteristics
Definition
-Think walled (relative to veins)
-elastic fibers allow stretch during systole and recoil during diastole
-Arterioles-determine PVR (peripheral vascular resistance)
~ thick medial layer- serve as resistance vessels
~ Increased sympathetic stimulation -> vasoconstriction
~ Decreased sympathetic stimulation (parasympathetic)-> vasodilatation
Term
Types of arteries and functions
Definition
Large arteries-> transport of blood
Medium-sized arteries-> distribute blood flow to various organs and tissue of body
Small arteries and arterioles -> regulate capillary blood flow (capillary beds are cut off and some open up based on metabolic needs)
Term
Veins
Definition
-thin walled, yet muscular
-distensible and collapsible (stretchable)
-large capacity for blood
-Sympathetic nervous system
-low pressure 0-10 mmHg
-contains valves to oppose gravity
Term
Capillaries
Definition
-single endothelial cell surrounded by basement membrane (thin so things can diffuse)
-connect arterial and venous circulation
-Intracellular junctions-pores
Term
Lymphatics
Definition
Transport fluid from interstitial spaces
-25-50% of total circulating blood proteins per day
-located: subcutaneous tissues and submucosa
Term
Lymphatic system
Definition
lymph vessels pick up ISF and return to blood
lymph nodes-filter fluid; phagocytosis of foreign material
Term
Effects of Blood vessel disease: Arterial disorders
Definition
-decreased blood flow to the tissues
-impaired delivery of oxygen and nutrients
Term
blood disease: Venous disorders
Definition
-interference with the outflow of blood from the capillaries
-interference with removal of tissue wastes and return of blood to the heart
Term
Blood flow requires that:
Definition
-arterial pressure is greater than venous pressure
-arterial, venous, and capillary pressure are greater than pressure surrounding vessels
Term
Blood flow is determined by:
Definition
cardiac output (CO=SV x HR)
-a pressure difference between two ends of a vessel (higher pressure at arterial end, lower pressure at venous end)
-resistance which must be overcome to move blood through the vessel (friction)
- longer vessel is slower- heart has to pump to over come resistance
- diameter->small -> more resistance
Term
Velocity of flow
Definition
velocity is inversely proportional to the cross-sectional area of the vessel or vessels
-velocity is higher in the large vessels than in the capillary bed
-slower velocity--> more time for capillary exchange
Term
VELOCITY IS INVERSELY
Definition
RELATED TO CROSS-SECTIONAL AREA

-blood flow is faster in the aorta and slower in the capillaries
Term
Laminar and turbulent flow
Definition
Laminar (smooth)
Turbulent (mixed up)
-flow is faster in center of vessel
- Turbulence disrupts flow (clots in large vessel)
-Causes of turbulence
~obstruction (atherosclerosis, aneurysm, compression, etc)
~ high velocity, low viscosity
~ Large vessels
~ Vessel branching
- predisposition to clotting
Term
Velocity of flow increases when
Definition
-Velocity of flow increases when the radius decreases
Term
Bernoulli's principle
Definition
- as the velocity of a fluid increases, its pressure decreases
- the pressure in a flowing fluid is lowest where its speed is greatest
Term
Factors contributing to disturbance in blood flow
Definition
-pathologic changes in vessel wall (atherosclerosis- hardening of arteries and vasculitis-inflammation of vessels)
- acute vessel obstruction due to thrombus, embolus, or vasospasm (raynaud's phenomenon)
-abnormal vessel dilation (arterial aneurysms or varicose veins)
-compression of blood vessels by extravasular forces (tumors, edema etc)
Term
Peripheral Vascular Disease (PVD)
Definition
general term used for vascular disease in the extremities
blood flow problems to the extremities
Term
Thrombosis
Definition
Blood Clot
-blood clot in vessel or heart chamber
-reduces or blocks blood flow and causes turbulence
Term
Thrombosis S&S
Definition
-ARTERIAL-pain, coolness, ulceration, cyanosis (blue color of skin because of lack of oxygenated blood)

-Venous-tenderness, swelling, warmth
Term
Embolus
Definition
More DANGEROUS
- a clot traveling within the blood stream
-Thromboembolus- thrombus that was dislodged
-From left side of the heart-CVA-STROKE
-From right side of hte heart-Pulmonary embolus
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