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How would you describe the consistancy of blood flow through the capillaries? |
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Intermittent Not constant flow. |
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Where are capillary pores very small(not much gets through) and large? |
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What are the mechanisms of exchange across capillary walls? |
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Lipid soluble substance (O2,CO2) pass right through.(simple diffusion) Main form of transport. Small water soluble molecules (Na, K, glucose, AA) Proteins move by vesicular transport. Once they are in, they usually can't get out.
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How much pressure is in interstitium(interstitial fluid)? How much protein? |
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Very little pressure and protein |
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Fick's first law of diffusion: |
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J= DA(Dc/Dx) J:net rate of diffusion in moles or grams/time D: Diffusion coeficient. Large molecules and high viscosity lowers coeficient. A: Surface area of the membrane. Dc: Concentration difference across the membrane Dx: Thickness of membrane |
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Has to do with concentration of protein. |
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Determines if there will be net filtration (+ net pressure) or net absorption(- net pressure) Pc:capillary hydrostatic pressure. Depends on artery and vein pressure.(+) Pi:interstitial hydrostatic pressure. (-) πc:capillary oncotic(colloid osmotic) pressure. πi: interstitial oncotic(colloid osmotic) pressure. Kf:hydraulic conductance (water permeability) ml/min.mmHg Fluid movement= Kf x (sum of forces) |
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Kf Is the water permeability of the capillary wall. Determines magnitude of water movement at a given pressure difference. Depends on anatomical characteristics in capillary wall e.g. size of cleft, fenestration of the wall. Is lowest in cerebral(brain) and highest in glomerular(kidney) capillaries. Increases in capillaries injury e.g. toxins or burn.
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How do you increase and decrease Capillary Hydrostatic Pressure (Pc)? |
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Increase: Arteriolar dialation, Venous constriction. Decrease:Arteriolar constriction(e.g hemorrhage)
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How do you increase and decrease capillary oncotic pressure (πc)? |
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Increase: loss of fluid but not protein. (e.g. dehydration or diarrhea) Decrease: Less concentrated plasma protein. (e.g. liver and renal diseases, infusion of saline for bleeding compensation) |
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How do you decrease Interstitial Hydrostatic Pressure (Pi)? |
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More negative thoracic pressure. Leads to more filtration.(e.g. respitory distress syndrome) |
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How do you increase Interstitial Oncotic Pressure (πi)? |
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What is the normal rate of lymphatic flow vs. rate of blood flow/day? |
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Lymphatic: 1-3L/day Blood: 7200L/day 0.02% of blood goes through lymphatic system. |
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volume of interstitial fluid(due to filtration out of the capillaries)> ability of lymphatics to return to circulation. GO LOOK At DiffErenT CAUSES!!!! |
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