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Microcirculation
Elmo
17
Physiology
Professional
10/03/2008

Additional Physiology Flashcards

 


 

Cards

Term
How would you describe the consistancy of blood flow through the capillaries?
Definition

Intermittent

Not constant flow.

Term
Precapillary sphincter
Definition
  • Act as a switch to open and close blood flow to the capillaries.
  • Opens and closes depending of the tissue's need for O2
Term
vasomotion
Definition
  • Used to describe the way that blood moves through capillaries.
Term
Where are capillary pores very small(not much gets through) and large?
Definition
  • Not much gets through in the brain.
  • Big pores in Liver and Kidney.
Term
What are the mechanisms of exchange across capillary walls?
Definition
  • 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.
Term
How much pressure is in interstitium(interstitial fluid)? How much protein?
Definition
Very little pressure and protein
Term
Fick's first law of diffusion:
Definition

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

Term
Onconic pressure
Definition

Has to do with concentration of protein.

Term
Starling Forces
Definition

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)

Term
Hydraulic Conductance
Definition

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.
Term
How do you increase and decrease Capillary Hydrostatic Pressure (Pc)?
Definition
  • Increase: Arteriolar dialation, Venous constriction.
  • Decrease:Arteriolar constriction(e.g hemorrhage)
Term
How do you increase and decrease capillary oncotic pressure (πc)?
Definition

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)

Term
How do you decrease Interstitial Hydrostatic Pressure (Pi)?
Definition

More negative thoracic pressure. Leads to more filtration.(e.g. respitory distress syndrome)

 

Term
How do you increase Interstitial Oncotic Pressure (πi)?
Definition
  • Impaired lymphatic system. (e.g. tumor in lymph node)
  •  Increased capillary permeability. (e.g. burns)

 

Term
What is the normal rate of lymphatic flow vs. rate of blood flow/day?
Definition

Lymphatic: 1-3L/day

Blood: 7200L/day

 

0.02% of blood goes through lymphatic system.

Term
Edema
Definition

volume of interstitial fluid(due to filtration out of the capillaries)> ability of lymphatics to return to circulation.

 

GO LOOK At DiffErenT CAUSES!!!!

Term

Filariasis

Definition
  • Parasitic infection of lymph nodes
  • Type of Edema
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