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Microcirculation
Chapter 20, Test 1
39
Physiology
Professional
01/27/2012

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Cards

Term

How do gases cross capillaries?

 

Definition

Transcellular diffusion

 

 

Term
What is a tissue cylinder?
Definition
the area around a capillary to which the capillary supplies O2
Term

6 factors that affect PO2within a capillary

Definition

1. amount of O2 in blood entering capillary

2. capillary blood flow

3. radial diffusion coefficient

4. capillary radius

5. radius of tissue cylinder

6. axial distance along capillary


bold = highlighted in lecture

Term
What two factors matter most for the O2 extraction ratio in a whole organ?
Definition
capillary blood flow and oxygen consumption
Term
What is an extraction ration?
Definition
the percent of the oxygen content that an organ removes from the blood
Term
What effect will decreasing the blood flow have on extraction coefficient?
Definition
it will increase it
Term
What effect will decreasing the  metabolic demand have on the extraction coefficient?
Definition
it will decrease it
Term

What effect will increasing the number of active capillaries have on PO2 ?

 

(i.e., skeletal muscle response to exercise)

Definition

 

increases blood flow and increases capillary surface area/decreases tissue radius

 

causes PO2 in tissue to increase

Term
In relation to length and radius of capillary, where is the PO2 highest? Lowest?
Definition

highest: arterial end and close to center of capillary

 

lowest: venous end and further from center of capillary

Term

Two factors that affect diffusion of small water soluble solutes across a capillary wall

(fick's law)

Definition

concentration gradient

 

permeability coefficient (diffusion coefficient and wall thickness)

Term
What signals precapillary sphincters?
Definition

Molecules in ECF like H+, O2 and CO2

 

not controlled by autonomic

Term
Which end of a capillary has the greatest permeability?
Definition
Venous
Term
Examples of where to find continuous capillaries
Definition
muscles, bones and exocrine (since exocrine secretions are technically outside of body)
Term
Examples of where to find fenestrated capillaries
Definition

endocrine, renal and small intestines

 

places that need to allow protein through (ie hormone distribution, nutrient absorption...)

Term
Examples of where to find sinusoidal/discontinuous capillaries
Definition
liver, bone marrow and spleen
Term
Which organ has capillaries that lack a true basement membrane?
Definition

Liver

 

alcoholism/fibrosis can lead to formation of BM

Term

How can capillary surface area increase in an organ?

How can the permeability coefficent increase?

Definition

-SA can increase if precapillary sphincters relax

 

- Px can increase during inflammation (cytokines, histamines)

Term
True or False: the permeabilty coefficent and capillary surface are are constant within an organ
Definition
False
Term
How do small polar molecules cross capillary walls?
Definition
diffusion through paracellular pathways
Term

Which end of the capillary has more fenestrae and wider clefts?

 

 

Definition

The venous end

 

 

Term
What role does the glycocalyx play in microfiltration?
Definition
it acts a barrier in the clefts to exclude large/negative marcomolecules
Term
How do large macromolecules cross capillary walls?
Definition
transcytosis
Term
What factor dictates how permeable the capillary wall membranes are to large molecules?
Definition

Size of molecule/ sieving

 

large molecules are less permeable

small are more permeable

Term
What are Starling forces?
Definition
forces that determine flux of water across capillaries
Term
What is the main mechanism for transfer of fluid across capillary wall? What are the two driving forces?
Definition

Convection

 

hydrostatic pressure difference (ΔP)

onconic pressure different (Δπ)

 

 

 

 

 

Term
What causes onconic pressure inside the capillary? Outside?
Definition

inside: plasma proteins

outside/if: interstitial proteins and proteoglycans

Term
What does a postive Jv value mean?
Definition
flux out of the capillary
Term
What is σ? 
Definition

reflection coefficient

 

π observed/ π theoretical

capillary walls excludes proteins imperfectly, this measures how much it is excluded

 

ranges from 0-1

0= not excluded at all

1= completely excluded, doesn't cross  

Term
In general, what are the net filtration pressure at the arterial and venous ends?
Definition

arterial: positive= filtration

venous: negative= absorption

Term
4 factors that affect Pc
Definition

1. upstream and downstream pressure

2. location in body (ie. eyes and glomueral are high)

3. time

4. gravity (higher below heart)

Term
Where will Pif have a positive value?
Definition
encapsulated organs and rigid enclosed compartments
Term

πc is determined primarily by ________ composition.

Increasing _________ will cause an increase in πc

Definition

plasma proteins

lower MW proteins/alpha1 globulin and albumin

Term
What effect does the Donnan effect have on πc?
Definition

it increases it

without it πc would be lower (16-18 mmHg)

Term

In starling's equation, which two forces are relatively constant along length of capillary?

which two are dynamic?

Definition

Pif and πc



Pc  and πif

Term

Where does the net filtration pressure switch from + to - along the lenght of a capillary?

Significance?

Definition

about 3/4

this is why all fluid that is filtered isn't reabsorbed

Term

At the venous end _______ pressure typically dominates.

 

Definition

onconic

 

Term
At the arterial end _________ pressure typically dominates
Definition
hydrostatic
Term
Why are observed filtration and absorption rates different from what starling hypothesized?
Definition
he didn't account for the gycocalyx or differences in onconic and hydrostatic pressures in the clefts compared to the interstiutium
Term

During ultrafiltration:

 

Psg is _________than Pif

and

πsg is _________ than πif

Definition

higher

 

lower

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