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ch. 20

blood vessels

QuestionAnswer
arteries carry blood away from heart Including Pulmonary Arteries carrying blood LOW in oxygen from the right ventricle to the lungs
Veins carry blood back to heart: Including Pulmonary Veins carrying blood HIGH in oxygen back from the lungs to the Left Atrium Greater capacity for blood containment than arteries Thinner walls, flaccid, less muscular and elastic tissue
Capillaries Most bring Nutrients and oxygen to the Tissues and take carbon dioxide and wastes away: due to diffusion through the wall of the capillary (connect smallest arteries to smallest veins) exchange vessels
Tunica Interna (Tunica Intima) Lines the blood vessel and is exposed to blood Acts as a selectively permeable barrier Secretes chemicals that stimulate dilation or constriction of the vessel Elastic layer is thicker in Arteries
Tunica media Middle layer consists of: Smooth Muscle: Regulates diameter of the blood vessel (WHEN SMOOTH MUSCLE CONTRACTS: BLOOD VESSEL CONSTRICTS OR NARROWS) Collagen, and Elastic Tissue: Strengthens vessels and prevents blood pressure from rupturin
Tunica externa (Tunica Adventitia) Outermost layer Consists of loose connective tissue with some elastic fibers Additional Collagen fibers in Arteries
blood flow Heart ->Elastic Arteries -> Muscular Arteries -> Arterioles -> Capillaries -> Venules -> Veins -> Heart
Differences between Arteries and veins Thicker muscle layer in Arteries and more Elastic Fibers Cut veins collapse due to thinner walls ; Arteries hold shape due to thicker walls Veins contain valves to prevent blood back-flow tunica intima is wrinkled in relaxed in artery but smooth in vein
Elastic Arteries Biggest arteries closest to heart Aorta, common carotid, subclavian, pulmonary trunk, brachiocephalic artery, and common iliac arteries Tunica Media has more elastic fibers but less muscle Expand during systole, recoil during diastole
Muscular ( medium) Arteries Distributes blood to specific organs and Skeletal Muscle Brachial, femoral, renal, and splenic arteries Tunica Media has thicker Smooth muscle layers: constitute three-fourths of wall thickness Majority of arteries are Muscular Arteries
Arterioles smallest arteries Control amount of blood to various organs Thinner muscle layer than large arteries and very little tunica externa Low oxygen level in tissues causes results in Vasodilation to increase blood flow to more active tissues
Anastamosis Branches of 2 or more arteries providing alternative routes for blood to reach a tissue or organ * Leads to “Collateral Circulation “ to same area
Aneurysm Thinner weak point in artery or heart wall Forms a thin-walled, bulging sac that pulsates with each heartbeat and may rupture at any time Most common sites: abdominal aorta, renal arteries, and arterial circle at base of brain
Arterial Sense Organs Sensory structures in walls of major vessels that monitor blood pressure and chemistry Transmit information to brainstem to regulate heart rate, blood vessel diameter, and respiration
Carotid sinuses: baroreceptors In walls of internal carotid artery Monitor blood pressure Transmit signals through glossopharyngeal nerve Allow for baroreflex
Carotid bodies: chemoreceptors Oval bodies near branch of common carotids Monitor blood chemistry Transmit signals through glossopharyngeal nerve to brainstem respiratory centers Adjust respiratory rate to stabilize pH, CO_2, and O_2
Aortic bodies: chemoreceptors One to three bodies in walls of aortic arch Same structure and function as carotid bodies, but innervation is by vagus nerve
Continuous capillaries occur in most tissues Endothelial cells have tight junctions forming a continuous tube with intercellular clefts Allow passage of solutes such as glucose Oxygen and carbon dioxide gases easily pass
Sinusoids (discontinuous capillaries): liver, bone marrow, spleen Irregular blood-filled spaces with large gaps in endothelium Allow proteins (albumin), clotting factors, and new blood cells to enter the circulation Most porous of capillaries
Capillary Beds Capillary beds are networks of 10-100 capillaries Usually supplied by a single arteriole. At distal end, capillaries transition to venules At any given time, three-fourths of body’s capillaries are shut down
precapillary sphincters control flow
Venules smallest veins; collect blood from capillaries Even more porous than capillaries so also exchange fluid with surrounding tissues 1. Smallest Venules: Tunica Interna and Tunica Externa only
Venous sinuses Veins with especially thin walls, large lumens, and no smooth muscle Dural venous sinus and coronary sinus of the heart Not capable of vasomotor responses
Large veins diameter larger than 10 mm Venae cavae, pulmonary veins, internal jugular veins, and renal veins
Varicose Veins Blood pools in the lower legs of people who stand for long periods stretching the veins
Circulatory Routes Simplest and most common route for blood Heart  arteries  arterioles  capillaries  venules  veins Passes through only one network of capillaries from the time it leaves the heart until the time it returns
Portal system Blood flows through two consecutive capillary networks before returning to heart Between hypothalamus and anterior pituitary: Hypophyseal Portal System
Hepatic Portal System Between intestines to liver
Venous anastomosis circulatory route Most common One vein empties directly into another Reason vein blockage is less serious than arterial blockage and repair to Varicose veins is successful
Arterial anastomosis circulatory route Two arteries merge Provides collateral (alternative) routes of blood supply to a tissue Coronary circulation and common around joints
Blood flow the amount of blood flowing through an organ, tissue, or blood vessel in a given time (mL/min.)
Perfusion the flow per given volume or mass of tissue in a given time (mL/min./g)
Hemodynamics Physical principles of blood flow based on pressure and resistance The greater the pressure difference between two points, the greater the flow; the greater the resistance, the less the flow
Blood pressure (BP)— the force that blood exerts against a vessel wall
Systolic pressure peak arterial BP taken during ventricular contraction (ventricular systole)
Diastolic pressure minimum arterial BP taken during ventricular relaxation (diastole) between heart beats
Pulse pressure difference between systolic and diastolic pressure Important measure of driving force on circulation and of stress exerted on small arteries by pressure surges generated by the heart
Cardiac Output Amount of Blood from Left Ventricle to Aorta per minute = 5.25 liters per minute Increase in stroke volume or Heart Rate: Increases blood pressure
Blood Volume : 5 Liters Drop in blood volume( hemorrhage , dehydration) and blood pressure drops Increse in Blood Volume(reain Water) and Blood Pressure increases
Resistance: Peripheral Resistance the opposition to flow that blood encounters in vessels away from the heart
Blood Viscosity Thicker or more Viscose the blood(polycythemia) ->the higher the blood pressure -Thinner, less viscose the blood(anemia)-> Lower blood pressure
Elasticity of blood vessels: Arteries may stretch to help maintain lower blood pressure If Arterial wall Harden (Arteriosclerosis)-. Blood pressure Increases
Arteriosclerosis stiffening of arteries due to deterioration of elastic tissues of artery walls: Elasticity reduced
Atherosclerosis build up of lipid deposits that become plaques: narrows blood vessel
Hypertension high blood pressure Chronic resting BP > 140/90 Consequences Can weaken arteries, cause aneurysms, promote atherosclerosis
Hypotension chronic low resting BP Caused by blood loss, dehydration, anemia
Vasoreflexes changes in vessel radius Vasoconstriction and Vasodilation
blood velocity (speed) decreases for 3 reasons Greater distance, more friction to reduce speed 2. Smaller radii of arterioles and capillaries offers more resistance 3. Farther from heart, the number of vessels and their total cross-sectional area become greater and greater
Autoregulation the ability of tissues to regulate their own blood supply
Vasoactive chemicals substances secreted by platelets, endothelial cells, and perivascular tissue to stimulate vasomotor responses Histamine, bradykinin, and prostaglandins stimulate vasodilation Endothelial cells secrete prostacyclin and nitric oxide (vasodilators)
Reactive hyperemia If blood supply cut off then restored, flow increases above normal
Angiogenesis growth of new blood vessels Occurs in regrowth of uterine lining, around coronary artery obstructions, in exercised muscle, and malignant tumors
Vasomotor center is the integrating center for three autonomic reflexes Baroreflexes Chemoreflexes Medullary ischemic reflex
Baroreflex automatic, negative feedback response to change in blood pressure govern short-term regulation of BP
Chemoreflex an automatic response to changes in blood chemistry Especially pH, and concentrations of O_2 and CO_2
Medullary ischemic reflex automatic response to a drop in perfusion of the brain
Angiotensin II potent vasoconstrictor 1)potent vasoconstrictor: Raises blood pressure 2)Promotes Na^+ and water retention by kidneys: Increases blood volume and pressure
Atrial natriuretic peptide increases urinary sodium excretion which increases water loss thru kidney 1)Reduces blood volume and 2) promotes vasodilation: Lowers blood pressure
Capillary exchange two-way movement of fluid across capillary walls Water, oxygen, glucose, amino acids, lipids, minerals, antibodies, hormones, wastes, carbon dioxide, ammonia
Diffusion is the most important form of capillary exchange Glucose and oxygen, being more concentrated in blood, diffuse out of the blood Large particles such as proteins held back
Lipid-soluble substances Steroid hormones, O_2, and CO_2 diffuse easily through plasma membranes
Water-soluble substances Glucose and electrolytes must pass through filtration pores and intercellular clefts
Trancytosis endothelial cells pick up material on one side of their membrane by pinocytosis or receptor-mediated endocytosis, transport vesicles across cell, and discharge material on other side by exocytosis
“Starlings Law” Opposing forces Blood hydrostatic pressure drives fluid out of capillary Colloid osmotic pressure (COP) draws fluid back into capillary
Hydrostatic pressure Physical force exerted against a surface by a liquid Blood pressure in vessels is hydrostatic pressure
Glomeruli devoted to filtration
Alveolar capillary devoted to absorption
Edema accumulation of excess fluid in a tissue Occurs when fluid filters into a tissue faster than it is absorbed Three primary causes: 1)Increased capillary filtration 2)Reduced capillary absorption 3)Obstructed lymphatic drainage
Tissue necrosis Oxygen delivery and waste removal impaired
Pulmonary edema Suffocation threat
Cerebral edema Headaches, nausea, seizures, and coma
Severe edema or circulatory shock Excess fluid in tissue spaces causes low blood volume and low blood pressure
Venous return the flow of blood back to the heart; relies on: pressure gradient, gravity, skeletal muscle pump, thoracic pump, and cardiac suction
Respiratory (Thoracic) pump Inhalation—thoracic cavity expands and thoracic pressure decreases, abdominal pressure increases, forcing blood upward: Towards Right Atrium Central venous pressure fluctuates 2 mm Hg—inhalation, 6 mm Hg—exhalation Blood flows faster with inhalation
Venous pooling occurs with inactivity Venous pressure not enough to force blood upward With prolonged standing, CO may be low enough to cause dizziness
Circulatory shock any state in which cardiac output is insufficient to meet the body’s metabolic needs
Cardiogenic shock inadequate pumping of heart (MI)
Low venous return (LVR): cardiac output is low because too little blood is returning to the heart
3 principal forms of LVR shock Hypovolemic shock—most common Loss of blood volume: trauma, burns, dehydration 2. Obstructed venous return shock Tumor or aneurysm compresses a vein 3. Venous pooling (vascular) shock Long periods of standing, sitting, or widespread vasodilation
Neurogenic shock loss of vasomotor tone, vasodilation Causes from emotional shock to brainstem injury
Septic shock Bacterial toxins trigger vasodilation and increased capillary permeability
Anaphylactic shock Severe immune reaction to antigen, histamine release, generalized vasodilation, increased capillary permeability
Compensated shock Several homeostatic mechanisms bring about spontaneous recovery Example: If a person faints and falls to a horizontal position, gravity restores blood flow to the brain
Decompensated shock When compensation fails Life-threatening positive feedback loops occur Condition gets worse causing damage to cardiac and brain tissue
Hypercapnia CO_2 levels increase in brain, pH decreases, triggers vasodilation
Hypocapnia raises pH, stimulates vasoconstriction Occurs with hyperventilation, may lead to ischemia, dizziness, and sometimes syncope
Transient ischemic attacks (TIAs)— brief episodes of cerebral ischemia Caused by spasms of diseased cerebral arteries Dizziness, loss of vision, weakness, paralysis, headache, or aphasia
Stroke, or cerebral vascular accident (CVA) Sudden death of brain tissue caused by ischemia Atherosclerosis, thrombosis, ruptured aneurysm Effects range from unnoticeable to fatal Blindness, paralysis, loss of sensation, loss of speech common Recovery depends on surrounding neurons
hypoxia low oxygen levels in infected or damaged areas of lung
Created by: tnrogan
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