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Anatomy & Physiology

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Question
Answer
three types of blood vessels   arteries, capillaries, and veins  
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arteries   convey blood from heart to capillaries  
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capillaries   microscopic porous blood vessels that are necessary for exchanging substances between blood and tissues  
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veins   drain blood from capillaries and transport it back to the heart  
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vessel composition   walls composed of layers called tunics surround the inside space of the vessel (arteries, capillaries, and veins differ in specific composition  
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three tunics   tunica intima, tunica media, and tunica externa  
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purpose of three tunics   exchange substances between blood and tissues  
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lumen   inside space of the vessel  
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tunica intima   innermost layer of vessel, has endothelial component (simple squamous epithelium) facing lumen and has subendothelial layer of areolar connective tissue  
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tunica media   middle layer of the vessel, circularly arranged layers of smooth muscle cells with elastic fibers, contraction causing vasoconstriction (narrowing of vessel lumen), relaxation causing vasodilation (widening of vessel lumen)  
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tunica externa   outermost layer of vessel, areolar connective tissue with elastic and collagen fibers help anchor vessel to other structures  
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comparison of the different vessel types - arteries   have thick tunica media and narrower lumen, have more elastic and collagen fibers (can spring back to shape), and are more resistant to changes in blood pressure  
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veins   have thicker tunica externa and larger lumen, less elastic and collagen fibers (wall collapsed if no blood in it) (not as strong with vasoconstriction and vasodilation)  
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artery branching   branch into smaller and smaller vessels extending from heart, decrease in lumen diameter, decrease in elastic fibers, increase in relative amount of smooth muscle, and three basic types  
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largest artery in body   aorta  
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three types of arteries   elastic arteries, muscular arteries, arterioles  
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elastic arteries   largest arteries, conduct blood from heart to smaller muscular arteries, have large proportion of elastic fibers, allow artery to stretch and recoil (helps propel blood through arteries during diastole)  
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types of elastic arteries   aorta, pulmonary trunk, common carotid, common iliac arteries  
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muscular arteries   medium-sized arteries, distribute blood to specific body regions, have greater amounts of muscle, less elastic tissue (better able to vasoconstrict and vasodilate), branch into arterioles  
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muscular arteries   brachial, anterior tibia, coronary arteries  
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arterioles   smallest arteries, have fewer layers of smooth muscles, larger arterioles have three tunics while smaller arterioles have thin endothelium and single layer of smooth muscle, and are needed to regulate systemic blood pressure and blood flow  
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capillary characteristics   smallest blood vessels, connect arterioles to venules, length 1 mm, diameter 8-10 micrometers (just larger than single erythrocyte), consist of endothelial layer on basement membrane (optimal for exchange of substances between blood and tissues)  
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capillary beds   groups of capillaries functioning together, at one time only one-quarter of beds are open, 5% of total blood volume in capillaries at given moment  
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perfusion   amount of blood entering capillaries per unit per gram of tissue  
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venules   smallest veins from 8 to 100 micrometers in diameter, companion vessels with arterioles, smallest, postcapillary venules drain capillaries, largest of these have all three tunic, and these merge to form veins  
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small, medium-sized, and large veins   have numerous valves to prevent blood from pooling in the limbs, that are formed of tunica intimia and elastic and collagen fibers, and have similar structure to heart's semilunar valves  
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small and medium-sized veins   companion vessels with muscular arteries  
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largest veins   travel with elastic arteries  
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blood locations at rest   pulmonary circulation with 18% of blood, heart with 12% of blood, and systemic circulation with 70% of blood  
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systemic circulation break down of 70% of blood   systemic arteries (10%), systemic capillaries (5%), systemic veins (55%)  
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systemic veins as blood reservoirs   relatively large amt of blood w/in veins allows them to function as blood reservoirs, moved back to circulation via vasoconstriction (i.e. if more blood needed during exertion), shifted back to reservoirs via vasodilation (i.e. less blood needed at rest)  
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total blood flow   amount of blood transported through vasculature per time, equal to cariac output, may increase significantly with exercise, if increases, more blood available to tissues, if decreases, less available to tissues  
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hypertension   blood pressure too high and can damage blood vessels and lead to cardiovascular disease  
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hypotension   blood pressure too low, body deprived of nutrients, may cause death if severe  
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blood pressure   maintained by multiple systems (endocrine nervous, urinary)  
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blood pressure   force per unit area of blood against a vessel wall (def.), driving force propelling blood through the vessels, changes from one end to the other, and is highest in arteries and lowest in veins  
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blood pressure gradient   changes in pressure from one end of a vessel to the other  
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arterial blood pressure   blood flow pulsatile (because ventricles contracting and relaxing), systolic pressure, diastolic pressure, pulse pressure  
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systolic pressure   pressure in arteries during ventricular systole, highest pressure generated in arteries, artery maximally stretched  
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diastolic pressure   pressure in arteries during ventricular diastole, lowest pressure generated in arteries, artery maximally recoiled  
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blood pressure readings   given in a ratio of systolic to diastolic pressure (average adult has about 120/80 mm Hg as pressure)  
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pulse pressure   additional pressure on arteries when heart contracting, difference between systolic and diastolic blood pressure (i.e. blood pressure 120/80, pulse pressure of 40)  
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pulse pressure measures   elasticity and recoil of arteries, highest in arteries closest to heart, may change temporarily with exercise, with age and disease, arteries losing elasticity (makes more difficult for heart to pump blood, may see changes in pulse pressure)  
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pulse   throbbing sensation associated with pulse pressure  
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mean arterial pressure (MAP)   average of blood pressure forces on arteries, provides index of perfusion  
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MAP =   diastolic pressure + 1/3 pulse pressure (i.e. when 120/80, MAP = 80 + (40) (1/3) = 93 (if MAP < 60, indicates insufficient blood flow)  
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capillary blood pressure   when blood here, pulse pressure is 0, needs to be high enough for exchange of substances, needs to be low enough not to damage vessels, arterial end about 40 mm Hg and below 20 mm Hg at venous end, accounts for filtration & reabsorption at respective ends  
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venous blood pressure   venous return, pressure not pulsatile here, 20 mm Hg in venules, almost 0 when reaches right atrium, small gradient (may be insufficient to move blood when standing)  
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venous return   movement of blood from capillaries back to heart  
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venous blood pressure (cont.)   return facilitated by skeletal muscle pump and respiratory pump  
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skeletal muscle pump   assists movement of blood within the limbs, with muscle contraction, veins squeezed to help propel blood, valves helping prevent backflow, blood pumped more quickly back to heart during exercise, with prolonged inactivity, blood pooling in the leg veins  
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respiratory pump   assists movement of blood within thoracic cavity,  
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respiratory pump during inspiration   diaphragm contracts and flattens with inspiration, abdominal cavity (decreasing in volume and increasing in pressure), thoracic cavity (increasing in volume and decreasing in pressure), blood propelled from abdominal cavity to thoracic cavity  
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respiratory pump during expiration   with expiration diaphragm relaxing, decreased intra-abdominal pressure, helps blood move from vessels back into heart, helps move from limbs into abdominal vessels, effect increased with breathing rate  
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resistance   amount of friction blood experienced traveling through vessels, due to contact between blood and vessel wall, and influences and opposed total blood flow, affected by viscosity, vessel length, and lumen size  
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peripheral resistance   resistance of blood in blood vessels (as opposed to heart)  
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blood viscosity   blood resistance to flow (greater "thickness" with greater viscosity), dependent on percentage of particles in fluid (blood with formed elements, proteins, platelets - about 5 times more viscous than water)  
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change in viscosity   causes changes in resistance of blood flow (i.e. in anemia, fewer erythrocytes (blood viscosity lower, blood with less resistance) or i.e. in dehydration, greater percentage of erythrocytes (blood viscosity higher, blood with more resistance))  
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vessel length   resistance increasing with length (greater friction experienced by fluid, shorter vessels with less resistance than longer of same diameter)  
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vessel radius   the major way resistance is regulated, flow is fastest in the central lumen (encounters resistance from nearby vessel wall), different flow rate within vessel (laminar flow)  
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as diameter of vessel increases...   less blood near edges (overall blood flow increases)  
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resistance usually regulated by arterioles through...   vasodilation and vasoconstriction  
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resistance increased with...   atherosclerosis  
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relationship between flow and radius   flow proportional to radius to the fourth (F proportional to r^4 (i.e. radius increases 1 mm to 2 mm, change in flow 16 times greater)  
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total blood flow   total blood moving through cardiovascular system per time, flow proportional to pressure gradient divided by resistance (F proportional to change in P/R  
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systemic blood pressure gradient   blood flow directly related to pressure gradient (as gradient increases, total blood flow is greater, and as gradient decreases, total blood flow is less), and increased cardiac output increases pressure gradient and greater effect needed by heart  
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resistance   blood flow inversely related to resistance (resistance increases, blood flow lessens/ resistance decreases, blood flow increases) [if pressure gradient stays the same]  
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sustained increased resistance...   (i.e. with significant weight gain) generally correlates with elevated arterial pressure, greater pressure needed to overcome higher resistance  
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blood pressure...   needs to be high enough to maintain perfusion, if too high, damages vessels, dependent on cardiac output, resistance, blood volume, and variables regulated through nervous and endocrine system  
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during exercise   increase total blood flow due to faster & stronger heartbeat & blood removal from venous reservoirs... ensures metabolically active tissue receiving adequate blood and increased flow to coronary vessels (helps ensure sufficient O2 reaches cardiac muscles)  
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during exercise skeletal muscle blood flow increasing...   needed to meet high metabolic demands  
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during exercise increased percentage of blood flow to skin   to help dissipate heat  
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during exercise relatively less blood to...   abdominal organs, kidneys, less metabolically active structures  
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