chapter 20 A&P II

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142 Terms

1
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what are the three types of blood vessels

arteries, capillaries, veins

2
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convey blood from the heart to the capillaries

arteries

3
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microscopic porous blood vessels

exchange substances between blood and tissues

capillaries

4
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transports blood from capillaries to heart

veins

5
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Walls composed of three layers called

tunics

6
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what are the tunic walls

tunica intima, tunica media, tunica externa

7
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space inside of vessels

lumen

8
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  • innermost layer of vessel wall

  • endothelium of simple squamous epithelium

  • sub endothelial layer of areolar connective tissue

tunica intima

9
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  • middle layer of vessel; circulatory arranged layers of smooth muscle cells with elastic fibers

    • contractions causes vasoconstriction: narrows lumen

    • relaxation causes vasodilation; widens lumen

tunica media

10
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  • outermost layer of vessels; areolar connective tissue with elastic; and collagen fibers

  • helps anchor vessels to other structures

  • may contain vasa vasorum

tunica externa

11
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small arteries requires to supply very large vessels

vasa vasorum

12
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what type of vessels lie next to each other

  • arteries and veins serving same body region

companion vessels

13
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  • Thicker tunica media and narrower lumen than veins

  • More elastic and collagen fibers (spring back to shape)

    • More resilient and resistant to changes in blood pressure

      2

arteries 2

14
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  • Thicker tunica externa and larger lumen than arteries

  • Less elastic and collagen fibers

    • Wall collapses if no blood in vessel

    2

veins 2

15
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•Contain only tunica intima (no subendothelial layer)

•Composed of endothelium and basement membrane

Thin wall allows for rapid gas and nutrient exchange

2

capillaries

16
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what do arteries branch into

smaller ventricles extending from the heart

17
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what is decreased and increased in arteries

  • decrease in lumen diameter

  • decrease in elastic fibers

  • increase in relative amount of smooth muscle

18
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what are the three basic types of arteries

elastic arteries, muscular arteries, arterioles

19
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  • Largest arteries—diameters from 2.5 to 1 cm

  • Conduct blood from heart to muscular arteries

  • Have large proportion of elastic fibers allowing stretch and recoil

    • Helps propel blood through arteries during diastole

elastic (conducting) arteries

20
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  • Medium arteries—diameters from 1 cm to 0.3 mm

  • Distribute blood to specific body regions

  • Muscle allows vasoconstriction (and dilation)

  • Most named arteries

    • E.g., brachial artery, coronary arteries

muscular (distributing) arteries

21
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where are the elastic (conducting) arteries at

aorta, pulmonary trunk, common carotid, common iliac arteries

22
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where are the muscular (distributing) arteries located

brachial artery, coronary arteries

23
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  • Smallest arteries—diameters of 0.3 mm to 10 micrometers

  • Larger arterioles have three tunics

  • Smaller arterioles have only thin endothelium and single layer smooth muscle

    • Regulate systemic blood pressure and blood flow

Arterioles

24
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  • Part of arterial wall thins and balloons out making it more prone to rupture

    • Can cause massive bleeding and death

aneurysm

25
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what type of arteries do aneurysm have

elastic and muscular arteries

  • with age, less able to withstand forces from pulsating blood

26
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where is aneurysm most common

in aorta or arteries at the base of the brain

27
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what has the most place for blood

veins

28
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What do capillaries connect

arterioles to venules

29
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what is the average length of capillaries

1 mm; diameter 8-10 micrometers

30
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what does the capillary wall consist of

consists of endothelial layer on basement membrane

  • thin wall and small diameter are optimal for exchange between blood and tissue fluid

31
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what are the three types of capillaries

continuous, fenestrated, and sinusoid

32
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groups of cappilaries functioning together

capillary beds

33
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what do epithelial cells form

a continuous lining

34
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tight junctions connect what

they connect cells but do not form a complete seal

35
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gaps between endothelial cells of capillary wall

intercellular clefts

36
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what cannot pass but can in capillaries

large particles cannot pass. However smaller molecules can pass through the wall.. where waste and nutrients go through

37
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where are the intercellular clefts found in

muscle, skin, lungs, central nervous system

38
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Endothelial cells form a continuous lining, but the cells have

fenestrations (pores)

39
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what do fenestrations allow

movement of smaller plasma proteins

40
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where are fenestrations found in

areas where much fluid transport happens

  • intestine capillaries absorbing nutrients

  • kidney capillaries filtering blood to form urine

41
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Endothelial cells form an incomplete lining with large

gaps

42
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what does the openings allow in sinusoids

transport of large substances

  • formed elements (WBC,RBS, platelets) and large proteins

43
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where is sinusoids found

bone marrow, spleen, and some endocrine glands

44
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•Smallest veins—diameters of 8 to 100 micrometers

•Companion vessels with arterioles

•Smallest venules are postcapillary venules

•Largest venules having all three tunics

Merge to form veins

venules

45
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what do small and medium size veins do

compainion vessels with muscular arteries

46
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what do the largest veins travel with

elastic arteries

47
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most veins have what

numerous valves

48
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what do the veins prevent

  • prevent blood from pooling in the limbs; ensure flow towards the heart

  • valves made of tunica intima and elastic and collagen fibers

49
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systemic veins are

blood reservoirs

50
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what is the blood % at rest

70% of blood in systemic circulation

51
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systemic veins

55%

52
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systemic arteries

10%

53
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systemic cappilaries

5%

54
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pulmonary circulation has what % of blood

18%

55
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heart has what % of blood

12%

56
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blood can be moved from what

can be moved from veins into circulation via vasoconstriction of veins

  • ex: when more blood needed during exercise

57
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blood can be shifted back where

into reservoirs via vasodilation

  • when less blood needed during rest

58
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capillaries function to

exchange substances

  • gases, nutrients, wastes, hormones between blood and surrounding tissues

59
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when capillaries exchange, where does the exchange partake

  • diffusion

  • vesicular transport

  • bulk flow

60
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substances leave or enter blood according to their concentration gradient (high to low concentration)

  • •Oxygen, hormones, nutrients move from blood to interstitial fluid

diffusion

61
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_________ and wastes diffuse from tissue to blood

carbon dioxide

62
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what depends on diffusion’s route

particle size

63
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in diffusion, where do small solutes go

diffuse through endothelial cells or intercellular clefts

64
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in diffusion, where do large solutes go

pass through fenestrations or gaps in sinusoid

65
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what do epithelial cells use

pinocytosis and exocytosis

66
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(cellular drinking, bringing substances inside the cell)

pinocytosis

67
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when epithelial cells use pinocytosis and exocytosis what happens

  • Take substances in by pinocytosis

    • Form fluid-filled vesicles at plasma membrane

  • Transport vesicle across cell

  • Secrete substance from other side by exocytosis

  • This process used in both directions (both to and from blood)

  • Certain hormones and fatty acids transported by this method

68
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fluid flow down pressure gradient

bulk flow

69
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what is the movement of bulk flow

it depends on net pressure of opposing forces

  • hydrostatic pressure vs colloid pressure

70
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  • fluid moves out of blood

  • Fluid and small solutes flow easily through capillary’s openings

    • Large solutes blocked

  • Occurs on arterial end of capillary

filtration

71
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  • fluid moves back into blood

    • Occurs on venous end

reabsorption

72
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force exerted by a fluid

hydrostatic pressure (HP)

73
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  • Force exerted per unit area by blood on vessel wall

  • Promotes filtration from capillary

blood hydrostatic pressure (HPb)

74
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  • Force of interstitial fluid on outside of blood vessel

  • Close to zero in most tissues

interstitial fluid hydrostatic pressure (HBif)

75
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the “pull” on water due to the presence of proteins (colloid)

collid osmotic pressure (COP)

76
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  • Draws fluid into blood due to blood proteins (e.g., albumins)

  • Promotes reabsorption (opposes the dominant hydrostatic pressure)

    • Clinically called oncotic pressure

blood colloid osmotic pressure (COPb)

77
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  • Draws fluid into interstitial fluid

  • Since few proteins present in interstitial fluid, this is relatively low    (0 to 5 mm Hg)

interstitial fluid colloid osmotic pressure (COPif)

78
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<p><span>NFP is the difference between net hydrostatic pressure and net colloid osmotic pressure</span></p>

NFP is the difference between net hydrostatic pressure and net colloid osmotic pressure

net filtration pressure

79
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•Difference between blood and interstitial fluid hydrostatic pressures

net hydrostatic pressure

80
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•Difference between blood and interstitial fluid osmotic pressures

net colloid osmotic pressure

81
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NFP changes along length of capillary..

it is higher at the arterial end than at the venous end

  • at the arterial end, NFP favors filtration

  • at the venous end, NFP reabsorption

82
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•Picks up excess fluid not reabsorbed at venous capillary end

  • 15% of fluid not reabsorbed by capillary

  • Filters fluid and returns it to venous circulation

  • Changes in capillary exchange or absorption by the lymphatic system can result in edema—excess fluid remaining in tissues

lymphatic systemm

83
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what is important for delivery of nutrients and oxygen, and removal of metabolic wastes

flow of blood

84
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•Physical principles of blood flow based on pressure and resistance

hemodynamics

85
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•The greater the pressure difference between two points…

the greater the flow; the greater the resistance, the less the flow

86
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force of blood against vessel wall

blood pressure

87
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  • change in pressure from one end of vessel to other

    • Propels blood through vessels

    • Pressure is highest in arteries and lowest in veins

blood pressure gradient

88
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•Blood flow in arteries pulses with cardiac cycle

arterial blood pressure

89
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  • DEF: occurs when ventricle contracts (systole)

    • Highest pressure generated in arteries (they are stretched)

    • Recorded as the upper number of the blood pressure ratio

      • E.g., systolic pressure is 120 mm Hg,  if blood pressure is 120/80

systolic pressure

90
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  • DEF: occurs when ventricles relax (diastole)

    • Lowest pressure generated in arteries (they recoil)

      • Recorded as the lower number of blood pressure ratio

      • E.g., diastolic pressure is 80 mm Hg, if blood pressure is 120/80

Diastolic pressure

91
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average arterial blood pressure across entire cardiac cycle

Mean arterial pressure (MAP)

92
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what does it mean that diastole lasts longer than systole

the mean is weighted to be closer to diastolic pressure

93
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if blood pressure is 120/80

MAP = 80 + 40/3  =  93

94
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what does MAP provide

provides index of perfusion

  • <60

95
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what assists venous return from limbs

skeletal muscle pump

96
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as muscle contracts

veins are squeezed

97
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during muscle pump, blood is pushed and what are valves doing

valves prevent backflow

98
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during muscle pump, blood is moved to where

moved more quickly during exercise and it pools in leg veins with prolonged inactivity

99
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assists venous return in the thorax

•Both inspiration and expiration cause pressure gradient changes that help

respiratory pump

100
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what is deep vein thrombosis

clot (thrombus) in a vein