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what are the 3 types of blood vessels
arteries, capillaries, veins
how many km of vessels are in our body
100,000 km or 60,000 miles
which direction does blood flow in arteries and veins
arteries - away from heart
veins - towards heart
which blood vessels are composed of the three tunics
arteries, arterioles, venules, and veins
what are the three tunics of the blood vessels
tunica intima, tunica media, tunica externa
what tunic layer do capillaries have
only tunica intima - made of endothelium
what is the endothelium made of in the capillaries
only simple squamous tissue, NOT connective tissue
what is tunica intima composed of in non capillaries
endothelium and small amount of connective tissue
what is a lumen
central blood-filled space of a vessel (the tunics encase the lumen)
what is the tunica intima
inner most blood vessel
what is the tunica media
circular smooth muscles regulated by vasomotor nerve fibers - perform vasoconstriction and vasodilation
what is the tunica adventitia (tunica externa)
loose collagen fibers, large vessels have vaso vasorum
what is vaso vasorum
it's the smaller blood vessels that supply blood to the larger blood vessels
what are the three groups of arteries
-elastic or conducting arteries
muscular or
-distributing arteries
-arterioles
*in this order to the capillaries
what is the difference in appearance between veins and arteries
veins looks collapsed and arteries have thick circular walls
what is the order of blood vessels from the heart all the way back to the heart
elastic arteries, muscular arteries, arterioles, terminal arteriole, metarteriole, precapillary sphincter, capillaries, thoroughfare channel, post capillary venule, small veins, large veins
what are characteristic of elastic or conducting arteries
thick walled, largest and close to heart (aorta and it's branches), elastin, can withstand pressure changes, have smooth muscles
what happens if arteries become weak
they may balloon out as an aneurysm and potential burst
is blood flow continuous in arteries
no, blood flow is intermittent due to the pumping of the heart but supply to the tissues is continuous due to the elasticity of the large arteries
what are characteristics of muscular or distributing arteries
deliver blood to body organs, proportionately thicker tunica media, more smooth muscles, active vasoconstriction
what is an example of elastic or conducting arteries
aorta
what is an example of a muscular or distributing arteries
splenic artery
what are characteristics of arterioles
smallest arteries, larger ones will have 3 tunics, but smaller ones have just a little more than just a single layer of smooth muscles around the endothelium
what is example of an arteriole
resistance vessels
what are characteristics of capillaries
smallest blood vessels with thin walls, designed for exchange of materials, has 3 types
what are the three types of capillaries
-continuous
-fenestrated
-sinusoids
what is the diameter of a capillary
8-10 um
what are characteristics of continuous capillaries
common with tight junctions and uninterrupted endothelium
what is an example of continuous capillaries
abundant in skin and muscles
what are characteristics of fenestrated capillaries
pores or fenestration, located where filtrate is formed
what is an example of fenestrated capillaries
small intestine, endocrine organs, kidney
what are characteristics of sinusoid capillaries
discontinuous endothelium, highly modified, irregular, leaky capillaries with Kupffer cells
what are examples of sinusoid capillaries
liver, bone marrow, lymphoid tissues
what are capillary beds
branches of arteries for microcirculation with 2 types of arrangements
what are the two capillary bed arrangements
vascular shunt and true capillaries
what are vascular shunt capillary beds
arteriole, metarteriole, thoroughfare channel, post capillary venule
what are true capillaries (capillary beds)
they perform the actual exchange of vessels
-arteriole, metarteriole, true capillaries, thoroughfare channels, post capillary venule
what feature do all true capillaries have
precapillary sphincter
what are venules
smallest veins
what is the post capillary venule made of
entirely endothelium
what tunics are present in larger venules
the tunica media and adventitia begin to appear as well as tunica interna
do veins have all 3 tunics
yes, but the walls are thinner than arteries and the lumens are larger
which tunica is the heaviest in veins
tunica adventitia, which have less muscles and elastin
what is another name of veins
capacitance vessels or blood reservoirs (less resistance)
what are venous valves
the tunica intima will form valves for one way flow
what is potential problem with venous valves
they can dilate and form varicose veins in pregnant women and form hemorrhoids
what are venous sinuses
specialized flattened veins with thin walls made of endothelium
what are examples of venous sinuses
coronary sinuses of the heart and the dural sinuses of the brain
What are arterial anastomoses?
arteries supplying the same area often merge forming them - they are collateral channels
what is an example of an arterial anastomoses
metarteriole
what are venous anastomoses
common arrangements in the body that we can see under our skin
blood flow
actual volume of blood flowing in the system which is equal to cardiac output
blood pressure
force per unit area of the vessel wall by the blood
resistance
opposition to flow due to friction - mostly from peripheral resistance
what are three sources of resistance
blood viscosity, total blood vessels length, and blood vessel diameter
what is blood viscosity
thickness of blood due to number of blood cells (normally doesn't change)
what is total blood vessel length
direct relationship to resistance, the longer the vessel, the greater the resistance (normally doesn't change)
what is the most important source of blood vessel resistance
blood vessel diameter. the smaller the diameter, the greater the resistance
how does resistance varies in blood vessel diameter
inversely with 4th power of vessel radius (if radius is doubled then the resistance is 1/16 of the original)
how does blood pressure affect rate of flow
increase pressure means increase rate and decreased pressure means low rate of flow
what is blood flow (F) directly proportional to
the difference in blood pressure between two points
what is blood flow (F) inversely proportional to
peripheral resistance (R) in systemic circulation
how can blood flow be expressed mathematically
F= (delta) P/R
how does blood flow change
it's under a pressure gradient, it is highest closest towards the heart and decreases the further from the heart you get
where is the steepest drop in pressure
arterioles
what happens to blood pressure as it goes from arteries to veins
blood pressure decreases
what is arterial blood pressure
the clinical monitoring of circulatory efficiency
what contributes to venous blood pressure
muscular pump, respiratory pump, and sympathetic venoconstriction
what are two factors that affect arterial pressure
compliance or distensibility (how much they can stretch) and volume (of blood entering vessels at a given time)
how is blood pressure measured
pulsatile
what is systolic pressure and what does it average
the squeezing of the heart, averages 120 mm Hg
where is the peak of blood pressure
aorta
what is diastolic pressure and what does it average
relaxation of the heart, normally 80 mm Hg
what is pulse pressure
the difference between systolic and diastolic (normal should be about 40 mm Hg)
What is the mean arterial pressure (MAP)
diastolic pressure + pulse pressure/3 = 93 mm Hg
what is the mean arterial pressure 93 and not 100
because the heart spends more time in diastole than systole
what are vital signs
assessing the efficiency of a person's circulation by measuring pulse and blood pressure
what causes a pulse
the expansion and recoil of elastic arteries, which creates a pressure wave called a pulse. these can be monitored at pressure points
where is blood pressure measured and with what
indirectly from the brachial artery using a sphygmomanomater
what is the blood pressure by the time blood reaches the capillaries
35 mm Hg
what is the blood pressure by the time blood reaches the end of the capillary bed
17 mm Hg
why is the sudden drop in capillaries desirable
capillaries are fragile and most capillaries are extremely permeable and efficiently allow exchange of nutrients and wastes
is venous blood pressure pulsatile
no, it is steady and the lowest BP
what is the pressure gradient from venules to venae cavae
15 mm Hg
is a large lumen and valves enough for venous return
no, it wouldn't be enough. that's why we have three functional pumps to help this process
what are the 5 adaptation that are crucial for venous return
muscular pump, respiratory pump, sympathetic venoconstriction, venous valves, cardiac suction
what is the muscular pump made of
skeletal muscle activity, the contraction/relaxation of these muscles creates a pumping action on veins in extremities pulling blood towards the heart
what is the respiratory pump
results from the respiratory activity which pulls blood towards the lower pressure (trunk)
what is the pressure within the chest cavity
about 4 mm Hg less than atmospheric pressure
what is sympathetic venoconstriction
smooth muscle in tunica media, which is supplied with sympathetic nerve fibers and increases blood flow towards the heart due to decreased venous capacity
what is venoconstriction
sympathetic venoconstriction - the veins constrict which makes the vein small and forces the blood towards the heart
what are the two types of venous valves
varicose veins and superficial veins
what is enforce
the one way flow through veins
what are varicose veins
backflow of blood make the venous valves incompetent
do superficial veins receive support from skeletal muscles and other connective tissue
no, it receives little support
what is a serious consequence of venous valves
abnormal clot formation in the slow-moving pooled blood
how does cardiac activity help to return blood to the heart
during ventricular contraction, the AV valves pull down, creating a vacuum in the atria and during the relaxation of the ventricles, the blood gets pulled into the heart
what is the normal pressure of the atria
0 mm Hg
what type of control regulates blood pressure
short and long term controls
what are the main factors affecting blood pressure
peripheral resistance and blood volume