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Define a brain center, specifically the cardiovascular center.
- Brain center:
- contain interneurons that initiate visceral motor responses
- Cardiovascular center:
- Cardiac control (heart), cardioacceleratory neurons (interneurons will lead to a increase in HR) , cardioinhibitory neurons (interneurons will lead to a decrease in HR)
- Vasomotor control (vessels)
- Together cardiac control and vasomotor control regulate blood pressure and heart function
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Compare and contrast sympathetic and parasympathetic efferent pathways associated with the SA node.
- Sympathetic system
- Cardioacceleratory
- Visceral motor
- Vasoconstriction
- Occurs when BP is to low — Increase HR
- Adrenergic receptors bind norepinephrine (NE) — increases rate of AP of SA node
- Parasympathetic system
- When baroceptors are high PS is activated and cardioacceleratory would be inhibited
- Cardioinhibitory
- Visceral motor
- Vasodilation
- Occurs when BP is to high — Decrease HR
- Cholinergic receptors bind ACh — allows potassium to leave the cell (makes cell more negative) rate of AP decreases
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Sensory Input
- Afferent
- Sensory input is integrated to create motor output to SA node
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Proprioceptors
- (sensory input from muscles and tendons)
- Informs brain on changes in physical activity
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Baroceptors
- (sensory input from blood vessels)
- Informs brain on changes to pressure in vessels
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Chemoreceptors
- (sensory input from blood vessel)
- Informs brain on changes carbon dioxide or oxygen levels in the blood
- Important in respiratory system, but has some effect on heart rate
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Tunica intima
- similar to membrane
- consists of one-layer of epithelial cells (endothelial cells) and thin layer of connective tissue (subendothelial layer and elastic fibers)
- endothelium is a selectively permeable barrier
- cells regulate what enters/exits bloodstream
- smooth surface normally repels bloods cells and platelets
- during damage, platelets and leukocytes (white blood cells) adhere to surface plaque clogged vessels
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Tunic media
- Smooth muscle layer
- Elastic fiber membrane (in arteries only) — consists of collagen
- Smooth muscle controls vasomotion — especially in arteries
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Tunica externa
- Outermost layer
- Connective tissue with collagen and elastic fibers
- Generally thicker in veins
- Anchor vessel to surrounding tissues
- Vasa vasorum – vessels of the vessels
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List the types of arteries
elastic, muscular and arterioles
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List the types of veins
Veins (low pressure): venules (smallest veins), small veins, large veins
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Elastic
- Thick walled, close to heart
- Largest diameterMore elastin than in any other vessel; elastic fibers in all 3 layers
- Do not vasoconstrict, low resistance pathways
- Act as pressure reservoirs (expand & recoil as heart ejects blood)
- Blood flows fairly continuously instead of starting & stopping with pulsating rhythm of heart beat
- Feed into Muscular arteries
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Muscular
- Deliver blood to specific body organs
- More muscle in tunica media — responsible for vasoconstriction
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Arterioles
- Smallest diameter artery
- Smallest arterioles feed into capillary beds
- Vasomotion control blood flow into capillary beds
- Blood within arterioles face high resistance — also called resistance vessels
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Capillaries
connect arteriole and venules — site of exchange between blood and tissues
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Predict what problems may arise if any of the structures of vessels fail (eg., aneurysms)
If arterial walls weaken in the wall of a BV an aneurysm can occur which is a balloon-like bulge, can be hereditary or acquired or both
- Scurvy: lack of vitamin C in diet disrupts proper production of collagen
- Scurvy results in weakened BV, spontaneous bruising, swollen gums, loss of teeth
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Define vasoconstriction and vasodilation
- Vasoconstriction: narrowing of blood vessels
- Vasodilation: widening of blood vessels
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Compare and contrast the three different types of capillaries.
- Continuous
- Most common (abundant in skin, muscle, lungs, CNS)
- Least permeable
- Wall of vessel is a single endothelial cell thick
- Cells overlap to make intercellular clefts where some molecules can travel through via diffusion
- Fenestrated
- Have pores in endothelial cells that increase permeability
- Found in areas of active filtration (kidney) or absorption (small intestine)
- Sinusoidal
- Most permeable, least regulated
- Incomplete basement membrane
- Found in liver, spleen
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Describe how blood flow is regulated through capillaries via vasomotion of arterioles.
- Vasoconstriction means decreased blood flow
- Vasodilation means increased blood flow
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Explain the role of diffusion in capillary exchange of gases, nutrients, and wastes.
- Gases and nutrients pass between the blood and interstitial fluid via diffusion at capillaries
- 2 major routes:
- —through a cell
- —through spaces between cells
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Explain the significance of anastomoses.
Alternative blood routes to bypass a capillary or several vessels that lead to the same location
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Describe the overall composition of blood: cells versus plasma and plasma proteins.
- Cells (formed elements, 45%)
- Red (gas transport), white blood cells (immunity), platelets (clotting)
- Plasma (55%)
- Water, proteins, nutrients, electrolytes (sodium), wastes Proteins:
- —Albumin: water balance (helps maintain osmosis INTO the blood)
- —Fibrinogen: clotting
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Distinguish between the terms hemostasis and coagulation.
- Hemostasis: prevent bleeding
- Coagulation: formation of a clot
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Outline the process of hemostasis, including vascular spasm, platelet plug formation, clot formation and eventual cell growth.
Vascular spasm — smooth muscle contracts causing vasoconstriction
Platelet plug formation — exposed collagen attract platelets, binding to collagen also causes platelets to secrete chemicals that attract more platelets
Coagulation — fibrin creates a mesh of proteins that trap RBCs and platelets, forming a clot. The clot is eventually dissolved as endothelial cell regrow
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Fetal circulation
- Major goal — get oxygen and nutrient to the baby’s brain and rest of body
- Pulmonary and digestive systems are not yet functional — lungs are still collapsed and fluid filled
- Fetus receives oxygen and nutrients from mother’s placenta via diffusion
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Placenta
Diffusion of wastes, oxygen and nutrients
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Umbilical vien
Returns oxygenated blood to fetus
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Umbilical arteries
Deoxygenated blood leaves fetus via the umbilical arteries
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Which vessel first carries oxygen rich blood from placenta toward fetal heart
Umbilical vein
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ductus venous
- Connects Umbilical vein to IVC
- Allows oxygenated blood from the placenta to bypass the liver
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foramen ovale
- Connect RA with LA
- Before birth the foramen ovale allows blood flow to bypass the lungs
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ductus arteriosus
- Connect pulmonary artery with aorta
- If fails — right side of heart will fail
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Pathway 1
- Placenta
- Umbilical vein
- To ductus venosus
- IVC
- Heart (liver is skipped)
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Pathway 2
- Placental
- Umbilical vein
- Portal sinus
- Liver
- Portal vein
- Heart (provide oxygen to liver)
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After entering right atrium
70% of blood to RV then PA
At PA 90% of blood enters ductus arteriosus and is shunted you aorta
Or
Other 30% of blood is shunted to left atrium via foramen ovale
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Define blood flow, systolic pressure, diastolic pressure and how they relate.
- SP: pressure during ventricle contraction (pressure heart exerts)
- DP: pressure during ventricle relaxation (pressure in arteries b/t beats)
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MAP
Mean arterial pressure
average pressure in vessels
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List the factors that affect blood pressure
- Cardiac ouput
- Resistance of vessels
- blood volume
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Cardiac output
- Amount of blood the heart pumps per minute into arteries
- higher output — more blood in arteries — higher pressure (sympathetic)
- lower output — less blood in arteries — lower pressure (parasympathetic
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Resistance of vessels
Vasomotion — vessel diameter can change
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Blood volume
- Total volume of blood in the vessels
- Regulated by lymphatic system, kidneys and hormones
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Identify the different fluid compartments found in the body.
- Intracellular — water in cells
- Extracellular
- — interstitial fluid: water b/t cells of tissue
- — plasma: water in blood vessels
- — other: water in lymph vessels
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Compare and contrast the roles that osmosis and hydrostatic pressure play in the movement of fluids between compartments.
- Hydrostatic: physical force resulting in net movement of fluid in one direction — pushes
- Osmotic pressure: chemical forces resulting in net movement of water in one direction — pulls water to lower concentration
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Filtration
Net pressure out of bed
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Osmosis
- Diffusion of water across a membrane
- high concentration to low concentration
- dilute solute to concentrated solute
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Absorption
Net pressure into bed
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Net pressure equation
(Hydrostatic pressure in C - Hydrostatic pressure in IF) - (Osmotic pressure in C - Osmotic pressure in IF)
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Describe the path of lymphatic circulation.
Interstitial fluid at the capillaries enters lymphatic capillaries, is filtered by white blood cells in lymph nodes and transported back to the blood stream at the left and right subclavian veins
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Describe the external structure of the kidney, including its location, support structures and coverings.
3 layers of CT that hold kidneys in place
- Fibrous capsule:
- innermost layer
- Dense irregular tissue
- Perinephric fat capsule
- Middle layer
- Loose connective (adipose) tissue
- Renal fascia
- Outer layer
- Dense irregular connective tissue anchors kidney to surrounding\
- structures
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