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Chapter 20
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122
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Undergraduate 2
10/08/2013

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Term
hypertension
Definition
blood pressure to high
Term
hypotension
Definition
blood pressure to low
Term

endocrine

nervous

urinary

Definition
what 3 body systems participate in maintaing adequate blood pressure
Term
blood vessels
Definition
classified into three primary types based on function
Term
arteries
Definition
convey blood away from the heart
Term
capillaries
Definition
are microscopic, relatively porous blood vessels for the exchange fo substances between blood and tissues
Term
veins
Definition
drain blood from the capillaries, transporting it back to the heart
Term
tunics
Definition
vessell walls are composed of layers called
Term
lumen
Definition
the tunics surround the ___ or inside space of the vessel, through which blood flows.
Term

tunic intima

tunica media

tunica externa

Definition
what are the 3 tunics
Term
tunica intima
Definition
the innermost layer of the blood vessel wall, it is composed of a simple squamous epithelium that faces the blood vessel lumen and a thin subendothelial layer made up of areolar connective tissue, continuous with the endocardium
Term
tunica media
Definition
the middle layer of the vessel wall, composed of mainly circularly arranged smooth muscle cells that are supported by elastic fibers
Term
vasoconstriction
Definition
contraction of smooth muscel in the tunica media results in ___, or narrowing of the blood vessel lumen
Term
vasodilation
Definition
relaxation of the smooth muscle causes ___, or widening of the blood vessel lumen.
Term
tunica externa
Definition
the outermost layer of the blood vessel wall, composed of areolar connective tissue that contains elastic and collagen fibers, helps anchor the vessel to other structures.
Term
vasa vasorum
Definition
very large blood vessels require their own blood supply to the tunica externa in the form of a network of small arteries callsed the ___. The __ extends through the tunica externa
Term
companion vessels
Definition
arteries and veins that supply the same body region and tend to lie next to one another are called___
Term
arteries
Definition
compared, ___ have a thick tunica media, a narrower lumen, and more elastic and collagen fibers. This means that walls can spring back to shape and are more resilient and resistant to changed in blood pressure than there counterparts.
Term
veins
Definition
compared,___ have a thicker tunica externa, a large lumen, and less elastic and collagen fibers than a companion artery. The wall is typically collapsed if no blood is in it.
Term
capillaries
Definition
are unique in that they contain only the tunica intima composed of an endothelium and its underlying basement membrane; there is no subendothelial layer, rapid gas and nutrient exchange between the blood and the tissues
Term

elastic

muscular

arteriole

Definition
3 categories of arteries
Term
elastic
Definition
the largest artery, they conduct blood from the heart to the smaller muscular arteries, closest to the heart, has the ability to stretch and recoil, includes all three layers of tunics, have a large proportion of elastic fibers
Term
ventriculor systole
Definition
anatomical name for contraction
Term
ventricular diastole
Definition
anatomical name for relaxation
Term

aorta 

pulmonary trunk

brachiocephalic

common carotid

subclavian

common iliac nerves

Definition
give 6 examples of elastic arteries
Term
muscular arteries
Definition
medium sized arteries distribute blood to specific body regions and organs, have a proportionally thicker tunica media, with multiple layers of smooth muscle cells
Term

internal elastic lamina

external elastic lamina

Definition
two circumscribed sheets within muscular arteries
Term
internal elastic lamina
Definition
seperates the tunica intima from the tunica media in the muscular artery
Term
external elastic lamina
Definition
seperates the tunica media from the tunica externa within the muscular arteries
Term

the brachial

anterior tibial

coronary

inferior mesenteric 

Definition
4 examples of muscular arteries
Term
arterioles
Definition
the smallest artery with fewer than 6 layers of smooth muscles in their tunica media, smooth muscle is at least slighly constricted, have a significant role in regulating systemic blood pressure and blood flow to different areas of the body
Term
vasomotor tone
Definition
____ this slightly constricted state is regulated by the ___ center in the brainstem
Term
atherosclerosis
Definition
a progressive disease of the elastic and muscular arteries
Term
atheroma
Definition
atherosclerosis is characterized by the presence of an ___ which leads to the thickening of the tunica intima and narrowing of the arterial lumen
Term
response-to-injury hypothesis
Definition
this proposal states that injury to the endothelium of an arterial wall, especially repeated unjury caused by infection, trauma, or hypertension, results in an inflammatory reaction, eventually leading to the developement of an atheroma.
Term
foam cells
Definition
as the monocytes migrate into the wall, they digest the lipids and develop into structures called ___
Term
hypercholesterolemia
Definition
an increased amoun of cholesterol in the blood, which also tends to run in families, has been positively associated the the rate of development and severity of atherosclerosis.
Term
angioplasty
Definition
a physician inserts a balloon tip catheter into an artery, and positions it at the site where the lumen is narrowed. Then the balloon is inflated, forcibly expanding the narrowed area, and a stent is placed in the vessel.
Term
aneurysm
Definition
whereby part of the arterial wall thins and balloons out, this wall is more prone to rupture, which can cause massive bleeding and may lead to death. most commonly occur in the arteries at the base of the brain or in the aorta
Term
capillaries
Definition
the smallest blood vessel, they connect arterioles to venules.
Term
roleau
Definition
the narrow diameter means erythrocyte must travel in a single file through each capillary
Term

continuous 

fenestrated

sinusoids

Definition
3 types of capillaries
Term
continuous capillary
Definition
the most common type of capillary, the endothelial cells form a complete, continuous lining around the lumen that rests on a complete basement membrane, intercellular clefts between endothelial cells ; located in capillaries within muscles, skin, thymus, lungs, and CNS
Term
intercellular clefts
Definition
tight junctions secure endothelial cells to one another, however they do not form a complete seal, these gaps are called ___
Term
fenestrated capillary
Definition

type of capillary composed of a complete, continuous lining of endothelial cells, and a complete basement membrane, also contain fenestrations, large amounts of materials that pass through the vessel wall are filtered, released, or absorbed; some smaller proteins 

Located: small intestine; for absorbing nutrients

ciliary process; to produce aqueous humor in the eye

choroid plexus; to produce CSF in the brain

most endocrine gland; permit absorption of hormones into the blood

kidneys; for filtering blood

 

Term
sinusoid capillary
Definition

type of capillary that has an imcomplete lining of the endothelial cells with large opening or gaps, and the basement memberane is either discontinuous or absent, materials that pass throught the vessel wall are large substances and plasma; located in 

bone marrow; where formend elements enter the blood

liver and spleen; where old erythrocytes are phagocytized by macrophages and taken out of circulation

some endocrine glands; anterior pituitary, adrenal and parthyroid

Term
capillary bed
Definition
capillaries do not function independently, rather a group of capillaries function together and form a ___
Term
metarteriole
Definition
a capillary bed is fed by a ___, which is a vessel branch of an arteriole
Term
thoroughfare channel
Definition
the proximal part of a metarteriole is encircled by a scattered smooth muscle cells, while the distal part of the metarteriole called the, _____, has no smooth muscle cells
Term
postcapillary venule
Definition
the thoroughfare channel connects to a ___ which drains the capillary bed
Term
true capillaries
Definition
vessels called ___ branch from the metarteriole and make up the bulk of the capillary bed
Term
precapillary sphincter
Definition
at the origin of each true capillary, a smooth muscle ring called the ___ controls blood flow into the true capillaries
Term
vasomotion
Definition
the precapillary sphincters go through cycles of contracting and relaxing at a rate of about 5 to 10 cycles per minute
Term
perfusion
Definition
the specific amount of blood entering capillaries per unit time per gram of tissue is called ___
Term
venules
Definition
are the smallest veins, companion vessels with arterioles
Term
postcapillary venules
Definition
the smallest venules called ___ drain capillaries
Term
valves
Definition
most veins contain numerous ___ so as to prevent blood form pooling in the limbs
Term

vein

veins

muscular

veins

elastic

Definition
A venule becomes a ___ when its diameter is greater than 100 micrometers. small and medium sized ___ are companion vessels with _____ arteries, whereas the large ___ travel with ___ arteries.
Term
blood reservoirs
Definition
the relatively large amount of blood within veins allows veins to function as ___. blood may be shifted form venousreservoirs into circulation through vasoconstriction of veins, when more blood is needed with increased physical exertion, and shifted back into the venous reservoirs through vasodilation of veins, when less blood is needed at rest
Term
simple pathway
Definition

in the ___, one major artery delivers blood to the organ or body region and then branches into smaller and smaller arteries to become arterioles. each arteriole feeds into a single capillary bed. a venule drains blood from the capillaries and merges with other venules to form one major vein that drains blood from the organ or body region. Thus the ____ includes one artery, capillary bed, and vein associated with an organ or body region

ex. blood transported from the spleen

Term
end arteries
Definition
arteries that provide only one pathway through which blood can reach an organ is referred to as ___
Term
anastomosis
Definition
the joining together of blood vessels
Term
arterial anastomosis
Definition

includes the two or more arteries converging to supply the same body region. 

ex. anastomoses among the superior and inferior epigastric arteries that serve the abdominal wall

Term
functional end arteries
Definition
other vessels such as the coronary arteries, may have anastomoses that are so tiny that the function of the arteries may almost be considered end arteries; these arteries are called ___
Term
venous anastomosis
Definition
includes two or more veins draining the same body region. veins tend to form many more anastomes than do arteries. veins that drain the upper limbs include the basilic, brachial, and cephalic veins.
Term
arteriovenous anastomosis
Definition
or shunt, transports blood from the artery directly into a vein, bypassing the capillary bed. these shunts are present in the fingers, toes, palms, and ears and they allow these areas to by bypassed if the body is becoming hypothermic
Term
portal system
Definition
blood flows through two capillary beds, with the two capillary beds separated by a portal vein
Term
portal vein
Definition

delivers blood to another organ first, before the blood is sent back to the heart. Thus the sequence is as follows: an artery, capillary bed, portal vein, capillary bed, and a vein. 

ex. hypothalamo-hypophyseal portal system that extends between the hypothalamus and anterior pituitary

Term
diffusion
Definition
from their relatively high concentration of blood into the interstitial fluid and then into the tissue cells, where the concentration of these materials is lower
Term
vesicular transport
Definition

occurs when the endothelial cells use pinocytosis to fuse fluid-filled vesicles with the plasma membrane and transport their contents either from the blood to the interstitual fluid or from the interstitial fluid into the blood

ex. certain hormones - insulin

fatty acids

Term
bulk flow
Definition
refers to the movement of large amounts of fluids and their dissolved substances in one directions down a pressure gradient
Term
filtration
Definition

a process that occurs on the arterial end of a capillary, is the movement of fluid by bulk flow out of the blood through the openings in the capillaries 

ex. intercellular clefts, fenestrations

Term
reabsorption
Definition
the movement of fluid by bulk flow in the opposite direction, back into the blood
Term
arterial end
Definition
what end of the blood hydrostatic pressure is greater than osmotic pressure. net pressure out, filtration
Term
venous end
Definition
osmotic pressure is greater than blood hydrostatic pressure. net pressure in. reabsorption
Term
hydrostatic pressure
Definition
the physical force exerted by a fluid on a structure.
Term
blood hydrostatic pressure
Definition
the force exerted per unit area by the blood as it presses against the vessel wall. promotes filtration out of the capillary
Term
interstitial fluid hydrostatic pressure
Definition
the force of the interstitial fluid on the external surface of the blood vessel
Term
colloid osmotic pressure
Definition
refers to the pull fo water back into a tissue by the tissue's concentration of proteins
Term
blood colloid osmotic pressure
Definition
the force taht draws fluid back into the blood due to the proteins in blood, such as albumin, promotes reabsorption, also called oncotic pressure
Term
interstitual fluid colloid osmotic pressure
Definition
relatively low because few proteins are present in the interstitual fluid
Term
net filtration pressure
Definition

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

 

NFP = Net Hp - Net Cop

Term
lymphatic system
Definition
responsible for picking up this excess fluid and returning it to the blood
Term
local blood flow
Definition
the blood delivered locally to the capillaries of a specific tissue since there is not enough blood in the body to fill all capillaries at the same time, blood must therefore be directed to organs and tissues where it is most needed and away from the areas it is not needed
Term
degree of vascularization
Definition

the extent of blood vessel distribution within a tissue, determines the potential ability of blood delivery

ex. skeletal muscle, the brain, the heart, and the liver are highly vascularized

Term
angiogenesis
Definition

the formation of new blood vessels in tissues that require them. this process helps provide adequate perfusion throughlong term anatomic changes that occur over several weeks to months

ex. stimulated in skeletal muscle in responce to aerobic training

Term
regression
Definition

or return to previous state, of vessels is also possible

ex. some skeletal muscle blood vessels regress when an individual who was physically active becomes sedentary 

Term
vasoactive chemicals
Definition
the stimulus is changing concentrations of certain chemicals
Term
vasodilators
Definition

substances that both dialate arterioles and relax precapillary sphincters, so ther is increased blood flow into a capillary bed

decreased oxygen and nutrient levels

histamine

bradykinin

nitric oxide

Term
vasoconstrictors
Definition

substance that both constrict arterioles and cause contraction of precapillary sphincters to decrease blood flow into a capillary bed

increased oxygen and nutrient levels

endothelins

prostaglandins

thromboxanes

Term
autoregulation
Definition
is the process by which a tissue itself regulates or controls its local blood flow in response to its changing metabolic needs
Term
reactive hyperemia
Definition

when the local blood flow is restored, there is a marked increase in blood flow to the affected tissue

ex. when you enter a warm room after being outside in the cold, and your cheeks turn bright red

Term
inflammation
Definition
when vasoactive chemicals are released from damaged tissue, leukocytes, and platelets in response to tissue damage or as part of the body's defense
Term

histamine

bradykinin

Definition
___ and ___ are released in response to a trauma, allergic reaction, infection, or even exercise.
Term
nitric oxide
Definition
a very powerful but short lived vasodilator
Term

prostaglandins

thromboxanes

Definition
other vasoactive substances such as ___ and ___ can cause vasoconstriction
Term
total blood flow
Definition
the amount of blood transported throughout the entire vasculature in a given period of time. total blood flow equals cardiac output
Term
blood pressure
Definition
the force per unit area that blood exerts against the inside wall of a vessel
Term
blood pressure gradient
Definition
the change in blood pressure from one end of a blood vessel to its other end, highest in the arteries and lowest in the veins
Term
systolic pressure
Definition
the highest blood pressure generated in arteries is during ventricular systole when the artery is is maximally stretched
Term
diastolic pressure
Definition
the lowest pressure is duing the ventricular diastole when the artery recoild no further
Term
pulse
Definition
refers to the rythmic throbbing of an arterial wall as blood is being pumped through it.
Term
pulse pressure
Definition
the additional pressure placed on the arteries from when the heart is resting to when the heart is contracting
Term
cerebral edema
Definition
excess interstitual fluid in the brain
Term
mean arterial pressure MAP
Definition
the average measure of the blood pressure forces on the arteries
Term
capillaries
Definition
by the time the blood reaches the ___, fluctuations between systolic and diastolic blood pressure dissappear, so the pulse pressure dissapppears. blood flow is smooth and even as it enters the ___
Term
venous return
Definition
the movement of blood from the capillaries back to the heart via the veins  is called
Term
skeletal muscle pump
Definition
assists venous return with the movement of blood primarily within the limbs. as skeletal muscles contract, veins are squeezed to help propel the blood toward the heart, and valves prevent blood backflow. when skeletal muscle is more active for example when a person is walking, blood is pumped more quickly and efficiently toward the heart by ____. conversely, extended inactivity leads to blood pooling in the leg veins, which increases an individual's risk for develepment of deep vein thrombosis
Term
respiratory pump
Definition
pump that assist the movement of blood within the thoracic cavity.
Term
inspiration
Definition
increased blood flow into thoracic veins , decreased intrathoracic pressure, diaphragm contracts, blood moves superiorly, increased intra-abdominal pressure
Term
expiration
Definition
increases blood flow into heart and abdominal veins, increased intrathoracic pressure, diapragm relaxes, decreased intra-abdominal pressure
Term
deep vein thrombosis
Definition
refers to a blood clot in a vein
Term
pulmonary embolus
Definition
the most serious complication of dvt is a ___, in which a blood clot breaks free and travels to the lung, eventually locking a branch of the pulomonary artery and potentially causing respiratory failure and death
Term
varicose veins
Definition
veins are dilated and tortuous having many curves or twists
Term
circulatory shock
Definition
any state in which there is insufficient blod flow for adequate perfusion of the body's tissues, typically due to impaired pumping of the heart
Term
resistance
Definition
is defined as the amount of friction the blood experiences as ti travels through the blood vessels
Term
peripheral resistance
Definition
typically used when discussing the resistance of blood in the blood vessels
Term
viscosity
Definition
refers to the resistance of a fluid to its flow. more generally, it is the "thickness" of a fluid
Term
laminar flow
Definition
the difference in flow rate within a blood vessel is called
Term
gradient pressure
Definition
an increase in cardiac output causes a steeper or increase in ___, less resistance which is caused by vasodilation, reduction in vessel length or decrease in blood viscosity
Term
pressure gradient
Definition
a decrease in cardiac output causes a smaller or less steep ___, greater resistance which is caused by vasoconstriction increase in vessel length or increas in blood viscosity
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