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Respiratory 3
Respiratory 3
21
Physiology
Undergraduate 4
11/26/2016

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Cards

Term
Where is vascular pressure greater, systemic or pulmonary circulation?
Definition
systemic
Term
How does pulmonary circulation act as a blood filter?
Definition
there are more capillaries in pulmonary circulation than are required for gas exchange at rest, so some of these can trap particles which would later be removed by enzymes, macrophages, lymphatic system etc
Term
Which arteries are elastic and which are muscular?
Definition
bronchial arteries are elastic

smaller bronchiole arteries & alveolar ducts are muscular
Term
True or False

Most resistance to pulmonary blood flow is in the capillaries
Definition
true
Term
What passive factors affect pulmonary vascular pressure?
Definition
Cardiac Pressure

Pulmonary inflation
inhalation = dilated arteries/veins, compressed capillaries
exhalation = compressed extra-alveolar aa/vv dilated capillaries
Term
What is PVR
Definition
pulmonary vascular resistance
Term
How does distention & recruitment affect PVR?
Definition
-there are unused capillaries at rest
-increased cardiac output = increased pulmonary arterial pressure
-pulmonary vessels become distended, triggering release of NO which leads to vasodilation & recruitment of unused capillaries
Term
How does hematocrit influence PVR?
Definition
increased hematocrit count = increased blood viscosity = increase PVR
Term
Which portion of the lung is better perfused, the dorsal or ventral portion?
Definition
dorsal
Term
What passive influences affect pulmonary vascular resistance (PVR)?
Definition
-distension & recruitment
-increased hematocrit
Term
Which animals have the most vascular smooth muscle in small pulmonary arteries?
Definition
cows & pigs
Term
What active influences act on pulmonary vascular resistance?
Definition
Neural & hormonal factors
Pulmonary alveolar oxygen concentration
Term
What hormones cause vasoconstriction of small pulmonary arteries?
Definition
-stimulation of a1 adrenergic receptors
-inflammatory mediators (histamine, seratonin, bradykinin)
-PGF2alpha
Term
What hormones cause vasodilation of small pulmonary arteries?
Definition
-stimulation of b2-adrenergic receptors
-nitric oxide
-PGE2 & PGI2
Term
How does pulmonary alveolar oxygen concentration inluence PVR?
Definition
decreased oxygen in alveoli = decreased oxygen in arterioles = vasoconstriction to redirect blood to better ventilated areas
Term
True or False

Bronchial circulation is not a component of pulmonary circulation
Definition
true
Term
True or False

Bronchial circulation receives direct cardiac output from the left side of the heart (systemic circulation)
Definition
true
Term
What are bronchopulomonary anastomoses?
Definition
junctions between bronchial & pulmonary arteries/capillaries
Term
What is the role of bronchopulmonary ansatomoses?
Definition
provides back-up blood supply via pulmonary circuits in the event that a bronchial vessel becomes occluded, or vice-versa
Term
How does high altitude affect ventilation & circulation?
Definition
-high alt = lower oxygen concentrations
-leads to hyperventilation = less PCO2
-can lead to respiratory alkalosis
Term
What is pulmonary edema?
Definition
accumulation of fluid in the alveoli due decreased plasma oncotic pressure, increased capillary pressure, damaged capillary endothelium etc

(basically anything that would cause fluid to leave circulation & accumulate in the alveoli)
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