Relationship between flow, pressure, and resistance
1. Changes in vessel diameter, blood viscosity, and vessel length affect resistance
2. Resistance influences bloodflow and pressure within the vascularsystem
↓Flow
△P/R↑
Higher resistance
Slower flow
↑Flow
△P/R↓
Lower resistance
Faster flow
NO PRESSURE DIFF. = NO FLOW
Pressure in vena cava
Central venous pressure (CVP)
Factors that affect Resistance
Radius of vessel (r)
Length of vessel (L)
Viscosity of fluid
Vasoconstriction
Vasodilation
Radius of vessel
(in arterioles & small arteries) can regulate radius
Vasoconstriction
Decreased radius → increased resistance
Decreases blood flow
Vasodilation
Increased radius → decreased resistance
Increases blood flow
Total peripheral resistance (TPR)
Combined resistance of all blood vessels within the systemiccircuit
If TPR increases
MAP increases
Net filtration pressure (NFP)
Balance between hydrostatic pressure (pushing fluid out of capillaries) and oncotic pressure (pulling fluid into capillaries)
Starling forces
Play a vital role in determining fluid movement across capillary walls, impacting processes like filtration and reabsorption in tissues
Hydrostatic Pressure
Force exerted by the fluid inside the capillaries and pushes fluid out of the capillary into the surrounding tissues
Oncotic Pressure
Force due to the presence of proteins in the blood, such as albumin, which pulls fluid back into the capillary from the surrounding tissues
Mean Arterial Pressure (MAP)
Represents the average pressure in the arteries during one cardiac cycle
Regulation of MAP
Neural control
Hormonal control
Determinants of MAP
Heart rate
Stroke volume
TPR
Increase in cardiac output
Leads to an increase in the volume of blood contained in the aorta and increase in MAP when TPR remains the same
Constant cardiac output
Leads to an increase in the volume of blood contained in the aorta & an increase in MAP when TPR increases
Erythrocytes (red blood cells)
Undergo a series of developmental stages, including production in the bone marrow (erythropoiesis), maturation, circulation, and eventual breakdown (eryptosis or senescence)
Erythrocytes synthesis
Stimulated by erythropoietin
Erythropoietin
Hemoglobin growth factor
Secreted from kidneys under conditions of low oxygen levels in blood flowing to kidneys
Differentiation of erythrocytes
1. Erythropoietin triggers differentiation of stem cells to erythrocytes
2. Developing erythrocytes produce hemoglobin
3. Developing erythrocytes lose nuclei and organelles
Need iron, folic acid, and vitamin B12 for production of erythrocytes
Life cycle of erythrocytes
1. Filtering and destruction of erythrocytes
2. Spleen filters and removes old erythrocytes
3. Hemoglobin is catabolized
4. Liver metabolizes byproducts from breakdown of erythrocytes
Erythrocytes
Biconcave disk shape
Large surface area
Favors diffusion
Flexible membrane
No nucleus or organelles
No mitochondria
No aerobic glycolysis
Major function - transport O2 and CO2
Hemostasis
1. Preventing and stopping bleeding
2. Vasoconstriction
3. Clot formation
Clot formation
1. Platelet adhesion
2. Platelet aggression
3. Fibrin
Platelet adhesion
Activated platelets adhere or stick to the exposed collagen fibers at the site of injury
Vascular spasm
Damage blood vessel
Vessel constricts to minimize blood loss
Platelet plug
Forms around the site of vessel damage
Decreases blood loss
Necessary for production of blood clot
Platelet aggregation
Activated platelets stick together forming a plug that seals a wound and stops bleeding
Coagulation/clotting cascade
Leads to the formation of a stable fibrin clot (blood clot)
Crucial for maintaining vascular integrity and preventing excessive blood loss
Anatomy of respiratory system
Upper airways
Respiratory tract
Structures of the thoracic cavity
Cellular structure of alveoli
Type I alveolar cells: make up wall of alveoli
Type II alveolar cells: secrete surfactant
Alveolar ventilation
Volume of air reaching the gas exchange areas per minute
Minute ventilation
Total volume of air entering and leaving the respiratory system each minute (Vt x RR)