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THIRD EDITION HUMAN PHYSIOLOGY AN INTEGRATED APPROACH Dee Unglaub Silverthorn, Ph.D. Chapter 15 Blood Flow and the Control of Blood Pressure PowerPoint® Lecture Slide Presentation by Dr. Howard D. Booth, Professor of Biology, Eastern Michigan University Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings The Blood Vessels and the Cardiovascular System • Arteries: blood from heart • Strong & Elastic • Conduct blood to capillaries • Sphincters • Capillaries: exchange with cells • Veins • Return blood to heart • Valves Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Arteries endothelium Smooth muscle cell layer adventitia Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Veins “Blood Reservoir” 70% of our blood volume is on the venous side. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings The Blood Vessels and the Cardiovascular System Figure 15-1: Functional model of the cardiovascular system Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings • ARTERIES • ARTERIOLES (pressure variability) • METARTERIOLES (pressure variability) • CAPILLARIES (microcirculation; low pressure) • VENULES (microcirculation; low pressure) • VEINS Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Make Up of Blood Vessels: Arteries and Arterioles Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 15-2: Blood vessels Metarterioles • Bypass capillaries • Large cells • Speed flow Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 15-3: Metarterioles Blood Pressure: Generated by Ventricular Contraction • Pulsatile: surges in arteries • Elastic rebound evens & maintains pressure Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Blood Pressure: Generated by Ventricular Contraction Figure 15-4: Elastic recoil in the arteries Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Blood Pressure (BP): Measurements • "Blood pressure" • Systolic over diastolic • About 120/80 mmHg • Sphygmomanometer • "Estimate of pressure" • Korotkoff sounds Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings More Blood Pressures: Pulse and Mean Arterial Pressures Figure 15-5: Pressure throughout the systemic circulation Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings More Blood Pressures: Pulse and Mean Arterial Pressures • Pulse pressure is the strength of the pulse wave. • Pulse pressure = Systolic–Diastolic • Mean arterial pressure is an estimate of ventricular pressure. • Mean arterial pressure (MAP) = Diastolic + 1/3 pulse p Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Blood Pressure (BP): Measurements Figure 15-7: Measurement of arterial blood pressure Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Arteriole Resistance: Control of Local Blood Flow • Myogenic auto regulation • Paracrines: • Active hyperemia • Reactive hyperemia • Sympathetic nerves – CNS • Not lecturing on it; but you are responsible for this information. Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Capillary Blood Flow: Greatest Total Cross Sectional Area • Lowest Velocity • Hydrostatic pressure drops Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 15-17: The velocity of flow depends on the total crosssectional area Capillary Exchange: • Filtration; leaves capillary • Absorption; enters capillary • Plasma (inside capillary) • Interstitial fluid or ECF (outside capillary) • Colloid osmotic pressure • Created by proteins in the plasma (constant) • Hydrostatic pressure- like holes in a garden hose. • Decreases from artery to venous side!!! Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Capillary Exchange: Colloidal Osmotic Pressure is Constant Figure 15-18a: Fluid exchange at the capillary Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Net Out Flow Into ECF • Net filtration – net absorption = net out flow • About 2 L/day collected by lymph vessels Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 15-18b: Fluid exchange at the capillary Capillary Exchange: Hydrostatic Pressure Declines • High on arterial side – bulk flow out • Low on venous side – bulk flow in • Fenestrations &/or leaky joints speed exchange Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 15-18a: Fluid exchange at the capillary Lymphatic System: Structure and Roles (overview) • Lymphatic structures • Capillaries with valves • Lymph vessels • Lymph nodes & organs • Immune defense • Transport of fats • Collects excess ECF • Returns to plasma • Edema Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Lymphatic System: Structure and Roles (overview) Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Figure 15-19: The lymphatic system Lymph Node; Immune function Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Edema; increase in hydrostatic pressure Abnormal swelling Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Regulation of Blood Pressure • Medullary cardiac control center • Baroreceptor reflex • Carotid • Aortic PLAY Animation: Cardiovascular System: Blood Pressure Regulation Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings Regulation of Blood Pressure Figure 15-22: The baroreceptor reflex: the response to increased blood pressure Copyright © 2004 Pearson Education, Inc., publishing as Benjamin Cummings