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Fluids of the circulatory system name them • the fluid derived from blood plasma, that surrounds the cells in a tissue Tissue fluid • the fluid held in the heart, arteries, veins and capillaries Blood/plasma • the fluid held in the lymphatic system (lymph nodes and lacteals) Lymph Learning Objectives • the formation of tissue fluid from plasma • To include reference to – hydrostatic pressure, – oncotic pressure – an explanation of the differences in the composition of blood, tissue fluid and lymph. Tissue fluid • colourless fluid formed from blood plasma by pressure filtration through capillary walls • surrounds all the cells of the body • Allows exchanges between the blood and cells of eg oxygen, glucose, carbon dioxide Tissue fluid contains: 1. Glucose 2. Amino acids Supplies all of these to 3. Fatty acids the tissues 4. Salts 5. Oxygen So what does the tissue fluid take away? 1. Carbon dioxide 2. Other waste products Pressures at work • Hydrostatic Pressure – Pushing fluid out – arterial end about 4.6KPa – Venous end about 2.3KPa • Oncotic Pressure (-3.3KPa) – Blood proteins pulling fluid back in • Arterial end: blood is under high pressure (hydrostatic pressure = 4.6kPa) due to contraction of heart muscle • tends to push blood out of capillaries through tiny gaps in their walls • (red blood cells, most white blood cells, platelets and plasma proteins are too large to leave) • Venous end: blood has lost hydrostatic pressur it is now 2.3 kPa. • Osmotic pressure -3.3kPa exceeds hydrostatic pressure so this creates a pull which moves fluid back into capillary Net outflow? 1.2kPa Net inflow? see p183 -1.0kPa Fluid in or out of the capillary? • Both hydrostatic and oncotic pressure are found in the blood vessels and in the tissues. Their relative balance determines whether fluid enters or leaves the capillary • What effect could high blood pressure have on tissue fluid formation. Lymph A milky liquid made up of 1. excess tissue fluid not all tissue fluid returns to capillaries about 10% drains away into lymphatic system 2. fatty substances absorbed from intestines 3. Lymphocytes produced in lymph nodes (swellings along lymphatic system which filter bacteria from lymph fluid). phagocytes engulf and destroy bacteria. Human Lymphatic System Lymphatic system is made up of one way vessels resembling blood capillaries Start at tissues, drain excess fluid into larger vessels Rejoin blood system in chest cavity Lymphatic System Lymphatic problems Oedema accumulation of tissue fluid can have several causes. Malnutrition Kwashiorkor Elephantiasis caused by roundworm infection in the lymph nodes Past paper questions Jan 2004 Jan 2002 Capillary Capillary HP +SP (OP) 4.3kPa +-3.3kPa= 1.0kPa HP +SP (OP) 1.6kPa +-3.3kPa= -1.7kPa Tissues Tissues HP=SP (OP) 1.1kPa + -1.3kPa = -0.2kPa HP=SP (OP) 1.1kPa + -1.3kPa = -0.2kPa Pulling fluid into tissues with a force of 0.2kPa Pulling fluid into tissues with a force of 0.2kPa Add this to the capillary outward force of 1.0kPa = 1.2kPa in total Add this to the capillary inward pull of -1.7kPa = -1.5kPa in total NOTE You may not be expected to take the hydrostatic and oncotic effect of the tissues into account but you should be aware of it Heart Lymph is moved along the vessels in three ways: 1. Hydrostatic pressure. 2. Contraction of the body muscles. 3. Valves maintain one way flow Tasks • Complete the comparison table for blood, tissue fluid and lymph