Fluid Dynamics

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6 HAP II (Cardiovascular Physiology) FlashCards sobre Fluid Dynamics, criado por Jonathan Cash em 11-05-2016.
Jonathan Cash
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Gender Water % Solute & Solvent Men are 60% water. Women 50% water Solution = Solute + solvent Solvent is water, Solute is the substances dissolved in it
Intracellular Fluid (ICF) % Made of Location 65% of water is inside cells (ICF) Cytosol The amount of water inside cells varies Much is in muscle cells but almost none in fat
Extracellular Fluid (ECF) % 2 compartments and % Internal and external link 35% of body water is outside cells (ECF) Divided into 2 compartments: Interstitial (extra-vascular or tissue fluid) Intra-vascular (plasma) Of the 35% ECF, 23-28% is interstitial and 7-10% is in plasma Intra-vascular links the internal and external environments
Extracellular Fluid (ECF) Changes Movement Gained and Lost 1/6 ECF changes daily 2500mL day enters the ECF 2.5L day is gained & 2.5L lost It moves into the circulation -> blood capillary tissues -> blood capillary -> exits out of the body
Fluid Movement Forces moving between ECF and ICF Intravascular and Interstitial One force moves water between ECF and ICF: - Osmotic pressure Two forces move water between intravascular and interstitial: - Hydrostatic pressure creating filtration pressure - Osmotic pressure - Hydrostatic pressure creates interstitial fluid from plasma
Hydrostatic pressure Force exerted by fluid pressing against a wall. Creating filtration pressure. Created by blood pressure. The capillary wall is leaky, so fluid is forced out.
Capillaries = site of filtration - Narrow - wide enough for one red blood cell. - Leaky - Flow is slow - Beds be flooded or bypassed - Destination of transported substances
Filtration - Hydrostatic pressure will force water with solutes through capillary walls. - If the water moves through a membrane, the solutes may or may not be able to move through also. - Blood cells, platelets & most proteins are too large to leave the blood vessel. - Solutes move by diffusion.
Capillary bed Consist of - Vascular shunt and - True capillaries = the actual exchange vessels
Vascular Shunt Sphincters closes (sympathetic stimulation) Blood flows straight through metarteriole thoroughfare channel and bypasses true capillaries 'shunting' blood away from this area of tissue
Structure of capillaries - A single layer of endothelial cells (squamous) on a basement membrane. - The basement membrane creates a mechanical barrier. - Pericytes embedded in the membrane regulate flow and permeability. Structure determines permeability & type: 1. continuous 2. fenestrated 3. sinusoidal.
The capillary wall is crossed by; Clefts Fenestrations (Pores) Vesicles
Structure of capillaries – Continuous capillaries - the most common type. - very smooth. - cells are joined by tight junctions. - Gaps between the cells = clefts for exchange of substances between blood, interstitial fluid.
Continuous capillaries & the Blood Brain Barrier - The least leaky capillaries - Brain capillaries have been modified to protect the brain (blood brain barrier) - They have continuous tight junctions and ion pumps that ensure that these capillaries are very selective. - Give the brain protection from some substances in the blood. - The hypothalamus and vomiting centre of the medulla do not have a blood brain barrier.
Blood brain barrier Able to pass O2, CO2 Glucose Essential amino acids Some electrolytes Lipid based substances Alcohol, nicotine, anaesthetics
Blood brain barrier unable to pass Metabolic wastes Proteins Toxins Most drugs small non essential amino acids potassium ions.
Structure of capillaries - Fenestrated capillaries - Endothelial cells joined by tight junctions - cells contain pores - very permeable - allow active filtration or re-absorption - located in small intestine, endocrine organs and kidneys.
Fenestrated capillaries = choroid plexuses in the brain ventricles to make CSF.
Structure of capillaries - Sinusoidal capillaries Most leaky large, irregular shaped lumen slow blood flow located in red bone marrow, liver, spleen. allow easy movement of substances
Hydrostatic pressure pushes fluid through capillary walls to make - Synovial fluid - aqueous humor of the eye - Interstitial fluid (tissue fluid) - CSF - Serous fluid
hydrostatic pressure - The HP in the tissue fluid (HPif) is almost zero mmHg - HPc is 35 mmHg at arteriolar end of a capillary and - HPc reduces to 17 mmHg at venule end of a capillary - HPc is pushing fluid along and OUT of the leaky capillaries
Osmosis - Always movement of Water - Water will move from one side of a semi permeable membrane to the other side when: 1.There is a difference in solute concentration on two sides of a semi permeable membrane 2. And the solutes cant move through that membrane
Osmosis; definitions - Movement of water from hypotonic to hypertonic - Water moves from area of high water to an area of low water - Water moves from area of low solute to high solute Through a semi-permeable membrane
Tonicity Isotonic Hypertonic Hypotonic A way of comparing the concentration 2 solutions Isotonic: the same concentration - No osmosis occurs - Isotonic saline = normal saline = 0.9% NaCl & is isotonic with ECF Hypertonic: solution has a higher concentration of solutes Hypotonic: Solution has a lower solute concentration
Osmotic pressure - Osmotic gradients are created when there is a difference in solute concentration. - Electrolytes are solutes important at the cell - But osmotic gradients can be caused by other substances such as glucose or proteins - Oncotic pressure is osmotic pressure created by proteins and is important at the capillary
Osmotic pressure cont. Definition Definition: Pressure required to stop movement of pure water through a semipermeable membrane into a solution Or The greater the concentration difference, the greater the osmotic pressure
How hydrostatic & osmotic pressures cause fluids to shift Blood Interstitial - blood hydrostatic pressure pushes fluid out - blood osmotic pressure pulls fluid in - interstitial fluid hydrostatic pressure pushes fluid in - interstitial fluid osmotic pressure pulls fluid out
ECF Fluid movement summary - Hydrostatic pressure in capillaries is created by the heart (BP) & the weight of fluid - It forces fluid out of capillaries - Capillary osmotic pressure is created by the plasma proteins - It sucks fluid back into capillaries - 85% fluid that leaves capillaries gets sucked back - Any fluid not sucked back into the capillaries enters the lymphatic system
How hydrostatic & osmotic pressures cause fluids to shift - 20L/day fluid pushed out of capillaries by HPc - How does this fluid get inside the cells? - ECF & ICF are osmotically equal - If they are not, osmosis moves the fluid in or out of cells - Hydrostatic pressure has no effect on the cell.
Adding & loosing water - The amount of water and osmolality of any one compartment, affects the others. - Adding water to a compartment lowers the concentration & thus the osmotic pressure - Removing water from a compartment increases the concentration & thus the osmotic pressure
Total body water - Is monitored by osmoreceptors - In the hypothalamus - If water level drops → osmolarity increase. Feedback mechanisms restore levels to normal - Water level may drop due to dehydration, bleeding, sweating, vomiting & diarrhoea, evaporation from respiratory surfaces, - Osmolarity may increase because water level drops or salt intake increases
1L of water moves into all compartments All fluid compartments increase in volume in proportion Normal ICF 65%; ECF 35%; Intra vascular = 7% & interstitial = 28%. 65% into cells = 650 mL divided amongst 10 000 trillion cells 35% as EFC = 350mL 70mL into plasma (Volume excess) & 280 mL into interstitial space (edema) All fluid compartments will decrease concentration
1L of water moves into all compartments Symptoms Brain cells can swell & impaired headaches, nausea, convulsions, coma & death Blood volume increases, BP increases, ANP released, renin suppressed, Hypothalamus trigger ADH & thirst suppression.
Homeostatic fluid control - ICF: Cells will swell or shrink as fluid shifts in or out from interstitial compartment - ECF: Increase or decreased blood volume regulated by hormonal controls. - Decreased volume: ADH, thirst & if accompanied by reduced BP, Renin - Increased volume: ANP - Increased tonicity: same as decreased volume - Decreased tonicity: Aldosterone

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