Haemodynamic Disorders and Edema

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Questions and Answers

What is referred to as hydrostatic pressure in vessels?

  • The pressure exerted by blood cells on vessel walls
  • The pressure within the capillaries
  • The pressure pushing fluid out into the interstitial tissue (correct)
  • The overall pressure of the fluid in the circulatory system

Which statement is true regarding hydrostatic pressure?

  • It is influenced only by blood viscosity.
  • It can affect the movement of fluid between blood vessels and tissues. (correct)
  • It always decreases as fluid moves through the vessels.
  • It has no impact on interstitial fluid levels.

What role does hydrostatic pressure play in the body?

  • It helps to regulate heart rate.
  • It facilitates the exchange of nutrients and waste products. (correct)
  • It maintains the elasticity of blood vessels.
  • It prevents blood clotting.

In which situation would hydrostatic pressure be expected to increase?

<p>When blood volume increases. (C)</p> Signup and view all the answers

Which factor does NOT influence hydrostatic pressure in blood vessels?

<p>The temperature of the surrounding environment. (C)</p> Signup and view all the answers

What role does hydrostatic pressure play in interstitial tissue?

<p>It pushes fluid into the vessels from the interstitial tissue. (A)</p> Signup and view all the answers

How does osmotic pressure affect fluid movement in the interstitial tissue?

<p>It pulls fluid into the vessels from the interstitial tissue. (D)</p> Signup and view all the answers

What is the primary function of osmotic pressure in fluid dynamics?

<p>To pull fluid into the vessels and interstitial tissue. (B)</p> Signup and view all the answers

What effect does the presence of dissolved solutes have on fluid movement in interstitial tissue?

<p>It enhances osmotic pressure, pulling fluid into the vessels. (A)</p> Signup and view all the answers

Which statement accurately describes the relationship between hydrostatic pressure and osmotic pressure?

<p>Hydrostatic pressure pushes fluid into the interstitial tissue while osmotic pressure pulls fluid into the vessels. (D)</p> Signup and view all the answers

Flashcards

Hydrostatic Pressure in Vessels

Hydrostatic pressure in blood vessels is the force that pushes fluid from the capillaries into the surrounding tissues.

Interstitial Fluid

The interstitial fluid is the fluid that surrounds cells in tissues. It is a constant flow of nutrients and waste products.

Outward Pressure of Fluids

The outward pressure of fluids from the blood vessels is caused by the heart pumping blood throughout the body.

Passive Transport

The movement of substances from an area of high concentration to an area of low concentration is called passive transport. It does not require energy.

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Fluid Balance

The balance of fluids between blood vessels and surrounding tissues is crucial for health. It ensures proper delivery of nutrients and removal of waste products.

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Hydrostatic Pressure

The pressure exerted by a fluid against the walls of its container, such as blood vessels.

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Osmotic Pressure

The pressure created by dissolved solutes in a fluid, like blood.

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Osmotic Pressure in Vessels

The force that pulls fluid from interstitial tissue back into blood vessels.

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Study Notes

Haemodynamic Disorders

  • Hemodynamics studies blood and fluid flow in the body
  • Proper flow requires balance between hydrostatic and osmotic pressure
  • Imbalance leads to abnormal fluid distribution (edema) in cells or interstitial tissues
  • Coagulation maintains vascular integrity, but inappropriate coagulation can cause vessel occlusion
  • Adequate blood flow is essential for cellular oxygen and nutrient supply, and waste removal
  • Inadequate blood flow to an organ is termed ischemia
  • Ischemia can cause cellular dysfunction and, if severe, cell death
  • Shock results from reduced blood volume, heart failure, or generalized vasculature dilation due to infection

Edema

  • Edema is fluid accumulation in cells, interstitial tissues, or body cavities.
  • Mechanisms include increased vascular hydrostatic pressure, decreased plasma osmotic pressure, lymphatic obstruction, and inflammation
  • Causes of increased vascular hydrostatic pressure include heart failure (blood buildup in veins) and cirrhosis (liver scarring impairing blood flow)
  • Venous obstruction (e.g., tumor) can also cause increased pressure, leading to fluid leakage
  • Decreased plasma osmotic pressure can result from decreased albumin production by the liver, increased protein loss by the kidneys, or malnutrition.
  • Lymphatic obstruction causes edema due to conditions like lymphoma or parasitic infections (elephantiasis)

Causes of Inflammation

  • Increased vascular permeability during acute inflammation causes edema
  • Edema effects vary depending on the affected organ
    • Soft tissues: usually no significant damage, cosmetic changes possible
    • Lungs: fluid in alveoli and pleural cavities, affecting oxygenation
    • Brain: swollen brain, increased intracranial pressure, herniation risk

Important Concepts and Terms

  • Transudate: protein-poor fluid, often caused by heart failure or decreased protein levels
  • Exudate: protein-rich fluid, often caused by inflammation
  • Dependent edema: fluid accumulation in extremities due to gravity, often associated with heart failure
  • Pitting edema: finger depression impressions remain in swollen skin, common with heart failure, often a transudate
  • Anasarca: generalized body edema often associated with kidney protein loss

Shock

  • Shock is generalized hypoperfusion (inadequate blood flow) to organs.
  • Three main types: cardiogenic (pump failure), hypovolemic (low blood volume), septic (infection-induced).

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