Chapter 14: Blood Vessels and Blood Circulation
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Transcript of Chapter 14: Blood Vessels and Blood Circulation
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Chapter 14:Blood Vessels andBlood Circulation
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taylor: Memmler’s Structure and Function of the Human Body
Overview
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taylor: Memmler’s Structure and Function of the Human Body
Key Terms
aorta endothelium vasomotor
arteriole pulse vein
artery sinusoid vena cava
baroreceptor sphygmomanometer vasodilation
capillary valve venule
compliance vasoconstriction
elasticity venous sinus
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Taylor: Memmler’s Structure and Function of the Human Body
The Vascular System
• A closed system of vessels that transports blood to and from the lungs and body tissues
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Taylor: Memmler’s Structure and Function of the Human Body
Figure 14-1 The cardiovascular system.
Which vessels carry blood away from the heart? Which carry blood toward the heart?
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Taylor: Memmler’s Structure and Function of the Human Body
Overview of Blood Vessels
Learning Outcomes
1.Differentiate among the five types of blood vessels with regard to structure and function.
2.Compare the pulmonary and systemic circuits relative to location and function.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taylor: Memmler’s Structure and Function of the Human Body
Overview of Blood Vessels
Blood Vessel Types
•Arteries
•Arterioles
•Capillaries
•Venules
•Veins
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Taylor: Memmler’s Structure and Function of the Human Body
Figure 14-2 Sections of small blood vessels.
Which vessels have valves that control blood flow?
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taylor: Memmler’s Structure and Function of the Human Body
Overview of Blood Vessels
Blood Circuits
•The pulmonary circuit
– Pulmonary artery and its branches
– Capillaries in lungs
– Pulmonary veins
•The systemic circuit
– Aorta
– Systemic capillaries
– Systemic veins
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taylor: Memmler’s Structure and Function of the Human Body
Figure 14-1 The cardiovascular system.
Which vessels carry blood away from the heart? Which carry blood toward the heart?
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taylor: Memmler’s Structure and Function of the Human Body
Overview of Blood Vessels
Vessel Structure
• Three tunics (coats) of arteries and veins
• Inner (endothelium)
• Middle (smooth [voluntary] muscle)
– Controlled by autonomic nervous system
– Thinner in veins
• Outer (supporting connective tissue)
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Taylor: Memmler’s Structure and Function of the Human Body
Figure 14-3 Cross section of an artery and vein.
Which type of vessel shown has a thicker wall?
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taylor: Memmler’s Structure and Function of the Human Body
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taylor: Memmler’s Structure and Function of the Human Body
Overview of Blood Vessels
✓Checkpoints
14-1 What are the five types of blood vessels?
14-2 What are the two blood circuits and what areasdoes each serve?
14-3 What type of tissue makes up the middle tunic ofarteries and veins, and how is this tissue controlled?
14-4 How many cell layers make up the wall of acapillary?
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taylor: Memmler’s Structure and Function of the Human Body
Systemic Arteries
Learning Outcomes
3.Name the four sections of the aorta and list the main branches of each section.
4.Trace the pathway of blood through the main arteries of the upper and lower limbs.
5.Define anastomosis, cite its function, and give several examples.
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic Arteries
The Aorta
•Largest artery
•Receives blood from left ventricle
•Branches to all organs
Parts of the Aorta
•Ascending aorta
•Aortic arch
•Thoracic aorta
•Abdominal aorta
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic Arteries
Branches of the Ascending Aorta and Aortic Arch
•Ascending aorta
– Left and right coronary arteries
•Aortic arch
– Brachiocephalic artery
• Right subclavian artery
• Right common carotid artery
– Left common carotid artery
– Left subclavian artery
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic Arteries
Branches of the Thoracic Aorta
•Branches to chest wall, esophagus, and bronchi
•Intercostal arteries
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic Arteries
Branches of the Abdominal Aorta
•Celiac trunk
– Left gastric artery
– Splenic artery
– Hepatic artery
•Superior mesenteric artery
•Inferior mesenteric artery
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic Arteries
Branches of the Abdominal Aorta (continued)
•Paired lateral branches
– Phrenic arteries
– Suprarenal arteries
– Renal arteries
– Ovarian and testicular arteries
– Lumbar arteries
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Taylor: Memmler’s Structure and Function of the Human Body
Figure 14-4 The aorta and its branches.
How many brachiocephalic arteries are there?
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic Arteries
Arteries to the Pelvis and Leg
•Internal iliac arteries
•External iliac arteries
– Femoral artery
• Popliteal artery
Tibial arteries
Dorsalis pedis
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic Arteries
Arteries That Branch to the Arm and Head
•External carotid artery
•Internal carotid artery
•Subclavian artery
– Vertebral artery
– Axillary artery
• Brachial artery
Radial artery
Ulnar artery
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Taylor: Memmler’s Structure and Function of the Human Body
Figure 14-5 Principal systemic arteries.
What large vessels branch from the terminal aorta?
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic Arteries
Anastomoses
•A communication between two vessels
•Examples
– Circle of Willis
– Superficial palmar arch
– Mesenteric arches
– Arterial arches
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Taylor: Memmler’s Structure and Function of the Human Body
Figure 14-6 Arteries that supply the brain.
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taylor: Memmler’s Structure and Function of the Human Body
Systemic Arteries
✓Checkpoints
14-5 What are the subdivisions of the aorta, the largestartery?
14-6 What are the three branches of the aortic arch?
14-7 What areas are supplied by the brachiocephalicartery?
14-8 What is an anastomosis?
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic Veins
Learning Outcomes
6.Compare superficial and deep veins and give examples of each type.
7.Name the main vessels that drain into the superior and inferior venae cavae.
8.Define venous sinus and give several examples of venous sinuses.
9.Describe the structure and function of the hepatic portal system.
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic Veins
• Superficial veins
– Cephalic, basilic, median cubital veins
– Saphenous veins
• Deep veins
– Femoral and iliac vessels
– Brachial, axillary, subclavian vessels
– Jugular veins
– Brachiocephalic vein
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic Veins
The Venae Cavae and Their Tributaries
•Superior vena cava
– Head, neck, upper extremities
•Azygos vein
– Chest wall
•Inferior vena cava
– Right, left veins from paired parts, organs
– Unpaired veins from spleen, digestive tract
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Taylor: Memmler’s Structure and Function of the Human Body
Figure 14-7 Principal systemic veins.
How many brachiocephalic veins are there?
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic veins
Venous Sinuses
•Coronary sinus
•Cranial venous sinuses
– Cavernous sinuses
• Petrosal sinuses
– Superior sagittal sinus
• Confluence of sinuses
– Transverse sinuses (lateral sinuses)
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic Veins
The Hepatic Portal System
•Carries blood from abdominal organs to liver
– Superior mesenteric vein
– Splenic vein
– Gastric, pancreatic, inferior mesenteric veins
– Sinusoids
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Taylor: Memmler’s Structure and Function of the Human Body
Figure 14-8 Hepatic portal system.
What vessel do the hepatic veins drain into?
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Taylor: Memmler’s Structure and Function of the Human Body
Systemic Veins
✓Checkpoints
14-9 What is the difference between superficial and deep veins?
14-10 What two large veins drain the systemic bloodvessels and empty into the right atrium?
14-11 What is a venous sinus?
14-12 The hepatic portal system takes blood from theabdominal organs to which organ?
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Taylor: Memmler’s Structure and Function of the Human Body
Circulation Physiology
Learning Outcomes
10.Explain the forces that affect exchange across the capillary wall.
11.Describe the factors that regulate blood flow.
12.Define pulse and list factors that affect pulse rate.
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Taylor: Memmler’s Structure and Function of the Human Body
Circulation Physiology
• Blood exchanges oxygen, carbon dioxide, other substances generated by cells
• Tissue fluid (interstitial fluid) is exchange medium
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Taylor: Memmler’s Structure and Function of the Human Body
Circulation Physiology
Capillary Exchange
•How substances move between cells and capillary blood
– Diffusion
• Main process
– Blood pressure
• Moves material into tissue fluid
– Osmotic pressure
• Moves material into capillaries
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Taylor: Memmler’s Structure and Function of the Human Body
Figure 14-9 The role of capillaries.
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Taylor: Memmler’s Structure and Function of the Human Body
Circulation Physiology
The Dynamics of Blood Flow
•Vasomotor center in medulla regulates vasomotor activities
– Vasodilation
– Vasoconstriction
•Precapillary sphincter
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Taylor: Memmler’s Structure and Function of the Human Body
Circulation Physiology
Return of Blood to the Heart
•Mechanisms that promote blood’s return to heart
– Contraction of skeletal muscles
– Valves
– Breathing
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Taylor: Memmler’s Structure and Function of the Human Body
Figure 14-10 Blood return.
Which of the two valves shown is closer to the heart?
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Taylor: Memmler’s Structure and Function of the Human Body
Circulation Physiology
✓Checkpoints
14-13 What force helps to push materials out of acapillary? What force helps to draw materials into a capillary?
14-14 Name the two types of vasomotor changes.
14-15 Where are vasomotor activities regulated?
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taylor: Memmler’s Structure and Function of the Human Body
Circulation Physiology
The Pulse
•Ventricular contraction
•Wave of increased pressure
•Begins at heart and travels to arteries
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Taylor: Memmler’s Structure and Function of the Human Body
Circulation Physiology
The Pulse (continued)
•Influenced by various factors
– Body size
– Gender
– Age
– Muscular activity
– Emotion
– Body temperature
– Thyroid secretion
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Taylor: Memmler’s Structure and Function of the Human Body
Circulation Physiology
Learning Outcomes
13.List the factors that affect blood pressure.
14.Explain how blood pressure is commonly measured.
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Taylor: Memmler’s Structure and Function of the Human Body
Circulation Physiology
Blood Pressure
•Force exerted by blood against vessel walls
•Determined by
– Cardiac output
– Blood vessel resistance to blood flow
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Taylor: Memmler’s Structure and Function of the Human Body
Figure 14-11 Blood pressure.
In which vessels does the pulse pressure drop to zero?
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Taylor: Memmler’s Structure and Function of the Human Body
Cardiac Output
• Volume of blood pumped out of each ventricle in
one minute
• Heart rate
– Beats per minute
• Stroke volume
– Controlled by force of contractions
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Taylor: Memmler’s Structure and Function of the Human Body
Circulation Physiology
Resistance to Blood Flow
•Peripheral resistance is affected by
– Vasomotor changes
– Baroreceptors in large arteries
– Elasticity of blood vessels
– Viscosity
– Total blood volume
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Taylor: Memmler’s Structure and Function of the Human Body
Circulation Physiology
Blood Pressure Measurement
•Pressure is measured in the brachial arm artery using a sphygmomanometer.
– Systolic pressure
• Occurs during heart contraction
• Normal systolic: 120 mmHg
– Diastolic pressure
• Occurs during heart relaxation
• Normal diastolic: 80 mmHg
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Taylor: Memmler’s Structure and Function of the Human Body
Figure 14-12 Measurement of blood pressure.
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Taylor: Memmler’s Structure and Function of the Human Body
Circulation Physiology
✓Checkpoints
14-16 What is the definition of pulse?
14-17 What is the definition of blood pressure?
14-18 What is the most significant factor in determination of peripheral resistance?
14-19 What two components of blood pressure aremeasured?
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Taylor: Memmler’s Structure and Function of the Human Body
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taylor: Memmler’s Structure and Function of the Human Body
Case Study
Learning Outcome
15. Referring to the case study, trace the pathway of an embolus from the femoral vein to the pulmonary artery.
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Taylor: Memmler’s Structure and Function of the Human Body
Case Study
Pathway of an Embolus From the Femoral Vein to the Pulmonary Artery
Femoral vein External iliac vein Common iliac vein Inferior vena cava Right atrium Right ventricle Pulmonary trunk Pulmonary arteries
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Taylor: Memmler’s Structure and Function of the Human Body
Word Anatomy
Learning Outcome
16. Show how word parts are used to build words related to the blood vessels and circulation.
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Taylor: Memmler’s Structure and Function of the Human Body
Word Anatomy
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taylor: Memmler’s Structure and Function of the Human Body