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Cardiovascular System 8: Tissue Fluid & Oedema $3.90   Add to cart

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Cardiovascular System 8: Tissue Fluid & Oedema

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A detailed summary on the causes of oedema and the use of the reflection coefficient.

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  • May 19, 2016
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  • 2014/2015
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TISSUE FLUID & OEDEMA

Oedema (dropsy) = Increase in fluid in extracellular spaces of tissue.

Extracellular fluid volume is largely dependent on total amount of Na+ in ECF compartment;
therefore, need to regulate Na+.
Tissue fluid is mainly produced in capillaries (microcirculation). Blood pressure coming into
the microcirculation is controlled by metabolic factors and sympathetic nervous system.

Capillary = approx. 6 micrometres in diameter. Capillary also has a single layer of permeable
endothelium.

3 TYPES OF CAPILLARY:

1. Continuous Capillary
 Most common type of capillary.
 Have tight junctions (held closely together).
 Limiting factor = contains pores and size of pores limits the size of substance
coming through.

2. Fenestrated Capillary
 Contain large pores.
 No tight junctions and more permeable than continuous capillary.
 Therefore, because of these features, found in kidney and gut for larger
molecules to get through.

3. Sinusoid Capillary (Discontinuous)
 Wide spaces and allow proteins/RBC’s to pass through.
 Found in the liver and spleen.

In terms of least leaky to most leaky: Continuous capillary < Fenestrated capillary < Sinusoid
capillary.

Solute permeability = dependent on pore size.
Plasma proteins can’t cross capillary wall.

Some solutes pass through endothelial cells (lipid solutes) whereas, some solutes pass
between endothelial cells via pores (Na+, K+, glucose and amino acids). However, pores are
quite small so limits rate and size of molecules that can get through.

Fluid flows in a unidirectional manor across the capillary wall.
Fluid flow from plasma to interstitial space is known as ultrafiltration.
Fluid flow from interstitial space to plasma is known as reabsorption.

Hydrostatic pressure = drives water out of capillaries.
Osmotic pressure = opposes hydrostatic pressure to do with solutes and drives water to a
high solute concentration.

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