Capillary Function - Filtration & Reabsorption

Notes

Capillary Function - Filtration & Reabsorption

Sections



Capillary Function

Molecular Exchange in Capillaries

Diffusion: movement of solutes such as oxygen and carbon dioxide.
Filtration: movement of fluids and solutes from blood to interstitial space.
Reabsorption: movement of fluids and solutes from interstitial space to blood.
Diffusion is discreet movement of individual solutes; Filtration and Reabsorption are mass movements of fluids.

Interstitial Space:

Intermediate space between vascular system and tissues; comprises fluid that bathes tissue cells and vascular walls.

Diffusion

Review Diffusion.

Oxygen Gradient: Arterial → Venous end of capillary

Blood: High oxygen (arterial) → Low oxygen (venous)

Interstitial space: Low oxygen (arterial) → High oxygen (venous)

Arterial system delivers oxygen rich blood to oxygen poor tissues; Venous system returns oxygen poor blood to heart/lungs.

Carbon Dioxide Gradient: Arterial → Venous end of capillary

Blood: Low carbon dioxide (arterial) → High carbon dioxide (venous)

Interstitial space: High carbon dioxide (arterial) → Low carbon dioxide (venous)

Tissues release carbon dioxide as metabolic byproduct of cellular respiration; Venous system returns carbon dioxide to the lungs where it is exhaled.

Filtration & Reabsorption

Filtration:

Force provided by blood pressure (hydrostatic pressure).
Fluid is pushed out of the capillary and into interstitial space.
Occurs on arterial end: blood pressure > osmotic pressure.

Reabsorption:

Force provided by osmotic pressure.
Plasma proteins remain in blood and create concentration gradient; Facilitate reabsorption of fluids into circulatory system.
Occurs on venous end: osmotic pressure > blood pressure.

Lymphatic System:

Absorbs fluid lost by capillaries (~4L per day).
Returns fluid to circulation → drains into venae cava.

Edema:

Imbalance in hydrostatic and osmotic forces results in too much fluid in interstitial space.
Occurs in congestive heart failure, renal failure and liver failure.
Results in tissue swelling.