chapter 018
TRANSCRIPT
The Human Body in Health and Illness, 4th edition
Barbara Herlihy
Chapter 18:Anatomy of the Blood Vessels
1
Lesson 18-1 Objectives
• Describe the pulmonary and systemic circulations.
• Describe the structure and function of arteries, capillaries, and veins.
• List the three layers of tissue found in arteries and veins.
• Explain the functions of conductance, resistance, exchange, and capacitance vessels.
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.2
Circles, Circuits, and Circulation
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.3
Types of Blood Vessels • Arteries
– Arterioles
• Capillaries• Veins
– Venules
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.4
Blood Vessel Walls: Layers
• Tunica intima– Endothelium
• Tunica media– Elastic tissue and
smooth muscle
• Tunica adventitia– Connective tissue
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.5
Blood Vessels: Functions
• Arteries: Conductance vessels• Arterioles: Resistance vessels• Capillaries: Exchange vessels• Veins and venules: Capacitance vessels
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.6
Lesson 18-2 Objectives
• List the major arteries of the systemic circulation that are branches of the ascending aorta, aortic arch, and descending aorta.
• List the major veins of the systematic circulation.
• Describe the following special circulations: Blood supply to the head and brain, hepatic circulation, and fetal circulation.
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.7
Naming the Aorta: Two Systems
• Aorta– Ascending– Arch– Descending
• Aorta– Thoracic – Abdominal
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.8
Branches of Aorta: Ascending and Arch
• Ascending aorta– Left and right
coronary arteries
• Aortic arch– Brachiocephalic– Left common carotid– Left subclavian artery
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.9
Major Arteries of Shoulders and Upper Extremities
• Subclavian • Axillary • Brachial• Radial• Ulnar• Arteries to the hand
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.10
Branches of the Aorta: Descending
• Thoracic – Intercostal– Other arteries
• Abdominal– Celiac trunk– Mesenteric arteries– Renal arteries– Common iliacs
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.11
Major Arteries of the Lower Extremities
• External iliac• Femoral• Popliteal• Anterior and
posterior tibial • Dorsalis pedis
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.12
Major Veins of the Systemic Circulation
• Superior vena cava (SVC)– Drains head,
shoulders, upper extremities
• Inferior vena cava (IVC)– Drains all regions
below diaphragm Copyright © 2011, 2007 by Saunders,
an imprint of Elsevier Inc. All rights reserved.
13
Veins Draining into the SVC• Ulnar and radial• Median cubital• Basilic and cephalic• Brachial• Axillary• Subclavian• Brachiocephalic• Jugulars (drain brain)
Copyright © 2011, 2007 by Saunders,
an imprint of Elsevier Inc. All rights reserved.
14
Veins Draining into the IVC• Tibial, peroneal• Popliteal• Femoral,
saphenous• External iliac• Common iliac• Renal• Hepatic
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.15
Special Circulations
• Blood supply to the head and brain• Blood supply to the liver• Fetal circulation
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.16
Blood Supply to Head and Brain
• Carotid arteries– Right and left
common carotid– External and internal
carotid
• Vertebral arteries– Right and left
vertebral
• Circle of Willis Copyright © 2011, 2007 by Saunders,
an imprint of Elsevier Inc. All rights reserved.
17
Brain’s Blood Supply: Circle of Willis
• Found in base of brain
• Left and right internal carotid arteries
• Vertebral arteries– Basilar artery
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.18
Venous Drainage of Head and Brain
• External and internal jugular veins
• Vertebral veins• Subclavian veins
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.19
Special Circulation: Liver • Portal vein carries
unoxygenated blood from organs of digestion.
• Hepatic vein carries blood from liver to IVC.
• Hepatic artery carries oxygenated blood to liver.
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.20
Fetal Circulation: Heart Modification
• Foramen ovale shunts blood from the right atrium to left atrium.
• Ductus arteriosus is a connection between the pulmonary artery and descending aorta.
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.21
Fetal Circulation: Periphery
• Umbilical vein brings oxygenated blood from placenta to fetus.
• Ductus venosus bypasses fetal liver to deliver blood to IVC.
• Two umbilical arteries bring blood from fetus to placenta.
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.22
Assessment at Pulse Points
• Heart rate• Rhythm• Strength• Adequacy of blood
flow
Copyright © 2011, 2007 by Saunders, an imprint of Elsevier Inc. All rights
reserved.23