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By the end of this section, you will be able to:
  • Identify the primary mechanisms of capillary exchange
  • Distinguish between capillary hydrostatic pressure and blood colloid osmotic pressure, explaining the contribution of each to net filtration pressure
  • Compare filtration and reabsorption
  • Explain the fate of fluid that is not reabsorbed from the tissues into the vascular capillaries

The primary purpose of the cardiovascular system is to circulate gases, nutrients, wastes, and other substances to and from the cells of the body. Small molecules, such as gases, lipids, and lipid-soluble molecules, can diffuse directly through the membranes of the endothelial cells of the capillary wall. Glucose, amino acids, and ions—including sodium, potassium, calcium, and chloride—use transporters to move through specific channels in the membrane by facilitated diffusion. Glucose, ions, and larger molecules may also leave the blood through intercellular clefts. Larger molecules can pass through the pores of fenestrated capillaries, and even large plasma proteins can pass through the great gaps in the sinusoids. Some large proteins in blood plasma can move into and out of the endothelial cells packaged within vesicles by endocytosis and exocytosis. Water moves by osmosis.

Bulk flow

The mass movement of fluids into and out of capillary beds requires a transport mechanism far more efficient than mere diffusion. This movement, often referred to as bulk flow, involves two pressure-driven mechanisms: Volumes of fluid move from an area of higher pressure in a capillary bed to an area of lower pressure in the tissues via filtration    . In contrast, the movement of fluid from an area of higher pressure in the tissues into an area of lower pressure in the capillaries is reabsorption    . Two types of pressure interact to drive each of these movements: hydrostatic pressure and osmotic pressure.

Hydrostatic pressure

The primary force driving fluid transport between the capillaries and tissues is hydrostatic pressure, which can be defined as the pressure of any fluid enclosed in a space. Blood hydrostatic pressure is the force exerted by the blood confined within blood vessels or heart chambers. Even more specifically, the pressure exerted by blood against the wall of a capillary is called capillary hydrostatic pressure (CHP)    , and is the same as capillary blood pressure. CHP is the force that drives fluid out of capillaries and into the tissues.

As fluid exits a capillary and moves into tissues, the hydrostatic pressure in the interstitial fluid correspondingly rises. This opposing hydrostatic pressure is called the interstitial fluid hydrostatic pressure (IFHP)    . Generally, the CHP originating from the arterial pathways is considerably higher than the IFHP, because lymphatic vessels are continually absorbing excess fluid from the tissues. Thus, fluid generally moves out of the capillary and into the interstitial fluid. This process is called filtration.

Osmotic pressure

The net pressure that drives reabsorption—the movement of fluid from the interstitial fluid back into the capillaries—is called osmotic pressure (sometimes referred to as oncotic pressure). Whereas hydrostatic pressure forces fluid out of the capillary, osmotic pressure draws fluid back in. Osmotic pressure is determined by osmotic concentration gradients, that is, the difference in the solute-to-water concentrations in the blood and tissue fluid. A region higher in solute concentration (and lower in water concentration) draws water across a semipermeable membrane from a region higher in water concentration (and lower in solute concentration).

Questions & Answers

what is endocrin?
Asim Reply
why should there be an inhibition to the process of gastric production in the intestinal phase
Gloria
endocrine is a system through which the secretions of cell directly poured into blood.
Tanveer
why should there be an inhibition to the process of gastric production in the intestinal
Gloria Reply
what is a stimuli
Emily Reply
environment factor that cause a cell to respond
Quran
name the two types of melanin
Laila Reply
deference between RNA and DNA
Ali
.DNA stands for Deoxyribonucleic Acid. The sugar portion of DNA is 2-Deoxyribose.RNA stands for Ribonucleic Acid.  The sugar portion of RNA is Ribose.2.The helix geometry of DNA is of B-Form (A or Z also present).The helix geometry of RNA is of A-Form.3.DNA is a double-stranded molecule consisting o
ryaisha
DNA consists of nucleotide but RNA consists of nucleoside DNA is double standard but RNA is single standard.In DNA at the nitrogen bases adinine,guanine,cytocin and thymine is present but in case of RNA instead of thymine uracil is present.
Tanveer
what are rdna
Budumari
what is a heart
walker Reply
A heart is an organ in the circulatory system that pumps blood throughout the systemic regions
bernard
what is anatomy
Aisha
Anatomy is the study of internal and external structures and the relationship among body parts. (the study of structure).
Tomi
what is the physiology of the heart
nadine
guys help me with a pathophysiology of asthma
Luyando
asthma is a lungs related disorder in which there is difficulty in breathing due to some allergic factors, their is inflamation of alveoli of respiratory part of lungs.also decreases the surface area.
Tanveer
what is meaning of brain strock and its types?
Tanveer
the pathophysiology of asthma is complex and involves airway inflammation and bronchial hyperresponsiveness pathogenesis of asthma
Omkar
skin infection please explain
Hamza Reply
what is malignant melanoma
Akon Reply
cancerous cells 🙄
Sohan
yes benign is non-cancerous malignant is cancerous.
Joseph
that's a simple way of explaining it however you're different processes like mitosis etc a person can be at risk for developing cancer etc
Joseph
you can tell by an unusual growth of a mole, or change in size coloration with melanoma. which is abnormal growth of your squamous cells.
Joseph
Types of wandering connective tissues
Hassan Reply
what are the meaning of skin
PASHALINA Reply
study of external structure of human body is known as anatomy
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what is Tau?
Vicki Reply
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Kiran Reply
Describe the characteristics of tissue lining the respiratory passage way
arach Reply
please are they two types of antigens? one is foreign material and the other is a protein.... Please enlighten me cos i don't get it
shakainah Reply

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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