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Oncotic pressure, or colloid osmotic-pressure, is a type of osmotic pressure induced by the plasma proteins, notably albumin, [1] in a blood vessel's plasma (or any other body fluid such as blood and lymph) that causes a pull on fluid back into the capillary.
The low protein theory for the pathogenesis of kwashiorkor has been used to teach that capillary exchange between the lymphatic system and circulating blood is impaired by a reduced oncotic (i.e. colloid osmotic pressure, COP) in the blood, as a consequence of inadequate protein intake, so that the hydrostatic pressure gradient, which favors ...
The rate at which fluid is filtered across vascular endothelium (transendothelial filtration) is determined by the sum of two outward forces, capillary pressure and interstitial protein osmotic pressure (), and two absorptive forces, plasma protein osmotic pressure and interstitial pressure (). The Starling equation describes these forces in ...
Capillary hydrostatic pressure P c = 0.2 × Arterial Pressure + Venous Pressure 1.2 25mmHg (arteriolar end) 10mmHg (venous end) P i: Tissue interstitial pressure Determined by the compliance of tissue Compliance = volume/Δ pressure Varies by location ≅ −6 mmHg Π c: Capillary oncotic pressure Measured across semipermeabel membrane
Lower serum oncotic pressure causes fluid to accumulate in the interstitial tissues. Sodium and water retention aggravates the edema. This may take several forms: Puffiness around the eyes, characteristically in the morning. Pitting edema over the legs. Fluid in the pleural cavity causing pleural effusion. More commonly associated with excess ...
A capillary is a small blood vessel, from 5 to 10 micrometres in diameter, and is part of the microcirculation system. Capillaries are microvessels and the smallest blood vessels in the body.
A colloid is a fluid containing particles that are large enough to exert an oncotic pressure across the micro-vascular membrane. When debating the use of colloid or crystalloid, it is imperative to think about all the components of the starling equation:
In the capillary, water is forced out through the pores in the wall by hydrostatic pressure and driven in by the osmotic pressure of plasma proteins (or oncotic pressure). These opposing forces approximately balance; which is known as Starling's Principle .