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Capillary Fluid Regulation

Jun 16, 2025

Overview

This lecture explains how hydrostatic and osmotic pressures regulate fluid movement in and out of capillaries, preventing tissue swelling (edema).

Capillaries and Fluid Exchange

  • Capillaries have thin walls with pores, allowing nutrient, gas, waste, and fluid exchange between blood and tissues.
  • Fluid is filtered out of blood at the arteriole end of the capillary into the interstitial space.
  • Excess fluid in tissues can cause swelling or edema if not reabsorbed.

Hydrostatic Pressure

  • Hydrostatic pressure is the force exerted by fluid inside blood vessels, pushing water out through the capillary walls.
  • It is highest at the arteriole end of capillaries, promoting fluid movement out of the blood.

Osmotic (Colloid Osmotic/Oncotic) Pressure

  • Osmotic pressure draws water into areas of higher solute (especially protein) concentration.
  • Capillaries have a higher concentration of large proteins (like albumin) compared to the interstitial space.
  • This protein-driven osmotic pressure is called colloid osmotic (or oncotic) pressure.
  • Osmotic pressure pulls fluid back into the capillary, especially at the venous end.

Balance of Pressures and Fluid Reabsorption

  • At the arteriole end, hydrostatic pressure > osmotic pressure, so fluid leaves the capillary.
  • As blood moves to the venous end, hydrostatic pressure drops, and osmotic pressure becomes stronger, reabsorbing most fluid.
  • Not all fluid is reabsorbed; the leftover is collected by the lymphatic system to prevent edema.

Key Terms & Definitions

  • Hydrostatic Pressure — the force exerted by a fluid against the walls of its container, pushing fluid out of capillaries.
  • Osmotic Pressure — the pressure that draws water towards higher solute concentrations; in capillaries, mainly due to proteins.
  • Colloid Osmotic (Oncotic) Pressure — osmotic pressure generated by plasma proteins that cannot pass through capillary walls.
  • Edema — swelling caused by excess fluid trapped in body tissues.
  • Lymphatic System — a network of vessels that returns excess interstitial fluid to the bloodstream.

Action Items / Next Steps

  • Review upcoming videos for abnormal cases of edema related to changes in hydrostatic or osmotic pressure.
  • Prepare to learn examples, such as why ankles swell during prolonged standing.