Cardiorespiratory Flashcards

1
Q

At how many weeks of gestation do we see the formation of lung buds?

A
  • 4 weeks
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2
Q

what are the 4 stages of lung development & when do they occur

A
  • Psuedoglandular: week 5-17
  • canalicular: week 15-25
  • terminal sac period: 24-birth
  • alveolar period: birth - 8 years
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3
Q

What occurs in the psuedoglandular phase/when does it occur

A
  • begin development of the shape, no function yet
  • form the acinus
  • occurs in weeks 5-17
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4
Q

what is the functional unit of the lungs

A
  • acinus
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5
Q

what occurs in the canalicular phase/when does it occur

A
  • vascularization
    terminal bronchioles give rise to respiratory bronchioles
  • alveolar ducts form by the end of this period
  • 15-25 weeks
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6
Q

what occurs in the terminal sac period/when does it occur

A
  • blood air barrier is formed formation of type 1
  • epithelium - flat, squamous epithelium for exchange
  • formation of type 2 epithelium - cuboidal, secrete surfactant
  • 24 weeks - birth
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7
Q

what occurs in the alveolar period/when does it occur

A
  • alveoli are present
  • lungs continue to grow
  • birth - 8
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8
Q

when does alveolar development take place; how many at birth; how many at 8 years

A
  • last trimester, but mostly postnatally
  • 20 million at birth
  • 300 million at 8 years
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9
Q

what does lung weight best correlate with

A
  • height
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10
Q

how does the respiratory rate/min change from birth

A
  • decreases
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11
Q

how do measures of lung volume change after birth

A
  • increase
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12
Q

what is the primary cause for preterm death

A
  • infant respiratory distress syndrome

- due to surfactant deficiency or immature lung development

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13
Q

what stimulates a major increase in surfactant prior to birth

A
  • increased catecholamines and glucocorticoids
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14
Q

At what week does the heart begin to form? When does it start to beat?

A
  • 3 weeks; endothelial tubes begin to fuse forming the primitive heart
  • 3 weeks + 1 day
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15
Q

What embryonic tissue does the heart originate from

A

mesenchyme??

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16
Q

what has occurred by week 6 in terms of the heart

A
  • developed its general form minus the foramen ovale
17
Q

what occurs by week 8 in terms of the heart

A
  • blood vessels are formed
18
Q

what vessels bring blood to the fetal heart, what takes blood away from the fetal heart

A
  • 2 veins

- trunctus arteriosus

19
Q

what structure provides O2 for the fetus

A
  • placenta
20
Q

which structure provides a connection between the umbilical vein and the IVC; when does this close/why

A
  • Ductus venosus
  • Closes within 1st 3 hrs
  • due to decreased flow from umbilical vein (b/c it was cut)
21
Q

which structure connects the two atria; when does it close/why

A
  • foramen ovale
  • closes after 3 days
  • due to increased pressure in left atria
22
Q

what structure connects the aorta and the pulmonary artery/when does it close

A
  • ductus arteriosus
  • closes after 1-2 days
  • due to increased aortic pressure, increased atrial O2 and decreased prosteglandin
23
Q

what makes up for the lesser O2 saturation in a fetus

A
  • FHb has a greater affinity for O2 (O2 is 70% saturated, vs 97% saturated after birth
24
Q

what structure assists in diverting blood through foramen ovale

A
  • cista dividens
25
Q

the release of what from the lungs results in constriction of smooth muscle in ductus arteriosus

A

bradykinin

26
Q

what is the heart growth curve similar to

A

fat free mass growth curve

27
Q

what happens to heart rate and blood pressure as we age

A
  • heart rate decreases

- BP increases

28
Q

how does the RBC/Hb of blood vary between girls and boys

A
  • same until puberty

- girls lose blood vol during puberty

29
Q

Differentiate the life span of fetal and adult Hb

A
  • fetal: 65-100 days

- adult: 120 days

30
Q

what contributes to poor heat regulation in newborns?

A
  • mechanisms of shivering & sweating are poorly developed
  • immature sweat glands
  • large SA/weight ratio
  • thin subcutaneous layer