Exam 1 - Lecture 1 8/23 Flashcards
How many cells are in the human body?
35 trillion cells
Another name for internal environment
Extracellular fluid
Types of waste products
CO2, H+, Solid waste, H2O, urea
How does H2O become waste?
A chemical reaction
Negative feedback
Sees a change in the body, DOES THE OPPOSITE. Change is NEGATIVE to the stimuli.
How do the kidneys maintain homeostasis?
Maintaining BP, fluid buffering, pH
Is the following positive or negative feedback?
Increased CO2 -> Increased Ventilation = decreased CO2 back to normal
Negative feedback
Is positive feedback good or bad?
Can be both.
Positive Feedback
Amplifies change AFTER change is detected. Stimuli causes a change, and the body amplifies it.
Decreased MAP -> Increased AVP/ADH = Increased MAP back to normal
Negative feedback.
Vasopressin (ADH) is secreted from pituitary gland to raise blood pressure.
Vicious Cycle
Can and are usually avoided in physiologic positive feedback loops, by checkpoints.
Checkpoint
Occurs when positive feedback is no longer needed. E.g. once baby is born, oxytocin no longer needs to be secreted to dilate cervix.
Positive feedback from clotting
Clotting cascade stops the bleed, once bleed is stopped then checkpoint kicks in and stops the positive feedback. Vicious cycle occurs when checkpoint does not occur, and body continues to clot unnecessarily and causes severe injury/death.
Examples of Pathologic positive feedback
- Sepsis/necrosis: dead cells release debris and kill cells around them, such as releasing potassium.
- Severe acidosis: so acidotic that CNS can’t increase respiratory drive, resulting in CO2 continuing to climb.
- Nephron cells die, and nephron cells do not regenerate. Remaining nephrons have to pick up more work resulting in more cell death.
- Severe hemorrhage: Decreased map -> decreased coronary blood flow -> decreased cardiac output = even lower MAP -> results in death.
Compensated shock
Negative feedback works well. Less cardiac output from less blood results in increased cardiac output from tachycardia/increased contraction. Can recover from 20% (1L) blood loss.
Decompensated shock
Positive feedback leads to death. 40% blood loss (severe hemorrhage) leads lack of blood to heart = lower map = death.
Do healthy people respond to drugs the same way unhealthy people do?
No.