Exam 4 Flashcards
Baroreceptors
Receptors that are sensitive to pressure and to the rate of change in pressure
Baroreceptors in Circulatory System
Aortic Arch and Carotid Sinus and throughout the rest of the cardiovascular system. Sends perception to the Cardiovascular center in the medulla.
Medulla Cardiovascular Center
Where baroreceptors send their information about blood pressure and the integration center for hemorrhagic reflex arch.
Hemorrhage
Loss of blood
Initial Hemorrhage Effects
Stroke volume decreases, heart rate stays the same, cardiac output decreases, total peripheral resistance about same, MAP decreases
Final Hemorrhage Effects
Stroke volume increases, heart rate increases, cardiac output increases, total peripheral resistance increases, MAP increases to its previous level
Effects of Exercise Training
CO stays the same, heart rate is lower, stroke volume is higher.
Cardiovascular changes while exercising
Everything increases except total peripheral resistance
Hypertension
Chronically elevated blood pressure. Higher systolic (stroke force) and diastolic (total peripheral resistance) 140/90mmHg
Hypotension
Chronically low blood pressure
Vasovegal sympathy
Fainting in order to reset body in response to shock or strong emotional response. Temporary hypotension.
Congestive heart failure
Result from some defect in the cardiac muscle so that the heart is weakened. Edema.
Hypertension Treatment
Beta blockers, block sympathetic, Ca channel blockers, block angiotension 2.
Myocardial Infarction
Hear attack where heart cannot get enough oxygen. Caused by atherosclerosis or vessels of the cardiac muscle constricting/
Atherosclerosis
Thickening of the arterial wall which changes elasticity of heart
Heart Attack Symptoms
Angia pectoris, nausea, transient ischemic attacks, enzymes in blood create phosphokinase lactate dehydrogenase.
Heart Attack Treatments
Diet, drugs, angioplasty, streptokinases, TPA, bypass.
Respiration Anatomy
Trachea, Bronchus (bronchi), Bronchiole, Alveolus (Alveoli)
Pulmonary Cells
Make up the alveoli. Two types.
Type 1 Pulmonary Cell
Gas exchange
Type 2 Pulmonary Cell
surfactant secretion and they stretch with ventilation
Surfactant
phospholipids that aid in lung compliance. Break down surface tension of water in the lungs to prevent alveolar collapse.
Epithelial Surface of Lungs
Cilia, warms air, speech, moistens air
Lung Compliance
The ability of the lung to stretch
Airway Resistance
Flow=pressure/resistance and PV=nRT while resistance is still 1/r^4
Pulmonary Constriction Control
Histamine, parasympathetic, decrease CO2, some prostaglandins
Pulmonary Dilation Control
Epinephrine, sympathetic, increase CO2, other prostaglandins
Asthmatic Medication
Antihistamines, epinephrine derivatives, leukotriene blockers (prostaglandin-like)
Asthma
Smooth muscle contraction and inflammation. Can cause mucus accumulation.
Movement of Air Controlling Area
Medulla Respirator Center (can be overridden by pons), Chemoreceptors, Inspiratory and Expiratory neurons.
Intrapleural Pressure
Normally -4mmHg. Make more negative for inspiration.
Layers of Pleural Sac (out to in)
Thoracic wall, parietal pleura, intrapleural fluid, visceral pleura, lungs.
Hemoglobin
Tetramer protein with 4 subunits each with a heme and an iron. Each subunit will bind to one oxygen molecule. Makes up a third of the erythrocyte weight.
Myoglobin
The monomer protein of hemoglobin and it has a higher oxygen affinity
Cellular Respiration Equation
C6H12O2 + 6 O2 —— 6 H2O + 6 CO2 + energy
Atmosphere Components
78% Nitrogen, 21% Oxygen, 1% Argon
Partial Pressure of Oxygen
In air = 153 mmHg and in water 7.6mmHg
Transport of Oxygen
1) Dissolved 3ml/L
2) Hemoglobin 197 ml/L
Amount of Oxygen Moved
200ml oxygen per liter of blood. So if CO is 5L/minute, that means 1000ml oxygen are moved per minute.
Cooperative binding of hemoglobin
Refers to the sequential addition of O2 and that the more O2 the more likely O2 will bind. Ease of binding increases with each oxygen added.
Factors that Change Hb Affinity
1) pH - the more acid, the less oxygen carried
2) Temperature - small increase will decrease oxygen carried
3) 2,3 diphosphoglycerate (DPG) - increases in concentration from glycolysis will decrease Hb oxygen
Movement of CO2
1) (60%) As the ion bicarbonate
2) (30%) Complexed to hemoglobin (higher affinity at lower concentrations than oxygen)
3) (10%) Dissolved in plasma
P(co2) Changes
Doesn’t change greatly. Venous pH is less than arterial pH, hemoglobin has a high affinity for H+, carbonic anhydrase is very efficient enzyme.
Bicarbonate equation
H2O + CO2 —-(carbonic anhydrase)—- HCO3- + H+
Variable of Ventilation
1) P(o2) bound to hemoglobin
2) P(co2) carbonic anhydrase
3) H+
Chemoreceptors
Afferent nerve endings that are sensitive to concentrations of specific chemicals like oxygen, carbon dioxide, and hydrogen ions. Can be peripheral (not in the brain) or central (with the brain).
Sleep Apnea
Cessation of ventilation where air going through throat is blocked. Use CPAP to keep open. Might be like SIDS.
Heimlich Maneuver
Basically forcing diaphragm up to force expire and eject lodged object.
Diving Response
1) Bradycardia - direct response of submersion via trigeminal nerve when face/nose wet and cold
2) Acidification of blood - releases oxygen
3) Circulatory pattern changes
4) Decrease in metabolism
SCUBA Diving Physiology
1atm= 33ft salt water or 35 ft fresh water gas compresses, water doesn't Assent can cause embolism Nitrogen narcosis oxygen toxicity
Cystic Fibrosis
Recessive gene that causes tick mucus/chronic pulmonary problems, low pancreatic secretions, concentrated sweat. Defect in chloride channel regulatory protein cAMP mediated.
Hypoxia
A deficiency of oxygen at the tissue level. Four kinds; hypoxic, anemic, ischemic, histoxic.
Hypoxic Hypoxia
Hypoventilation caused by airway resistance (asthma), respiratory muscle paralysis (polio), respiratory distress syndrome with decrease compliance, inhibition of respiratory centers via heroin or morphine, deficient alveolar-capillary diffusion (pneumonia), abnormal blood flow to ventilation matching (emphysema), Less oxygen from altitude.
Anemic Hypoxia
blood defect
Ischemic Hypoxia
blood supply defect like a heart attack
Histoxic Hypoxia
poisoned metabolic pathways C—N
Regulation of Blood pH
Lungs, digestive system, liver (non CO2 acids, digestion), renal system
The Renal System
Kidney (cortex outer layer, medulla inner), 1 artery/vein, ureter, urinary bladder w/ sphincter control, urethra