Exercise, respiration and heart rate lab review Flashcards

1
Q

What does an increase in metabolic rate require?

A

Increase in oxygen supply and carbon dioxide removal

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2
Q

What is the requirement of metabolic rate being met by?

A

Increasing both the volume of gas moved in and out of the lungs per minute and the rate of the blood flow (cardiac output) through the systemic circulation

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3
Q

What is the highest rate of aerobic muscular work a healthy person?

A

Depends on the highest rate at which oxygen can be delivered to the active muscle fibres

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4
Q

What is the limit of the highest cardiac output which a person can attain?

A

Ventilation can increase sufficiently to keep arterial blood fully oxygenated, whatever the rate of uptake of oxygen

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5
Q

What is Cardiac output?

A

CO= SV x HR

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6
Q

When are increased requirements of gas exchange needed?

A

When exercising

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7
Q

How can VO2 be expressed?

A

In relative and absolute terms

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8
Q

What is Pulse pressure?

A

Pulse pressure= SBP-DBP

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9
Q

What is mean arterial BP?

A

Mean arterial BP= Diastolic BP + 1/3 Pulse pressure

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10
Q

What happens when the aortic valve opens?

A

The ventricular ejection begins, aortic pressure increases rapidly to a peak value, and then decreases

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11
Q

How is part of the energy from the left ventricular contraction stored?

A

By stretching the elastic components of the aortic walls

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12
Q

What is the definition of pulse pressure?

A

The difference between the maximum (systolic blood pressure, SBP) and minimum (diastolic blood pressure, DBP) blood pressure

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13
Q

What is ‘mean pressure’?

A

Constant pressure which would result in the same total blood flow as arterial pressure waveform actually observed

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14
Q

What does the temporary storage of part of the stroke volume serve to do?

A

During ejection period serves to smooth out the flow of blood in the circulation, so that flow continues during diastole

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15
Q

What does the extent of the pressure increase in the arterial system depend on?

A

Stroke volume which the arteries have to store

The arterial compliance

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16
Q

What does compliance mean?

A

Compliance is a measure of the change in volume for a given change in pressure: the more compliant the arteries are, the more easily are they distended

17
Q

What does arterial compliance depend on?

A

Physical properties of the arterial wall

Value of the mean arterial pressure

18
Q

What happens to the arterial wall at a higher pressure?

A

Arterial wall becomes less compliant as it is stretched more

19
Q

What happens to the arteries when the ventricle relaxes and ejection ceases?

A

The pressure in the arteries is maintained by elastic recoil

20
Q

What happens to the arterial walls in old age?

A

Lose elasticity and are less compliant

21
Q

What is a given stroke volume likely to produce?

A

Higher systolic
Lower diastolic
(hence larger pulse pressure in a subject aged 70 compared to age 20)

22
Q

What is a classical sphygmomanometer comprised of?

A

Valved pump

Inflatable cuff connected to a manometer by flexible tubing

23
Q

What is the standard manometer?

A

Glass U-tube containing mercury

24
Q

What does a sphygmomanometer measure?

A

Blood pressure

25
Q

How is blood pressure measured using a sphygmomanometer?

A

The cuff is wrapped around the upper arm and inflated to a pressure sufficient to squeeze shut the brachial artery, detected by the absence of the brachial pulse
Pressure is then reduced until the pulse reappears; the manometer reading is taken to equal SBP

26
Q

What else is used along side a sphygmomanometer?

A

By listening with a stethoscope to the sounds produced in the brachial artery during the gradual reduction of cuff pressure, it is possible to identify not only the SBP but also the DBP

27
Q

What are the possible variations between individual BP?

A
Nervous subjects (sympathetic discharge)
HR and BP could be higher than normal
Seeing own reading may increase sympathetic drive
Resistance peripheral resistance
Resting CO
Medication
Fitting of cuff
28
Q

How much oxygen is in the air room?

A

21%

29
Q

What is mixed expired gas collected in?

A

Douglas bag

30
Q

What does a Douglas bag help measure?

A

Collected over a known period of time and the volume of gas measured to obtain the volume expired per minute and the oxygen content (% volume) in the gas

31
Q

What is heart rate measured by?

A

Heart rate monitor positioned on the chest wall of subject

32
Q

How is blood pressure measured using an electronic cuff?

A

At rest with the subject sitting on the bike in the exercising position
Immediately on cessation of the exercise period
After 10 minutes recovery period

33
Q

What does watts equate to?

A

Watts= Joules/sec

e.g. 100 watts = 100 J/sec = 6000 J/min = 6kJ/min

34
Q

What is found indirectly by measuring the oxygen consumption?

A

The rate of total energy output during exercise

35
Q

What does increase Ventilation cause?

A

Increased alveolar PO2, therefore oxygen consumption rises

36
Q

What is the H+ buffered by in the blood?

A

Bicarbonate forming carbonic acid

37
Q

What are two main drawbacks of the linear extrapolation method?

A

Assumption 220-age

Assumption that HR and VO2 relationship remains linear as exercise intensifies

38
Q

What is VO2?

A

Measure of the maximum volume of oxygen that an athlete can use

39
Q

What happens after faster light exercise?

A

Metabolic recovery takes longer
Repayment of the oxygen debt
HR remains higher for longer in order to help clear the build up of lactate following heavy exercise increased blood flow