L19: Homeostasis Flashcards
What are the 3 components involved in homeostasis?
- Receptor (e.g free nerve ending in the skin)
- Integrator (e.g. the brain)
- Effector (e.g. muscle or gland)
Which are examples of physical insults?
A. Intense heat
B. Drop in glucose
C. Lack of oxygen
D. Stress from work
A. Intense heat; and,
C. Lack of oxygen
Changes to the external environment
Does the nervous system play an important role in homeostasis?
Yes
Does the endocrine system play an important role in homeostasis?
Yes
What is the role of the sympathetic nervous system?
Fight or flight
What is the role of the parasympathetic nervous system?
Rest and digest
What is negative feedback?
A change occurs, the body tries to reverse its effects or stop it
What is positive feedback?
A change occurs, the body tries to build on the change. E.g. clot formation, uterine contractions
What is the afferent pathway?
Path from receptor to the control centre
What is the efferent pathway?
Path from control centre to effector
What generates blood pressure?
Contraction of the ventricles
What determines BP?
Cardiac output, blood volume, and vascular resistance
What inputs lead to increased venous return?
Increased blood volume, skeletal muscle pump, respiratory pump, venoconstriction
What inputs lead to increased stroke volume?
Increased venous return, increased sympathetic impulses and hormones from adrenal medulla
What inputs lead to increased heart rate?
Decreased parasympathetic impulses, increased sympathetic impulses and hormones from adrenal medulla
What inputs lead to increased cardiac output?
- Increased stroke volume (sympathetic impulses, adrenaline, venous return from venoconstriction, respiratory and skeletal muscle pump, and blood volume)
- Increased heart rate (decreased parasympathetic impulses, increase sympathetic impulses, adrenaline)
Which of the following lead to increased cardiac output?
A. Increase blood volume B. Increased blood vessel length C. Increased blood viscosity D. Venoconstriction E. Adrenaline F. Decreased parasympathetic impulse G. Increased stroke volume
A. Increase blood volume
D. Venoconstriction
E. Adrenaline
F. Decreased parasympathetic impulse
G. Increased stroke volume
What factors increase systemic vascular resistance?
- Increased number of red blood cells (increases blood viscosity)
- Increased body size (increases total blood vessel length)
- Decreased blood vessel radius (vasoconstriction)
Increasing cardiac output and systemic vascular resistance may lead to what problem?
Hypertension
What effect does the parasympathetic system have on the heart?
Makes it beat at a slower rate
What effect does the sympathetic system have on the heart?
Makes it beat faster (increases HR) and harder (increases SV)
What effect does adrenaline have on the heart?
Makes it beat faster and harder
What effect does polycythemia have on blood pressure?
(Polycythemia = increased number of RBC’s)
It increases the viscosity of the blood, which increases systemic vascular resistance, which increases BP.
Fill in the gaps:
Homeostasis can control BP by adjusting heart __1__, stroke __2__, vascular __3__ and blood __4__.
- rate
- volume
- resistance
- volume
Which control centre is chiefly responsible for blood pressure?
Cardiovascular centre in medulla oblongata
What inputs send nerve impulses to the cardiovascular centre in the medulla oblongata?
Higher brain centres:
- cerebral cortex
- limbic system
- hypothalamus
Sensory receptors:
- proprioceptors (movements)
- chemoreceptors (blood chemistry)
- baroreceptors (blood pressure)
Why does the cerebral cortex send signals to the medulla oblongata?
Sometimes we are conscious of a situation in which we will need more blood pumped. This allows the CV centre to get ready before a physical stimulus
What is the limbic system?
Control centre in the brain made up of the hypothalamus, amygdala, and hippocampus.
Involved in emotion, arousal, and memory
Why can a memory bring about a response from the cardiovascular centre?
The limbic system (responsible for some types of memory) is connected to the cardiovascular system
What adjustments can be made by the cardiovascular centre in medulla oblongata in order to control BP?
Heart rate
Stroke volume
Vessel diameter
Neural, hormonal and local negative feedback loops.
The CV centre can change the frequency of nerve impulses fired along the cardiac accelerator nerves (sympathetic) to make homeostatic adjustments. What effects can this have?
Increased rate of spontaneous depolarisation in SA node (and AV node) increases heart rate.
Increased contractility of atria and ventricles increases stroke volume.
Decreased rate of spontaneous depolarisation in SA node (and AV node) decreases heart rate.
Where can you find baroreceptors that help regulate blood pressure?
Carotid sinuses, aortic arch
A drop in blood pressure leads the baroreceptors to signal the medulla oblongata (CV centre). What does the medulla do in response?
- Medulla signals heart to increase rate, which increases cardiac output
- Medulla signal blood vessels to constrict (vasoconstriction)
Which of the following is/are inhibited in response to blood pressure drop?
A. Vasomotor centres
B. Cardioinhibitory centres
C. Cardioacceleratory centres
D. All of the above
B. Cardioinhibitory centres
Which of the following is/are stimulated in response to blood pressure drop?
A. Vasomotor centres
B. Cardioinhibitory centres
C. Cardioacceleratory centres
D. All of the above
A. Vasomotor centres
C. Carioacceleratory centres
Which of the following is/are stimulated in response to blood pressure rise?
A. Vasomotor centres
B. Cardioinhibitory centres
C. Cardioacceleratory centres
D. All of the above
B. Cardioinhibitory centres
Which of the following is/are inhibited in response to blood pressure rise?
A. Vasomotor centres
B. Cardioinhibitory centres
C. Cardioacceleratory centres
D. All of the above
A. Vasomotor centres
C. Cardioinhibitory centres
What is the effect of inhibiting the cardioacceleratory centres?
Decreased cardiac output, blood pressure reduced
What is the effect of stimulating the cardioinhibitory centres?
Decreased cardiac output, blood pressure reduced
What is the effect of inhibiting the vasomotor centres?
Vasodilation occurs, blood pressure reduced
What is the effect of stimulating the carioacceleratory centres?
Increases cardiac output, blood pressure increased
What is the effect of inhibiting the cardioinhibitory centres?
Increased cardiac output, blood pressure increased
What is the effect of stimulating the vasomotor centres?
Vasoconstriction occurs, blood pressure increased
Where can you find chemoreceptors involved in BP regulation?
Carotids, aortic arch, medulla oblongata
What are the key things being monitored by the chemoreceptors in the carotid and aortic bodies?
CO2 levels, O2 levels, pH
What changes, as detected by peripheral chemoreceptors, would lead to an increase in the action potential firing rate in afferent nerves?
Increased CO2, decreased O2, or decreased pH
What makes central chemoreceptors (found in regions of the medulla) increase their firing rate?
Acidosis
When afferent nerves from peripheral chemoreceptors activate the vasomotor centre in the medulla, what happens?
Increase in efferent activity to arteries and veins.
Increased vasoconstriction, peripheral resistance and cardiac output.
Cardiac centre in medulla is also activated, causing increase in heart rate and contractile force
Is BP controlled by the nervous system or the endocrine system?
Both.
Nervous system via baroreceptors and chemoreceptors
Endorcine sytem via RAAS & ADH system
True or false: BP is controlled by positive feedback
False. It is controlled by negative feedback
Generation of nerve impulses is an example of what type of feedback system?
Positive
Pyrexia is an example of what type of feedback system?
Positive
Give an overview of the clotting cascade
Damage to vessel wall releases tissue factor, platelets activated, thrombin produced, thrombin triggers more of itself to be produced, fibrin formed, clots grows and grows until a separate system intervenes.
What happens if a positive feedback system is allowed to continue without intervention.
The system will continue to run and run, likely causing life-threatening conditions
What is the difference between signs and symptoms?
Signs are observable and objective, while symptoms are subjective and reported by the patient
Myasthenia gravis is a neuromuscular disease that presents with fluctuating muscle weakness and fatigue. What causes the muscle weakness?
Antibodies block the Ach receptors at the postsynaptic junction, inhibiting the excitatory effects of Ach on the nicotinic receptors