Module 4 Flashcards

1
Q

gas and liquid ting

Henry’s Law of Diffusion

A

‘When a liquid is in contact with a given gas, that gas will diffuse into solution in proportion to its partial pressure.’
- Gas becomes liquid

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2
Q

what parts of the body does diffusion increase at

Diffusion during exercise?

A

O2 and CO2 diffusion increases to
- alveolar (lungs)
- capillary (blood)
- tissue (muscle)

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3
Q

PO2 and PCO2diffusion relationship

Large Diffusion Gradient

A

PO2 muscle can approach 3-0 mmHg during intense exercise (100 arterial blood - 0 muscle = gradient of 100mmHg)

PCO2 muscle can approach 90mmHg (90 muscle - 40 alveolus = gradient of 50 mmHg)

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4
Q

Transport of CO2

A

transported to lungs by venous blood

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5
Q

what 3 ways does it leave

How does CO2 leave body?

A
  1. dissolved in plasma (5%)
    - diffuses out of capillaries into alveoli to be exhaled
  2. bount to HB (RBC) (carbamino-haemoglobin)
    - CO2 binds to AAs in globin part of HB
    - binds easily in muscle (high PCO2)
    - CO2 released by HB when PCO2 is low (lungs) –> alveoli –> exhalation
  3. plasma bicarbonate (60-80%)
    - CO2 + water = carbonic acid (H2CO3) in muscles
    - H2CO3 –> CO2 and H2O –> exhalation
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6
Q

Carbonic Anhydrase

A
  • enzyme within RBC (zinc) that accelerates process

helps convert bicarbonate ions back to carbon dioxide for us to expel

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7
Q

Carbon Dioxide Transport Equation

A

CO2 + H2O –carbonic anhydrase–> H2CO3 –> H + HCO3

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8
Q

What happens during exercise overall???

A

When CO2 enters skeletal muscle tissue fluid, carbonic anhydrase catalyses formation of carbonic acid
Increased PCO2 (exercise) = decreased pH = oxyhaemoglobin dissociation
- More O2 liberation into tissues
Better contractions (synergist reaction)

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9
Q

Ventilation at rest and exercise

A

Rest –> 12 breaths per minute x 0.5 L = 6L/min
Exercise –> 40+ breaths per minute x 2L = 80+L/min

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10
Q

Where does respiratory control occur

A

In medulla
- neural circuits (info from brain, lungs, etc.)

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11
Q

think about centres and receptors

Ventilation Process (neural factors)

A

respiratory centres
- afferent/sensory signals to brain centre, efferent/motor signals to effector/target organ

pulmonary stretch receptors
- in airway smooth muscle and responds to lung distension (smooth muscle)

joint and muscle receptors in limbs
- movement stimualtes increase in ventilation

baroreceptor reflexes
- fall in BP = increased ventilation

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12
Q

Inspiratory centre activates

A
  • diaphragm and external intercostals
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13
Q

Expiratory centre activates

A
  • intercostals and abdominal muscles
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14
Q

think about central and peripheral

Ventilation Process (humoral factors)

A

blood transfer

central chemoreceptors
- medulla (stimulated by CSF)
- pH (increased H+ = increased VE)
- H+ increased by diffusion of CO2 across blood brain barrier
H2O + CO2 <-> H2CO3 <-> H+ + HCO3

peripheral chemoreceptors
- carotid bodies and aortic arch
- PCO2 (increased ventilation)
- pH (increased H+ = increased ventilation due to PCO2)
- arterial PO2 (increased ventilation if PO2 less than 60 mmHg)

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15
Q

Break point of breath hold

A

increased in arterial PCO2 (50 mmHg)

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16
Q

Hyperventilation

A

reduces alveolar and arterial PCO2 (e.g. breath hold)
- high PCO2 = stimulus to breathe

17
Q

Hypoxic Blackout

A

combo of low PO2 and PCO2 can lose consciousness

18
Q

how does body regulate this?

Respiratory Regulation

A

body monitors internal environment via central and peripheral chemoreceptors, stretch receptors in muscle and lungs

19
Q

think about neural process leading to proper breathing

Respiratory Regulation Process

A
  • info goes to inspiratory centre
  • motor signals stimulate inspiratory muscles (external intercostals and diaphragm) increasing thorax volume and lowering diaphragm
  • stretch receptors sned messages to expiratory centre (expiration via expiratory muscles)
  • decreased thorax volume and raising diaphragm to reduced volume and increased pressure (expiration)
20
Q

Hypernea

A

increased ventilation (at start of exercise before any chemical changes)

21
Q

Corticol Influence

A

Before Exercise
- neural outflow from motor cortex causing muscle contractions
- stimulate respiratory neurons + phrenic nerve increases ventilation

22
Q

Peripheral Influence

A

During Exercise
- proprioreceptive feedback from muscles, tendons and joints
- influence ventilation during exercise
- send signals to brain
- respiratory centre send signals of inspiration/expiratoin to increase TV/BR

23
Q

Phase 1

A

0-20s
- initial VE increase before chemical stimulation (corticol and peripheral)

24
Q

Phase 2

A
  • VE rises exponentially to reach steady state due to neurogenic factors, temp changes and chemical status of blood/muscles
25
Q

Phase 3

A
  • fine tuning steady state ventilation
  • chemoreceptors give feedback to respiratory centre via ventilation needs
26
Q

what 3 ways is ventilation controlled

Ventilatory control during exercise (controlled by…)

A
  1. feed-forward centralc ommand (motor cortex signalling muscles, tendons and joints for feedback)
  2. peripheral sensory input from joint/muscle receptors
  3. peripheral and central chemoreceptor activation by changes in H+ and PCO2
27
Q

Untrained VE Performance

A

60-85% max voluntary ventilation
- TV rarely exceeds 60% VC

TV = normal breathing

VC = greatest volume of breath expelled after taking longest breath

28
Q

Untrained Max Exercise

A
  • alovelar PCO2 decreases and PO2 increases
  • VE more adequate to maintain diffusion gradients for gas exchange
29
Q

what happens during this>

Trained Max Exercise

A
  • drop in arterial O2 satuation (SaO2) as complete aeration of blood is not possible in pulmonary in pulmonary capillaries

UNKNOWN

  • may be due to ventilation (perfusion mismatch), shunting of blood and capillary due to faster RBC transit time

During high-intensity exercise, the body’s rapid pace can lead to these issues where not all the blood passing through the lungs gets enough oxygen, resulting in a drop in arterial oxygen saturation (SaO2).