November 6, 2023 Flashcards

1
Q

how do you find out “vols %”

A
  1. anytime you’re given the percent saturation of Hb you’re going to take that number and multiply it by 1.34
  2. then you’re going to take that answer that you got in the previous step and multiply it by the Hb to get “vols %”

page 109

PO2 of 100mmHg = 0.3

*know the PO2 (this gives the Dissolved O2 amount)
*figure out percent saturation
*multiply by 1.34
*then multiply it by the Hb

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2
Q

At 100mmHg Hb is saturated at what percentage

A

100%

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3
Q

At a PaO2 of 100mmHg there is ______ mls O2 dissolved in the blood

A

0.3 mls O2/100 mls blood

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4
Q

The Strength of Interaction Between O2 and Hb is affected by

A

Affected by temperature, pH, and PCO2 (change during exercise)

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5
Q

How is Strength of Interaction Between O2 and Hb affected by exercise

A

During exercise we start to produce more Co2, which cause PH to decrease in muscle and temperature to go up

This causes the affinity of Hb for O2 to go down

O2 will come off Hb easier bc strength of interaction is less, so there is more diffusion of O2 into the muscle at the tissue level)

Reduced affinity is an advantage because it allows for more drop off of O2 at the muscle

These effects occur at the tissues, not lung

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6
Q

what happens to O2-Hb Dissociation Curve During Exercise

A

Reduced affinity curve (shifted to the right)

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7
Q

why does the O2-Hb Dissociation Curve shift to the right during exercise

A

Reduced affinity curve (shifted to the right)

Two things happen with exercise, simultaneously:

1.Decreased PVO2 because our tissues are consuming more O2 (bigger gradient on venous side)

  1. Rightward shift in the curve
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8
Q

what does the O2-Hb Dissociation Curve shift to the right during exercise mean?

A

reduced affinity

The shift in the curve means that less O2 is being carried by Hb at a given level of PO2

The effect is not large at a PO2 of 100 at the lung, but it has big effect of a PO2 at 40 or less at the tissues; this is where the reduced affinity is beneficial for O2 delivery to tissues

page 112

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9
Q

what percentage of barometric pressure is O2

A

20.93% of barometric pressure is O2

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10
Q

In regards to altitude the higher you go, does your VO2 max increase or decrease. Explain your reasoning

A

The higher you go, the lower your VO2 max will be

Heart is working harder and you are ventilating more at altitude compared to the same workload at sea level

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11
Q

true or false : High altitudes induce EPO responses

A

true

High altitudes induce EPO responses

EPO is a hormone that plays a key role in the production of red blood cells.

When you are at high altitudes, the oxygen levels are lower because the air pressure is reduced. In response to the lower oxygen levels, the kidneys release more EPO, which then stimulates the bone marrow to produce more red blood cells.

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12
Q

what are the effects of high altitude on Short term anaerobic performance(ex: sprints):

A

Lower PO2 should have no effect, but ‘thinner’ air reduces air resistance (ex: head wind)

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13
Q

effect of acute altitude exposure on heart rate during exercise

A

↑ HR to achieve a similar level of O2 consumption to sea level

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14
Q

effect of acute altitude exposure on pulmonary ventilation during exercise

A

↑ pulmonary ventilation

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15
Q

what are the effects of high altitude on Long-term aerobic performance(ex: hiking):

A

Lower PO2 results in:

poorer aerobic performance because of dependence on O2 delivery to muscle

submaximal exercise is performed at a higher HR and
higher ventilation compared to at sea level

increases the work of the heart and ventilatory muscles

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16
Q

can the content of O2 in the blood (mlsO2 /100mls) vary despite full saturation of Hb? Explain

A

Yes

The content of O2 in the blood (mlsO2 /100mls) can vary despite full saturation of Hb; this is due to differences in the amount of RBCs, and therefore Hb, in the blood

17
Q

what is hematocrit

A

volume of red blood cells in relation to the total blood volume

18
Q

how is hematocrit affected in a person that is anemic?

A

less RBC

Anemia: 30% (RBC count is down)

page 114

19
Q

how is hematocrit affected in a person that has Polycythemia

A

more RBCs

Polycythemia: 70% (thicker)

page 114

20
Q

how is hematocrit affected in a person that is dehydrated

A

no effect on RBCs still

however, blood volume goes down, lose plasma volume

Dehydration: 70% (doesn’t affect RBC amount, but plasma volume goes down so the percent of RBC out of the total blood is greater; thicker)

21
Q

what is Blood Doping

A

Idea is to add more blood cells to make blood polycythemia

Banned by IOC

22
Q

what is the mechanism behind blood doping

A
  1. Withdraw blood (phlebotomy), replace fluid loss with saline, store blood
    ➢ This reduces hematocrit < 45 and Hb to <15 which induces anemia
  2. Kidney responds to this decrease in O2 delivery (hypoxic stimulus; decrease can also be from a hemorrhage or altitude)
  3. Secretes erythropoietin which stimulates bone marrow and RBC synthesis

4.Hematocrit is back to 45 and Hb back to 15 (homeostasis)

5.One week prior to competition, take stored RBC and add them back
➢ Autologous transfusion

6.This brings hematocrit to 55 and Hb to around 20

Results: VO2 max increased up to 25%, and increase in endurance

23
Q

What are the results of blood doping

A

Results: VO2 max increased up to 25%, and increase in endurance

24
Q

what are the Risks involved with blood doping

A

➢increase in blood viscosity → increase resistance to blood flow and blood pressure

➢ RBCs tend to aggregate (clump) → increased chance of blood clots and stroke