Physiology 12.18.13 Respiratory System under Stress Flashcards

1
Q

What does exercise to do respiraotry system

A

stresses resp system by INcreaseing demand for O2 and increasng production of CO2

Moderate to seere exercise also increase lactic acid production

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2
Q

What is the resp and CV system response to stress

A

resp and CV must crease volume of O2 supplied to exercising tissues and inc. removal of CO2 and H+ ions from body

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3
Q

Metabolic response to accute exercise

A

Increase Oxygen consumpion (VO2)

Increase CO2 production (VCO2)

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4
Q

Cardiac changes to acute exercise

A

VO@ is related ot CO

CO is ml/min

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5
Q

What is the systemic circulation change to acute exercise

A

Increase in CO causes more blood to be delivered to exercising muscles.

There is a redistribution of systemic circulation involving vasodilation in teh skin and working muscles

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6
Q

What is the oxygen extaction changes during acute exercise

A

Apart from increased CO and vascular redistribution, third mechanism to meet O2 requirement is increased oxygen extraction from ARTERIAL BLOOD

This results in an increased arterial-venous oxygen content difference

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7
Q

What are the pulmonary circulation changes

A

Pulmonary circulation increases.

Mean pulmonary artery pressures rises only slightly despite the large increase in CO

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8
Q

What is effect of aute exercise on mean pulmonary artery pressure?

A

only rises slgihlty despite large increase in CO

This indicateds a decrase in pulmonary vascular resistsnce (PVR) due to distension and recruitment of pulmonary capillaries

Also redistribution of BF so that all blood flows mroe uniformly to all parts of lung

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9
Q

What happens to minute ventilation (VE) as pulmonary BF increases? What does this do with gas transfer

A

both VE and alveolar ventilation (VA) increase.

The lung transfers ore oxygena nd CO2

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10
Q

What is AT?

A

Threshold for anaerobic metabolism.

Above AT, lactic acid bulids up

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11
Q

What increases at a faster ate, VE or Q?

A

VE! because it is easier to increase gas than liquid! (Q = blood flow)

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12
Q

Why does RQ go above 1 at AT?

A

due to H+ buffered by HCO2-

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13
Q

What is the VO2 max

A

Plateu of VO2 as work increases, indicated onset of AT (very heavy exercise)

work rate can increase beyond VO2 max but oxygen uptake will remain flat b/c the CO cannot increase further

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14
Q

For normal adults when is VO2 max reached? For world lcass athletes?

A

normal- 2-3 L/minute (10x resting VO2)

Athlete- > 4L/minutes

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15
Q

Is the CV system or repiratory system teh limiting factor during exercise in a normal person?

A

CV system!

resting minute ventilation can be incrases 20x

CO can only increase about 4-6x

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16
Q

Why doesn’t PaCO2 cahnge during mild and moderate exercise?

A

PaCO2 doesn’t change even though ventilation has increased many fold. This implies a remarkable couplign between ventialationa nd CO2 production that is not dpending on “error signal” from chemoreceptors. At high workloads, lactic acid develops and this add. stimulus causes PaCO2 to decrease. wga

17
Q

What is the effect on long eterm training programs

A

INcreased max CO due to increased SV

increased oxidative capacity of sk muscle