physiology lab Flashcards

1
Q

What e the events that occur during each phase of the action potential in the SA node

A
  1. Na+ coming in, also ca++ in through leaky channels
  2. Fast depolarization Ca++ influx through voltage gated channels
  3. Fast repolarization K+ influx via voltage gated channel
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2
Q

What are the events that occur during each paste of plateau action potential

A
  1. Slow depolarization - Na+ in via leaky channels
  2. Rapid depolarization Na + in via voltage gated channels
  3. Plateau Phase- Ca++ influx , K+ bleak channels (n ligand)
  4. Rapid depolarization- K+ efflux via voltage gated channels
  5. Slow depolarization – Na+ influx leaky
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3
Q

Compare and contrast the major physiological characteristics of the Sa node and av nodes and the specialized conductive fibers

A

SA node – resting potential is closer to threshold
Resting potential= -60 to -50mV
HR= 60- 100
AV node — slower in conduction -fewer gap junctions – smaller in diameter size(greater resistance)
Resting potential = -85 to -75mV
HR= 40-60
Ventricle - resting potential= -105 to -95 mV
HR= 20-40

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4
Q

What are the effects of hyperkalemia, Hypercalcemia and hypocalcemia on cardiovascular function? What are the molecular events that cause these problems

A

Hypercalcemia— excess ca++ in blood= stronger contractions = it will block opening of voltage gated Na+ channels ( blocks neurons)
Hypocalcemia- Less ca in blood = weaker contractions=causes spontaneous opening of Na+ channels (muscle tetany)
Hyperkalemia- increase K= outside the cell= more K+ inside the cell= making the cell less negative= weaker contraction

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5
Q

Hyperkalemia

A

More K+ outside the cell= less force inside the cell= less negative
Less Ca+ entry inside cell
Weaker contractions= slow contractions = irregular rhythm =AV block
Less negative resting potential= weaker contraction

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6
Q

The roles of the sympathetic and parasympathetic nervous system in regulating the heart. Describe in detail how Ach and Norep alter cardiac functions

A

Parasympathetic effects only rate
- Ach binds to ligand gated channels - increases K+ permeability = decreases heart rate

Sympathetic - effects strength and rate

 - norep= hyperpolarizes membrane potential closer to threshold 
- increases Na+ permeability - increaseHR 
 - more Ca++ channels available -increases strength
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7
Q

Define Right (RAD) and left axis deviations (LAD) detected with ECG’s . What are the normal body variations that may cause their appearances and what pathological conditions might be responsible?

A

RAD- picking up more electrical activity on right ( 90- 180)
- right vent. hypertrophy
- increase resistance to blood flow in pulmonary circuit
- People who have adapted to living at high altitude
LAD- 0 to -90 (-270)
- occurs in obesity, pregnancy
- can occur lying down
- enlarged left ventricle
- loss of right ventricle muscle cells depolarizing

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8
Q

Extreme RAD

A

180-270

  • most serious not good for physical activity
  • muscle left decreased at same time when right muscle increases
  • result from congested heart failure
  • leads to pulmonary edema
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9
Q

Ohm’s law How pressure differences and resistance affect fluid flow

A

the pressure differential between the pressure at the origin of the vessel and the pressure at the other end of the vessel . the difference creates a resistance as a result of friction between the flowing blood and the intravascular endothelium along the inside of vessel

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10
Q

Poissseuille’s law how radius, resistance, length, viscosity turbulence and hematocrit affect blood flow

A

Turbulence: when rate of blood flow becomes too great, passes by an obstruction in a vessel
Radius:

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11
Q

Factors that affect cardiac output and total peripheral resistance

A

Cardiac output= arterial pressure / TPR
when total peripheral resistance decreases, the cardiac output increases
when total peripheral resistance increases the cardiac output decreases

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12
Q

Define Mean arterial pressure (MAP)

A

average pressure pushing blood through systemic circulatory system

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13
Q

the equations for estimating MAP at rest and during activity

A

At rest: MAP= 1/3(SP-DP)+DP

Activity: MAP= SP+DP/2

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14
Q

Blood pressure = Cardiac output X ….
Blood pressure= ___ X__ X___
Blood pressure=__X ______X ___

A

TPR
HR X SV X TPR
HR X (EDV- ESV) X TPR

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15
Q

Resistance = 8nL/ ?

A

r ^4

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16
Q

Blood Flow= P1-P2/ ?

A

R

17
Q

Cardiac Output

A

SV X HR

18
Q

Stroke Volume=

A

EDV-ESV

19
Q

Intrinsic control

A
Sa node/ AV node ectopic focus 
increase stretch of right atrium 
increase leakiness SA node 
increase HR
increase venous return 
increase peripheral tissues 
increase vasodilators
20
Q

Extrinsic Control

A

Bainbridge reflex
increase pressure in R atrium
increase sympathetic
baroreceptors

21
Q
what is the Baroreceptor reflex:
- variable measured
- sensory receptors
- intergrating center
- efferent pathway 
response of the effectors
A
  • initiated by stretch receptors - increased BP
  • Carotid sinus and aortic arch
  • signals to CNS
  • feedback ANS
  • reduce arterial pressure and decrease HR
  • Blood volume decreased
22
Q

Bainbridge reflex

A

Stretch receptor of right atria
transmits back through vagus nerves and sympathetic to increase HR
Bood volume increased
venous return is increased- increase pressure on right atrium - decreased atrial pressure - brings more blood in from vena cava

23
Q

Action of ADH

A

-vasoconstriction
- increase HR
-
- increase BP
- reabsorb water
decrease osmotic pressure

24
Q

Aldosterone Action

A
  • increase Na+
  • excrete K+
  • increase BP
25
Q

Angiotensin II

A
  • vasoconstriction

- increase BP

26
Q

Atrial Natriuretic Hormone

A
  • decrease BP
  • Vasodilation
  • decrease Na+