PPP - homeostasis, body fluids, flow & pressure Flashcards
What is the purpose of short term homeostasis?
immediate survival
What is the purpose of long term homeostasis?
health and reproductive capability
What are some medium-term variables?
temperature, metabolic rate, appetite, GI secretions
What is an example of a long term variable?
steroid hormone levels
Give an example of hierarchy of importance for physiological variables?
Plasma osmolality will be maintained at the expense of blood volume by taking in more water - leading to hypertension
What is the purpose of negative feedback?
to move a variable back to a set point when it is altered?
When can the set point of a physiological variable be altered?
in fever or exercise
What are the 3 types of negative feedback?
neuronal, endocrine and local/chemical
Where are the integrating centres for negative feedback mechanisms?
in the midbrain and brainstem
Give examples of peptide hormones?
ACH, oxytocin
Example of a polypeptide hormone?
GH, insulin
Example of a glycoprotein hormone?
LH, FSH, TSH
Exampe of amino acid dervivative hormones?
adrenaline, T4
Example of steroid hormones?
progesterone, androgens, glucocorticoids
How do protein hormones work?
receptor binding on membrane induces 2nd messenger action
- effects are rapid and transient
How do steroid/thyroid hormones work?
intracellular receptor binding alters gene transcription
- effects are slow and prolonged
What is an example of local negative feedback?
local control of blood flow
control of blood volume
What is feedforward control
anticipation of a change brings about a response before the change is detected
What type of feedback is feedforward normally?
neuronal
What are examples of feedforward control?
Pavlov’s reflex
fight or flight anticipation
What is positive feedback, and what kind of control is it normally?
- when a change in varibale triggers amplication of that change
- usually hormonal
What is an example of positive feedback?
parturition in labour increasing uterine contractions
What 3 compartments is body water distributed into?
plasma (5%) interstitial space (40%) intracellular space (15%)
How do you calculate interstitial space?
extracellular space - plasma volume
How do you measure fluid compartments?
V = S/C
- add known amount of substance to unknown volume and measure the concentration
What are the features of a substance for measuring fluid compartments?
- distributes to space of interest
- non-toxic
- not metabolised quickly
What substances are used to measure plasma volume?
- don’t cross capillaries easily
- albumin, inulin, evans blue
What is used to measure extracellular space?
- substances that don’t enter cells easily
- sucrose
What is used to measure total body water?
- a substance that distributes with water
- 3H20
What are the major constituents of fluids?
ions, proteins, dissolved gases, nutrients, metabolites, cells in blood
Which ions determine osmolarity?
sodium, chloride and potassium
What is the unit of osmolarity?
osmole
What is the difference between osmolarity and osmolality?
osmolarity = 1 osmole/L osmolality = 1 osmole/Kg
What is tonicity?
The osmolarity when solutions are seperated by a semi-permeable membrane
What is crystalloid osmotic pressure?
pressure due to small diffusible ions
What is oncotic pressure?
pressure due to proteins
- around 25mmHg
What is the ionic composition of sodium?
plasma - 140mmol/L
intracellular - 10mmol/L
What is the ionic composition of potassium?
plasma - 4mmol/L
intracellular - 120mmol/L
What is the ionic composition of calcium?
plasma - 2mmol/L
intracellular - 100nmol/L
Roughly what is the concentration of plasma proteins?
70g/L
What are the main plasma proteins?
albumin
alpha, beta and gamma globulins
fibrinogen
How much is haematocrit?
45%
What is the concentration of erythrocytes?
4.8-5.5 x 10^12/L
What is the concentration of leukocytes?
4-11 x10^9/L
What are the types of leukocytes?
lymphocytes (20-40%)
monocytes (2-8%)
granulocytes
What are the main types of granulocytes?
neutrophils, eosinophils, basophils
What is the concentration of platelets?
150-400 x 10^9/L
What happens to platelets when they are activated?
change shape, release granules and stick together