Temp Regulation Flashcards

1
Q

Body temp

A

Rate of heat production close to BMR

Resting is 80 kcal/hr

Increase 6-8 x during strenuous physical activity

Heat gain- metabolism, heat absorbed

Heat loss- environment

Core body temp= 37 C +/- 0.5

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2
Q

Body Core

A

Central heat compartment

Includes most viscera

Site of basal metabolism (heat gain)

Core temp is tightly reg

Body reg core body temp

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3
Q

Body shell

A

periphery of body

includes skin

insulates core from environment

Main site of heat loss

Extends several cm under the skin in cold environment

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4
Q

Heat Transfer

A

Radiation- surfaces of all objects constantly emit heat in form of electromagnetic waves.

Conduction- transfer of heat bt 2 stationary bodies in contact. Loss/gain transfer of thermal E during collisions of molecs

Convection- transfer of heat resulting from movement of fluid either a liquid or a gas. Aided by movement of air or water next to the object. Aids conduction exchange of heat by maintain supply of cool air

Evaporation- process by which H2O is transformed from liquid to gas state following E & heat release

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5
Q

Heat Transfer

A

Heat generated by skeletal m. transferred to body by convection

Blood transfers heat to environment when reaches skin

Skin utilizes conduction b/t 2 bodies until reach same temp

As air moves over surface of skin, heat carried away. Or water.

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6
Q

Heat Transfer

A

Evaporation- environment hotter than body but limited by humidity of air. (high humidity, not going to happen)

radiation- warmer to cooler body, at rest 60%,

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7
Q

Arteriovenous countercurrent

A

Warm blood from body core enters a. supplying an extremity, venous blood returning from shell is slightly cooloer

Temp gradient permits heat to transfer from a. to v.

As arterial blood progresses distally, constant temp gradient permits gradual cooling of arterial blood & conservation of heat w/in venous blood.

By this means, venous blood rentering core is back to nomral body temp w/ minimal loss of heat.

Greater interaction, greater heat transfer

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8
Q

Body Temp control

A
  • feedback

sensor in skin & core

set pt 37C

Integration center0 hypothal

Effectors- skin blood flow, sweat production, shivering.

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9
Q

Sensors

A

R on skin & in hypothal that monitor temp. Both skin & hypothal R are free n. endings

Skin R provide hypothal info about temp & act as early warning sys. More cold R

R in hypothal monitor core temp where more warm R

Changes in core temp that initiate thermal reg responses not changes in skin temp

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10
Q

Temp Sensing

A

Integration center- hypothal. Periph thermoR & from central thermoR.

Ant nuke neurons- warm sensitive

post- cold sensitive

Voluntary, semi voluntary and involuntary

Set pt- 37 C w/in 36 to 38 range

Hyperthermia above 40 = heat stroke & brain lesions

Extereme hypothermia- below 34, impair thermal reg & cardiac arrhythmias. Raised by pyrogens (fever producing substances)

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11
Q

Temp Homeostasis & Effector sys

A

sweating

cutaneous blood flow

activity & posture

shivering

external covering

Elevation in core temp- increase in skin BF & sweating. Behavior activities occur (seeking shade, cold drink etc. )

Fall in core temp- skin BF & sweating is red, shivering thermogenesis may be initiated.

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12
Q

Eccrine Sweat Glands

A

Eccrine- mostly dilute electrolyte solution

Apocrine- also fat

Upon n. stimulation, isotonic fluid released from secretory (clear) cells into lumen of coil. As this fluid passes along duct to skin surface, ionic composition is modified by transporters in epitch cells lining duct.

Low sweat rates, more salt removed

Fluid leaving duct is hypotonic to plasma w/ 5-60 mmol/L of Na+

Activity of transporters & salt [] of sweat affected by heat acclimatization & secretion of aldosterone.

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13
Q

Eccrine Sweat glands

A

rate of sweat gland secretion only under sym & Ach acting on M3 r.

Activate more glands & increase sweat secretion when preoptic A stimulates intermediolateral cell column in s.c.

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14
Q

Brain & S.C m

A

sym preganglionic are short & myelinated

post gang are long & unmyelinated

Reverse in parasym (long & myelinated; short & unmyelinated)

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15
Q

Blood Flow

A

W/ sweat production, BF is under sym control.

Most of skin is non apical

apcial skin of hands, feet, ears, nose & lips diff regulation

Increase in non apical= elevated core temp same sym that control sweat. Instead of vasodilator Ach use VIP or NO & bradykinin. Active vasodilation

Most skin, incrased blood flow will occur in A where evaporative cooling can happen.

Not typical @ rest until more than 25C environment

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16
Q

Blood Flow

A

Decrease in blood flow, release of NE & NPY vasoconstrictors

Active vasoconstriction

Increase in tone sym, increase in active vasoconstrict while a decrease causes passive vasodilate

17
Q

Local warming & cooling

A

Above 35 C doesn’t involve active vasodilation

local vasodilat neuropeptide release by afferent cutaneous sensory neurons

NO locally

Local cooling- activating afferent diff cutaneous sensory neurons to promote NPY & NE release

more pronounced in non apical skin

18
Q

Apical skin BF

A

Glomus bodies (arteriovenous anastamose) do not feed cap beds.

From arteriole straight into venules

Under symp control

No local control

Central response

Sweat due to cholinergic sym stimulation

19
Q

Thermal Reg during reduced ambient temp

A

core temp decreased when ambient temp decrease

Heat loss red by eliminating all sweating & decrease skin blood flow via sym n. stim (active vasoconstrict)

Heat generated by shivering

Primary motor center for shivering in hypothal- rhythmic oscillating tremors of skeletal m.

Increase metabolic rate of non m. tissues like liver & brown fat. Non shivering thermogenesis. Epi & sym n. stimulation

Longer run- thyroid hormones potentiate sym effects by raising BMR. *imp in infants*

20
Q

Non shivering thermogenesis

A

increase BMR but not by activity

Increase in epi, symp & thyorid hormone

Heat as byproduct

21
Q

Hyperthermia

A

excercise- body temp rises first

increased heat produced is matched by increased heat loss

set pt for normal temp is unchanged

fever hyperthermia- set point changes first

control center then adj effectors to make actual temp match new set point

22
Q

Thermal Reg During Exercise

A

Rise in core temp

Increase sweat & skin BF through sym cholinergic n.

Increase heat transfer

Puts a strain on heart

Dilated skin BV reservoir for blood reducing central BV & cardiac filling

SV decreases, HR increases to maintain normal CO

Body adapts after several weeks w/ reg exercise

23
Q

Acclimatization

A

1-8 days, increase in periph heat conductance, higher vasodilate & more Na loss by more sweat rate

Increase in evaportion & temps

After 14 days, lower sweat output & enhanced Na+ reabsorbed. Better sweat distribution & efficient evaporation.

Lower temps

24
Q

Fever Hyperthermia

A

Regulated increase in core temp

Response to abnorm elevated temp set pt

Brain interprets this as elevated set pt & starts heat conservation & generation reflex.

Skin BF reduced, shivering stimulated.

Raise body core temp

If in hot environment- vasoconstriction cutaneous

25
Q

Fever

A

Pyrogens- release IL or INFs to activate PLA2 to produce PGE2 eventually

PGE2 elevates set pt

Aspirin blocks PGE2 formation

26
Q

Heat exhaustion

A

core temp rises above 39 because body cannot dissipate heat load

Dehydration & hypovolemia

Canlead to heat stroke

27
Q

Heat Stroke

A

41 C or higher due to impaired thermoreg mech

As body core temp rises, cutaneous vasodilation in excess can lead to fall in arterial P & decrease in brain perfusion.

High temp cause fibronolysis & cosumption of clotting factors so thrombosis & hemorrhage

Rhabdomyolysis of m. & necrosis

Acute hepatic insufficiency, pancreatisis, renal f damage & eliminate electrical activity

28
Q

Malignant Hyperthermia

A

rare gen mut of RyR-1 R in skeletal m.

AD manner

Affected exposed to anesthetics which interact w/ R opening Ca2+ channels & produce uncontrolled efflux of Ca2+ from SR

Skeletal m. tetany & large amts of heat production

Core temp can rise dangerously high which leads to skeletal m. death & myoglobin in blood

Give dantrolene- block RyR R