Test 1 chapter 11 Flashcards

1
Q

3 stages of the GAS syndrome

A

Alarm
Resistance/Adaption
Exhaustion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

stressor triggers hypothalmic-pituitary adrenal axis

Activates sympathetic nervous system

A

Alarm stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

mobilization to flight/flee/freeze

Adrenal hormones actions of cortisol, epinephrine and norepinephrine

A

resistance/Adaptation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

if stress continues and adaption unsuccessful then progressive breakdown of compensatory mechanisms will happen and cause disease on set and impaired immune response and cardiac and renal failure and then death

A

exhaustion stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

catecholamines (epinephrine and norepinephrine) short acting
Energy for self-preservation

A

stress SAM axis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

corticosteroids (cortisol) long acting, sustained

Perception of stress

A

stress HPA axis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

circulate bound to albumin

A

catecholamines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

catecholamine that is widespread, short action due to repaid metabolism

A

epinephrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

regulates blood pressure by constricting smooth meuscle in all blood vessels
During stress it reissues blood pressure by constricting peripheral vessels, it dilates the pupils, cause piloerrection, and increases sweet gland action in the armpits and palms

A

norepinephrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

causes transient hyperglycemia, decrease glucose uptake in the muscle and other organs and decreases insulin release from the pancreas

A

epinephrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Epinephrin cardiac effects

A

increase myocardial contractility
Increases heart rate
Increase venous return to the heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

epinephrin binds to what receptors

A

Alpha and beta adrenergic receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

norepinephrine binds to what receptors

A

alpha adrenergic receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

epinephrine metabolic effects

A

Dilates skeletal muscle vessels which increases O2
Transient hyperglycemia
Decreases glucose uptake and insulin release
Mobilizes free fatty acids and cholesterol by stimulating lipolysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

adaptive physiological response to stress

A

allostasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

cumulative stress, individualized, “wear and tear” and lead to disease

A

Allostatic load

17
Q

Exaggerated pathophysiological response to stress
Increases Catecholamines, cort, proinflamitorry cytokines
Decreases PNS activity

A

allostatic overload