Thermoregulation Flashcards

1
Q

Humans can tolerate ___ degree decline in body temp, but only a ___ degree increase

A

10

5

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2
Q

normal body temp

A

98 to 98.8 degrees

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3
Q

hypothalamus

A

central coordinating center for temperature regulation

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4
Q

how does the hypothalamus regulate temperature?

A

cannot “turn off” heat
thermal receptors in skin provide input
changes in blood temp that perfuses hypothalamus

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5
Q

thermoregulation process in heat stress

A

radiation
conduction
convection
evaportation

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6
Q

radiation

A

body emits electromagnetic heat waves

NO molecular contact between objects

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7
Q

conduction

A

direct heat transfer from one molecule to another through a liquid, solid, or gas
heat loss involves warming air molecules and cooler surfaces that contact the skin

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8
Q

convection

A

air or water moving across the skin

swimming

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9
Q

evaporation

A

water vaporization from skin surface to environment- major defense against over heating

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10
Q

heat loss by evaporation

how?

A

evaporation of sweat from skin exerts cooling effect

cooled skin cools blood near surface of skin

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11
Q

3 major factors that influence amount of sweat vaporized from skin

A

surface exposed to environment
temperature and relative humidity of ambiant air
convective air currents around body

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12
Q

What reduces evaporation?

A

if the sweat rolls off the body- sweat needs to evaporate in order to cool skin/blood
or
high humidity at lower temperatures

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13
Q

what are the two competitive CV demands when exercising in heat?

A
  1. muscles require delivery of arterial blood to sustain energy metabolism
  2. arterial blood diverts to periphery to transport metabolic heat for cooling skin surface; this blood cannot deliver its oxygen to active muscle.
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14
Q

dehydration

A

loss of body mass due to fluid loss

** 3-5% loss of body mass does not degrade muscular strength or anaerobic performance

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15
Q

Signs and symptoms of dehydration

A

thirst
urine color = darker
urine odor
weight loss- 1L of fluid for each pound of weight loss

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16
Q

fluid loss coincides with 5 factors:

A
  1. decreased plasma volume = headache
  2. reduced skin blood flow for given core temp
  3. reduced stroke volume
  4. increased hr
  5. general deterioration in circulatory and thermoregulatory efficiency in exercise
17
Q

5 factors that modify heat tolerance

A
  1. acclimatization
  2. training status
  3. age
  4. gender
  5. % body fat
18
Q

acclimatization

A

collective physiologic adaptive changes that improve heat tolerance
progressive exposure to daily heat environment with adequate hydration

19
Q

acclimatization increases ____ ____, and ______,

and decreases _____ and ______

A

cutaneous blood flow, sweat output, exercise tolerance time

salt concentration of sweat, rectal temp per exercise workload

20
Q

training status

A

higher fitness level respond better physiologically to sudden heat stress than untrained
known CV, immune disease, infectious disease respond poorer to physiologically heat stress

21
Q

age

A

aging delays onset of sweating and blunts magnitude of sweating response

22
Q

age has these direct effects:

A

modified sensitivity to thermoreceptors
limited sweat gland output
dehydration-limited sweat output
insufficient fluid replacement

23
Q

gender

A

women tolerate thermal stress as well as men of comparable aerobic fitness and level of acclimatization

24
Q

%body fat

A

increase insulation so more difficult to conduct heat to periphery
increased metabolic cost of weight bearing activities
fatal heat stroke occurs 3.5x more frequently in larger individuals

25
Q

heat cramps

A

severe, involuntary, sustained muscle spasms

imbalance in body fluid level and electrolyte levels

26
Q

what to do when you have heat cramps

A

drink water than contains salt

27
Q

heat exhaustion

A

ineffective circulatory adjustments, depletion of extracellular fluid, principally plasma volume from excessive sweating

most common form of heat illness

28
Q

signs and symptoms of heat exhaustion

A
weak and rapid pulse
hypotensive
headache
dizziness
general weakness
29
Q

what to do when you have heat exhastion

A

stop exercising, move to cooler environment, get an IV

30
Q

heat stroke

A

failure of heat-regulating mechanisms from an excessively high core temperature

31
Q

signs and symptoms of heat stroke

A

elevated body temp greater than 40 C or 104F
CNS dysfunction
multiple organ system failure
diminished sweating, hot/dry skin

32
Q

desired temp in exercise environment

A

65-72F

33
Q

desired temp in cardiac rehab

A

65F

34
Q

what to do when you have heat stroke

A

whole body immersion in cold/ice

water, fluid replacement/IV

35
Q

will a 3% loss of body mass affect anaerobic performance

A

no

36
Q

will a 3% loss of body mass affect aerobic performance

A

yes because there is less water to moderate temperature

37
Q

what precautions should be considered in HEP

A

make sure that the discharge plan includes heat precautions: outdoor temp/humidity considerations; prehydrating; fluid during activity; fluid replacement; sunscreen; light colored, loose clothing; sweating; urine color; exercise early/later in day; shaded areas; mall walking; exercise facility.