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L9
Respiratory System Under Stress
20
Physiology
Professional
02/27/2013

Additional Physiology Flashcards

 


 

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Term
When does the body switch into anaerobic metabolism?
Definition
when oxygen extraction exceeds oxygen consumption
Term
what is the byproduct of anaerobic metabolism?
Definition
lactic acid
Term
At what point does O2 consumption (VdotO2) stop increasing linearly with work rate?
Definition
At VdotO2 max
Term
what is the anaerobic threshold?
Definition
The point above which the muscles derive their energy from nonoxygenic rather than oxygenic sources during exercise. The body can only operate above this threshold for a short period of time, such as when sprinting, before lactic acid builds up in the muscles
Term
what is another name for anaerobic threshold (AT)?
Definition
ventilation threshold
Term
How can you tell on an O2 consumption graph, where AT has been reached?
Definition
the slope of total ventilation increases suddenly as a result of high levels of blood lactate that induce increased respiration rate
Term
how does lactate differ from lactic acid?
Definition
lactate is lactic acid that has lost a proton
Term

During exercise, at what rate does cardiac output (Q) increase?

At what rate does ventilation (VdotE) increase?

Definition

Q increases 5x

VdotE increases 30x

Term
What is "rarified" air?
Definition
Air at higher altitudes is less dense and therefore contains lower percentages of oxygen
Term
Would a person have a higher or lower arterial pH at high altitudes?
Definition

higher

 

Why -- hypoxia at high altitudes causes hyperventilation which lowers PaCO2 and induces respiratory alkalosis

Term
What chemicals does hypoxemia of high altitudes stimulate the release of?
Definition

erythropoietin (EPO) to stimulate production of new RBCs

 

2,3-DPG to decrease O2 binding affinity

Term
Where is EPO made?
Definition
kidneys
Term
How long does a person have to live at high altitudes before EPO stimulates RBC production in bone marrow?
Definition
2 weeks
Term
Why does the hypoxic vasoconstriction reflex work to correct regional V/Q mismatches at sea level but not at high altitudes?
Definition
At high altitudes, every region of the lung is hypoxic, which causes a massive vasoconstriction throughout the entire lung.
Term
What is HAPE?
Definition

HAPE = high altitude pulmonary edema due to massive vasoconstriction at high altitudes. Pulmonary vascular resistance increases, backing up blood into the right ventricle and increasing pulmonary artery pressure. Therefore, the lungs are more susceptible to edema

 

*This can happen very quickly -- seconds to minutes

Term
What is HACE?
Definition
HACE = high altitude cerebral edema
Term
How can O2 be toxic at high levels?
Definition
it can product oxygen radicals which are highly reactive with body tissues
Term
What can 100% O2 cause in babies?
Definition
retrolental fibroplasia = blindness :'(
Term
What is absorption atelectasis?
Definition
collapsing of alveolar units that already have a low V/Q ratio due to a mucous plug or other obstruction. These alveoli are normally kept open by nitrogen because nitrogen does not diffuse across the alveolar membrane very quickly, but on 100% O2, the oxygen displaces the nitrogen and will diffuse across the membrane into the blood and the alveoli will collapse
Term
what are the "bends"?
Definition
the "bends," or decompression sickness, are bubbles of N2 in the blood that come out of solution while ascending from a deep dive. The N2 was dissolved due to high compressive forces during descent, but once external pressure was relieved during ascent, the nitrogen bubbles out of the blood
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