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HK 150 Exam 3

TermDefinition
Acid Mole that can liberate Hydrogen ions.
Base Molecule that can combine with Hydrogen ions.
Normal pH in body ~7.4 (Survival range of 7.0-7.8)
Alkalosis pH > 7.4
Acidosis pH < 7.4
Primary Source of Hydrogen during ANAEROBIC Exercise Lactic Acid; strong acid liberating LARGE amounts of hydrogen.
Primary Source of Hydrogen during AEROBIC Exercise Carbon Dioxide; forms carbonic acid liberating hydrogen.
Negative impact of Hydrogen Ion accumulation of skeletal muscle May impair exercise performance from inhibited ATP (Krebs enzymes) production and interferes with muscle contraction.
Buffer Systems Resist changes in pH (Acid-Base)
Buffer System function: Maintain pH by releasing/accepting Hydrogen ions when pH is high/low.
Primary Buffer System used during Exercise within CELLS Intracellular proteins (PCr) (60%), Bicarbonate (20-30%) and Phosphate groups (10%)
Primary Buffer System used during Exercise within BLOOD Extracellular buffer; Blood protein limit quantity using Hemoglobin and Bicarbonate (>50 VO2 max)
If Hydrogen is NOT buffered Acidosis would lower pH, Muscles would fatigue and Oxygen transport would be impaired.
Function of CV system Transport oxygen/nutrients to tissues, removes wastes and helps regulate body temperature
Chambers of the heart Pumps of the heart, total of 4; Right/Left Atrium and ventricles
4 valves of the Heart Tricuspid (Right AV), Bicuspid (Left AV), Pulmonary (semilunar) and Aortic (semilunar)
4 primary vessels Vena Cava, Pulmonary Veins/Arteries and Aorta
Right Atrium Blood Flow Direction UP; oxygen-poor & CO2-rich blood.
Left Atrium Blood Flow Direction Down; oxygen-rich & CO2-poor blood.
Pulmonary Circuit Consists of the heart and lungs
Pulmonary Circuit Direction Pumps deoxygenated blood from RV to lungs via pulmonary arteries & returns oxygenated blood to the LA via pulmonary veins
Systemic Circuit Consists of the heart and tissues
Systemic Circuit Direction Pumps oxygenated blood from LV to whole body via aorta & returns deoxygenated blood to the RA via vena cava
Arteries/Arterioles Carries blood AWAY from heart when blood is under high pressure. Tunica media (smooth muscle layer) constricts.
Veins/Venules RETURNS blood to the heart when low pressure. Valves prevent backflow.
Capillaries Only site of oxygen/nutrient exchange within tissues. ONLY endothelium.
Similarity between myocardial cells & skeletal muscle fibers Both contain actin and myosin = they both contract.
Systole Contraction phase; ejects blood from ventricle. While at rest, 40% of cycle is spent here.
Diastole Relaxation phase; filling the ventricle with blood. While at rest, 60% of cycle is spent here.
Stroke Volume (SV) Pumped OUT of the left ventricle with each beat
Stroke volume calculation SV=EDV – ESV
Cardiac Output (Q) Amount of blood pumped by the heart per minute
Cardiac Output Calculation Q = HR x SR
Ejection fraction (EF) Proportion of blood that is ejected
Ejection Fraction Calculation EF = (SV / EDV) x 100
Systolic Pressure Pressure generated in arteries during VENTRICULAR CONTRACTION
Diastolic Pressure Pressure generated in arteries during CARDIAC RELAXATION.
SA node "Pacemaker” that initiates depolarization in atria STARTING electrical signal. (1)
AV Node Receives signal and transmits to ventricles with brief delay to allow for blood to fill. (2)
Bundle Branches Signal travels down left/right bundles and directs towards each ventricle (3)
Purkinje Fibers Fibers spread electrical signal throughout ventricles to trigger contraction (4)
PNS Vagus nerve (“Brake Nerve”)
SNS Cardiac accelerator nerve
ANS HR control during REST & PNS Nerve is stimulated, decreasing intrinsic rate.
ANS HR control during EXERCISE & PNS Increase in HR from decrease in nerve stimulation
ANS HR control during EXERCISE & SNS Increase in HR due to increased nerve stimulation
Factors that Regulate Stroke Volume Contractility and Preload
Contractility Strength of ventricular contraction (SNS) using the FREQUENCY Effect
Frequency Effect Increased rate of depolarization by nor/epinephrine from calcium in myocardial cell
Preload Volume of blood in the ventricles at the end of diastole using MUSCLE-LENGTH Effect.
Muscle-Length Effect Increased stretching in sarcomeres
Frank-Starling Mechanism Increase in ventricular filling causes sarcomeres to stretch creating a more forceful contraction to eject more blood per beat.
Exercise impact on Venous Return Venoconstriction causes veins to constrict from SNS, Skeletal muscle & Respiratory Pumps increase abdominal pressure to allow veins to empty towards the heart
MVP Variable that determines Blood Flow Resistance and Afterload impact Vessel Radius (Constriction; increased BP & decreased SV)
Redistribution of Blood Flow during Exercise: Causes for increase in SV due to vasodilation from skeletal muscle. (NOT vasoconstriction!)
How Oxygen delivery is accomplished during exercise Due to higher cardiac output, better oxygen difference and improved blood flow redistribution.
Exercise & Cardiac Output (Q) Increases LINEARLY with intensity to deliver more oxygen-rich blood to muscles.
Exercise & Heart Rate (HR) Increases LINEARLY with intensity as body requires faster blood circulation.
Exercise & Stroke Volume (SV): Increases SIGMOIDIALY then PLATEAUS with intensity. (NOT beyond 40% VO2max.)
Exercise & Blood Pressure (BP) Increases PROPORTIONALLY with intensity from greater cardiac output
Exercise & MAP/a-vO2 Difference Increases MODERATELY with intensity.
Cardiovascular Drift Gradual increase in heart rate.
a-vO2 Difference Reflects amount of oxygen extracted by tissues; hence NOT all oxygen is delivered to tissues.
During Exercise HIGH a-vO2diff is Preferred Muscle extract MORE oxygen from blood producing energy to meet increased demands.
Adaptations that increase VO2max during exercise Delivery (Q) & Extraction (a-vO2)
Factor Increasing Delivery (Q) Due to increase in stroke volume from training.
Early Phase Training Primary Adaptations Neural adaptations improve strength coordination and efficiency.
Later Phase Training Primary Adaptations Metabolic Adaptations/Muscle Hypertrophy improves cardiovascular system and enhances energy systems.
Genetic influence on VO2 max 50% of range is due to mitochondrial DNA.
Function of the Pulmonary Respiratory system Provides gas exchange between environment and body. Regulates acid-base balance during exercise.
Ventilation Mechanical process of moving air in/out of lungs
Diffusion Process that oxygen moves out of lungs and into blood. CO2 moves from blood into the lungs.
Conducting Zone Conducts/moves air through trachea and into bronchioles to respiratory zone. Humidifies/warms and filters air. (NO GAS EXCHANGE takes place)
Respiratory Zone Exchange gases between blood and lungs that occurs in alveoli and alveolar sacs.
Number of alveoli in lungs ~300 million!
Diaphragm use for Ventilation Muscles initiate pressure change inside lungs.
Active (Inspiration) Ventilation Phase Diaphragm lowers, expanding the chest cavity volume resulting in intrapulmonary pressure to DECREASE. (757-760 mmHg) ‘Vacuum’ allows air flow
Passive (Expiration) Ventilation Phase Diaphragm relaxes, alveoli RAISES intrapulmonary pressure (763 mmHg) Air forced out of lungs.
Ventilation Calculation Airflow = (P1 – P2) / Resistance
Tidal Volume Volume (L) of air entering/leaving lungs during one breath at rest
Average Tidal Volume 0.5 L x 15 = 7.5 L/min.
Alveolar ventilation (VA) Volume of “fresh air” that reaches Respiratory Zone each minute. (0.35L)
Dead Space Ventilation (VD) Not all air passing the lips reaches respiratory zones and remains in Conducting Zone. (0.15 L) Inflammation = increase
Diffusion Movement Random movement of molecules (gases) from HIGH to LOW concentration/pressures.
Fick’s Law of Diffusion Rate of gas transfer across tissues
Factors that influence has movement within body Tissue area/thickness, Diffusion coefficient of gas, Difference in partial pressure.
Partial Pressure Importance of gas movement Moves gases in/out of lungs using diffusion.
Partial Pressure & Oxygen Movement Pressure moves from 100 mmHg to 40 mmHg. Moves from Alveolus to Body Tissues.
Partial Pressure & Carbon Dioxide Movement Pressure moves from 46 mmHg to 40 mmHg. Moves from Body Tissues to Alveolus.
Oxygen Transport in Blood Binds to hemoglobin (Hb) in RBC by forming oxyhemoglobin using 4 O2.
Carbon Dioxide Transport in Blood Transported as bicarbonate (70%) or binds to hemoglobin (20%)
Oxyhemoglobin Dissociation Curve Shows how hemoglobin binds/releases oxygen depending on PO2 levels.
Higher Temperature & Lower pH More ACIDIC conditions with easier oxygen release levels. RIGHT shift.
Lower Temperature & Higher pH More ALKALINE conditions where hemoglobin holds oxygen more tightly. LEFT shift.
Myoglobin Oxygen-binding protein that transports oxygen from cell membrane to mitochondria to produce energy.
Greater affinity for Oxygen Myoglobin
Respiratory Control Center: Located in brainstem to regulate breathing using chemical signals and mechanical feedback to maintain homeostasis.
Pulmonary Ventilation at REST Chemoreceptors detect change forcing Mechanical Feedback to create rhythmic breathing.
Pulmonary Ventilation during EXERCISE Increased O2 and CO2 Removal from Neural Input causing for Increased Breathing Rate and Depth.
Central Chemoreceptors Located in medulla oblongata and stimulated by partial pressure of CO2. Detects changes in blood CO2 and pH. Increases pH with ventilation.
Peripheral Chemoreceptors Located in carotid/aortic bodies that responds to partial pressure of OXYGEN. Increases O2 with ventilation.
Carotid Bodies Detects oxygen levels and triggers increase in ventilation with O2 drop.
Aortic Bodies Detects CO2 and pH levels primary during metabolic acidosis or increased CO2 production.
Tvent Transition point where ventilation starts to increase more rapidly than VO2 due to onset of anaerobic metabolism
Exercise Training Influence on Ventilation Improves Ventilatory Efficiency and Enhances Pulmonary Function with Increase in Respiratory Muscular Endurance.
Created by: maggiemooz
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