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Midterm 3
Respiration-Gastrointestinal
102
Physiology
Undergraduate 4
02/23/2011

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Cards

Term
Respiration System Functions
Definition

1) Gas exchange between atmosphere and or tissue (blood)

2) Body temperature regulation

3) Vocalization speaking

Term

(Anatomy)

Conduction Pathways

Definition

where the air travels into and out of the respiratory system

  • Mouth & nose
  • Trachea
  • Bronchi <L&R>
  • Bronchioles (numerous)
Term

(Anatomy)

Gas Exchange Surfaces...

Definition
  • Respiratory Bronchioles
  • Alveoli
Term
Alveolus:
Definition
  •  Wrapped with pulmonary capillaries
  • 80% of alveoli are covered by capillaries
  • thin stretchy
  • alveoli also expand and contract during breathing
Term

(Anatomy)

Respiratory muscles

Definition
  • Associates with ribcage
  • Diaphragm
Term
Internal Respiration
Definition
Mitochondria (make ATP use O2 produces CO2)
Term
External Respiration
Definition
  • Activity of respiratory muscle and lung. 
  • Exchange of gases across alveoli
Term
Aerobic metabolism
Definition
Using O2 to generate ATP (internal respiration, really)
Term
Anaerobic Metabolism
Definition
No O2 is necessary for ATP production
Term
Pulmonary BP
Definition

25mm Hg (SP)

.......................

8mm Hg (DP)

Term

Tidal Ventilation

Air flow into the lungs...

Definition
caused by a drop in air pressure inside lungs
Term

Tidal Ventilation

Air flow out of the lungs

Definition
is caused by an increase of pressure inside lung
Term
Boyles law
Definition
Pressure x Volume = Constant
Term
What changes the volume of the lungs
Definition
Respiratory muscles
Term
Inhalation
Definition

Active process. Diaphragm and external inter costal muscles  contract.

  • Lung volume increases----> lung pressure decreases
  • lungs contract (air rushes in)
  • volume increases in thoracic cavity
  • diaphram drop downward
Term
Exhalation
Definition
  • passive process
  • relax the muscles (recoil)
  • cartilage of thorax also recoils
  • lung volume decreases
  • lung pressure increases
Term
Respiratory mechanics are...
Definition
  • Automatic
  • can be over-ridden
  • ex: holding your breath, blowing out candles,speaking
Term
what drives gas movement?
Definition
pressure gradients
Term
Alveolar gas pressure (O2 & CO2)
Definition

O2--> 100mm Hg

CO2--> 40mm Hg

Term
Blood gas entering lung pressure(O2 & CO2)
Definition

O2-->60mm Hg

CO2-->46mm Hg

Term
what covers the surface of alveolus?
Definition
  • a thin layer of H2O.
  • tends to prevent the alveolus from expanding (surface tension)
  • Pulmonary surfactant (type 2 alveolar cells)
Term
Pulmonary Surfactant
Definition
  • Type II alveolar cells
  • reduces attraction between H2O molecules
  • easier to inflate alveoli
Term
"Static" Lung Volumes
Definition
  • Tidal volume (tv)
  • Inspiratory reserve volume (IRV)
  • Expiratory Reserve (ERV)
  • Residual volume (RV)
Term
Tidal Volume
Definition

normal volume breath in and out of the lungs

~500mL

Term
Inspiratory Reserve Volume
Definition

Volume above the TV that you can inspire

~3000mL

Term
Expiratory Reserve Volume
Definition

Volume below the TV that you can blow out of the lungs

~1000mL

Term
Residual Volume
Definition

Lung volume that cannot be expired

~ 1200mL

Term
Vital Capacity
Definition
TV + IRV + ERV
Term
Total Lung Volume
Definition
TV + IRV + ERV+ RV
Term
Control of Respiration
Definition
TVo= Volume breathed in and out of the lungs during normal breathing
Term
Respiratory Rate (RR)
Definition
# of breaths per minute
Term
Minute Ventilation (VE)
Definition
TV x RR
Term
Medulla Oblongata
Definition
  • Respiratory controller
  • controls RR <respiratory pace maker>, TV
  • pays attention to blood (plasma) content of CO2 and O2, pH (H+)
Term
Cerebrospinal fluid (CSF)
Definition

Isinside this region between the blood brain barrier & brain (medulla)

  • CO2 reacts with H2O in cerebrospinal fluid
  • H+ is produced
  • Respiration (rentilattion) increases!
Term
In CSF if blood CO2 concentration increases...
Definition
  • CSF H+ concentration also increases
  • stimulate respiration
  • breathe out faster
  • CO2 Levels drop
Term
O2 drives....
Definition
Respiration (stimulates ventilation).
Term
If blood O2 concentration drops....
Definition

Receptors in aorta, cartoid arteries (L&R) respond to O2.

pH drops (H+ concentration in blood increases) stimulate respiration.

--> receptors for H+ in aortic arch and cartoid arteries

Term
Oxygen
Definition
  • Carried by blood
  • 98.5% is carried bound to hemoglobin
  • small amount of O2 is carried dissolved form in blood
Term
Hemoglobin
Definition
  • this is a protein found red blood cells (erythrocyte)
  • each hb binds 4 O2 molecules preferentially in the lungs
  • Hb loses affinity O2 in the targe tissue

 

Term
Anemia
Definition
  • Low RBC count,low O2 delivery to tissue.
  • tired easily
Term
Carbon Dioxide
Definition
  • CO2 will react with H2O of the blood and it will form HCO3 (bicarbonate) ~60%
  • Carbon dioxide is dissolved in water ~10% ish
  • carried by hemoglobin (~30%) CO2temporarily sticks/binds Hb
Term
Hypothalmus/pituitray
Definition

regulates hormones

H.P Axis

  • Hypothalmus--> pituitary-->thyroid gland-->thyroid hormone
  • hypothalmus-->(stimulating hormones)--> pituitary--> "trophic hormones"-->enodcirne gland
Term
Hormone levels can "negatively feedback" on its production...
Definition
if the hormone levels are too high--> hormone tells the system to stop producing the hormone
Term
what happens to VE (minute ventilation) with exercise?
Definition

<Remember CO2 normally drives respiration;

plasma CO2 increases ---> VE also increases>

  • motor pathways can sometimes stimulate breathing muscles
  • during exercise CO2 increases initially -->CO2 actually drop down! O2 levels dont change
  • Limb movement also increases VE
Term
Endocrine System
Definition

Control system. Body functions including:

  • gastrointestinal function
  • reprodcutive function
  • growth and development
  • circadian rhythms
Term
endocrine system in conjunction with nervous system, it controls body functions
Definition
  • response "global"
  • responses can be long lasting
  • response is rather "slow"
Term

(Components E.S)

Endocrine tissue

Definition
Glandular tissue produces and releases hormones/signal factors
Term

(Components of E.S)

Hormones/signal factors

Definition
signal molecule stimulates target tissue
Term

(Components E.S)

cardiovascular system

Definition
carrying system
Term
Receptor for hormone
Definition
allow the target to respond to hormone
Term
Features of Endocrine System
Definition
  • hormones are carried by blood to all targets in the body
  • only tissue with receptors to that particular hormone will respond
Term
Types of Hormones
Definition
  1. Peptide or protein hormones
  2. "Amiries"
  3. cholesterol-derived hormones
Term
Peptide or Protein Hormones
Definition
  • short proteins
  • insulin (produced by pancreas)
  • "soluble" in blood
Term
Amines
Definition

Are synthesized from small compounds

  • Norepinephrine (noradrenalin)
Term
Cholesterol-derived hormones
Definition
  • steroid hormones
  • not water soluble
  • require carrying proteins (albumin) to move in blood stream
  • Estrogens, pogesterone, testosterone
Term
Insulin
Definition

produced by pancreas.

we have a basal level of insulin

  • in response to a meal--> insulin increases in blood
  • as plasma glucose decreases--> insulin will decrease
Term
Receptor
Definition
  • Located on cell plasma membrane. hormones that are water-soluble bind to those types of receptors
  • Bind receptor--> second messenger!! system is activated
  • Enzyme associated with receptor activated turns on a series of rxns
  • produce lots of 2nd messenger!
Term
Amplification single hormone binds --> produce lots of 2nd messenger
Definition
Term
This is seen with hormones that are NOT water soluble:
Definition
  • Steroid homones and thyroid hormones {lipid soluble (fat)}
  • interaction between hormone and nuclear receptor-->the two will bind--> migrate to nucleus--> influences gene expression
Term
Pancreatic Insulin and Glucagon
Definition
  • Homeostatically regulate the amount of glucose in blood
  • meal--> glucose-->glucagon-->pancreas-->insulin
Term
Insulin stimulates muscle, liver , fat tissue...
Definition
  • to uptake glucose from blood
  • liver: stimulates glycogenesis (synthesize glycogen)
  • muscle:glycogenesis
  • fat: lipogenesis (synthesize fats)
Term
Type I (diabetes mellitus)
Definition
  • Pancreas does not produce insulin
  • daily insulin
  • born with it
Term
Type II diabetes mellitus
Definition
  • Obesity--> plasma glucose increases,plasma insulin increases,
  • Insulin receptors not sensitive to insulin!!!
  • associated with inflammation--> leads to many diseases
  • Lose weight and exercise and will go away
Term
Pancreatic Glucagon
Definition

Release in response to low plasma glucose

  • stimulates the liver to release glucose into the blood
Term
Thyroid hormone
Definition
  • Regulates or basal metabolic rate
  • produced by thyroid
  • increase secretion in response to cold
  • H.P -thyroid gland axis
Term
negative feedback loop hormones...
Definition
Hypothalmus-> thyrotropin releasing hormone (TRH)-->pituitary--> Thyroid stimulating hormone--> thyroid gland-->muscle--> metabolism increases
Term
Cortisol
Definition
  • Stress hormone
  • glucocorticoid
  • release when exposed to stressful situations
  • induce release of glucose from tissues, induce protein breakdown
  • (releasing fuel into blood)
  • Produced by adrenal gland specifically by cortex
Term

Gastrointestinal system

Functions

Definition
  • Digestion
  • Abosorption
  • Motility
Term

Gastrointestinal

Digestion

Definition

Break down foodstuff

mechanical digestion- chew food

chemical digestion- enzymes, stomach acid

Term

Gastrointestinal

Absorption

Definition

moving nutrients, water, ions, vitamins into the blood

small intestine

Term

Gastrointestinal

Motility

Definition

muscle contraction

  • segmentation
  • peristalsis
Term

Anatomy of Gastrointestinal

(1) Serosa

 

 

1(outer)--->4 (inner)

Definition
epithelium cover over the GI tract organs
Term
Lumen
Definition
interior of the tube
Term

Anatomy Gastrointestinal

(2) Musculans Externa

Definition

Smooth Muscle

a) longitudinal

b)circular

Term
Longitudinal muscle
Definition
  • smooth muscle
  • Orientation
  • ->contraction: tube shortens
Term
Circular Muscle
Definition

arranged around the circumference

  • contraction: tube diameter decreases
Term

Gastrointestinal

(3) Submucosa

Definition
  • Contains lots of connective tissue
  • gives some strength to the organ
  • gives shape to the organ
  • very large blood vessels; arteries and arterioles; veins and venules
Term

Gastrointestinal

(4) Mucosa

Definition

Right next to the Lumen

(c) Epithelial cell layer lots of jobs!

S. Intestine--> absorbs nutrients, H2O

Stomach--> secrets digestive enzyme

Esophagus--> protective

Term

Gastrointestinal system

Gross Anatomy

Definition
  • Mouth
  • Esophagus
  • Stomach
  • Small Intestine
Term
Mouth
Definition

Functions in G.I system and respiration

chewing, tasting, swallowing

  • sweet
  • sour
  • bitter
  • salty
Term
Esophagus
Definition

Transit tube

sphincters at top and bottom

prevents reflux

Term
Reflux disorder
Definition

Heart burn

Stomach contents and acid reflux backwards into the esophagus.

Term
Transient lower esophagial sphincter relaxation
Definition
Burp
Term
Stomach
Definition
  • Stores food stuff temporary
  • Digestion-->stomach acid (proteins), enzymes (proteins), mechanical digestion
Term
Gastric Emptying
Definition

Material leaving stomach and entering the small intestine (SI-->absorption)

Decides when to emty foodstuff into Si

REGULATED

  • Fatstends to slow emptying
  • large particles slow emptying
  • pH stomach contents:
Term
Small Intestine
Definition
  • Duodenum (1 ft)
  • Jejunum (8 ft)
  • Ileum (12 ft) (Final digestion, absorption)
Term
Pancreas
Definition

Digestive Enzyme

Enzymes,

HCO3--> neutralizes

Starch--> glucose

Proteins--> amino acids, dipeptides, tripeptides

fats--> free fattyacids, 2-monoglyceride

 

Term
Liver
Definition

part of biliary system

HCO3- , Bile salts

Term
Small Intestine
Definition

Absorbs nutrients, water, ions (Na+ , Cl- etc.)

  • Duodenum: regulates- release hormones
Term
Bilary system
Definition
Liver and call bladder
Term
Bile Salts
Definition

Cholesterol

Emulsifier: "solubilizes"

fats--> improves digestion of fats produced in liver

Term
Gall Bladder
Definition

temporarily storesbile secretions

(bile salts, water, bicarbonate, toxic waste, bile pigments)

Term
Bile pigments.
Definition
RBC---> broken down by spleen--> relases heme--> pigment removed from blood by liver--> into feces
Term
Large Intestine and Anus
Definition
  • Ascending Colon
  • Transverse Colon
  • Descending Colon
  • Sigmoid Colon
  • Cecum
  • forms andstores feces
  • contractions--> remove water
Term
Cecum
Definition

Veriform appendix

immune function--> regulates the number of bacteria that livein the long intestine

Term
Where is absorption of nutrients
Definition
Small intestine mucosa
Term
Absorption of nutrients...
Definition

very little moves between the epithelial cells of small intestine---> H2O

 

Term
Small Intestine..
Definition
Transports proteins, transport enzymes, moves nutrient thru cell.
Term
Chylomicron
Definition
contains fats. travels thru lymphatic system and blood vessels
Term
Endoplasmic Reticulum
Definition

Resynthesizes fat

(fat absorption usually doesn't require transporters)

Term

Regulation of function

Autonomic nervous system

Definition

Parasympathetic stimulation--> increase activity of GI traact (increase acid production, increase pancreatic enzyme production,increase motility)

Sympathetic stimulation--> Shut down!!

Term
Intrinsic gastrointestinal nervous system
Definition

Controls tract.

work in conjuction with autonomic nervous system

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