Lab Exam 2- Lab 10 Flashcards

(48 cards)

1
Q

acute ascent to altitude results in

A

environmental hypoxia

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2
Q

the reduction in the amount of oxygen at altitude is due to

A

reduced barometric pressure at increasing altitudes

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3
Q

the lower barometric pressure reduces the

A

partial pressure of inspired O2 (PiO2)

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4
Q

hypobaric hypoxia

A

the hypoxia associated with terrestrial altitude exposure

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5
Q

does the percentage of O2 in ambient air change at altitude

A

NO- the %O2 in ambient air is always constant at 20.93% regardless of altitude

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6
Q

physiological responses to altitude are dependent on

A

the severity of hypoxia

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7
Q

if a sea level resident travelled to Mount Everest what physiologic changes would be seen

A

loss of consciousness within minutes to hours

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8
Q

what happens physiologically to a person with gradual ascent and chronic altitude exposure

A

physiological adaptations - acclimatization
enables us to successfully tolerate altitudes that would cause major problems acutely

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9
Q

what condition is focused on in the altitude lab

A

acute hypoxia

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10
Q

what 3 parameters are required to calculate PiO2

A

barometric pressure (Pb)
water vapor pressure (PH2O) in inspired air
% of O2 in the environment

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11
Q

barometric pressure is dependent on

A

altitude

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12
Q

water vapor pressure in inspired air (PH2O)

A

47 mmHg *** independent of altitude

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13
Q

% O2 in the environment

A

20.93% *** independent of altitude

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14
Q

equation to calculate PiO2

A

PiO2= (Pb-PH2O) * %O2(as a decimal)

or

PiO2= (Pb-47)*0.2093

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15
Q

how does an acute reduction in PiO2 affect O2 levels in the blood

A

reduced PiO2 leads to a decrease in alveolar partial pressure of O2 (PAO2) which leads to a reduction in the partial pressure of O2 in arterial blood (PaO2)

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16
Q

what does SaO2 stand for

A

arterial Hb-O2 saturation

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17
Q

what is a major determinant of arterial hemoglobin O2 saturation (SaO2)

A

PaO2

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18
Q

shape of O2-Hb saturation curve

A

sigmoidal

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19
Q

at the top of the O2-Hb saturation curve, what is the effect of small changes in PaO2

A

minimal effect

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20
Q

at the steep portion of the O2-Hb saturation curve, what is the effect of small changes in PaO2

A

large effects on SaO2

21
Q

arterial oxygen content (CaO2) is determined by 3 parameters

A

[Hb]
SaO2
amount of O2 dissolved in plasma

22
Q

PaO2 influences ____

A

SaO2 and determines the amount of O2 dissolved in plasma

23
Q

compare the amount of O2 dissolved in plasma vs bound to Hb

A

the amount of O2 dissolved in plasma is extremely small compared to the amount bound to Hb

24
Q

in this weeks lab what are we examining

A

the changes in SaO2 heart rate, ventilation, BP, and substrate utilization at rest and during submaximal exercise with stimulated altitude exposure

*we are simulating high altitude using normobaric hypoxia

25
what does PaO2 stand for
partial pressure of O2 in arterial blood
26
what does CaO2 stand for
arterial O2 content
27
physiological response to acute altitude exposure
decrease in PaO2, SaO2, and CaO2
28
acute altitude exposure effects on max O2 uptake
VO2max is reduced with acute altitude exposure, with the severity of the reduction greater at higher elevations
29
% reductions in VO2 max: trained vs untrained
endurance trained athletes have a higher % reduction in VO2 max than untrained individuals
30
the decrease in VO2max at acute altitude exposure does what to intensity
increases the relative intensity of any given absolute (submaximal) power output at altitude
31
HR response to acute altitude exposure
an increase in resting HR and elevation in HR at any given absolute submaximal power output
32
what happens to max HR with acute altitude exposure
no change
33
what are the main factors in the blood influencing ventilation rate at sea level
PaCO2 and arterial pH *peripheral chemoreceptors that reside in aortic/carotid bodies respond to low PaO2 and play a predominant role in ventilatory response to hypoxia
34
the fall in PaO2 at altitude results in
an increase in ventilation at rest and all absolute workloads compared to sea level
35
compare the increase in ventilation during exercise at altitude vs at rest
the increase in ventilation during exercise at altitude is significantly larger than the increase in ventilation at rest
36
substrate utilization response to acute altitude exposure
increases CHO utilization during absolute submaximal exercise intensities
37
BP response to acute altitude exposure
MAP may decrease slightly * although increase in SNS activity with acute altitude exposure are expected to contribute to peripheral vasoconstriction, local factors are released that blunt peripheral vasoconstriction leading to small reductions in TPR and BP
38
variability in individuals response to acute altitude exposure
the level of hypoxia incurred at a given altitude varies between individuals
39
normobaric hypoxia
simulating altitude without going to altitude *artificially modifying the %O2 by providing subjects with a hypoxic (<20.93%) gas mixture in lab setting pressure = normal but the PiO2 is reduced due to artificial reduction in the % inspired O2
40
2 conditions measured in this lab
normoxic exercise and hypoxic exercise at two different submaximal workloads - 50 W and 100 W
41
what variables are measured at rest
BP HR Ve O2 saturation
42
what variables are measured during normoxic/hypoxic exercise
BP HR VE O2 saturation RPE
43
how long are subjects exercising at each submaximal workload
4-5 minutes
44
how long will the subject rest for before starting exercise
10 minutes
45
during the hypoxic protocol, what is the components of the air breathed in made of
15% O2 / 85% N2 gas simulating the hypoxic condition experienced at Pikes Peak (4300 m, 14,110 ft above sea level)
46
hypoxic conditions effect in VT / LT thresholds
cause a leftward shift VT and LT are reached at lower absolute workloads during hypoxic exercise
47
hypobaric hypoxia
reduce pressure in hypobaric chamber
48
normobaric hypoxia
reduce fraction of O2 in inspired gas