Mid 2 Flashcards

(43 cards)

1
Q

Fick Equation

A

Relationship b/w Metabolism and Cardiovascular Function

1) VO2= Q (a-v)O2difference
2) VO2= HR x SV x (a-v)O2diff

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2
Q

Cardiac Output Measurement Equation

A
Q= HR x SV 
HR= BPM
SV= mL
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3
Q

Dead Space- Anatomical vs. Physiological

A

space in the alveoli

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4
Q

Cardiac Output levels at Rest and Maximal Exertion

A

at Rest- 4 liters/ min (small person) to 6 liters/min (average) (can vary depending on person)
Maximal- Males 22 liters/min
Females 15 liters/min

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5
Q

Ejection Fraction (EF)

A

EF= SV / EDV
Averages 60% at rest
Proportion of blood pumped out of L ventricle w/ each beat.
- Common in older people, pumps more but less blood.

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6
Q

Systolic Blood Pressure

A

increases in direct proportion to the intensity of exercise

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7
Q

Diastolic Blood Pressure

A

Very Little change w/ exercise

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8
Q

Max Arterial Pressure (blood pressure)

A

1/3 (systolic- diastolic) + diastolic

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9
Q

Rate Pressure Product

A

SBP x HR

a Measure of myocardial workload

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10
Q

Factors Affecting Blood Flow

A

Pressure Gradient: 1 side vessel vs. another side.
HR & SV: + press. on that end.
Vessel Radius- ves. increase in size
Vessel length- travels more/ less
Viscosity of Blood- if blood is thicker it/w flow slower

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11
Q

Factors affecting Vessel radius

A
Oxygen level
Temp. Changes
CO2 levels 
Blood acidity
adenosine levels
CADET to the right
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12
Q

Hypertension

A

A SBP of ≥ 140, or a DBP ≥ 90 measured on at least 2 separate locations.

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13
Q

AHA Rec blood pressure levels

A

Normal: systolic & diastolic 100 or>

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14
Q

Effects of exercise on BP

A

Reduced resting catecholamine levels
Post exercise dilation of blood vessels
Possible lower blood sodium levels
Weight control

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15
Q

Maximal Oxygen Consumption (VO2 max)

A

VO2max= Q x a-vO2diff

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16
Q

A-VO2 difference

A

average A-VO2 difference is 15 @ max exercise
Increase fitness, assoc. w/ increase A-VO2 diff. due to better extraction of oxygen & better distribution of the blood.

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17
Q

Oxygen Utilization

A

Myocardium utlizes 70-80% of available O2 at rest and exercise

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18
Q

Karvonen

A

HRR (karvonen)
Target HR= [%exercise intensity x (HRmax - HRrest)] + HRrest
MAX HR
HRmax x % intensity= target HR

19
Q

Limitations of HR

A
meds
emotions
temp
humidity
air pollution
20
Q

Rating of perceived exertion

A
prescribe intensity 
monitor intensity
RPE 12 to 16
  -approx 40 to 84% HRR
Use alone in conjunction with HR
21
Q

cool down

A

reduce risk of cardio complications
gradually reduce intensity 5- 10 min
Allow HR and BP to return to Baseline or near
Prevents pooling of blood in extremities
reduce dizziness and fainting

22
Q

time (duration)

A

-prescribe time and intensity to prop. stress cario resp system
ACSM rec:
30-60min moderate
20-60min vigorous
for a total of 150/week of moderate exercise or 75 of vig

23
Q

increase exercise volume

A

no more than 10% per week

24
Q

Aerobic training methods

A

continuous training
one contnnous exercise bout
Discontinnous training
several intermittent low to high intensity bouts interspersed w/ rest period

25
signs/symptoms of over training
mild led soreness general aches, pains in muscles and joints, washed-out feeling, tired, drained, lack of energy sudden drop in ability to run normal distance or times
26
Fick's Law
Rate of diffusion proportional to surface area, difference in partial pressure, inversely proportionate to membrane thickness
27
Ambient air
No2 79.04% O2 20.93% CO2 0.03%
28
Dalton's law of total air pressure
P= PN2 + PO2 + PCO2
29
Ventilation/Perfusion ratio (V/Q)
Ideally 1.0 Rest or light exercise 0.8 maximal exercise 5.0
30
Gas Exchange
Pulmonary -lungs | Tissue- muscle etc.
31
gas exchange in alveoli
amtospheric PO2= 159mmhg alveolarPO2= 105mmhg Pulmonary artery PO2= 40mmhg 65mmhg (105mmhg- 40mmhg)
32
RBC
2,3 DPG is a byproduct of glycolysis in RBC's, increased levels of reduce hemoglobin affinity for oxygen
33
Myoglobin
``` Bind O2 at Lower pressure Only 1 iron per molecule Binds 2 molecule of O2 Releases O2 to mitochondria PO2 is 1 - 2 mmhg ```
34
CO2 Transport
Dissolved in plasma 5% Combined with HEM 20% (carbonemohemoglobin) Combined w/ H2O Carbonic acid (H2CO3) Eventually Bicarbonate (HCO3) - loses 1 H from last step
35
Factors Controlling ventilation
at rest, PO2 & PCO2 (neurogenic factors) | in exercise, temp. pH, Neurogenic factors, Humoral, muscle and joint receptors.
36
Ventilatory Equivalent
20 to 25 L of air | 1 L of O2
37
Energy cost of breathing
4% of total metabolism | 40% of metabolism for person w/ (emphysema)
38
Smoking Exercise Capacity
Decrease max exercise capacity Increase Resistance breathing Increase time required to get steady state appear more fit during submax testing
39
acid base regulation
Chemical bufferes bicarbonate phosphate protein
40
respiratory Zone
large surface area 300 million alveoli 60- 80 Square meters
41
Inspiration
Diaphragm contracts and flattens out external intercostals outside ribs pulling them over Increased Vol of the chest allows flow of air to lungs
42
Expiration
passive at rest active during exercise or forced expiration internal intercostils, abdominal muscles
43
Pulmonary Volumes and capacities
``` Tidal Volume (~0.5L) Inspiratory reserve (~3,0L) (IRV greater) Expiratory Reserve (~1.0L) (ERV less) ```