Session 1. 1 - Flow Flashcards
What is physiology
The physics of living systems
What is physiology at all levels
Involves the study of the flow of matter and energy within and between body systems
How does what happens at the whole body level reflect processes at a cellular level?
. What
What do physiologic processes such as flow require
Energy
What forms of energy flow between each other
Potential energy and kinetic energy energy
What are diseases processes
Disturbances to normal flow and utilisation of the body’s energy resources
Interactions are
Functional - systems interact to perform work
Dynamic
Very organised directed flow of matter and energy within bio-electrical fields
Flow requires precise control and regulation
Cellular activity is directed and regulated
Why is flow relevant to medicine
In every body system, flow is a clinical measurement to determine health and disease
Eg: pulmonary, CV, GI, renal
If blood stops or food blocked
What is the function of pulmonary flow
Enable respiratory gas flow
Supply of O2 + removal of CO2 - depending on level of activity
Flows through tracheal -> bronchial-> alveoli
Transfer matched to Cv flow - exercise, so increased demand increased flow
How to measure pulmonary flow
Lung capacity (volume)
Peak expiratiry flow rate - how fast gases can move through the airways
Airway resistance
What process do you think of when diagnosing all flow
Where is functional deficits?
Listen - measure - imaging - oximetry (eg: how saturated oxygen levels are)
Why might there be airway resistance
Accumulation of fluid
What are the possible causes of pulmonary deficit
Asthma
COPD
COVID 19
How to treat pulmonary flow
Steroids
Cell butamole - increase diameter
What is the function of cardiovascular flow
Supply of O2 and removal of CO2
Supply of nutrients to support metabolism, growth, repair
Removal of waste products
Flow matched to demand
Flows heart/lungs - arteries - arterioles - capillaries - venules - veins
Pulmonary flow matched to CV flow, increased demand, increased flow
How to measure CV flow
ECG - measure of pump efficiency(changes in electrical field), Heart rate x stroke volume = cardiac output (lub dug) Blood pressure Blood biochemistry (cholesterol and resistance to flow)
What are diseases associated with CV deficit
CHD
High BP
Cardiac related atherosclerosis
Could use stent
Diagnosis determines
Whether to use therapeutics - drugs
What are examples of flow at the molecular level
Membrane transporters/channels - regulate flow selectively
Nerve action potent toon - spatial-temporal control of Na+ and K+, type of electrochemical flow
Information
What is potential energy
Stored in chemical bonds
Energy released in reaction (ectothermic)
What is potential energy used for
Found in the phosphate bond in ATP
concentration gradients across cell membranes, electrochemical gradient I - generates membrane potential
Electrochemical gradient 2 - source for secondary active trasnport
Electric field - act on voltage sensitive proteins
Elastic PE - held in molecular structures for release as mechanical energy, directed movement of structure
The release of PE
needs to match the demand for KE - flow control
What is kinetic energy
Held in chemical bonds
When broken thermal energy from exothermic reactions is released which can be converted into random Brownian motion (disorganised flow)
What is KE used for
Chemical gradient - movement across membrane
Electrochemical gradient - current flow across membrane
Electrochemical energy 2 - current flow+ co transport = secondary active transport
Electrical field - field movement, when moved, there are conformational changes in voltage sensitive proteins
Elastic energy - released as mechanic energy, bring about conformation changes like in actin/myosin, when synchronised, macromolecular movement