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76 Cards in this Set
- Front
- Back
Cardiac Output (Ohm's)
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CO = (Pa - RAP)/TPR
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Resistance
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R = (8nl)/[(pi)*r^4]
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compliance
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C = V/P
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Cardiac Output (basic)
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CO = SV * HR
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Cardiac Output via measurement
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(O2 consumption)/(O2 pulv. - O2 pula)
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Ejection fraction
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SV/EDV
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Starling Equation
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J= K[Pc-Pi) - (piC - piI)]
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Physiologic Dead Space
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(TV) * [(PACO2 - PECO2)/PACO2)]
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alveolar ventilation
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(TV - Dead space) * breaths/min
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Renal clearance
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C = UV/P
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GFR
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INULIN CLEARANCE (UV/P)
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free water clearance
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CH20 = V-Cosm
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HH equation
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pH = pK + log(A-/HA)
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serum anion gap
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Na - (Cl+HCO3)
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sigma (lc)
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reflection coeficient (near 1 = imperm like ALBUMIN).
near 0 = UREA. |
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equilibrium potential
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61*log(Ci/Co) if charge is +2, divide 61 by 2... etc.
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equilibrium potentials; Na, Cl, K, and Ca
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Na = 65
Ca = 120 K = -85 Cl = -85 |
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Botulinum
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block Ach release at NM junction
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Curare
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competes for Ach bind site at NM junction
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epi metabolites
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DOMA, NMN, MOPEG, VMA
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Dopamine
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D1 --> Gs
D2 --> Gi: Parkinsons --> destroy D2 rec. Sciz --> increase D2 rec. |
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GABA
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Glu --> GABA via Glu decarbox...
GABAa --> increase Cl- conduction (benzodiaz, barbituate site). GABAb --> increase K conduction |
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osmolarity
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g*C; g = 2 if NaCl, etc.
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Oncotic pressure
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g*C*RT.... multiply by sigma (reflection) to get "effective" oncotic pressuer.
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blood velocity
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flow/area
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capacitance
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V/P; analgous to distensibility (veins have highest); as opposed to elastance.
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Pulse Pressure major influence
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Influenced most by stroke volume
aorta has low capacitance. |
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MAP
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diastolic + (1/3 * pulse pressure)
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Sympathetic action on heart
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Beta1... incerases HR, conduction velocity at AV, and contractility.
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PSNS on heart
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via M3... decreases HR, conduction velocity at AV, and contractility.
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dromotropic effect
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affects AV conduction velocity.
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negative dromotropic effect mechanism
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decreases conduction velociity through AV node.
Increases PR interval. via decreasing inward Ca2+ current and increasing outward K current. |
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negative chronotropic effect mech.
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decreased If currents.
slow HR. |
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Catecholamines actions on heart (mechanism and receptor)
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B1.
increases force of contraction: 1. increases inward Ca2+ current during plateau. 2. Increases activity of calcium pump in SR by phosphorylation of phospholamban. |
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Ach mechanism on heart
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M3 PSNS stimulation.
decreases force of contraction in ATRIA by decreasing inward Calcium current during plateau. |
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Preload
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EDV (RIGHT ATRIAL PRESSURE).
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Afterload
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Aortic pressure
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mean systemic pressure
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pont at which vascular function curve intersects x axis.
RAP when "no flow" in cardiovascular system... happens if you increase preload beyond effiecency point... (when CO levels off). |
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S1
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AV valves close; mitral can close before tricuspid (splits)
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S2
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aortic valve closes and pulmonary valve (inspiration = split S2).
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S4
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filling of ventricle by atriole systole.
not heard in normal adults. |
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S3
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during ventricular filling (not contraction of atria); indicates disease in adults, normal in kids.
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Angiotensin II effects on kidneys:
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direct --> PCT H/Na exchange (contraction alkalosis).
indirect --> through aldosterone... Na reabsorb in CD. |
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ADH mechanisms
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1. V1 receptor -- vasoconstriction of arterioles.
2. V2 -- increase water resorb in distal tubules and CDs. |
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ANP
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relaxes vascular SMCs, decreases TPR.
causes excretion of Na and water by kidney. inhibits renin secretion. |
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active hyperemia vs reactive hyperemia
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active --> icnrease flow in response to metabolic demand.
reactive --> increase flow because it hasn't gotten blood (ischemia). |
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histamine
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arteriolar dilation
venous constriction. |
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bradykinin
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arteriolar dilation and venous constriction
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seratonin (cardiovascular)
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constriction
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prostacyclin
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vasodilator in several vascular beds
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PGE
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vasodilators
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PGF
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vasoconstrict
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TXA2
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vasoconstrict
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vasodilator metabolites in skeletal muscle
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lactate, potassium, adenosine.
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COPD and asthma vs FIBROSIS WRT FEV1/FVC
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COPD.... both decreases... ratio decreases.
Fibrosis... FEV1 decreases, but NOT AS MUCH AS FVC... therefore ratio elevated or normal. |
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BUN and Creatinine
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BUN high (ratio) --> indicates bad flow to kidney.
BUN low (ratio low) --> overhydration from IV fluids... |
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PAH
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secreted substance
at plasma concetrations LOWER than Tm, PAH CLEARANCE measures RENAL PLASMA FLOW. |
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Total body water
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tritiated water, D20
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Extracellular water
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inulin, mannitol, sulfate
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plasma water
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evan's; radioactive albumin.
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Renal BLOOD flow
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RPF/(1-Hct)
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renal plasma flow
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PAH UV/C
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carbonic anhydrase inhibitors...
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inhibit HCO3- reabsorption in early PT (Na/H coutnertransport - Na into cell, H into lumen).
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Thiazide diuretics
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inhibit Na/Cl coport in EARLY DISTAL TUBULE.
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Loop diuretics
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act on Na/2Cl/K+ coportand inhibit...
furosamide. |
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potassium sparing diuretics
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act on late DT/ collecting ducts at principle cells (nml action is Na/H20 resorb, K+ out)...
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phosphate reabsorption
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most reabsorbed in PT via Na coport.
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calcium reabsorption
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PT and thick limb (ascending) get 90%.
loop diuretics can therefore inhibit calcium reabsorption!. DT gets remaining calcium. PTH site of action... thiazides inhibit Ca in DT. |
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Mg reabsortb
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in PT, thick ascending limb, and distal tubule.
competes with calcium in thick ascending limb. |
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isoproterinol
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alpha and beta AGONIST.
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phentolamine
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alpha blocker
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propanolol
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beta blocker
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albuterol
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beta2 AGONIST.
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sprinolactone
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aldosterone antagonst
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atropine
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muscarinic antagonist.
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17,20 lyase
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androgenics in adnrenals... inhibit thisw and other products still okay.
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