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76 Cards in this Set

  • Front
  • Back
Cardiac Output (Ohm's)
CO = (Pa - RAP)/TPR
Resistance
R = (8nl)/[(pi)*r^4]
compliance
C = V/P
Cardiac Output (basic)
CO = SV * HR
Cardiac Output via measurement
(O2 consumption)/(O2 pulv. - O2 pula)
Ejection fraction
SV/EDV
Starling Equation
J= K[Pc-Pi) - (piC - piI)]
Physiologic Dead Space
(TV) * [(PACO2 - PECO2)/PACO2)]
alveolar ventilation
(TV - Dead space) * breaths/min
Renal clearance
C = UV/P
GFR
INULIN CLEARANCE (UV/P)
free water clearance
CH20 = V-Cosm
HH equation
pH = pK + log(A-/HA)
serum anion gap
Na - (Cl+HCO3)
sigma (lc)
reflection coeficient (near 1 = imperm like ALBUMIN).

near 0 = UREA.
equilibrium potential
61*log(Ci/Co) if charge is +2, divide 61 by 2... etc.
equilibrium potentials; Na, Cl, K, and Ca
Na = 65
Ca = 120
K = -85
Cl = -85
Botulinum
block Ach release at NM junction
Curare
competes for Ach bind site at NM junction
epi metabolites
DOMA, NMN, MOPEG, VMA
Dopamine
D1 --> Gs

D2 --> Gi:
Parkinsons --> destroy D2 rec.
Sciz --> increase D2 rec.
GABA
Glu --> GABA via Glu decarbox...

GABAa --> increase Cl- conduction (benzodiaz, barbituate site).

GABAb --> increase K conduction
osmolarity
g*C; g = 2 if NaCl, etc.
Oncotic pressure
g*C*RT.... multiply by sigma (reflection) to get "effective" oncotic pressuer.
blood velocity
flow/area
capacitance
V/P; analgous to distensibility (veins have highest); as opposed to elastance.
Pulse Pressure major influence
Influenced most by stroke volume

aorta has low capacitance.
MAP
diastolic + (1/3 * pulse pressure)
Sympathetic action on heart
Beta1... incerases HR, conduction velocity at AV, and contractility.
PSNS on heart
via M3... decreases HR, conduction velocity at AV, and contractility.
dromotropic effect
affects AV conduction velocity.
negative dromotropic effect mechanism
decreases conduction velociity through AV node.

Increases PR interval. via decreasing inward Ca2+ current and increasing outward K current.
negative chronotropic effect mech.
decreased If currents.

slow HR.
Catecholamines actions on heart (mechanism and receptor)
B1.

increases force of contraction:
1. increases inward Ca2+ current during plateau.

2. Increases activity of calcium pump in SR by phosphorylation of phospholamban.
Ach mechanism on heart
M3 PSNS stimulation.

decreases force of contraction in ATRIA by decreasing inward Calcium current during plateau.
Preload
EDV (RIGHT ATRIAL PRESSURE).
Afterload
Aortic pressure
mean systemic pressure
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).
S1
AV valves close; mitral can close before tricuspid (splits)
S2
aortic valve closes and pulmonary valve (inspiration = split S2).
S4
filling of ventricle by atriole systole.

not heard in normal adults.
S3
during ventricular filling (not contraction of atria); indicates disease in adults, normal in kids.
Angiotensin II effects on kidneys:
direct --> PCT H/Na exchange (contraction alkalosis).

indirect --> through aldosterone... Na reabsorb in CD.
ADH mechanisms
1. V1 receptor -- vasoconstriction of arterioles.

2. V2 -- increase water resorb in distal tubules and CDs.
ANP
relaxes vascular SMCs, decreases TPR.

causes excretion of Na and water by kidney.

inhibits renin secretion.
active hyperemia vs reactive hyperemia
active --> icnrease flow in response to metabolic demand.

reactive --> increase flow because it hasn't gotten blood (ischemia).
histamine
arteriolar dilation

venous constriction.
bradykinin
arteriolar dilation and venous constriction
seratonin (cardiovascular)
constriction
prostacyclin
vasodilator in several vascular beds
PGE
vasodilators
PGF
vasoconstrict
TXA2
vasoconstrict
vasodilator metabolites in skeletal muscle
lactate, potassium, adenosine.
COPD and asthma vs FIBROSIS WRT FEV1/FVC
COPD.... both decreases... ratio decreases.

Fibrosis... FEV1 decreases, but NOT AS MUCH AS FVC... therefore ratio elevated or normal.
BUN and Creatinine
BUN high (ratio) --> indicates bad flow to kidney.

BUN low (ratio low) --> overhydration from IV fluids...
PAH
secreted substance

at plasma concetrations LOWER than Tm, PAH CLEARANCE measures RENAL PLASMA FLOW.
Total body water
tritiated water, D20
Extracellular water
inulin, mannitol, sulfate
plasma water
evan's; radioactive albumin.
Renal BLOOD flow
RPF/(1-Hct)
renal plasma flow
PAH UV/C
carbonic anhydrase inhibitors...
inhibit HCO3- reabsorption in early PT (Na/H coutnertransport - Na into cell, H into lumen).
Thiazide diuretics
inhibit Na/Cl coport in EARLY DISTAL TUBULE.
Loop diuretics
act on Na/2Cl/K+ coportand inhibit...

furosamide.
potassium sparing diuretics
act on late DT/ collecting ducts at principle cells (nml action is Na/H20 resorb, K+ out)...
phosphate reabsorption
most reabsorbed in PT via Na coport.
calcium reabsorption
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.
Mg reabsortb
in PT, thick ascending limb, and distal tubule.

competes with calcium in thick ascending limb.
isoproterinol
alpha and beta AGONIST.
phentolamine
alpha blocker
propanolol
beta blocker
albuterol
beta2 AGONIST.
sprinolactone
aldosterone antagonst
atropine
muscarinic antagonist.
17,20 lyase
androgenics in adnrenals... inhibit thisw and other products still okay.