Exam 1 Pathophysiology Notes: Modules 1, 2, & 3 ALL ANSWERS 100%CORRECT FALL-2021 SOLUTION AID GRADEA+

Module 1
Chapter 2: Homeostasis, Allostasis, and Adaptive Responses to Stressors
Homeostasis & Allostasis
Homeostasis:
❖ Remaining stable while staying the same
❖ A state in which all systems are in balance
❖ A state of equilibrium
❖ An ideal “set point” despite alterations within the body
Allostasis:
❖ Ability to successfully adapt to challenges
❖ Intricate regulatory processes orchestrated by the brain
❖ A dynamic processthat maintains or re-establishes homeostasisin light of environmental
and lifestyle changes
Stress As A Concept
❖ Physical, chemical, or emotional factor resulting in tension of body or mind
❖ Actual physical and mental state that tension produces
❖ Real or perceived threat to homeostasis
❖ Direct consciously or indirect unconsciously sensed threat to the stability of the organism
❖ Physical, chemical, or emotional factor resulting in tension of body or mind
❖ Actual physical and mental state that tension produces
❖ Real or perceived threat to homeostasis
❖ Direct consciously or indirect unconsciously sensed threat to the stability of the organism
General Adaptation Syndrome (GAS) (Selye)
❖ Three stages: Alarm, resistance/adaption, and exhaustion
➢ Alarm stage: fight-or-flight response asthe result of stressfulstimulus
▪ Hypothalamic-pituitary-adrenal (HPA) axis
➢ Resistance/adaptation: activity of the nervous and endocrine systemsin returning the
body to homeostasis
▪ Allostatic state: activity of varioussystems attempting to restore homeostasis
➢ Exhaustion: point where body can no longer return to homeostasis
▪ Allostatic overload: “cost” of body’s organs and tissues for an excessive or
ineffectively regulated allostatic response; effect of “wear and tear” on the body
P. 16
Fig. 2-2;
P. 15
1 / 2
❖ Stressors
➢ Agents or conditions that can produce stress; endanger homeostasis
▪ May be external or internal

  • External examples: school, work, life event (wedding)
  • Internal examples: cancer, child birth/pregnancy
    ▪ Physical, chemical, biological, social, cultural or psychological
  • Physical: hand injury
  • Social: standing in front of a class
  • Cultural: acceptance/ability to practice
    ▪ Vary in scope, intensity, and duration
    ▪ Reactionsto stress vary depending upon genetic constitution, gender, past
    experiences, cultural influences, developmental stage, and age
  • Past experience: a child afraid of a playground b/c he was previously abused
    there
    ▪ Can include both negatively and positively perceived events
    ➢ Risk Factors: Not stressors, but conditions or situationsthat increase the likelihood of
    encountering a stressor; there is some control over our stressors
    ❖ Neurohormonal Mediators of Stress & Adaption
    ➢ Catecholamines
    ▪ Play an integral role in allostasis
    ▪ Symphathico-adrenalsystem response mediatesthe fight or flight response
    ▪ Examples: Norepinephrine and epinephrine
    ➢ Norepinephrine
    ▪ Constricts blood vessels and raises blood pressure
    ▪ Reduces gastric secretions
    ➢ Epinephrine
    ▪ Enhances myocardial contractibility, increases heart rate, and increases cardiac
    output
    ▪ Causes bronchodilation
    ▪ Increase the release of glucose from the liver (glycogenolysis) and elevates blood
    glucose levels
    ➢ Adrenocortical Steroids
    ▪ Critical to maintenance of homeostasis
    ▪ May synergize or antagonize effects of catecholamines
  • Examples: Cortisol and aldosterone
    ▪ Cortisol
  • Primary glucocorticoid
  • Affects protein metabolism
  • Promotes appetite and food-seeking behaviors
  • Had anti-inflammatory effects
  • Too much cortisol over time can lead to pro-inflammatory effects

Leave a Comment

Scroll to Top