Practical work of students

Definition of hypoxia and its classification

2. Exogenous hypoxia: causes, types and typical changes of PaO₂, PvO₂, Pa-vO₂, oxygen blood capacity, PaCO₂ and pH in the given type of hypoxia

3. Respiratory hypoxia: causes, types and typical changes of PaO₂, PvO₂, Pa-vO₂, oxygen blood capacity, PaCO₂ and pH in the given type of hypoxia

4. Anemic hypoxia: causes, types and typical changes of PaO₂, P_vO₂, P_a-vO₂, oxygen blood capacity, PaCO₂ and pH in the given type of hypoxia

5. Circulatory hypoxia: causes, types and typical changes of P_aO₂, P_vO₂, P_a-vO₂, oxygen blood capacity, P_aCO₂ and pH in the given type of hypoxia

6. Histotoxic and substrate types of hypoxia: causes, types and typical changes of P_aO₂, P_vO₂, P_a-vO₂, blood oxygencapacity, P_aCO₂ and pH in the given type of hypoxia

7. Overutilization hypoxia: causes, types and typical changes of P_aO₂, P_vO₂, P_a-vO₂, oxygen blood capacity, P_aCO₂ and pH in the given type of hypoxia

Conditions that determine the susceptibility of cells to hypoxia.

Signs of acute hypoxia.

Adaptive reactions in acute hypoxia.

Mechanisms of long-term adaptation to hypoxia.

Methods of teaching

Discussion the major issues under the supervision of a teacher, discussion pathogenetic schemes, analysis of experimental data

6.6.8. THE LIST OF LITERATURE:

The basic

1. Litvitsky P.F., Pirozhkov S.V., Tezikov E.B. Concise lectures and tests on pathophysiology E-tekstbook. – ГЭОТАР-Медиа, 2007

2. Pathologic basis of disease. Environmental and nutritional pathology. V. Kumar, A.K. Abbas, S.N. Fausto, 8th edition, 2010, P.415-446

3. Basic Pathology. Environmental and nutritional pathology Vinay Kumar, Ramsi S. Cotran, Stanley L. Robbins. 9^th edition, 2013.- P 221-243.

Additional

1. Textbook of pathology. Harsh Mohan. 4rd edition, Delhi, 2004.- P 100-102.

2. Textbook of medical physiology. High altitude and space physiology. A.C. Guyton, J.E. Hall., 9^th edition, 1996.-P 549-562.

Methods of control

Oral questioning, checking pathogenetic schemes, testing

The approximate timing of classes

№	Steps of the class	Time (min)
	Organizational part. Roll Call, reading the goals and objectives of the class, distribution of demonstration material
	Discussion the questions 1-2
	Watching videos, video-film, tasks №№ 1, 2
	Break
	Discussion the questions 3-6
	Test
	Summarizing the classroom work, assessment of competencies

Practical work of students

Task № 1.

Model an exogenous hypoxia and study its symptoms.

Technique. Take 3 mice, one of them place in a hermetically sealed balloon of Komovsky’s apparatus; the second mouse place in hermetically closed jar, the third mouse is the control. Mark an initial state of animals: behavior, character of breath, color of skin. Pump out air from the balloon, watching for level of barometric pressure on a manometer. Fix character and sequence of changes at the level of barometric pressure 0.8 atm., 0.6 atm., 0.4 atm., 0.2 atm.. Observe a clinical picture of acute hypoxia, mark character of breath. The received data write down to the protocol, analyze them. Conclude.

The Protocol of experiment

animal	Type of hypoxia	Color of skin	Character of breath	Pathogenesis of changes
The mouse 1	Exogenous hypobarbarometric
The mouse 2	Exogenous normobarbarometric
The mouse 3 (control)	-----------------

CONCLUSIONS:

Task № 2.

Cause blood type of hypoxia in mice: 1. poisoning by nitrates 2. poisoning by CO

Technique. Nitrates poisoning.

Inject subcutaneously 0,1 ml of 10 % sodium nitrate to a mouse. Observe a clinical picture of acute hypoxia. Pay attention to color of skin and mucous.

Carbom monoxide poisoning. (CO is received from the reaction of formic acid with H₂SO₄)

Place a mouse into jar connected with the help of a rubber tube with a source of CO. Research the behavior of an animal, color of skin and mucous.

Do the incision of dead animals. Compare color of skin, organs and blood. Fill in the summary protocol:

the p rotocol

Animal	Kind of influence	Color of skin	Color of blood	Pathogenesis of the changes
The mouse 1	Nitrate-poisoning
The mouse 2	CO-poisoning

CONCLUSIONS: