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Homeostasis and feedback loops

Learn it here, then practice it on the patient.

Homeostasis is the body's ability to keep its internal conditions stable while the outside world changes. Most of this control works through feedback loops.

Parts of a feedback loop

A sensor detects a change, a control center compares it with a set point, and an effector acts to correct it. The brain, especially the hypothalamus, and the endocrine glands are the main control centers.

Negative feedback

Most loops are negative: the response reverses the change. When blood sugar rises, insulin brings it down; when the body is hot, sweating and wider skin vessels cool it.

Positive feedback

A few loops amplify the change until an event is complete. Examples are uterine contractions in labor and the clotting cascade.

When control fails

Disease often means a loop is overwhelmed or broken. Fever, diabetes, shock and dehydration are all failures of homeostasis.

ValueSensor or control centerCorrection
Body temperatureHypothalamusSweating or shivering, skin vessels open or close
Blood glucosePancreasInsulin lowers it, glucagon raises it
Blood pressureBaroreceptors in the carotid and aortaHeart rate and vessel tone change
Blood CO2 and pHChemoreceptors in the brainstemBreathing rate and depth change

At the bedside

Vital signs are a window into homeostasis: a fast heart rate is often the body compensating for blood loss, fever or pain. Treat the cause, not just the number.

Related guides

Written by Making Synapses. Topic reference: OpenStax, Anatomy and Physiology 2e (no text adapted).