4.6 Homeostatic Control of Respiration Flashcards

1
Q

Can we consciously influence both parts of respiration?

A

No. Only ventilation. Gas exchange is entirely passive.

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2
Q

In terms of homeostatic regulation of respiration, what are three substances that are detected by peripheral chemoreceptors in arterial blood?

A
  • Partial pressure of CO2
  • Partial pressure of O2
  • pH
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3
Q

What is CN X?

A

Vagus nerve

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4
Q

What is CN IX?

A

Glossopharyngeal

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5
Q

Where in the brainstem to central and peripheral chemoreceptors deliver information?

A

Central pattern generator (CPG)

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6
Q

Where does the CPG send information? Why?

A

The spinal cord, because it innervates skeletal muscles

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7
Q

What is the most vascularised organ in the body?

A

Carotid body

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8
Q

What are the two types of peripheral chemoreceptors?

A
  • Aortic body
  • Carotid body
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9
Q

Describe the basic mechanism of a peripheral chemoreceptor

A
  • Highly vascularised -> can measure blood
  • Glomus cells (type 1 and type 2) can measure levels of chemicals
  • Information is sent via afferent nerves to the brain
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10
Q

What is hypercapnia?

A

Increase in the partial pressure of CO2

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11
Q

What can PCRs detect?

A
  • Hypercapnia
  • Hpoxia
  • Acidosis
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12
Q

Describe the shape of the graphical relationship between CO2 partial pressure and alveolar ventilation

A

Linear

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13
Q

Describe how acidosis or hypercapnia can lead to generation of an action potential in glomus cells.

A
  • Inhibition of K+ channels (cannot leave cell) due to influx in H+ or breakdown of newly-generated carbonic acid
  • Cell becomes depolarised, leading to Ca2+ influx
  • Ca2+ influx causes neurotransmitter release and vesicular activity
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14
Q

Describe how hypoxia can lead to generation of an action potential in glomus cells.

A

Nobody really knows, but it’s a similar mechanism to hypercapnia and acidosis

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15
Q

Which type of chemoreceptors are the dominant driver of increased ventilation in response to hypercapnia?

A

Central chemoreceptors

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16
Q

Can CO2 cross the blood-brain-barrier

A

Yeah. It doesn’t really care

17
Q

Can H+ cross the blood-brain-barrier

A

Nope

18
Q

How much does alveolar ventilation change per increase in PCO2 by 1mm/Hg? Is this an increase or a decrease?

A

Increase by 1-4l/min for every 1mm/Hg increase in PCO2. This is a very, very, sensitive mechanism

19
Q

What are the two control centres of the brainstem?

A
  • Pons (French bridge song)
  • Medulla
20
Q

Describe the relative orientation of the pons and the medulla

A

Pons is superior and anterior to medulla

21
Q

What is the Hering-Breuer reflex?

A

There are stretch receptors in smooth muscle of bronchi and bronchioles that inhibit inspiration in the brainstem

22
Q

What are the accessory muscles for breathing?

A
  • Pectoral muscles
  • Lats
  • Scalene muscles