5C-Regulation of Respiration Flashcards

1
Q

What two parts of the brainstem control breathing?

A

Pons and Medulla

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2
Q

What is the group of breathing neurons in the medulla?

A

medullary respiratory center…CRAZY name, I know

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3
Q

What are the two groups of neurons in the pons?

A

Ap-neu-stic Center and Pneumo-taxic Center

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4
Q

What is primarily responsible for INSPIRATION and generates the basic RHYTHM for breathing? (What part of the brainstem are we talking here)

A

DORSAL respiratory group (DRG)..(medulla)

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5
Q

What is the “SA node of breathing”?

A

DRG (dorsal respiratory group)

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6
Q

CN __ inputs information from peripheral chemoreceptors and mechanoreceptors (e.g., lung stretch receptors, irritant receptors, J receptors and joint & muscle receptors)..

A

X Vagus!

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7
Q

CN ___ inputs information from peripheral chemoreceptors.

A

IX Glossopharyngeal

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8
Q

Output from the DRG travels via the _______ nerve to the diaphragm & external intercostals.

A

phrenic nerve

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9
Q

What is is primarily responsible for expiration?

A

the VENTRAL respiratory group (VRG)

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10
Q

What is not active during normal, quiet breathing, when expiration is passive?

A

the VRG

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11
Q

What is activated (e.g., during exercise) when expiration becomes an active process?

A

The VRG

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12
Q

Which group sends signals to INSPIRATORY MUSCLES?

A

DRG

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13
Q

Which group sends signals the the EXPIRATORY MUSCLES?

A

VRG

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14
Q

What was the analogy for the DRG? How long is it active? inactive?

A

A light switch!…Active for 2 seconds, inactive for 3 seconds. (60sec/5sec=ABOUT 12 breaths/minute!)

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15
Q

What is located in the upper pons and nhibits inspiration and limits the burst of action potentials in the phrenic nerve?

A

Pneumotaxic Center

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16
Q

What limits the size of the TV?

A

Pneumotaxic Center

17
Q

Commands from the _________ can temporarily override the brainstem centers. For example, a person can voluntarily hyperventilate…

A

cerebral cortex

18
Q

What does HYPERventilation do to arterial pH? Hypo?

A

hyperventilation=decrease in CO2=increase in pH (basic)….Hypo=increase in CO2=decrease in pH

19
Q

What can prolong duration of breath holding?

A

Prior hyperventilation!

20
Q

Where are the central chemoreceptors located?

A

ventrolateral medulla

21
Q

Where are the peripheral chemoreceptors?

A

Aortic Arch and Carotid arteries! (same as baroreceptors!!)

22
Q

What type of fluid do the central chemoreceptors monitor?

A

The CSF! They only measure Bohr’s effects! pH and CO2

23
Q

What is the O2 threshold for the peripheral chemoreceptors ?

A

60mmHg O2

24
Q

WHICH CHEMICAL has the LARGEST INFLUENCE on respiration (most closely controlled)? What is the threshold for this chemical?

A

CO2!…+/-3…43=too HIGH=breathe faster!

25
Q

Which crosses the BBB better? H+ or CO2?

A

CO2 crosses easier

26
Q

In the csf: increases in ____ and ____ STIMULATE breathing.

A

PCO2……H+ (opposite for decrease in these)

27
Q

Which is more important? The Central chemoreceptor response to CO2 or the peripheral response to CO2?

A

CENTRAL

28
Q

What is concept of keeping a smokers O2 somewhat low to keep their PO2 making them breathe?

A

Hypoxic Drive

29
Q

What is the protective reflex to prevent over expansion of the lung? SO when do they become really active? WHERE are they found?

A

Lung Stretch reflex/herring-Breuer reflex…during exercise! Found in the smooth muscle of the airways..

30
Q

___________ for noxious chemicals and particles are located between epithelial cells lining the airways. Information from these receptors travels to the brainstem via the _______ nerve and causes a reflex constriction of bronchial smooth muscle and an increase in breathing rate.

A

Irritant receptors…..vagus

31
Q

Which breathing receptors are involved in this? The first component is “anticipation of exercise” and may involve activation of the sympathetic nervous system. The second component involves activation of stretch receptors (proprioceptors) in skeletal muscle and joints.

A

Joint and Muscle receptors

32
Q

What is located in the lower pons and stimulates inspiration, producing deep and prolonged inspiratory gasps, followed by occasional brief exhalations?

A

Ap-neu-stic Center

33
Q

Which center? Stimulation of these neurons apparently excites the inspiratory center in the medulla, prolonging the period of action potentials in the phrenic nerve, and thereby prolonging the contraction of the diaphragm.

A

Ap-Neu-Stic Center