Block 2b Regulation of Respiration Flashcards

1
Q

Where is the respiratory center located?

A

nucleus of the tractus solitarious (NTS) of medulla oblongata / pons

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2
Q

How is the respiratory center innervated?

A

vagal & glossopharyngeal nerves

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3
Q

Dorsal Respiratory Group

A

part of the respiratory center that is responsible for inspiration

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4
Q

pneumotaxic center

A

part of the respiratory center that limits inspiration

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5
Q

Ventral Respiratory Group

A

part of the respiratory center that supplements the DRG as an overdrive mechanism for increased expiration & inspiration

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6
Q

What is the Hering-Breuer Reflex?

A

chemo and stretch receptors via vagus nerve prevent overstretching

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7
Q

What receptors serve as sensors for respiratory center innervation?

A

peripheral chemoreceptors, baroreceptors, mechano & chemo receptors in lung

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8
Q

What is the dominant regulator of quiet breathing?

A

DRG

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9
Q

In what range can pneumotaxic center limit inspiration?

A

3-40 breaths/min

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10
Q

How does the VRG supplement the DRG in hyperventilation?

A

sends signals to abdominal muscles

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11
Q

Where does chemical control of respiration occur?

A

at the chemosensitive area of the respiratory center to stimulate DRG

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12
Q

What is the major chemoregulator of respiration?

A

CO2

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13
Q

Why is blood H+ not such a great chemoregulator of respiration?

A

cannot diffuse across BBB

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14
Q

How does blood O2 affect respiration?

A

via peripheral signaling only when PO2 < 60 mmHg

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15
Q

Where are the chemoreceptors for O2?

A

carotid bodies & aortic bodies

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16
Q

What are the 2 types of sleep apnea?

A

airway obstruction & central

17
Q

How is central sleep apnea caused?

A

by neural depression of the respiratory center

18
Q

How airway obstruction sleep apnea caused?

A

congenital or obesity

19
Q

What causes respiratory depression?

A

brain edema (inactivation of respiratory center) & anesthesia

20
Q

What can cause Cheyne-Stokes breathing?

A

heart failure (lag time for gas diffusion) & brain damage (inactivated DRG suddenly activates with great force, cycle repeats)

21
Q

What does the DRG do?

A

generates AP’s of increasing frequency to give slow, steady lung filling & regulation of inflation rate/max capacity

22
Q

How does the pneumotaxic center work?

A

terminates ramp signal of the DRG

23
Q

Describe the effect of CO2 on chemoregulation of respiration.

A

potent acute effect for 2-3 days, then weak chronic effect due to kidney regulation (increase HCO3, which eventually diffuses across BBB)

24
Q

What factors increase sensitivity of chemosensitive center to CO2?

A

increased H+ or decreased CO2 by causeing increased alveolar ventilation

25
Q

How does CO2 stimulate the chemosensitive area?

A

1) mainly H+ via CA, 2) modest direct effect of CO2

26
Q

Why is CO2 the main chemical regulator of respiration?

A

freely diffuses across BBB