Chemical control of ventilation Flashcards

1
Q

What do chemoreceptors detect

A

Changes in arterial;

  • pCO2
  • pO2
  • [H+]
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2
Q

does oxygenated blood have more [H+] or deoxygenated

A

oxygenated

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3
Q

Where are central chemoreceptors found

A

Medulla

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4
Q

What are central chemoreceptors sensitive to

A

Changes in;

[H+] and pCO2

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5
Q

Where are peripheral chemoreceptors found

A

Within aortic arch and carrot arteries

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6
Q

What are peripheral chemoreceptors sensitive to

A

Changes in;

arterial pO2 and pH

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7
Q

How are CCRs (central chemoreceptors) activated

A
  • Blood brain barrier impermeable to H+ and HCO3- but permeable to CO2
  • Increase in partial pressure of CO2 causes it to diffuse out of the blood vessel
  • H+ ions are formed from a reaction
  • Increase in the concentration of H+ in extracellular fluid and cerebrospinal fluid is detected by central chemoreceptors and leads to hyperventilation
  • Hyperventilation decreases PCo2 in blood and cerebral spinal fluid
  • decreases in PCO2 leads o hyperventilation
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8
Q

What does a decreased arterial O2 do in peripheral chemoreceptors

A

Hyperventilation

-stimulated when arterial pO2 falls below a certain level

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9
Q

What does an increase in PCO2 mean in peripheral chemoreceptors

A

Not as important as CCR

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10
Q

Where is a fall in pH detected

A

By carotid peripheral chemoreceptors but not aortic bodies

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11
Q

what does hypoventilation cause

A

Respiratory acidosis

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12
Q

What does hyperventilation cause

A

Hyperventilation

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13
Q

What is increased in hypoventilation

A

[H+] excretion
[HCo3-] reabsorption

In kidneys

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14
Q

What is increased in hyperventilation

A

[H+] reabsorption
[HCo3-] excretion

in kidneys

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15
Q

How does diabetes affect ventilation

A

In uncontrolled diabetes, there is a decrease in the ability of kidneys to excrete H+ and reabsorb HCO3-

To compensate, there is an increase in ventilation which leads to a decrease in arterial partial pressure of CO2

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16
Q

What is the order of importance in ventilation stimulus

A

1) PCO2
2) pH
3) PO2

17
Q

What receptors are the most sensitive to changes in PCO2

A

central chemoreceptors

18
Q

Why control PCO2?

A

Avoid acid-base problems

19
Q

What does a decrease in pH cause

A

An increase in ventilation

20
Q

What detects the most changes of PO2

A

Peripheral chemoreceptors

21
Q

When are PCRs stimulated when PO2 levels drop

A

Below 13.3kPa

22
Q

Why control PO2?

A

to avoid hypoxia