Chemical Ventilation Flashcards

1
Q

Where are central chemoreceptors found and what do they detect?

A

Found in medulla, detect concentrations of CO2 and H+

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2
Q

Where are peripheral chemoreceptors found and what do they detect?

A

Found in arch of aorta and carotid bodies, detect concentration of O2 and pH (pH only detected by carotid bodies, not aortic)

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3
Q

When is hyperventilation triggered?

A

Hyperventilation triggered when arterial blood O2 drops below 13.3 mmHg

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4
Q

Describe how respiratory acidosis arises. What is the compensation for this?

A

. Hypoventilation means increase in CO2 in blood
. Increased CO2 means increased H+ ions, which decreases blood pH
. Kidneys compensate by increasing excretion of H+ and increasing reabsorption of HCO3-

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5
Q

Describe how respiratory alkalosis arises. What is the compensation for this?

A

. Hyperventilation means decrease in CO2 in blood
. Decreased CO2 means decreased H+ ions, which increases blood pH
. Kidneys compensate by increasing H+ reabsorption and decreasing HCO3- excretion

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6
Q

When does metabolic acidosis occur? How is this rectified?

A

. Uncontrolled diabetes

. Increased ventilation to get rid of CO2 and increase blood pH

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7
Q

When does metabolic alkalosis occur? How is this rectified?

A

. Vomiting

. Decreased ventilation to increase CO2 and decrease blood pH

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8
Q

Give the order of importance of ventilation stimuli.

A

1) CO2
2) pH
3) O2

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9
Q

Which receptors are most sensitive to changes in pCO2?

A

. Central chemoreceptors most sensitive (levels held within 0.3kPa)
. Peripheral chemoreceptors less sensitive (levels held within 1.3 kPa)

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