Chemical Ventilation Flashcards
Where are central chemoreceptors found and what do they detect?
Found in medulla, detect concentrations of CO2 and H+
Where are peripheral chemoreceptors found and what do they detect?
Found in arch of aorta and carotid bodies, detect concentration of O2 and pH (pH only detected by carotid bodies, not aortic)
When is hyperventilation triggered?
Hyperventilation triggered when arterial blood O2 drops below 13.3 mmHg
Describe how respiratory acidosis arises. What is the compensation for this?
. 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-
Describe how respiratory alkalosis arises. What is the compensation for this?
. 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
When does metabolic acidosis occur? How is this rectified?
. Uncontrolled diabetes
. Increased ventilation to get rid of CO2 and increase blood pH
When does metabolic alkalosis occur? How is this rectified?
. Vomiting
. Decreased ventilation to increase CO2 and decrease blood pH
Give the order of importance of ventilation stimuli.
1) CO2
2) pH
3) O2
Which receptors are most sensitive to changes in pCO2?
. Central chemoreceptors most sensitive (levels held within 0.3kPa)
. Peripheral chemoreceptors less sensitive (levels held within 1.3 kPa)