Control of breathing Flashcards

1
Q

What are the methods of controlling breathing?

A

Neural control: Controlled by motor neurons in the brain which innervate respiratory muscles
Chemical control: Controlled by PO2, PCO2 and H+ concentrations

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2
Q

What are the respiratory centers of the brain?

A

Medulla oblongata: Comprised of the Dorsal Respiratory Group (DRG) and Ventral Respiratory Group (VRG)
Pons: Comprised of Pneumotaxic Center and Apneustic Center

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3
Q

Characteristics of medullary center

A

DRG and VRG are bilaterally located and bilaterally connected

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4
Q

Characteristics of the DRG

A

Lies in the dorsal part of the medulla
Functions:
Generation of basic rhythm of respiration initiated by pacemaker cells in the pre-Bötzinger complex (pre-BÖTC)
Stimulation of DRG emit signals → contraction of the diaphragm and external intercostal → INSPIRATION
Inhibition of DRG → relaxation of the diaphragm and external intercostal → EXPIRATION

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5
Q

Characteristics of VRG

A

Lies in the ventral part of the medulla.
Inactive during normal quiet breathing
Active during deep expiration
Function:
Stimulation of VRG → contraction of abdominal and internal intercostal muscles → DEEP EXPIRATION

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6
Q

Characteristics of Apneustic Center

A

Lies in the lower part of the pons
Function:
Stimulates DRG inspiratory neurons → prevents neurons from being switched off → PROLONGS DURATION OF INSPIRATION

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7
Q

Characteristics of Pneumotaxic Center

A

Lies in the upper pons
Functions:
Helps switch between inspiration and expiration
Inhibits the DRG inspiratory neurons → SHORTENS INSPIRATION DURATION thus INCREASING BREATHING RATE

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8
Q

What is the Hering-Breuer reflex?

A

Overstretching of lungs → Stimulation of stretch receptors in the wall of the bronchi and bronchioles → Inhibition of inspiratory center → Decrease the duration of inspiration and increase the rate

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9
Q

What are the sites of neural control of respiration?

A

Higher centers: Brain (voluntary control) and Hypothalamus (Pain, emotion)
Lungs: Hering-Breuer reflex
Air passages: Sneezing, Cough and Swallowing
Circulatory system: Increase venous return → stimulates respiratory system to increase ventilation of this venous return
Skeletal muscles and joints: Exercise increases respiration
Visceral reflex: Swallowing and Vomiting inhibit respiration

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10
Q

What chemical factors influence breathing?

A

Stimulated by: ↑ PCO2 in arterial blood, ↑H+ in arterial blood and ↓O2 in arterial blood
Inhibited by: ↓PCO2 in arterial blood, ↓H+ in arterial blood and ↑O2 in arterial blood

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11
Q

Where are changes in chemical factors detected?

A

Central and peripheral chemoreceptors

Central chemoreceptors exert a more powerful response than peripheral chemoreceptors

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12
Q

What are the sites of the central chemoreceptors?

A

Chemosensitive area (bilaterally located in the medulla)

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13
Q

Which stimuli affect the central chemoreceptors?

A

Highly sensitive to changes in blood PCO2 or H+ concentration
H+ concentration is the primary stimulus for central chemoreceptors
H+ cannot cross the blood brain barrier, so the source of H+ in the brain is from CO2 (whihc can cross the blood brain barrier)
CO2 + H2O → H2CO3 (catalysed by carbonic anhydrase enzyme)
H2CO3 → H+(which stimulates the central chemoreceptors) + HCO3-

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14
Q

What are the sites of the peripheral chemoreceptors?

A

Carotid bodies: Bifurcation of the common carotid → innervated by glossopharyngeal nerve → stimulates DRG
Aortic bodies: along the aortic arch → innervated by vagus nerve → stimulates DRG

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15
Q

Which stimuli affect the peripheral chemoreceptors?

A

Decreased arterial PO2 (Mainly)
Increased arterial PCO2
Increased arterial H+ concentration

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16
Q

How do chemoreceptors respond to metabolic acidosis?

A

Central chemoreceptors = no effect because source of H+ ion increase is from nutritional content, not CO2 increase
Peripheral chemoreceptors = stimulated by increase H+ ion conc. in arterial blood

17
Q

What may cause decreased arterial PO2?

A

Closed overcrowded area
High altitude

18
Q

Effect of decreased arterial PO2?

A

Stimulates peripheral chemoreceptors
Maximum potential increases in ventilation of 5-6 times

19
Q

What may cause increased arterial PCO2?

A

Increase arterial PCO2 (hypercapnia) occurs in muscle exercise

20
Q

Effect of increased arterial PCO2?

A

Weaker stimulation of peripheral chemoreceptors but strong stimulation of central chemoreceptors
Maximum potential increase in ventilation rate of 11 times

21
Q

What may cause increased arterial H+ conc.?

A

Metabolic acidosis

22
Q

Effect of increased arterial H+ conc.?

A

Maximum potential increase in ventilation of 4 times