Control of breathing Flashcards

1
Q

What is spontaneous respiration produced by

A

rhythmic discharge of motor neurons that innervate the respiratory muscles

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2
Q

chemical control

A

changes in metabolic demand of body activate peripheral chemorecetpros which send signals to respiratory center via nerves IX and X,

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3
Q

Where is the automatic system located

A

pons and medulla

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4
Q

what does the automatic system do

A

sends impulses to respiratory motor neurons via the white matter of the spinal cord

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5
Q

Where is the voluntary control system

A

cerebal cortex

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6
Q

what does the voluntary control system do

A

sends impulses to respiratory motor neurons located in spinal cord via cortico-spinal tracts

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7
Q

What is the major controller of respiration

A

PCO2

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8
Q

What is different about peripheral and central affects of CO2

A

stimulation by way of peripheral chemoreceptors occurs 5 times as rapidly as central stimulation

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9
Q

What affect does decreased pH have

A

stimulates chemorecetpros

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10
Q

does changes in arterial H+ act directly on central chemorecptos

A

NOPE

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11
Q

low arterial PO2 via the peripheral chemorecptor system incraeses alveolar ventilation _________

A

independently of PCO2

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12
Q

what is a chemosensitive area

A

highly sensitive to changes in either blood PCO2 or hydrogen ion conc.

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13
Q

Function of peripheral chemorecetpros

A

important for detecting changes in blood O2

respond to a lesser extend to changes in CO2 and H+

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14
Q

examples of peripheral chemorecetpors

A

carotid body

aortic body

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15
Q

What is the chemosesntive area high senstive to

A

change in PCO2 or H+

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16
Q

What is the sensory integratino site

A

nucleus of tractus solitary

17
Q

What is the pre-botzinger complex

A

located on either side of medulla between nucleus ambiguus and lateral reticular nucleus
contains synaptically coupled neurons
produces rhythmic discharges

18
Q

What is the dorsal respiratory group

A

located in dorsal portion of medulla
sends out repetitive burst of inspiratory neuronal AP
main role in controlling inspiration

19
Q

What is the pneumotaxic center

A

located dorsally in nucleus parabrachialis of upper pons
transmits signals to inspiratory area
control the switch off point of inspiratory ramp
controls rate and depth of breathing

20
Q

What is the ventral respiratory group

A

located in ventro-lateral part of medulla

totally inactive during normal quiet respiration

21
Q

What happens when respiratory drive for increased ventilation becomes greater than normal

A

signals spill over to the VRG

22
Q

where are Irrtiant receptors located

A

epithelium trachea, bronchi, bronchioles

23
Q

What do irrtiant receptors cause

A

coughing, sneezing, bronchial constriction in asthma and emphysema

24
Q

What are J receptors

A

sensory nerve ending in alveolar walls in juxtaposition to pulmonary capillaries

25
Q

when are j receptors stimulated

A

when pulmonary capillaries become engorged with blood or when pulmonary edema occurs

26
Q

Wha do j receptors cause

A

feels of dyspnea

27
Q

How does brain edema affect respiration

A

activity of respiratory center may be depressed or inactivated

28
Q

Where are stretch receptors located

A

in muscular portions of bronchi and bronchioles

29
Q

What do stretch receptors do

A

transmit signals through the vagi into DRG when lungs are overstretched
increases rate of respiration

30
Q

Hering Breuer inflation reflex

A

not activated until Vt increases > 3 times normal

prevents excess lung inflation

31
Q

Kussmaul’s breathing

A

relentless, rapid, deep breathing

32
Q

When would you find Kussmaul’s breathing

A

metabolic acidosis

33
Q

What is cheyn-stokes breathing

A

ventilatory oscillations with long cyclte times

34
Q

when would you find cheyne-stokes breathign

A

stroke
encephalopathy
heart failure

35
Q

what is biot’s breathing

A

groups of quick, shallow inspirations followed by regular or irregular periods of apnea,

36
Q

when would you find biot’s breathing

A

medullary trauma, stroke