Control of Breathing Flashcards

1
Q

Regular breathing is controlled by…

A

ANS without conscious effort

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2
Q

Respiratory control center is located in the…

A

medulla

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3
Q

Respiratory control center consists of 2 main clusters:

A
  • dorsal respiratory group (DRG)

- ventral respiratory group (VRG)

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4
Q

DRG has neurons that are active during…

A

inspiration

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5
Q

VRG has neurons that mainly serve to…

A

switch off inspiration before expiration

- during exercise

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6
Q

Respiratory control center sets the…

A

central ventilation pattern

- controls rate and amplitude of ventilation

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7
Q

Normal control of breathing can be controlled by…

A
  • input from higher centers

- chemical stimuli

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8
Q

How do higher centers control normal breathing?

A
  • voluntary and emotion-driven changes in breathing
  • most motor output through phrenic nerve
  • gets input from proprioceptors
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9
Q

Examples of higher centers:

A
  • cerebral cortex
  • hypothalamus
  • amygdala
  • limbic system
  • cerebellum
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10
Q

Examples of chemical stimuli:

A

drugs

  • barbiturates
  • general anesthesia
  • narcotic pain relievers
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11
Q

How are chemical stimuli detected?

A

chemoreceptors (central and peripheral)

- activated by disruption of blood flow to medulla

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12
Q

Most common causes of activation of chemoreceptors:

A
  • cerebral concussion

- cerebral edema

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13
Q

What are in the pons that control inspiration?

A
  • pneumotaxic centers: inhibit inspiration (stimulated during exhalation)
  • apneustic centers: stimulate inspiration (inhibited during exhalation)
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14
Q

Rate and depth of breathing are modified to meet…

A

metabolic needs

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15
Q

Increase in activity leads to…

A

increase in metabolic demand -> increase in ventilation

- increase in O2 delivered and CO2 eliminated

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16
Q

What can affect both rate and depth of breathing?

A

levels of O2, CO2, and H+

17
Q

What is the most important regulator?

A

pCO2

- gets maintained at about 40 mmHg

18
Q

Increase in pCO2 leads to…

A

increase in ventilation

19
Q

What is hyperpnea?

A

increase in pCO2 will cause an increase in ventilation

- blows off excess pCO2

20
Q

What is hyperventilation?

A

increase in ventilation that drives pCO2 down

  • increases pH
  • decreases ventilation
21
Q

Central chemoreceptors are located in the…

22
Q

Central chemoreceptors respond directly to _____ and indirectly to…

A
  • directly: changes in pH of brainstem CSF

- indirectly: pCO2

23
Q

How do central chemoreceptors detect CO2?

A
  1. CO2 crosses blood brain barrier
  2. gets converted and results in increase of H+
  3. decrease in pH and increase in pCO2
  4. firing rate of neurons increased
  5. increase in output to inspiratory muscles
24
Q

Peripheral chemoreceptors are located in the…

A

aortic and carotid bodies

25
Peripheral chemoreceptors are sensitive to...
arterial pCO2
26
How does acidosis affect peripheral chemoreceptors?
increase in arterial H+ directly leads to increase in firing rate - stimulates increased ventilation - decrease in arterial pCO2
27
How does hypoxia affect peripheral chemoreceptors?
- decrease in arterial pO2 | - increase in ventilation
28
How does altitude affect peripheral chemoreceptors?
- decreased pressure = decreased pO2 1. arterial pO2 < 60 mmHg -> increased firing to increase ventilation 2. ventilation rate stays high until increase in RBCs
29
What are some airway reflexes?
- cough: receptors in larynx and trachea stimulate airway constriction and forced expiration - swallowing: inhibits respiration by closing larynx
30
What is apnea?
cessation of breathing
31
What is obstructive sleep apnea?
- respiration stops for relatively long periods of time - occurs when soft tissues of upper airway closes during inspiration - leads to daytime drowsiness
32
What is the most common cause of obstructive sleep apnea?
obesity
33
What results in snoring?
partial closure of upper airway
34
Sudden infant death syndrome is the most common cause of...
death outside perinatal period and 1st year of life | - unknown cause
35
Yawn is a deep...
inspiration with mouth open | - increases tidal volume to spread surfactant
36
What happens when you hold your breath?
breathing is voluntarily suspended until pCO2 rises enough to override conscious control