Control of Breathing And blood gas primer Flashcards

To regulate gas exchange

1
Q

What nervous system does not control breathing

A

somatic

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2
Q

What is the innervation of the pharynx and larynx

A

Cranial nerves

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3
Q

What is the motor innervation of the pump muscles of the diaphragm

A
Phrenic nerve 
Cervical plexus (c3,c4,c5 keeps the diaphragm alive)
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4
Q

What is the motor innervation of the pump muscles of the Intercostal muscles

A

t1-t12

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5
Q

What is the motor innervation of the pump muscles of the Abdominal muscles

A

Thoracic and lumbar

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6
Q

What is the Pre-Bötzinger

A

pacemaker region

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7
Q

What are the peripheral chemoreceptors

A

Carotid bodies, aortic arch

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8
Q

Dyspnoea

A

Breathing discomfort

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9
Q

What causes Extraluminal forces

A

Gravitational forces

Adipose tissue

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10
Q

what causes Neuromuscular forces

A

Dilator muscles actively dilate and or stiffen the pharynx ( keep the trachea open)

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11
Q

What does type 1 respiratory failure include

A

Hypoxaemic failure (abnormally low 02)
Low Pao2
Normal or low PaCO2

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12
Q

What does type 2 respiratory failure include

A

Ventilatory failure
Low PaO2 and raised
High PaCO2
Alveolar ventilation is reduced

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13
Q

In blood analysis, what do we look at first

A

blood pH

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14
Q

What is acidosis

A

Low blood pH

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15
Q

What is base excess

A

Assuming changes in production from the kidneys (acid) and the ingestion of metabolic acids is the same and the difference between actual and theoretical is the base excess in mmol.1-1

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16
Q

What is theoretical HCO3-

A

patients measured Pco2 assuming no metabolic r renal disturbance

17
Q

What is the actual HCO3-

A

patients measured pH and Pco2

18
Q

What is the normal range for base excess

A

+2 to -2

19
Q

Treatment of chronic asthma MILD

A

Inhaled Beta 2 agonist when required

20
Q

Treatment of chronic asthma MILD with more frequent attacks

A

Inhaled for prophylaxis

Beta 2 agonist when needed for an acute attack

21
Q

Treatment of chronic asthma Moderate to severe

A

Drug combination
Long-acting Beta 2 agonist with glucocorticoid
Combination inhaler