control of lung function Flashcards

1
Q

name the 4 regions in the medulla oblongata

A

Dorsal respiratory group
Ventral respiratory group
Apneustic centre
Pneumotaxic centre

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2
Q

what is the dorsal respiratory centre

main function

A

Inspiratory centre
Main ‘controller’ of inspiration
Set the ‘rate’

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3
Q

where is it

A

posterior in the brainstem

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4
Q

Ventral respiratory group

function

A

Expiratory centre

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5
Q

how active/inactive is it during quiet breathing

A

Inactive during quiet breathing

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6
Q

what does the ventral re gr act on

A

Inhibit apneustic centre

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7
Q

where is it

A

posterior to the DRG

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8
Q

what is Apneustic centre

associated wuth

A

inspiration

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9
Q

what does it stimulate

A

DRG

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10
Q

how is it inhibited

A

Inhibited by pulmonary afferents

VRG

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11
Q

what is Pneumotaxic centre

associated with

A

expiration

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12
Q

what is the main function of the Pneumotaxic centre

A

The ‘inspiratory off switch’

Regulates depth & frequency

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13
Q

DIVE

A

Dorsal inspire

Ventral expire

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14
Q

how does the Pneumotaxic centre inhibit the apneuustic centre

A

apneustic centre stimulated DRG
action potential increases to a certain point/threshold then the Pneumotaxic centre
stops the ap

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15
Q

where do the phrenic (controlling diaphragm) nerves originate from

A

c3 4 5 nerves become

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16
Q

what are the external intercostal. muscle responsible for

A

inspiration

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17
Q

what are the internal intercostal muscle responsible for

A

expiration

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18
Q

difference between normal cappiliries and the blood brain barrier

A

normal capilliries are continous as are blood brain

difference is that BB have tight junctions help more tightly pack

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19
Q

what does that mean

A

the substances that can get into the csf from the blood are heavily restricted

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20
Q

how do protons and hco3- diffuse across the lipid bilayer

A

they can’t pass thru thr BBB
but co2 can and will as it is highly lipid soluble
once in the csf it will undergo the same reactions in the blood e.g. h20 + c02-> h+ +hco3-

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21
Q

which molecule out of those reacts with afferent fibres in the medulla

22
Q

what happens

A

project signals to dorsal respiratory group/nucleus to determine what type of rate or rhythm should be created

23
Q

what receptors are there in the airways

A

Irritant receptors
Stretch receptors
J-receptors

24
Q

where are Irritant receptors

A

Afferent receptors embedded within and beneath airway epithelium

25
function and what is it
Leads to cough: which involves forceful expiration against a closed glottis with sudden glottal opening & high velocity expulsion of air
26
what activates Stretch receptors
Excessive inflation of lungs activates pulmonary stretch receptors
27
what affect in the medulla
Afferent signals to respiratory centres inhibit DRG and apneustic centre and stimulate pneumotaxic VRG
28
what is thus the function
Inspiration inhibited & expiration stimulated
29
what are j receptors sensitive to
Sensitive to oedema and pulmonary capillary engorgement
30
what function do they carry out
Increases breathing frequency
31
what occurs when you hold your breath for a prolonged period of time
``` (when ventilating your arterial o2 and arterial co2 are stable) Not replenishing o2 o2 decreases co2 increases accumalation of h+ beyong the BBB stimulate the medulla to breathe in ```
32
does the blood buffer
The blood has an ENORMOUS buffering capacity that can react almost IMMEDIATELY to imbalances
33
Alkalaemia
Refers to high-than-normal pH of blood
34
Acidaemia
Refers to lower-than-normal pH of blood
35
Alkalosis
Describes circumstances that will decrease [H+] and increase pH
36
Acidosis
Describes circumstances that will increase [H+] and decrease pH
37
so alkalosis causes
alkalaemia
38
what are ventilatory distubances
changes in breathing that then cause a change in ph | then corrected by the kidneys
39
what are metabloic disturbaces
any non lung cause of change in ph (normally corrected by the lungs)
40
what is the time scale for changes in ventialtion
Changes in ventilation can stimulate a RAPID compensatory response to change CO2 elimination and therefore alter pH
41
describe the timescale for changes made by the kidneys
Changes in HCO3- and H+ retention/secretion in the kidneys can stimulate a SLOW compensatory response to increase/decrease pH
42
can emotion change breathing
yep
43
can exercise change breathing
yes, anything shortening you muscle stimulates increase ventilation even if you move somelse e.g cycle their legs
44
what can immersing the body in cold water do
causes deep breathing Ventilator Inspiratory gasp/ hyperventilation
45
what pattern do respitory pacemakers display
Respiratory pacemaker displays a ‘ramp potential’ pattern
46
which 2 main nuclei are responsible for inspiration
Dorsal respiratory group and apneustic centre control inspiration
47
and expiration
Ventral respiratory group and pneumotaxic centre control expiration
48
what stimulates inspiration
Central H+ concentration, juxtacapillary oedema/pulmonary engorgement, motor control, limbic system, peripheral O2 concentration, peripheral proprioceptors and skin thermoreceptors
49
what causes expiration
Airway stretch receptors, limbic system, motor control | Coughing stimulated by airway irritant receptors
50
what ph is the blood between
Blood pH is tightly regulated between 7.35 and 7.45