Control of Respiration Flashcards

1
Q

how is rhythmic breathing generated?

A
  • muscles: the diaphragm & intercostal muscles are STIMULATED (via nerves)

** injury to nerve = paralysis to respiration**

  • nerves are stimulated from action potentials origniating in the pons and medulla of the brainstem

** APs are responsible for the stimulation and rest cycles of respiration**

  • chemoreceptors: central and peripheral play a role in fine tuning the breathing (when to in and out, how deep, etc.)
  • some role of the cortex can drive breathing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

3 aspects of the medullary center which assist in breathing

A
  1. dorsal respiratory group
  2. ventral respiratory group
  3. pacemakers (pre-Botzinger complex)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

explain how the pacemaker of spontaneous breathing works

A
  • pacemaker = collection of cells on either side of the medulla
    ** protection mechanism so that it cant be knocked out via one-sided stroke**
  • assocaited with ventral respiratory group
  • directs rhythmic respiration
  • directs shifting of tonue and glottis (to assist in breathing)
  • directs the 2 seconds in 3 seconds off rhythm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

explain how the dorsal and ventral respiratory groups in the medulla work with breathing

A

dorsal group: activate inspiration

ventral group: complex function (with pacemaker, some inspiration assist and some expiration assist)
- gets input from the dorsal group –> sends to spinal neurons
- has some expiratory neruons –> become active if necessary for increased ventilation (like exercise)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

explain the role of the Pons in regulation of respiration
(apenustic and pneumotaxic areas)

A

pons modifies the information from the medulla

  • apenustic: responsible for modulation the duration and depth of inspiration and when its finished
  • pneumotaxic: responsible for making the switch from inspiration to expiration
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how are higher brain centers incorporated with the pons and medulla in breathing?

A
  • the higher brain (cortex) can override the medulla and pons for specific situations
    1. voluntary activity (holding breathe, purposeful breathing)
    2. speech
    3. emotion (anxiety)

** only to a specific extent – you cant hold your breath forever– the brainstem will take back over**

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

how do stretch receptors play a role in respiration

A
  • located in the smooth airway muscles
  • activated by excessive inspiration
  • send action potentials TO the medulla to limit the inspiratory neurons

** youve hit the max inhale!!**

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are some drugs which can impact the inspiratory neurons within the brain? how do they work?

A

inspiratory neurons within the brain are located within the medulla –> specifically in the dorsal respiratory group

drugs like barbituates and morphine INHIBIT the actions of the inspiratory neurons –> thererfore slow the signals to trigger inspiration leading to death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

where are the chemoreceptors loacted for triggering ventilation? how do they work?

A
  1. central chemoreceptors = within the brain
    - responsible for responding to amount of CO2 within the body (via H+ in the CSF)
  2. peripheral chemoreceptors = within the body
    - responsible for responding to O2 levels (minor role) within the blood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how do central chemoreceptors regulate normal breathing?

A

central receptors = in the medulla

  • respond to the ALVEOLAR CO2 levels
  • via the H+ concentration that gets into the CSF because CO2 crosses BBB and becomes HCO3- + H+ in the CSF
  • increased H+ associated with metablic acidosis
  • a change in CO2 in the alveoli will trigger an increase in H+ in the CSF –> to which these receptors will increase the rate of breathing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how do peripheral chemoreceptors influence breathing? where are they specifically located?

A

peripheral chemoreceptors = within the carotid body & aortic body

  • respond to changes in the O2 levels within the blood
  • will increased breathing and ventilation (and herat rate)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are other triggers besides O2 levels in the blood that peripheral chemorecptors respond to?

A
  • increasing CO2 levels –> respiratory acidosis
  • increasing H+ concentrations
  • increasing ventilation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are other receptors within the body (besides central and peripheral chemo.) which play a role in how we breath?

A
  • irritant receptors ! = irritant triggers cough or sneeze
  • joint and muscle receptors = triggered in early forms of exercisue to stimulate breathing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

explain the mechanism behind sneezing and coughing

A
  • both begin with a sustainable large inspiration
  1. sneezing: the glottis is continuously open
  2. coughing: the glottis closed
  • both followed by forced expiration at 600 MPH
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how is breathing regulated during sleep? what are some normal and abnormal breathing/ventilation patterns?

A
  • respisration is less rigorous controlled during periods of sleep –> thus it is mainly controlled by the brainstem

normal patterns
- snoring
- BRIEF periods of apnea are normal

abnormal patterns
- sustained apnea (longer periods)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are signs and symptoms of someone who may have OSA?
- during daytime?
- during nighttime?

what is they physiology behind OSA?

A

daytime
-fatigue

nighttime
- hypercapnia
- hypoxemia

physiology
- there is abnormal anatomy of the upper airyway
- obestiy puts pressure on airway
- lack of ability to dilate mucles to open upper airway

17
Q

what is SIDS?

A

sudden infant death syndrome
- poorly understood –> apnea related in healthy babies
- 10% of infant deaths
- maternal smoking and substance abuse linked to increased incidence
- linked to lack of prenatal care
- linked to congential long QT syndrome

kids should be put on back “back is best”

18
Q

what is Kussmaul breathing

A
  • kusssmaul = diabetic ketoacidosis breathing
  • a NORMAL response to acid accumulation in the blood (trying to expel the CO2 in the blood)
  • “air hunger”
  • deep and fast ventilation
19
Q

what is the alveolar gas equation?

explian FIO2, PAO2, PACO2

A

determines the pressure of O2 in the alveoli
- based on the atmosphere pressure, % of O2 in the atm, the humidity, the amount of CO2 in the alveoli

FIOs = the fraction of O2 in the atm
- influenced by smoke inhalation & suffocation (enclosed)

PACO2 = to PaCO2 (arterial = alveoli)

PH2O = alwasy 100% humidity in the alveoli