Control of Ventilation Flashcards

1
Q

Where is the “central controller” for ventilation?

A

brainsteam = pons and medulla (although the cortex can override the brainstem to icnrease or decrease breathing)

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2
Q

The effector mechanisms on ventilation are mainly through what?

A

control of the respiratory muscles: diaphragm, itercostals, abdominal muscles and sternocleidomastoids

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3
Q

What is the most important sensor in day-to-day regulation of ventilation?

A

the central chemoreceptors

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4
Q

what do the central chemoreceptors respond to?

A

pH (baseically, the more CO2 that diffuses across the BBB, the more acidic the area will be - lower pH)

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5
Q

Where are the peripheral chemoreceptors located?

A

aortic arch and carotid bodies

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6
Q

What do the periephral chemoreceptors respond to?

A

pCO2, pH and pO2

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7
Q

WHat are the 4 lung receptors?

A

stretch receptors
irritant receptors
J receptors (sense fluid in the lungs)
Bronchial C fibers (trigger pain)

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8
Q

What type of response will the central chemoreceptors trigger when there’s icnreased H+ and lower pH?

A

will increase responration

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9
Q

What type of response will occur in alkalosis then?

A

hypoventilation

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10
Q

Why do we say the CO2 is more important for the central chemoreceptors if they’re actually sensing H+ and pH?

A

Because H+ can’t cross the BBB but CO2 can.

it’s the CO2 that diffuses across and then pushes the buffer reaction toward H and HCO3

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11
Q

What is normal CSF pH?

A

7.32

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12
Q

An aberrant CSF acidosis is eventually compensated for how?

A

by HCO3 retention

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13
Q

Which are particularly important for detecting hypoxia: aortic arch receptors or carotid bodies?

A

carotid bodies

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14
Q

Which ones: aortic or carotid - respond to a decrease in pH?

A

carotid

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15
Q

What will both carotid and aortic respond to?

A

hypercapcnia (but this isn’t as important as the central chemoreceptor response to hypercapnia)

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16
Q

What is the Herring-Breuer reflex?

A

the pulmonary stretch receptors will suppress further inspiration if the lungs are stretch too far

it’s relevant in yoga because it slows breathing and heart rate

17
Q

What will the irritant receptors trigger in response to cigarette smoke na dother noxious gases?

A

bronchoconstriction and hyperpnea - to protect the lungs

18
Q

What do the juxtacapillary receptors respond to? WHat’s the response?

A

respond to engorgement of capillaries and increased interstitial pressure - fluid in the lungs

they may mediate shallow breathing and tachypnea associated with heart failure

19
Q

What will the bronchial C fibers trigger in response to noxious chemicals in bronchial circulation?

A

bronchoconstriction, mucous secretion and rapid shallow breathing

20
Q

What do joint and muscle receptors do to respiratory rate?

A

movement of limbs increases respiratory rate - believed to be the stimulus for increased breathing in exercise

21
Q

Response to carbon dioxide: each 1 mmHg increase in Pco2 tends to cause a _____ increase in ventilation if pO2 is help constant.

A

2-3 L

22
Q

If CO2 is held constant, most individuals won’t respond to hypoxia until the pO2 drops below what?

A

50 mmHg

23
Q

What are the exceptions to that?

A

ascent to high altitude

chronic obstructive lung disease that has adapted to changes in pH caused by CO2 retention

24
Q

Again, what’s the ventilation response to acidosis?

A

hyperventilation

25
Q

WHat happens to pCO2 and pO2 during exercise?

A

pCO2 decreases and pO2 increases (you breath hard don’t you?)

26
Q

What causes us to breath hard during exercise?

A

maybe receptors in the joints and muscles
maybe increased load of CO2 to the lungs

not pH because it stays stable until very intense levels of exercise