Control of Ventilation Flashcards

1
Q

Breathing depends on cyclical activation of what nerves?

A

Phrenic

Intercostals

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2
Q

The phrenic and intercostal nerves stimulate contraction of what muscles?

A

Inspiratory

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3
Q

The neural activity of rhythmic breathing is triggered by what neurones?

A

Medullary inspiratory neurones

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4
Q

Breathing is triggered by the medullary inspiratory neurones with

A

voluntary override

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5
Q

What muscle of inspiration does the phrenic nerve innervate?

A

The diaphragm

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6
Q

Ventilatory control resides within ill-defined centres located in the

A

pons and medulla

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7
Q

Is ventilatory control normally conscious or subconscious?

A

Subconscious

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8
Q

If the spinal cord was severed above the origin of the phrenic nerve, what would happen to breathing?

A

It would cease

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9
Q

At what vertebral level is the origin of the phrenic nerve?

A

C3-C5

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10
Q

What are the functions of respiratory systems

A
  • to set an automatic rhythm of breathing

- to adjust this rhythm in response to stimuli

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11
Q

How do respiratory systems set an automatic rhythm of breathing?

A

Through co-ordinating the firing of smooth and repetitive bursts of action potentials in dorsal respiratory group (DRG)

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12
Q

What factors modulate the rhythm of respiratory centres?

A
  • emotion
  • voluntary override
  • mechano-sensory input from the thorax (e.g. stretch reflex)
  • chemical composition of the blood (PCO2, PO2 and pH, detected by chemoreceptors)
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13
Q

The rhythm of respiratory centres is modulated by emotional input via what system?

A

The limbic system

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14
Q

Input from higher brain centres changes the respiratory system rhythm via

A

voluntary override

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15
Q

Where are central chemoreceptors located?

A

Medulla

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16
Q

Central chemoreceptors detect changes in the concentration of what ions in the CSF around the brain?

A

H+

17
Q

Where are peripheral chemoreceptors located?

A

Carotid and aortic bodies

18
Q

What do central chemoreceptors cause following a rise in [H+]?

A

Reflex stimulation of ventilation

19
Q

What effect will a decrease in arterial PCO2 have on ventilation?

A

Ventilation is reflexly inhibited - ventilation rate is slowed

20
Q

Do central chemoreceptors respond to direct changes in plasma [H+]?

A

No

21
Q

What changes do peripheral chemoreceptors detect?

A

Changes in arterial PO2 and [H+]

22
Q

Peripheral Chemoreceptors cause reflex stimulation of ventilation following what?

A

A significant fall in arterial PO2 or a rise in [H+]

23
Q

Do peripheral chemoreceptors respond to arterial PO2 or oxygen content?

A

Arterial PO2

24
Q

What usually accompanies a rise in arterial PCO2?

A

Increased [H+]

25
Q

Changes in plasma pH will alter ventilation via what pathways?

A

Peripheral Chemoreceptor Pathways

26
Q

If plasma pH falls, ventilation will be

A

stimulated

27
Q

What effect does alkalosis have on ventilation?

A

Ventilation will be inhibited

28
Q

A large degree of voluntary control over breathing is allowed by what?

A

Descending neural pathways from cerebral cortex to respiratory motor neurons

29
Q

What effect does hyperventilation have on ventilation?

A

Ventilation is reflexly inhibited by an increase in arterial PO2 or a decrease in arterial PCO2

30
Q

What common drugs depress respiratory centre and can result in death following an overdose?

A

Barbiturates

Opioids

31
Q

What effect does nitrous oxide have on peripheral chemoreceptor response to falling PaO2?

A

It blunts the response

32
Q

Respiration is inhibited during swallowing to avoid what?

A

Aspiration of food or fluids into the airways