Control of Ventilation Flashcards

1
Q

What physical structures must be stimulated to cause inspiration?

A

Skeletal muscles (the diaphragm and external intercostals)

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2
Q

What innervates the thoracic-abdominal diaphragm?

A

The phrenic nerve

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3
Q

Which nerves innervate the external intercostal muscles?

A

The intercostal nerves

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4
Q

Where are the respiratory centres located?

A

In the pons and medulla of the brain

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5
Q

What can be said about the voluntary/involuntary nature of breathing?

A

It is mostly subconscious but can be subject to voluntary override

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6
Q

Severing of the spinal chord above the ventral rami of spinal nerves C3, 4 and 5 do what?

A

Kill you

C3, 4 and 5 keep your heart and lungs alive

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7
Q

The respiratory centres set an automatic rhythm of breathing by firing smooth and repetitive bursts of action potentials in which part of the respiratory centre?

A

The dorsal respiratory group

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8
Q

What four other aspects can modulate ventilation?

A
  • Emotion (limbic system)
  • Voluntary override
  • Mechano-sensory input from thorax
  • Chemical changes
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9
Q

What two types of chemoreceptor modulate ventilation?

A

Central and peripheral

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10
Q

What chemical route, central or peripheral, is the main control for ventilatory function?

A

Central

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11
Q

Central chemoreceptors response directly to what?

A

[H+] in cerebrospinal fluid

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12
Q

What does the [H+] indicate?

A

PCO2

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13
Q

Where are central chemoreceptors located?

A

Medulla of the brain

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14
Q

Where are peripheral chemoreceptors located in the body?

A

Carotid and aortic bodies

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15
Q

What do peripheral chemoreceptors detect?

A

Changes in arterial PO2 and [H+]

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16
Q

Changes in plasma pH will alter ventilation via what chemoreceptor pathway?

A

Peripheral

17
Q

If plasma pH falls, ventilation will be ______

A

Stimulated (causing acidosis)

18
Q

If plasma pH increases ventilation will be ______

A

Inhibited (alkalosis)

19
Q

List common drugs which depress respiratory activity

A

Barbituates and opioids

20
Q

What effect do most anaesthetic agents have on respiratory activity?

A

Increase respiration rate but decrease tidal volume so decrease alveolar ventilation

21
Q

What effect does nitrous oxide have on the nervous system?

A

A common sedative/light anaesthetic - blunts peripheral chemoreceptor pathway to falling PO2

22
Q

In what kind of patients would the use of nitrous oxide be contraindicated?

A

Problematic in lung disease cases

23
Q

What is hypoxic drive?

A

A scenario seen in many lung disease cases where the body regulates its respiratory activity by monitoring PO2 not PCO2

24
Q

What common treatment for lung diseases would aggravate a patient demonstrating hypoxic drive?

A

Administering oxygen

25
Q

Describe the relationship between ventilation and swallowing

A

Swallowing inhibits inspiration and is followed by expiration to dislodge any material outwards from the region of the glottis to avoid aspiration of food