Control of Ventilation Flashcards

1
Q

what is the role of the respiratory chemosensors?

A

they monitor CO2, O2 gas levels in the system and they send a signal up to the central controller- which then tells our respiratory muscles to increase or decrease activity - the respiratory control system is based on a negative feedback system

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2
Q

what is the main region of the brain in control of respiration?

A

the Medulla of the brain stem - contains a cluster of neurons which control respiration-

  • medullary respiratory center
  • pons respiratory center
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3
Q

what are the two main clusters of neurons in the medullar respiratory center?

A

the dorsal respiratory group and the ventral respiratory group.

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4
Q

when inspiratory neuron fibers fire- what occurs?

A

it induces muscle contraction and therefore inspiration - but their inhibition then induces exhalation

*so you can think of them as controlling both inspiration and exhalation - where exhalation is passive*

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5
Q

during what action are inspiratory and expiratory ventral respiratory group neurons inactive?

A

they are both inactive during quiet breathing

  • they are utilized when damad for ventilation is increased beyond normal (active expiration)
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6
Q

which respiratory group is most often quiet?

A

the ventral respiratory group

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7
Q

describe the generation of respiratory rhythm?

A

the neurons in the pre-botzinger complex- constantly fire and activate inspiratory neurons in the dorsal group which then activate muscles

so this pre-botzinger complex sets the pace of breathing

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8
Q

the role of the pons respiratory center is what?

A

composed of two clusters of neurons ( the pneumotaxic center and the apneustic center) - it fine tunes our breathing

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9
Q

what is the pneumotaxic center’s role?

A

•Pneumotaxic centre sends signals to the DRG that help silence/inhibit the inspiratory neurons.- prevents overinspiration

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10
Q

What is the role of the apneustic center?

A

•Apneustic centre conversely prevents the inspiratory neurons from being switched off.

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11
Q

what occurs if the pneumotaxic center is damaged?

A

you get really long isnpiration and really short exhalation

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12
Q

what other regions of the brain can affect respiration?

A

cortex = can exert voluntary control of our breathing-

limbic system and hypothalamus = emotional states - ‘sobbing’

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13
Q

main effectors of the inspiration/exhalation

A

•1. Diaphragm- phrenic nerve

•2. Intercostal muscles- intercostal nerves

•3. Abdominal Muscles-

•4. Accessory muscles- neck muscles - activated in patients extremely short of breath

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14
Q

what are the different sensors of the respiratory control system?

A

chemoreceptors

lung receptors

other receptors

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15
Q

what are the two main types of chemoreceptors?

A

central and peripheral chemoreceptors

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16
Q

what is a chemoreceptor?

A

•Specialised tissue that respond to changes in the chemical composition of the blood or other fluid.

17
Q

where are the central chemoreceptors found?

A

in the central nervous system

18
Q

what is the most important regulator of ventilation?

A

the central chemoreceptors - they respond to a chnage in pH of the cerebrospinal fluid or the blood

19
Q

does cerebrospinal fluid have a greater or lesser buffereing copacity than plasma?

A

cerebrospinal fluid has a lesser buffereing ability than plasma - so a small change in pH is detected very quickly

20
Q

someone who hyperventilates often - what prevents them from having consisently lowered pH of the cerebrospinal fluid?

A

the ependymal cells - which act as a ‘kidney’ for the cerebrospinal fluid - therefore even if your plasma pH has dropped quite substantially, this regulates your pH around the brain so there is no lasting damage

21
Q

were are peripheral chemorectors found?

A

carotid bodies

and aortic bodies

22
Q

where are the carotid bodies found?

A

where the carotid divides into external and internal -

23
Q

how do the aortic bodies communicate with the brian?

A

through the vagus nerve

24
Q

what type of cells make up the carotid body receptor?

A

gloma cells

25
peripheral chemoreceptors are more or less sensitive to arterial oxygen than carbon dioxide?
they are most sensitive to changes in oxygen
26
although the peripheral chemorecptors are sensitive to changes in oxygen - how low does the oxygen have to be to induce a response?
it would have to be at about 60 mmHg O2 before a response is elicited
27
why are chemoreceptors not activated in carbon monoxide poisoning?
because the arterial O2 content is not changed - the chemoreceptors observe 'total' oxygen levels in blood
28
why are the carotid chemoreceptors placed where they are?
they are strategically placed in an area of the body with an extremly high blood flow
29
what are the lung receptors of the boody?
•1. Pulmonary stretch receptors (slowly-adapting pulmonary stretch receptors) Hering-Breuer reflex • •2. Irritant receptors (rapidly-adapting pulmonary stretch receptors) • •3. Juxta-capillary receptors (J-receptors) • •4. Bronchial C fibers
30
what is the Hering-Breuer reflex?
it is a stretch reflex -they prevent overinflation of the lungs-
31
what are the irritant receptors of the lungs?
they are activated by breathing in irritants - like cold air, smoke, fog, toxins etc - when activated they are associated with broncho restriction
32
Juxta capillary receptors induce what?
they induce rapid shallow breating classical of pulmonary oedema
33
response to CO2 is altered by what ?
response is altered by sleep, age (our CO2 levels are higher with age) and genetics
34
what molecule is the main driver of ventilation? oxygen or carbon dioxide?
carbond dioxide-
35
what is the response to a reduced pH?
•Sensed by peripheral chemoreceptors • •Important in metabolic acidosis • •If reduction is severe carotid chemoreceptor may be stimulated
36
what are the two types of sleep apnea?
obstructive- very common - often associated with obesity and can lead to further sleep deprivation and associated cognitive issues central = respiratory depression during sleep - recognized by the absense of respiratory effects