control of ventilation Flashcards

1
Q

what does ventilatory control require the stimulation of?

A

skeletal muscle of inspiration

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

what does ventilatory control occurs via?

A

phrenic (to diaphragm) and intercostal nerves (to intercostal muscles)

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

what are respiratory centres

A

pons and medulla

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

is ventilatory control subconcious?

A

yes

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

what is ventilatory control dependent on?

A

signalling from the brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what do resp centres have their rhythm modulated by?

A

emotion
voluntary over-ride
mechano-sensory input from the thorax
chemical composition of the blood- detected by chemoreceptors

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

what are the functions of central chemoreceptors in the medulla?

A

Detect changes in [H+] in CSF around brain

Cause reflex stimulation of ventilation following rise in [H+]

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

what is ventilation inhibited by?

A

a decrease in arterial PCO2

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

what crosses the blood brain barrier if arterial PCO2 increases?

A

carbon dioxide not H+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

where does central chemoreceptors monitor the the PCO2 indirectly

A

cerebrospinal fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

does decreased arterial PCO2 speed up or slow ventilation rate?

A

slows

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what increases ventilation in response to increased arterial PCO2?

A

feedback via resp centres

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

where are peripheral chemoreceptors located?

A

carotid and aeortic bodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the function of peripheral chemoreceptors?

A

detect changes in arterial PO2 and H+

Cause reflex stimulation of ventilation following significant fall in arterial PO2 (consider haemoglobin dissociation) or a rise in [H+]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

does peripheral chemoreceptors respond to arterial PO2 or oxygen

A

PO2

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

what does an increase in H+ usually follow a rise in?

A

arterial PCO2

17
Q

does changes in the plasma pH alter ventilation? via what pathway?

A

yes via the peripheral chemoreceptor pathways

18
Q

what happens to ventilation if plasma pH falls ?

A

ventilation will be stimulated (acidosis)

19
Q

where would you find central chemoreceptors?

A

medulla

20
Q

what are the main differences between central and peripheral chemoreceptors?

A

location- medulla / carotid and aortic bodies

response - directly to H+ / primary to plasma and PO2

ventilatory drive - primary / seconday

21
Q

do central chemoreceptors respond to changes in plasma H+?

A

no

22
Q

what controles our rate of breathing and depth of respiration?

A

respiratory centres

23
Q

what are the two respiratory centres?

A

pons and medulla

24
Q

what are the different types of respiration groups?

A

dorsal
ventral
pontine

25
Q

what are dorsal resp groups for?

A

output primarily to inspiratory muscles

26
Q

whats the ventral resp group for?

A

output to expiratory, some insp,

27
Q

where is resp rhythms modulated by emotion?

A

limbic system in the brain

28
Q

which chemoreceptor is less sensitive to CO2?

A

peripheral

29
Q

what is CSF

A

interstitial fluif in the brain and is very heavily monitored

30
Q

when is there a reflex simulation of ventilation in central chemoreceptors?

A

following a rise of H+

31
Q

what is hypercapnea?

A

rise of PCO2

32
Q

what protects the csf?

A

blood brian barrier

33
Q

what cant pass through blood brain barrier

A

ions

34
Q

what will happen to resp rate in an anaemic patient with a blood oxygen content half the normal value

A

stay the same

35
Q

can you override involuntary stimuli such as arterial PCO2 or H+

A

no

36
Q

how is ventilation inhibited?

A

increase in arterial PO2 or a decrease in arterial PCO2

37
Q

when is respiration intentionally inhibited?

A

during swallowing