Control of ventilation Flashcards

1
Q

What nerve (groups) are used in inspiration?

A

Phrenic nerve to diaphragm

Intercostal nerves to external intercostals

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2
Q

Where are the respiratory centres located?

A

Medulla and pons

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3
Q

What respiratory centre sets the automatic rhythm of breathing?

A

DRG

Dorsal respiratory group - in the medulla

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4
Q

What factors modulate rhythm of breathing?

A

Emotion (limbic system)

Voluntary over-ride

Mechano-sensory input

Chemical composition of blood

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5
Q

What detects changes in the chemical composition of the blood?

A

Chemoreceptors

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6
Q

What respiratory group is responsible for controlling expiratory muscles, as well as the tongue, pharynx and larynx?

A

VRG

Ventral respiratory group (of neurones)

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7
Q

Where are the central chemoreceptors located?

A

Medulla

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8
Q

What do the central chemoreceptors respond do?

A

They measure changes in pCO2 in the CSF around the brain

This indirectly measures the pH of blood

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9
Q

Where are peripheral chemoreceptors located?

A

Carotid artery and the aorta

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10
Q

Why can central chemoreceptors not directly measure [H+]?

A

H+ ions cannot cross the blood-brain barrier

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11
Q

A decreased pCO2 will cause?

A

A decrease in ventilation rate

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12
Q

What do peripheral chemoreceptors do?

A

Detect changes in arterial pO2 and [H+]

They stimulate ventilation if there is a significant drop in pO2 and/or significant rise in [H+]

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13
Q

What classes of drugs act directly to depress the respiratory centres?

A

Barbiturates

Opiods

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14
Q

What is the effect of gaseous anaesthetics on respiratory rate?

A

Increase RR

But decrease Tidal volume

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15
Q

Communication between the Ventral respiratory group and the dorsal respiratory group takes place through tho…

A

pre-Botzinger complex

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16
Q

Which respiratory group is connected to the higher brain centres?

A

Pontine respiratory group (in the pons)

aka Pneumotaxic centre