Exam 3 Week 13 ppt 4 ANS ventilation Flashcards

1
Q

what type of function is the control of ventilation?

A

~“autonomic” function – it really is not other than bronchiolar dilation and constriction
~Control of ventilation is an automatic (non-voluntary) function but NOT autonomic

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2
Q

how is the control of ventilation accomplished (though what)

A

~by a network of complex circuitry

~mostly in the medulla

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3
Q

control of ventilation- visceral afferents from (and via)

A

~from the carotid and aortic chemoreceptors

~via CN IX and X which help in this regulation

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4
Q

control of ventilation- output

A

somatic lower motor neurons which contact the skeletal muscle of the diaphragm and accessory ventilatory muscles

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5
Q

control of ventilation- basic rhythm of breathing is produced by

A

Pacemaker like cells within inspiratory center in the Dorsal respiratory group in medulla

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6
Q

control of ventilation- inspiratory neurons produce

A

Spontaneous depolarization @ about 15/min which is the basic respiratory rate

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7
Q

control of ventilation- axons from inspiratory neurons follow

A

~Descending tract to C3-C5 motor neurons

~from lower motor neurons form the phrenic nerve which innervates the diaphragm via the phrenic nerve

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8
Q

control of ventilation- long term respiratory rate and number of neurons activated are increased by

A

central chemoreceptor input (ventral medulla)

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9
Q

control of ventilation- peripheral chemoreceptor afferents will

A

~increase the number of neurons activated (depth of breathing) and
~increase the frequency of depolarization (the rate of breathing) in the short term
(these are the afferents from the receptors in the carotid sinus and aorta. They change rate and number of activated neurons on a minute by minute basis)

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10
Q

control of ventilation- increased rate of depolarization

A

~increase the rate of breathing

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11
Q

control of ventilation- medullary Chemoreceptors are

A

~sensitive to elevated H+ in cerebrospinal and fluid which is produced by elevated CO2 in blood
~increased H+ in CSF increases ventilatory rate and depth of ventilation
(medullary chemoreceptors = central chemoreceptors)

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12
Q

what are ways the peripheral chemoreceptors can respond to elevated H+/CO2?

A

Firing rate of neurons in medulla and number neurons activated

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13
Q

peripheral chemoreceptors communicate with the respiratory center via

A

CN IX from carotid chemoreceptors and CN X from aortic chemo-receptors

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14
Q

peripheral chemoreceptors are sensitive to

A

~increases in blood levels of H+/CO2- result of increased metabolic activity (exercise)

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15
Q

peripheral chemoreceptors respond to

A

~minute by minute changes in blood levels of H+/CO2

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16
Q

central chemoreceptors respond to

A

~long-term resting levels of H+ in the CSF (produced by elevated CO2 in the blood)

17
Q

inspiratory neurons in the medulla- threshold (will send activation where)

A

~slightly higher threshold inspiratory neurons that when activated will send descending excitatory activation to the LMNs in the cervical and thoracic LMNs
~ innervate the accessory muscles of inhalation (sternocleidomastoid, traps, intercostals)
_____________________________
1. lower threshold Inspiratory neurons in medulla that stimulate LMNs in spinal segments C3, C4 and C5 project to the diaphragm via the phrenic nerve.
2. slightly higher threshold inspiratory neurons that when activated will send descending excitatory activation to the LMNs in the cervical and thoracic LMNs that innervate the accessory muscles of inhalation (sternocleidomastoid, traps, intercostals)

18
Q

expiratory UMNs in the medulla are normally excited or unexcited?

A

normally unexcited

19
Q

how do the inspiratory and expiratory UMN interact in the medulla?

A

~Inspiratory neurons in medulla are activated= inhibit expiratory UMNs
~few inspiratory neurons activated= little inhibition of expiratory interneurons

When there is high levels of inspiratory UMN activity, there is dramatic inhibition of the expiratory UMNs. When this inhibition comes to an end, there is a rebound effect that excites the expiratory UMNs causing active exhalation using the abdominal and intercostal muscles. This is why you exhale actively during strenuous activity, but not at rest.

20
Q

expiratory neurons membrane potential returns to resting following..

A

~the release from inhibition

21
Q

very high levels of inspiratory UMN activity

A

dramatic inhibition of expiratory UMNs

22
Q

when the inhibition of expiratory UMN ends,

A

=large Disinhibitatory rebound of expiratory UMN
~produces excitation of expiratory UMNs
~produce active exhalation by exciting LMNs in the thoracic spinal cord
~innervate the muscles of exhalation (abdominals and intercostals)

23
Q

during restful inhalation

A

~not much inhibition of expiratory UMNs
~do not become active
~normally passive exhalation during restful inhalation

24
Q

two pontine centers that help regulate ventilation

A

~pneumotaxic center

~apneustic center

25
Q

Pneumotaxic center

A

~In rostral pons
~Functions as “off-switch” for inspiration
~active =shortens inspiratory duration which aids in the increased inspiratory rate

26
Q

Apneustic Center

A

~in the caudal pons

~may integrate afferent and central drives to inspiratory and expiratory UMNs

27
Q

is there any voluntary control in ventilation?

A

limited amount of voluntary control

28
Q

voluntary control of ventilation- where in brain

A

~Activity from cerebral motor cortex

29
Q

voluntary control of ventilation- produces

A

~produce voluntary increase or decrease of ventilatory rate and volumes by stimulating or inhibiting both the inspiratory and expiratory centers of the medulla

30
Q

voluntary control of ventilation- inhibits (where)

A

~can inhibit both the inspiratory and expiratory centers of the medulla

31
Q

voluntary control of ventilation- why is this important?

A

~voluntarily take a deep breath and slowly let it out as in talking or use expiratory neurons to quickly exhale as in blowing out birthday candles or yelling at a high volume

32
Q

control of ventilation- increased number of neurons causes what?

A

increased depth of breathing