Generation of Respiratory Rhythm Flashcards

1
Q

effect on breathing of removal of cortex and upper pons

A

slow gasping breaths

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

effect on breathing of removal of pons

A

return to rhythmic breathing

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

effect on breathing of removal of medulla

A

breathing stops

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

what aspect of breathing does the cortex control

A

voluntary breathing

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

what aspect of breathing do the pons, medulla and spinal cord control

A

automatic breathing

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

what groups in the brainstem help control automatic breathing

A

pontine respiratory group (PRG)
ventral respiratory group (VRG)
dorsal respiratory group (DRG)

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

what are medullary neurones

A

VRG, DRG
expiratory neurones

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

what do expiratory neurones do

A

inhibit inspiratory neurones

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

what do inspiratory neurones do

A

activate expiratory neurones
causes contraction of inspiratory muscles

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

what is the effect of inspiratory neurones during large inspirations

A

large activation of expiratory neurones

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

what is the effect of expiratory neurones during large inspirations

A

causes contraction of expiratory muscles

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

things that change the basic breathing pattern

A

inhaled noxious substances
speech/volition
sleep
exercise

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

feedback inputs - lung receptors

A

slowly adapting receptors
rapidly adapting receptors
c-fibre endings
all have afferent nerve fibres carried in vagus nerve

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

feedback inputs - chemoreceptors

A

central chemoreceptors
peripheral chemoreceptors

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

effect of vagal nerves cut on breathing

A

slow, deep breaths

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

effect of vagal nerves stimulated on breathing

A

shallow, rapid breaths

17
Q

slowly adapting lung receptors

A

aka stretch receptors
mechanoreceptors situated close to airway smooth muscle
stimulated by stretching of airway walls during inspiration
help initiate expiration and prevent overinflation of lungs
initiate hering-breuer inflation reflex (prolonged inspiration produced prolonged expiration)
afferent fibres = myelinated

18
Q

rapidly adapting lung receptors

A

aka irritant receptors
located in airway epithelium
primarily a mechanoreceptor so respond to rapid lung inflation
respond to chemicals (e.g. histamine), smoke, dust
RARs in trachea and large bronchi initiate cough, mucus production, bronchoconstriction
afferent fibres = myelinated

19
Q

c-fibre endings

A

bronchial c-fibre endings in airway epithelium
unmyelinated nerve fibres
stimulated by increased interstitial fluid (oedema) and various inflammatory mediators (histamine, prostaglandins, bradykinins)
pulmonary c-fibre endings close to pulmonary capillaries - aka juxtapulmonary capillary receptors, J-receptors

20
Q

peripheral chemoreceptors response to arterial o2 and co2

A

fast response to:
arterial pO2
arterial pCO2
arterial H+

21
Q

central chemoreceptors response to arterial o2 and co2

A

slow response to arterial pCO2

22
Q

oxygen terminology

A

above normal = hyperoxia
normal = normoxia
below normal = hypoxia or hypoxaemia in blood

23
Q

carbon dioxide terminology

A

above normal = hypercapnia
normal = normocapnia
below normal = hypocapnia

24
Q

what happens when pCO2 crosses the blood-brain barrier

A

equilibrium: pCO2 + H2O <-> H+ + HCO3-
H+ detected by central chemoreceptors on surface of medulla which stimulate medullary rhythm generator

25
what does hypoxia and co2 buildup result in
chronic hypercapnia
26
what does chronic hypercapnia result in
loss of sensitivity of central chemoreceptors
27
drugs and respiration - depressants
anaesthetics - almost all analgesics - opioids sedatives (anti-anxiolytics, sleeping tablets) - benzodiazapines (diazepam, temazepam, etc)
28
clinical examples of respiratory depressants
recreational drug overdose, procedural sedation
29
drugs and respiration - stimulants
primary action - doxapram secondary action - beta-2-agonists (bronchodilators)
30
upper airway muscle activity - phasic
contraction of upper airway muscles opening of upper airway facilitates inward airflow similar to activity in diaphragm/external intercostals which generate inspiration
31
upper airway muscle activity - tonic
continuous background activity tends to maintain patent airway varies with state of alertness similar to activity in skeletal muscles which maintain posture
32
obstructive sleep apnoea
common fragments sleep causing daytime sleepiness important cause of traffic accidents risk factors - obesity, alcohol, nasal obstruction, anatomical anomalies