L15: Control of Respiration 1/2/3 Flashcards

1
Q

What is rhythmic breathing

A

Breathing that we do automatically

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2
Q

Inspiration

A
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3
Q

Expiration, active breathing

A
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4
Q

Intercoastal nerves

A

2
1. internal intercostal nerve–> involved in active expiration
2. external intercostal nerve –> inspiration

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5
Q

Phrenic nerve

A
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6
Q

During quiet breathing which nerves will be active?

A

Phrenic nerve
External intercostal nerve

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7
Q

What type of neurons regulate breathing of respiratory muscles

A

Motor neurons that are bundled together in nerves

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8
Q

Quiet breathing versus active ventilation?

A

Active ventilation
- More AP in all nerves
- AP in internal intercostal nerve seen
- AP are not in sync
—–EX. External vs internal nerve AP’s
- Tension in inspiratory and expiratory muscle greater
- Expiratory muscle tension is contracting during active ventilation and relaxed during quiet breathing
- Lung volume, tidal volume, the air the moves in and out of the lungs, is greater than quiet breathing

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9
Q

Tidal volume

A
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10
Q

What are the 6 things that we can look at to see differences in quiet breathing vs. active breathing

A

Action potentials in:
1. phrenic nerve
2. External intercostal nerve
3. Internal intercostal nerve

Muscle Tension in:
4. Inspiratory muscles
5. Expiratory muscles

Tidal volume:
6. Lung volume

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11
Q

Which 2 centers in the brain control rhythmic breathing?

A
  1. Pons
  2. Medulla
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12
Q

Pontine respiratory group (PRG)

A

Cluster of nerves in pons that control rhythmic breathing

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13
Q

Ventral respiratory group (VRG)

A

Nerve cluster in Medulla that control breathing
-contains both expiratory and inspiratory neurons

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14
Q

Dorsal respiratory group (DRG)

A

Nerve cluster in Medulla that control breathing
- contains mainly inspiratory neurons

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15
Q

Inspiratory neurons

A
  • Active during inspiration
  • Hypothesized to control motor neurons to inspiratory muscles
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16
Q

Expiratory neurons

A
  • Active during expiration
  • Hypothesized to control motor neurons to expiratory muscles and/or inhibit inspiratory neurons
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17
Q

Central pattern generator, where is it and what are the functions?

A
  • in medulla
  • inside the VRG, pre-botzinger complex
  • responsible for creating repeating pattern of neural activity which then creates respiratory rhythm
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18
Q

What are the 2 hypotheses in how rhythm is generated? Which one is accurate?

A
  1. pacemaker
  2. neural network
    Both of hypotheses can work side-by-side to create rhythm
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19
Q

What is the pacemaker hypotheses?

A

Neurons have intrinsic pacemaker activity
- spontaneously depolarize generating action potentials in a cyclical manner

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20
Q

What is the neural network hypotheses?

A

Complex interactions between network of neurons generate rhythm

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21
Q

Respiratory control centers of medulla, what nerves are contained and what does it influence?

A
  • Contains inspiratory and expiratory neurons, central pattern generator and pre-motor neurons
  • Pre-motor neurons influence activity of motor neurons of phrenic and intercostal nerves
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22
Q

Respiratory control centers of pons, what nerves are contained and what does it influence?

A
  • Contains inspiratory, expiratory, and mixed neurons
  • May regulate transitions between inspiration and expiration
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23
Q

Focus: How is rhythmic breathing modulated?

A
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24
Q

Focus: How do chemoreflexes regulate blood pH?

A
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25
2 types of chemoreceptors
Central and peripheral
26
Where are central chemoreceptors located?
Medulla
27
Why does it take 5 minutes for the brain to detect changes in CO2 levels? What detects this change?
2 reasons 1. Co2 takes time to diffuse from blood to CSF 2. Co2 takes time to convert from co2 + H20 to H+ ions. The conversion to H+ ions increases pH and central chemoreceptors detect this change
28
Which receptors are used in situations like choking or drowning?
Peripheral chemoreceptors
29
How does the body compensate for high levels of pCO2 in arterial blood?
Increased ventilation
30
Central chemoreflex
Detection of increased co2 levels by central chemoreceptors
31
What are the 2 locations of peripheral chemoreceptors?
Carotid body and aortic body
32
How do neurons in the aortic body of peripheral chemoreceptors connect to the respiratory control area?
Through the vagus nerve
33
How do neurons in the carotid body of peripheral chemoreceptors connect to the respiratory control area?
Through the glossopharyngeal nerve
34
What are the series of steps the body takes when it detect high levels of pCO2 with central chemoreceptors
1. detects the change in pH
35
What are the series of steps the body takes when it detect high levels of pCO2 with peripheral chemoreceptors
36
How is blood pH restored
37
When does acidosis happen
When there is high pCO2 and thus H+/proton concentration increases leading to high pH
38
When does alkalosis happen
When there is low pCO2 and thus low h+/proton concentration which causes low pH
39
By what mechanism does the body restore alkalosis and acidosis to normal
Negative feedback
40
Steps the body takes to fix alkalosis
41
Steps the body takes to fix acidosis
42
How is oxygen stored in body
5L in blood
43
How is Co2 stored in body
40L in total body water
44
Focus: How is air and blood flow regulated within the lungs?
Ventilation and perfusion are matched within the lungs - Want Va/Q = 1
45
Ventilation
Rate of air flow (Va)
46
Perfusion
Rate of blood flow (Q)
47
How does an airway obstruction affect respiration?
decreased ventilation (Va) - buildup of co2 in blood - no new air coming in
48
How does a blood vessel obstruction affect respiration?
decreased perfusion (Q) - wasting respiratory effort since air is coming in but blood not being oxygenated due to blockage
49
What happens when ventilation and perfusion are not matched
The body uses local controls to try and match the two
50
What is ventilation and perfusion matching?
When the rate of air flow and blood flow are the same (= 1) helps regulate it in the lungs
51
How is ventilation-perfusion matching is achieved?
1. starts with a stimulus, Pco2 high and Po2 low 2. two physiological responses a. Bronchioles - decrease muscle contraction - bronchodilation occurs - causes less resistance and... b. Pulmonary arterioles - increase muscle contraction - vasoconstriction -causes more resistance and... 3. Result a. Bronchioles - ventilation increases b. Pulmonary arterioles - perfusion decreases
52
Which gas, CO2 or O2 causes greater response in bronchioles?
Co2
53
Which gas, CO2 or O2 causes greater response in pulmonary arteries?
O2
54
A region of Tom’s lungs is not being properly ventilated because he has a respiratory infection. What would you expect to observe in that region? a Constriction of bronchioles and dilation of arterioles b Constriction of bronchioles and arterioles c Dilation of bronchioles and constriction of arterioles d Dilation of bronchioles and arterioles
c Dilation of bronchioles and constriction of arterioles
55
Hyperpnea
increase in ventilation to meet an increase in metabolic demands of body
56
Dsypnea
Laboured or difficult breathing
57
Apnea
Temp. cessation of breathing
58
Tachypnea
rapid, shallow breathing
59
Hyperventilation
increased ventilation
60
Hypoventilation
decreased ventilation
61
Hypoxia
low o2 levels in tissues
62
Hypoxemia
low o2 levels in blood
63
hypercapnia
excess co2 levels in blood
64
hypocapnia
low co2 levels in blood