Lecture 5 Regulation of Respiration Flashcards

1
Q

what controls RR to meet the need for o2 to the body?

A

Medulla

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2
Q

What is the dorsal respiratory group mainly responsible for?

A

Inspiration and sensory information

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3
Q

what peripheral receptors does the dorsal respiratory group sense specifically?

A

Chemoreceptors
Baroreceptors
Lung Receptors (distention and filling)

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4
Q

the dorsal group fires of two sequential actions in respiratoin?

A
  1. inspiration

2. inhibition of inspiration

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5
Q

although the dorsal group regulates respiration in “ramping” up slowly, and expiring quickly all under 2 seconds, what else assists in that process?

A

The pneumotaxic center

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6
Q

What does the pneumotaxic center mainly control

A

rate and pattern of breathing

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7
Q

where is the pneumotaxic center located?

A

Dorsal pons

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8
Q

what is the MAIN goal of the pneumotaxic center?

A

To shorten inspiration, and thereby increasing the frequency

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9
Q

What is the name of the effect when the Pneumotaxic center senses lung stretch at 1.5 liters, abruptly ending inspiration?

A

Hering Breuer effect (prevents damage from overfilling)

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10
Q

What 3 substances in order of importance regulate breathing?

A
  1. Co2 (Hypercapnia is the biggie)
  2. H+ (less mobile than co2)
  3. Oxygen (very little contribution here)
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11
Q

Physiologically, will you generally see an accumulation of co2 before acidity increases, or acidity before co2 increases?

A

Co2 will accumulate first, which leads to production of acid (H+)

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12
Q

Although co2 is the main contributor of breathing, what is the STRONGEST contributor if it accumulates enough?

A
Hydrogen ions (H+) 
(Remember: renal system still does its job, but if H+ gets high to make an effect, its likely super high)
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13
Q

o2 as a regulator will not become functional until peripheral chemo receptors detect a drop below what value?

A

70mmhg po2

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14
Q

at what value will the low po2 causing a doubling of breathing?

A

60mmhg po2

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15
Q

in what environmental condition does o2 begin to play a more important role in breathing regulation?

A

low o2/high altitude situations

b/c you blew off all your co2 over compensating for low atmospheric o2

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16
Q

our bodies pco2 sensors can vary in sensetivity, and can still control breathing albeit with a much lower pco2 concentration in what 2 conditions?

A

Po2 falls (with less oxygen we dont need as much co2 to trigger increase in RR)

Ph falls (in a more acidic state, we dont need as much co2 to trigger the same respiratory response)

17
Q

how do we compensate for chronically low oxygen environments?

A

RBC’s make more hemoglobin

18
Q

what type of breathing is the dorsal group mainly responsible for?

A

quiet breathing (in front and to the side of the ventral group)

19
Q

what breathing type then is the ventral group responsible for?

A

aerobic breathing (during exersize or running from russian tiger)

20
Q

What does the ventral group have that makes it work so well?

A

The pneumotaxic center

21
Q

What does your body do when anticipating exersize?

A

increases HR and RR (which temporarily drops pco2 levels)

22
Q

does the movement of body joints somehow contribute to anticipation and help increase the RR?

A

yes

23
Q

below what value is technically considered hypoxia in po2?

A

below 60mmhg

24
Q

when a pearl diver holds his breath, even though his po2 is dropping, the urge to inhale is coming from where?

A

pco2 deprivation

25
Q

what type of breathing occurs when the respiratory can no longer function within its parameters, and attempts to over-regulate respiration?

A

Cheyne-Stokes breathing

26
Q

what three pathologies can lead to cheyne stokes breathing?

A
  1. increased time blood takes to get to brain (heart failure)
  2. brain damage
  3. severe acid/base disturbances
27
Q

Do cheyne stokes respirations begin at peak of pulmonary co2 of lung blood, or peak of pco2 in respiratory neurons?

A

Cheyne stokes starts at PEAK of pco2 LUNG BLOOD

28
Q

What receptors located on the alveolar epithelium and vascular endothelium detect any engorgement of pulmonary capillary blood that when excited make you feel SOB?

A

J-receptors

29
Q

when is mannitol given?

A

when the brain swells and depresses the respiratory center

30
Q

what everyday OTC drug stimulates the respiratory center

A

ASA (anesthesia depresses it)