LESSON 13 - control of breathing during exercise Flashcards

1
Q

what are the two terms used to describe an increase in ventilation ?

A

hypernea and hyperventilation

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2
Q

when do we experience hyperpnea ?

A

experience during moderate and heavy intensity exercise

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3
Q

when do we experience hyperventilation ?

A

experience diring servers intensity domain

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4
Q

what is hyperpnea ?

A

an increase in ventilation that is proportional to metabolic demands

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5
Q

what is hyperventilation ?

A

an increase in ventilation that exceeds metabolic demands

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6
Q

is it hyperpnea or hyperventilation that is an “increase in breathing rate but within your needs” ?

A

hyperpnea

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7
Q

is it hyperpnea or hyperventilation that is an increase in breathing but more than needed ?

A

hyperventilation

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8
Q

is it hyperpnea or hyperventilation that “blood gasses remain from normal” ?

A

hyperpnea

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9
Q

is it hyperpnea or hyperventilation that “blood gases deviate from normal” ?

A

hyperventilation

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10
Q

what does increase in muscle work mean for metabolism (ATP), VO2 and CO2, and Va and Ve ?

A
  • increase in metabolism (ATP)
  • increase in VO2 and CO2
  • increase in Va and Ve
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11
Q

when are we utilizing more VO2 and producing more CO2 ?

A

during increased exercise / muscle work

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12
Q

why do we breath during exercise ?

A
  • CO2 produced must be cleared
  • O2 extracted by the muscles from blood must be replenished
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13
Q

why must CO2 produced be cleared during exercise ?

A

to prevent arterial PCO2 and H+ from rising

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14
Q

why must O2 extracted by the muscles from blood be replenished during exercise ?

A

to prevent arterial PO2 from falling

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15
Q

a rise in CO2 is associated with a rise in ___ ions or a __________ in pH levels (acidosis)

A
  • H+
  • reduction
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16
Q

what happens if there is too much H+ ions or CO2 ?

A

becomes more acidic / acidosis

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17
Q

PaO2 ≈ (approx. equal to) Va / O2

A

replenish oxygen

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18
Q

PaCO2 ≈ (approx. equal to) CO2 / Va

A

prevent CO2 retention

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19
Q

Which of PaCO2 or PaO2 should be regulated most tightly ?

A

PaCO2

20
Q

why should PaCO2 be tightly regulated over PaO2 ?

A

large changes in PaO2 at lungs dont effect O2 saturation drastically, but even small changes in PaCO2 can greatly impact pH

21
Q

can the body handle acidosis well ?

A

no, it doesnt handle acidosis well, must maintain H+

22
Q

what happens if we do not regulate arterial CO2 tightly ?

A

cause an increase in H+ ions concentration

23
Q

what is the “most important equation for alveolar ventilation”

A

Va = CO2 / PaCO2

24
Q

VT (tidal volume) x BF (breathing frequency) is the equation for what ?

A

Ve

25
Q

CO2 / PaCO2 is the equation for what ?

A

Va

26
Q

what are the two ways to increase ventilation :

A
  • take more frequent breaths
  • increase depth/volume of each breath
27
Q

as exercise intensity increases, what happens with Va ?

A

Va increases with our minute ventilation

28
Q

Va (alveolar ventilation) + dead space ventilation =

A

ventilation

29
Q

if you have more CO2 does that mean you’re breathing out more or less CO2 ?

A

more CO2

30
Q

hyperventilation = breathing more… what does this cause for CO2 ?

A

causes CO2 to fall

31
Q

what are the three controlling exercise hyperpnea ?

A
  • neural feed-foward
  • neural feedback
  • humoral feedback
32
Q

which feedback is associated with “medulla and above, intrinsic oscillator” ?

A

neural feed-foward

33
Q

which feedback is associated with muscles ?

A

neural feedback

34
Q

which feedback is associated with chemoreceptors ?

A

humeral feedback

35
Q

if issues with one mechanism can the others compensate ?

A

yes

36
Q

the supra medullary inputs is associated with what ?

A

neural feed-toward

37
Q

medullary ISK (H+) chemoreceptors is associated with what ?

A

humoral feedback

38
Q

describe central chemo receptors :

A
  • very responsible to changes in H+ ion concentration
  • increase respiratory output with H+ ion concentration rises or pH falls
  • become more acidic
39
Q

mechanic /metaboreceptors afferents is associated with what ?

A

neural feedback

40
Q

which mechanism is located with arteries / our circulatory system ?

A

humeral feedback

41
Q

what study was an example of a case that showed that central command or those neural feedback mechanisms might not be important in driving or controlling breathing during exercise ?

A

the neural and humeral factors electrically induced dog experiment 1963

42
Q

what study was an example of a case that showed the opposite experiment to the dog experiment (feedforward factors) ?

A

cat with all sensory afferent signal removed

43
Q

describe the “blocking neural input from muscle in humans” experiment :

A
  • placebo and fentanyl
  • blocking inputs from muscles (potentially drive a ventilation response)
  • fentanyl injection in lumbar selectively blocks all afferent signals arising from skeletal muscle
44
Q

FILL IN THE BLANK :

we need Va increase in proportion to ___ in order to maintain arterial CO2, which we know is incredibly important if we allow arterial CO2 to rise…

A

VCO2

45
Q

CO2 / PaCO2 =

A

Va