Regulation of respiration Flashcards

1
Q

What is the strongest factor influencing ventilation?

A

Arterial pCO2

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2
Q

Changes in arterial pCO2 trigger which chemoreceptors?

A

Peripheral and central

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3
Q

How do the effects of arterial pCO2 differ between peripheral and central chemoreceptors?

A

Stimulation of peripheral chemoreceptors is 5x as fast

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4
Q

How does low pO2 increase alveolar ventilation rate independently of pCO2?

A

Peripheral chemoreceptor system

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5
Q

Peripheral chemoreceptors are important for detecting what changes?

A

Changes in blood pO2

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6
Q

Where do the afferent nerve fibers from the carotid bodies go?

A

Hering’s nerves –> CN IX –> dorsal respiratory area of medulla

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7
Q

Where do the afferent nerve fibers from the aortic bodies go?

A

Vagus nerves –> dorsal respiratory area of medulla

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8
Q

Which area detects changes in either pCO2 or [H+]?

A

Central chemoreceptors (chemosensitive area)

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9
Q

What is the termination point for CN IX and X?

A

Nucleus of the tractus solitarius (ventral and dorsal respiratory groups)

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10
Q

What is the function of the pre-Botzinger complex?

A

Produces rhythmic discharges (pacemaker)

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11
Q

What is the function of the dorsal respiratory group?

A

Sends out repetitive bursts of INSPIRATORY neuronal action (inspiratory ramp signals)

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12
Q

What is the function of the pneumotaxic center?

A

Controls RATE and DEPTH of breathing, as well as switch-off of inspiratory ramp

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13
Q

What is the role of the ventral respiratory group?

A
  1. Inactive during normal quiet respiration 2. During high demand signals spill over from DRG to VRG 3. VRG contributes to both inspiration and expiration - especially important in providing strong expiratory signals to abdominal muscles during heavy expiration
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14
Q

Where are pneumotaxic center signals sent?

A

Inspiratory area

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15
Q

What are J receptors?

A
  1. Sensory nerve endings in alveolar walls in juxtaposition to pulmonary capillaries 2. Stimulated when pulmonary capillaries become engorged with blood or during pulmonary edema 3. Activation causes sensation of dyspnea
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16
Q

What is the Hering-Breuer reflex?

A

Stretch receptors in muscular portions of bronchi and bronchioles send signals through vagi into DRG when lungs become overstretched

17
Q

When is the Hering-Breuer reflex activated?

A

When VT > 3x normal

18
Q

What is Kussmaul breathing?

A

Relentless, rapid, deep (metabolic acidosis)

19
Q

What is Cheyne-Stokes breathing?

A

Ventillatory oscillations with long cycle times (stroke, encephalopathies, heart failure)

20
Q

What is Biot’s breathing?

A

Quick, shallow inspirations followed by regular or irregular apnea (trauma, stroke)