Regulation of Respiration Flashcards

1
Q

What are the 5 major respiratory centers

A
  • Dorsal Respiratory group (DRG)
  • Ventral Respiratory group (VRG)
  • Pontine respiratory group (PRG)
  • Botzinger complex (BotC)
  • Pre-botzinger complex
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2
Q

What are the functions and locations of the medullary respiratory centers? What are they?

A

These center initiate breathing and are located in the reticular formation of the medulla

  • Dorsal respiratory group (DRG)
    • Located in the nucleus of the tractus solitarius
  • The Ventral respiratory group (VRG)
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3
Q

What respiratory center is located in the nucleus of the tracts solitaries

A

The Dorsal Respiratory Group (DRG)

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4
Q

What are the two Pontine respiratory centers

A

(located in the pons)

  • The Apneustic
  • The Pneumotaxic center (Pontine respiratory group PRG)
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5
Q

The brain controls both the ______ of breathing and the ______

A

frequency, pattern

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6
Q

The two pontine respiratory centers mainly control

A

rate and depth of breathing

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7
Q

explain the inspiratory “ramp” signal

A

Established by the DRG (Dorsal Respiratory Group) the nervous signal that is transmitted to the inspiratory muscles is not an instantaneous burst of action potentials . Instead, it begins weakly and increases steadily in a ramp manner for about 2 seconds in normal respiration. Then it ceases abruptly for approximately the next 3 seconds, which turns off the excitation of the diaphragm and allows elastic recoil of the lungs and the chest wall to cause expiration.

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8
Q

The dorsal respiratory group is located in the

A

dorsal portion of the medulla

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9
Q

The Dorsal Respiratory group sets _______ of respiration

A

basic rhythm

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10
Q

Most of the neurons of the Dorsal respiratory group are in the

A

nucleus of the tractus solitarius (NTS) and medulla reticular substance

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11
Q

_____ is the sensory termination of both the vagal and glossopharyngeal nerves

A

NTS

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12
Q

NTS receives information from

A
  • Peripheral chemoreceptors
  • Baroreceptors
  • Several types of receptors in the lungs
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13
Q

What are the principle initiators of the phrenic nerve activity

A

Dorsal respiratory group

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14
Q

Establishes ramp signal

A

Dorsal respiratory group

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15
Q

What is the primary function of the PRG (Pneumotaxic center)

A

Control the switch off point of the inspiratory ramp

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16
Q

A strong PRG signal results in ____ breaths per minute

A

30-40

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17
Q

A weak PRG signal results in _____ breaths per minute

A

3-5

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18
Q

Where is the Pneumotaxic center located

A

in the superior pons

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19
Q

lesions of the _____ influence respiratory timing

A

PRG

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20
Q

Lesion os the PRG result in

A

loss of the ability to turn off inspiration (without additional input from the vagus nerve)

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21
Q

Function of Pneumotaxic center

A

-mainly controls rate and depth of breathing

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22
Q

The Pneumotaxic center transmits signals to the

A

inspiratory center (DRG)

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23
Q

Where is the Apneustic respiratory center located

A

in the inferior pons

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24
Q

Loss of function to the apneustic center causes

A

prolonged inspiratory gasping (apneuses)

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25
The normal function of the apneustic center may be to
limit lung expansion
26
______ is the failure to turn off inspiration
Apneusis
27
Where is the ventral respiratory center located
in the ventrolateral portion of the medulla
28
Neurons of the ventral respiratory center are found in the
retrofacial nucleus, nucleus ambiguous and nucleus retroambiguous
29
The postal part of the Ventral respiratory group is the ________ and may be associated with
Botzinger complex, coordinating VRG output
30
The intermediate part of the VRG is associated with
the dilation of the upper airway during inspiration
31
Neurons of the caudal region of the VRG synapse with motor neurons to the internal intercostal and other muscles used for
forced expiration
32
Neurons of the VRG are almost totally inactive during _________
normal quiet respiration
33
During increased pulmonary ventilation, respiratory signals spill over from the DRG into the VRG, which then contributes to the
increased respiratory drive
34
The rhetorical nucleus of the VRG contains expiratory neurons which form the ______
botzinger complex
35
What respiratory center neurons do not participate in the basic rhythmical oscillation that controls respiration
VRG
36
This is a small area in the rostral part of the VRG
Pre-Botzinger complex
37
Believed to be the site which generates the timing (frequency) of the respiratory rhythm (central pattern generator)
Pre-Botzinger complex
38
Deciding the length of _____ and _____ is important to determining frequency of respiratory rhythm
inspiration and expiration.
39
reflex that is a protective mechanism to prevent excess inflation of the lungs. it begins with stretch receptors in the muscular portions of the walls of the bronchi and bronchioles
Hering-Breuer inflation reflex
40
The Hering-Breuer inflation reflex pathway
stretch receptors in muscular portions of walls of bronchi and bronchioles ----> dorsal Respiratory group neurons ---> cessation of inspiratory ramp
41
what is hypercapnia
increase in carbon dioxide levels
42
What is hypoxia
a decrease in oxygen levels
43
Hypercapnia and hypoxia lead to ______ activity in most neurons
decreased
44
Chemoreceptors _____ their rate of activity when hypoxia or hypercapnia occur
increase
45
What are the two types of chemoreceptors
- Central | - Peripheral
46
Central chemoreceptors are located
bilaterally 0.2 mm beneath the ventral surface of medulla
47
Sensitivity of central chemoreceptors
- Sensitive to H+ - H+ does not easily cross the blood-brain barrier - CO2 does easily cross the blood-brain barrier thus they are Indirectly sensitive to carbon dioxide levels in blood (based on pH)
48
Peripheral chemoreceptors include
- Receptors in the aortic arch | - Carotid body receptors
49
Peripheral chemoreceptors are sensitive to
concentrations of oxygen (especially), carbon dioxide, and hydrogen ions
50
Central chemoreceptors heightened sensitivity to increased levels of CO2 last for several hours but then begins to decline due to ____ adjustment to plasma pH
Renal
51
Heightened sensitivity to CO2 in central nervous system leads to what in the kidneys
kidneys will increase blood bicarbonate levels: - reduces plasma and CSF {H+} - Bicarbonate ions diffuse through the blood-brain barrier
52
Peripheral receptors are more sensitive to changes in ______ levels in the blood and less sensitive to changes in plasma concentration of ____ and _____
oxygen, carbondioxide and hydrogen ions
53
Locations of peripheral chemoreceptors
- Aortic arch (aortic bodies) - At the bifurcation of the common carotids (Carotid bodies) - (these are not the same as carotid baroreceptors)
54
What are the two types of carotid bodies
- Type I (glomus) cells | - Type II (sustentacular cells)
55
Type I (glomus) Carotid body cells
- chemosensors - PO2 dependent K+ channels result in K+ efflux when PO2 is high, leading to hyper polarization of the cells - decrease in PO2 closes channels and results in a depolarization that opens calcium channels, leading to neurotransmitter release - located close to fenestrated capillaries
56
Type II (sustentacular) carotid body cells
-play a support role similar to glial cells
57
Carotid body receptors pathway
decrease pO2 leads to depolarization onto hering nerves-----> CN IX-----> DRG
58
Aortic bodies pathway
CNX----> DRG
59
Chemoreceptors are exposed to PO2 of ______ blood not ____ blood
arterial blood not venous blood
60
___ and ____ are mainly responsible for regulating ventilation (at sea level) for PO2 between 60 and 80 mmHg
PCO2 and H+
61
where are slow-adapting pulmonary stretch receptors located
within the airways of the lungs
62
Slow-adapting pulmonary stretch receptors signals travel in the _____ to the ______
vagus nerves, medulla
63
Signals from slow-adapting stretch receptors actions
- terminate inspiration | - prolong expiration
64
Are slow-adapting pulmonary stretch receptors important in controlling tidal volume in adults at rest
probably not
65
slow adapting pulmonary stretch receptors are important in controlling respiration in
infants and adults during exercise
66
Where are rapidly-adapting pulmonary stretch receptors found
Within the airways of the lungs
67
Rapidly-adapting pulmonary stretch receptors are sensitive to
irritation, foreign bodies in airway, and stretch
68
Signals from the rapidly-adapting pulmonary stretch receptors travel in the _____ to the brain
vagus nerve
69
These stretch receptors override the normal respiratory control mechanisms and elicit cough
Rapidly-adapting pulmonary stretch receptors
70
Thesauri are sensory endings (C fibers) in the alveolar wall in juxtaposition to pulmonary capillaries
J Receptors
71
J receptors are sensitive to
Pulmonary edam (i.e. CHF)
72
Signals from J receptors travel to the brain via the
vagus nerve
73
stimulation of J receptors elicits
cough | Tachypnea
74
Does J receptor override the normal respiratory control mechanisms
Yes