respiration 4 Flashcards

1
Q

what kind of muscles control rhythmic breathing

A

skeletal muscles

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2
Q

what AP’s bring about inspiration

A

motor neurons

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3
Q

what controls rhythmic contraction

A

Pacemaker neurons

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4
Q

what causes expiration

A

cessation of motor neurons activity and lung recoil

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5
Q

what signals regulate ventilation rate

A

respiratory gases

H+ concentration

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6
Q

what chemoreceptors sense H+ concentration to regulate ventilation rate

A

peripheral chemoreceptors

Central chemoreceptors

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7
Q

what do peripheral chemoreceptors respond to to regulate ventilate rate

A

increase in H+ concentration

decrease in P02

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8
Q

what do central chemoreceptors respond to

A

increase in H+ concentration in the ECF of the brain

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9
Q

activity of pacemaker neurons can be modulated by what

A

Activity of pulmonary stretch receptors

drugs (barbituates and opiates/morphine)

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10
Q

a decrease in PO2 sensed by pheripheral chemoreceptors leads to what change in ventilation rate

A

increase ventilation rate

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11
Q

what is the cut off PO2 to begin an increase in ventialtion rate

A

<60mmHG

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12
Q

does ventialtion rate increase only when the blood begins to be depleted of O2

A

No, since when Po2=60mmHg, Hb is 90% saturated

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13
Q

how does an increase in PCO2 or H+ change ventilation rate

A

increases ventilation rate

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14
Q

is ventilation rate more sensitive to PCO2 or PO2

A

PCO2

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15
Q

what is the cut off point for a change in PCO2 to cause a change in ventilation rate

A

PCO2> 40mmHg

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16
Q

what kind of regulator is a central chemoreceptor’s response to decrease in brain pH

A

primary regulator

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17
Q

what does CO2 poisoning symptoms depend on

A

level of toxicity (can lead to death)

18
Q

what are the non-respiratory sources of H+ that can modify ventilation rate

A
metabolic acidosis (lactic acid)
Metabolic alkalosis (severe vomiting)
19
Q

does anemia change ventilation

20
Q

does CO poisoning change ventilation

21
Q

do we understand why ventilation increases with exercis

A

not really

22
Q

why might an increase and PCO2 not be cause of increased venilation in exercise

A

venous PCO2 increases, but little change in arterial

  • arterial PCO2 unchanged until exercise is v. high (actually does down at first due to hyper ventilation
    • — ventilation NORMALLY increases in direct proportion to CO2 production
23
Q

why might a decrease in PCO2 not be the cause of increased ventilation in exercise

A

venous O2 decreased but not in the ateries

- increased ventilation is proportion to O2 use

24
Q

why might the increase in H+ not be the cause of increased ventilation in exercise

A

requires intense exercise to be a factor due to lactic acid accumulation

25
what all is needed to increase ventilation during exercise
``` temp proprioceptors in joints Epinephrine and K+ Motor cortex Conditioned responses ```
26
what is hypoxia
deficiency of O2 at the levels of tissues
27
what is hypoxic hypoxia (hypoxemia
decreased arterial PO2
28
anemic hypoxia
normal arterial PO2, decreased hemoglobin and O2 content of blood - also CO poisoning
29
ischemic hypoxia
blood flow to tissues is too low
30
histotoxic hypoxia
cells unable to utilize O2
31
what can cause hypoxic hypoxia
Hypoventilation diffusion impairment vascular shunt ventilation perfusion inequality
32
what can impair diffusion in hypoxic hypoxia
thickened alveoli-blood interface
33
when can ventilation-perfusion inequality lead to hypoxic hypoxia
COPD, increasing PCO2
34
does the concentration of O2 change as you incease in altitude
No concentration is the same, but the partial pressure of O2 decreases
35
what is the bodies response immediately to an increase in altitude
stimulation of ventilation | increased anaerobic glycolysis
36
what does an increase in erythropoiesis lead to
polycytothemia
37
where does erythropoietin come from
Kidney
38
what does acclimation to high altitude depend on
increase erythropoiesis increase 2,3 DPC increase other component of O2 delivery and consumption (capillaries, mitochondira, myoglobin)
39
why does the body make more 2,3 DPG to acclimate to the high altitude
shift the Hb-O2 curve to the Right (maladaptive), but because low O2
40
why live high and train low
high cuases acclimation | low allows body to utilize new O2 availability
41
how do we use EPO to blood dope
old: RBC packing/ recombinant human EPO MOdern: gene therapy to increase endogenous EPO
42
side effects of blood doping
increased blood viscosity increased risk of stroke High BP autoimmune anemia