Respiratory 30 Flashcards

1
Q

What may cause tidal volume or respiratory rate to change?

A

Respiratory networks being stimulated or inhibited

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2
Q

What do small variations in PCO2 and PO2 occur with?

A

Activities such as sleep, exercise, talking, and panting

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3
Q

What are the chemical changes that alter ventilation mediated by?

A

The presence of peripheral and central chemoreceptors that give us control of ventilation

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4
Q

Where do chemoreceptors send their excitatory drive to when they sense changes in PO2, PCO2 and pH?

A

The dorsal respiratory group and the ventral respiratory group

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5
Q

Where are the Peripherial Chemoreceptors?

A

Outside the brain

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6
Q

Where are the Central Chemoreceptors?

A

Inside the brain

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7
Q

What conditions cause an increase in ventilation?

A
  • Hypoxia (Low PO2)
  • Hypercapnia (High PCO2)
  • Acidosis (Low pH in blood)
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8
Q

What are the two Peripheral Chemoreceptors?

A

The Carotid and Aortic Bodies

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9
Q

What are the two peripheral chemoreceptors different from?

A

The Aortic and Carotid Sinuses which are baroreceptors

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10
Q

What do the Peripheral chemoreceptors sense?

A

Primarily hypoxia (low PO2) but are also sensitive to pH

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11
Q

What is the size of Carotid bodies?

A

They are extremely small

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12
Q

Why are Carotid bodies very chemosensitive?

A

Because they are highly vascularized

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13
Q

What is the metabolic rate of carotid bodies?

A

They have a very high metabolic rate with high consumption of oxygen and high carbon dioxide production

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14
Q

What is the ratio of metabolic rate to perfusion in Carotid bodies?

A

The ratio favors perfusion meaning that the blood composition is virtually the same as in the arteries despite the high metabolism

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15
Q

What are the two cell populations in the Carotid bodies?

A
  • Type I (Glomus cells) - The chemosensitive cells

* Type II (Sustentacular cells) - Support in the carotid bodies

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16
Q

Which cells in the Carotid body are neuron like cells?

A

The Type I Glomus cells

17
Q

What are the neuron like characteristics of Glomus cells in the Carotid body?

A
  • Voltage gated ion channels
  • Depolarization triggers action potentials
  • Intracellular vesicles contain neurotransmitters
  • Stimulation causes the release of neurotransmitters
18
Q

What do the neurotransmitters released by the Carotid bodies excite?

A

The Glossopharyngeal afferents which will drive input to the dorsal respiratory group

19
Q

From the Dorsal Respiratory group, where do signals from the Carotid bodies go?

A

To the PreBotzinger complex and PFRG to increase respiratory drive to the muscles and increase ventilation

20
Q

What is the Primary stimulus for the peripheral chemoreceptors?

A

A decrease in arterial PO2

21
Q

When does the firing rate of Glomus cells increase?

A

With the lowering of PO2

22
Q

Besides changes in PO2, what are glomus cells also sensitive to?

A

Changes in PCO2 and pH because

23
Q

At what pressure of PO2 does ventilation change?

A

Below 60 mmHg

24
Q

What do the Peripheral chemoreceptors activate?

A

The dorsal and ventral respiratory group in the neurons

25
Q

What is the overall effect of Peripheral chemoreceptors in response to low arterial PO2?

A
  • Increase in respiratory rate

* Increase in Tidal volume

26
Q

How can changes in arterial PCO2 affect breathing?

A

Small changes in PCO2 can provide very large changes in minute ventilation