Respiratory Control Flashcards

1
Q

respiratory center

A

group of neurons in the brainstem that contain central pattern generators which generate rhythmic neural impulses to regulate respiration

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2
Q

how does the respiratory center receive information from the rest of the body

A

feedback loops

RC sends signals to effectors –> changes arterial blood composition –> sensed by chemoreceptors –> signal back to RC

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3
Q

cerebral cortex

A

has the conscious ability to override respiratory center TEMPORARILY

limited capacity - only for communication and breath holds

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4
Q

function of chemoreceptors

A

sense changes in arterial blood gas

speed and sensitivity/signal varies by type

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5
Q

central chemoreceptors

A

MAJOR control mechanism located in the ventral medulla (inside BBB)

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6
Q

signal for central chemoreceptors

A

PaCO2

causes changes in the pH of CSF

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7
Q

why does arterial pH not influence CSF pH

A

because H+ cannot cross BBB but CO2 can –> changes in arterial CO2 cause changes in CSF pH

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8
Q

effect of central chemoreceptors

A

if PaCO2 is high –> increases CSF H+ (decreases pH) –> stimulates an increase in ventilation to decrease PaCO2

if PaCO2 is low –> decreases CSF H+ –> increases pH –> stimulates a decrease In ventilation to increase PaCO2

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9
Q

is the response from central chemoreceptors fast or slow

A

slow

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10
Q

peripheral chemoreceptors

A

FINE TUNING mechanism of control located in carotid (and aortic) bodies

does NOT regulate in health - only if severely hypoxemic

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11
Q

signal for peripheral chemoreceptors

A

PaO2 (major)
PaCO2, pHa (minor)

only responds when PaO2 < 60 mmHg

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12
Q

effect of peripheral chemoreceptors

A

low PaO2 –> increase ventilation –> increase PaO2

high PaO2 –> decrease ventilation –> decrease PaO2

MINOR role in response to changes in PaCO2 or pHa

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13
Q

how does the presence of multiple stimuli (PaO2, PaCO2, pHa) effect response of chemoreceptors

A

more stimuli = stronger and faster response

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14
Q

what is the main respiratory stimulus

A

PaCO2

BOTH central and peripheral respond to PaCO2

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15
Q

apenic threshold

A

severely low PaCO2 will stop respiratory drive –> apnea

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16
Q

CO2 narcosis

A

severely high PaCO2 (>100 mmHg) will induce unconsciousness

17
Q

propofol effect on respiratory drive

A

decreases sensitivity of central chemoreceptors to CO2