respiratory control Flashcards

1
Q

5 main respiratory centers in the brainstem

A

Dorsal respiratory group (DRG)

Ventral respiratory group (VRG)

Pontine respiratory group (PRG)

Botzinger complex (BotC)

Pre-Botzinger complex (Pre-BotC)

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2
Q

Which respiratory centers are supposed to generate the timing (frequency) of respiratory rhythm?

A

Pre-Botzinger complex

PRG

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3
Q

How was the PRG found to be associated w/ timing or frequency?

A

A lesion in the PRG caused apneusis (stuck in inspiration)

Transition from inspiration to expiration and vice versa is needed for rate/rhythm

SO, the PRG must play a role

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4
Q

SO, the function of the PRG is what?

A

Turn off inspiration

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5
Q

Function of DRG

A

Mostly pre-motor to phrenic nerve innervation

Lots of sensory information

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6
Q

Function of VRG

A

Rostral - pre-motor to phrenic and other inspiration muscles

Caudal - pre-motor to upper airway and other expiration muscles

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7
Q

SO, DRG and VRG control the what?

A

The depth (tidal volume) of breathing

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8
Q

Apneusis vs. apnea

Damage that could cause each

A

Apneusis - maintained inspiration (no expiration) - Pons damage

Apnea - no respiratory effort - medullary/spinal damage

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9
Q

Explain this equation:

VE = f x VT

A

f = timing/frequency of breaths

VT = tidal volume

VE =

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10
Q

Explain the cycle of respiratory control (4 parts)

A

Medullary centers affect respiratory muscles (respiration), which then affect chemical balances (CO2, O2, pH), which affect chemoreceptors, which stimulate the medullary centers

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11
Q

3 main chemoreceptor types (chemicals they respond to) in respiratory system

Increased or decreased causes receptor firing (for each)?

A

inc CO2 - increased
dec O2 - increased firing
increased H+ - increased

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12
Q

Why are chemoreceptors so important? (What would happen w/o them?)

A

Normally, neurons would slow down w/ less O2 to not use up ATP for APs

BUT, this would cause decreased ventilation and further hypoxia

SO, the chemoreceptors cause INCREASED neuron activity when the system would otherwise want to slow down

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13
Q

2 sets of chemoreceptors (w/ locations)

A

Central - brain

Peripheral - carotid (uses dopamine) and aorta

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14
Q

Activation of central chemoreceptors

Specific location?

A

CO2 crosses BBB, reacts w/ water and is converted to HCO3 and H+, so the increased H+ triggers the chemoreceptors to increase breathing (“respiratory drive”)

Ventral medulla

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15
Q

Peripheral chemoreceptor activation

Ultimate effect?

A

Direct activation by changes in O2, CO2, and/or H+ (pH)

Increased firing rate of afferents to brainstem

Increased frequency and tidal volume (controlled by centers in brainstem)

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16
Q

Slowly-adapting mechanoreceptors in the lungs

Function?

Location?

A

Slow pulmonary stretch receptors - sensitive to airway stretch (i.e. lung volume increase)

Causes fibers in vagus n. firing to inhibit/terminate inspiration and prolong expiration

Located in airways

17
Q

So, explain the 4 parts of the respiratory control cycle

A

Medullary centers affect respiratory muscles (breathing), which changes lung volume, thus affecting pulmonary stretch receptors, which act on medullary centers

18
Q

When are pulmonary stretch receptors most important? (2)

A

Infants

Adults during exercise

19
Q

Rapidly-adapting mechanoreceptors in the lungs

Function?

Location?

A

Rapid stretch receptors

Irritation, foreign bodies, stretch cause vagus nerve fibers to innervate brain, causing COUGH

Located in airways

20
Q

J receptors

Effect?

A

Receptors near alveolar blood vessels that are sensitive to pulmonary edema

Again, vagus n. fibers

Cause cough, tachypnea

21
Q

When are J receptors and rapid-adapting receptors used?

A

ONLY when in need of immediate protection

22
Q

Explain cortical influences on breathing

A

When talking or holding your breath, the cortex bypasses the medullary centers and sends direct input to respiratory muscles

AGAIN, only when needed