Respiratory physiology 5 Flashcards

1
Q

Why is glycosolated haemoglobin clinically important?

A

HbA1c can be used as an indicator of diabetes

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2
Q

Where is myoglobin found?

A

Cardiac and skeletal muscle

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3
Q

What 2 types of haemoglobin have a higher affinity for oxygen than adult haemoglobin?

A

Myoglobin and Foetal haemoglobin (HbF)

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4
Q

What are the 5 main types of hypoxia?

A

Hypoxaemic hypoxia (reduction of O2 diffusion)

Anaemic hypoxia (reduction of O2 capacity)

Stagnant hypoxia (inefficient pumping)

Histotoxic hypoxia (prevents utilising of O2)

Metabolic hypoxia (O2 demand by cells isnt met).

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5
Q

What nerves innervate the diaphragm?

A

Phrenic nerves (c3-c5)

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6
Q

What are 4 factors control respiratory centres?

A

Emotion

Voluntary over-ride

Mechanic-sensory input from thorax

Chemical composition of blood

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7
Q

Where are the respiratory centers located?

A

Medulla and pons

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7
Q

What does the dorsal respiratory group innervate?

A

Inspiratory muscles (via phrenic and intercostal nerves)

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7
Q

What are the 2 major groups of neurones within the respiratory centres?

A

Dorsal respiratory group (DRG)

Ventral respiratory group (VRG)

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7
Q

What does the ventral respiratory group innervate?

A

Creates a basal tone in expiratory muscles (tongue, pharynx, larynx)

To allow for slow, controlled expiration.

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7
Q

What are the 2 chemoreceptors?

A

Central and peripheral

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8
Q

What is the role of central chemoreceptors?

A

To detect changes in [H+] in CSF

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9
Q

What is hypercapnea?

A

Excess CO2 in the blood

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10
Q

What does hypercapnea cause?

A

Hyperventilation

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11
Q

Why can central chemoreceptors not respond in changes in plasma?

A

As ions cannot pass the blood-brain barrier.

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12
Q

What is hypoxic drive?

A

A form of respiratory drive in which the body uses peripheral chemoreceptors instead of central chemoreceptors to regulate the respiratory cycle.

13
Q

When are peripheral chemoreceptors activated?

A

When PaO2 falls below 60mmHg

14
Q

What are peripheral chemoreceptors responsive to?

A

PaO2 (not oxygen content)

15
Q

Why should nitrous oxide be used as anaesthetic drug in patients with chronic lung conditions?

A

As nitrous oxide blunts action of peripheral chemoreceptors and those with chronic lung conditions have desensitised central chemoreceptors.

16
Q

What effect does a decrease in ph (increase in [H+]) have on ventilation?

A

Increased ventilation

17
Q

Most respiratory diseases cause CO2 retention, what does this cause?

A

Respiratory acidosis

18
Q

What effect does hypoventilation have on acid-base balance?

A

Respiratory acidosis

19
Q

What effect does hyperventilation have on acid-base balance?

A

Respiratory alkalosis

20
Q

What is pH proportional to?

A

HCO3/CO2

21
Q

What is HCO3 regulated by?

A

Kidneys

22
Q

What organ regulates CO2 levels?

A

Lungs