Respiratory: Physiology - Control of Respiration - Lecture 1 Flashcards

1
Q

What are the two ways Respiration is controlled?

A

Neural Control

Chemical Control

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2
Q

What does the Neural Control control?

A

Sets up the rhythm of respiration

Inspiration followed by expiration

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3
Q

What are the parts of the brain stem?

A

Superior to Inferior:

Midbrain
Pons
Medulla Oblongata
Spinal Cord

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4
Q

What occurs to ventilation if the brainstem is sectioned above the Medulla?

A

Ventilation still retained

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5
Q

What occurs to ventilation if the brainstem is sectioned below the Medulla?

A

Ventilation ceases

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6
Q

What part of the brainstem is the rhythm generator of respiration?

A

The Medulla

- Network of Neurons called the Pre-Botzinger Complex

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7
Q

Where is the Pre-botzinger complex located?

A

Located near the upper end of the medullary respiratory centre

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8
Q

What part of the Brainstem gives rise to inspiration?

A

Dorsal Respiratory group neurones (Inspiratory)

  • Located in the Medulla of the brainstem
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9
Q

Explain the innervation of the Dorsal respiratory nerves?

A

Fire in bursts

Firing leads to contraction of inspiratory muscle

Stop firing to allow for passive expiration

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10
Q

What nerve bring about active expiration during hyperventilation?

A

Vental Respiratory group neurones

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11
Q

What do the Ventral Respiratory group excite?

A

Excite Internal Inercostals
Abdominal

This causes forceful expiration

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12
Q

What group of nerves can modify the rhythm of respiration?

A

Pneumotaxic centre

Located in the Pons

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13
Q

What does stimulation of the Pneumotaxic centre cause?

A

Termination of Inspiration

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14
Q

When is the Pneumotaxic centre stimulated?

A

When the dorsal respiratory neurones fire

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15
Q

What occurs if the Pneumotaxic centre does not fire?

A

Breathing is proglonged

Inspiratory gasps (This is called Apneusis respiration)

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16
Q

What is the apneustic centre?

A

The Apneustic centre excites the inspiratory area of the medulla

It is use for Prolonged Inspiration

17
Q

What part of the brainstem generates the rhythm of breathing?

18
Q

What part of the brainstem modifies the rhtyhm of breathing?

19
Q

What are the involuntary modifcations of breathing?

A

Pulmonary stretch receptor Hering-Breuer relfex

Joints receptors reflex in exercise

Stimulation of respiratory centre by temperature adrenaline or impulses from cerebral cortex

Cough reflex.

20
Q

When do pulmonary stretch receptors active?

A

Inspiration

Only activated at large or greater than 1 litre tidal volumes

  • Prevent over inflation of lung during hard exercise
21
Q

What is the Hering-breuer reflex?

A

Pulmonary stretch receptors activating during inspiration.

Afferent discharge inhibits inspiration

22
Q

How do Joint receptors affect breathing?

A

Impulses from moving limbs reflex increase breathing

Probably contribute to increased ventilation during exercise

23
Q

What factors may increase during ventilation during exercise?

A
Body Movement 
Adrenaline 
Impulses from the cerebral cortex 
Temperature 
Accumulation of CO2 H+ generated by active muscles
24
Q

Describe how the cough reflex happens?

A

Short intake of breath, followed by closure of the larynx, then contraction of abdominal muscles (increases intra-alveolar pressure), and finally opening of the larynx and expulsion of air at a high speed

25
What is the respiratory centre influenced by?
``` Stretch Receptor (Baroreceptors) Hering-Breur reflex (hyperinflation) Juxtapulmonary receptors Joints Receptors Baroreceptors ``` Central Chemoreceptors Peripheral Chemoreceptors These relate the chemical control of the respiration system.
26
Explain the ventilatory response to exercise?
REST: Begins at resting rate of ventilation EXERCISE: Jumps up to higher level and then curves up to a plateau point. RECOVERY: Jumps immediately down in the to a lower level. Then slowly curves back down to normal level.
27
What is the controlled variables in the respiratory system?
Blood Gas tensions Carbon Dioxide
28
What receptors control the chemical controls in the respiratory system?
Chemoreceptors - They sense the value of the gas tensions
29
What do Peripheral chemoreceptors detect?
Sense tension of: Oxygen CO2 H+ in the blood
30
Where are the peripheral chemoreceptors located?
Carotide bodies Aortic bodies
31
Where are the central chemoreceptors located?
Situated near the surface of the medulla of the brainsteam
32
What do the central chemoreceptors respond to?
Respond to H+ ions in the cerebrospinal fluid
33
How is the CSF separated from the blood ?
Separated by the blood-brain barrier
34
What is the blood brain barrier permeable to and not permeable to?
Relatively impermeable to H+ and HCO3- | CO2 diffuses readily
35
How is CSF buffered?
CO2 + H2O H2CO3 H+ + HCO3-
36
What is Hypercapnia?
High level of CO2
37
What is Hypoxia?
Low levels of Oxygen