Respiratory Physiology - Control of Ventilation - Acid base balance - exercise Flashcards

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1
Q

What stimulates the increase in ventilation during moderate exercise?

A

we don’t know

not driven by blood-gas composition

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2
Q

What is the increase in ventilation during exercise proportionate to?

A

metabolism

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3
Q

How does the PCO2 and PO2 remain constant during moderate exercise?

A

increased ventilation

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4
Q

Why does ventilation increase during strenuous exercise?

A

increased lactic acid production

increases [H+]

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5
Q

Why increases more during strenuous exercise, metabolism or ventilation?

A

ventilation increases more

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6
Q

How can you describe the increase in H+ conc during strenuous exercise?

A

lactic acidosis

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7
Q

Do you hypo or hyperventilate during strenuous exercise?

A

hyperventilate

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8
Q

Is arterial gas composition and pH voluntary of involuntary stimuli?

A

involuntary, we cannot control

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9
Q

Can we override the arterial gas composition and pH

A

no

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10
Q

What happens of you hold your breath for extended period of time?

A

oxygen levels fall to low to maintain consciousness, fall too low and brainstem takes over. to recover Oxygen levels

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11
Q

What happens to breathing during hyperventilation?

A

ventilation is reflexly inhibited by an increase in arterial PO2 r decrease in arterial PCO2/[H+]

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12
Q

Why is hyperventilation dangerous?

A

oxygen levels fall, faster than your CO2 levels rise.

the oxygen can be so low that you lose consciousness

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13
Q

What is more uncomfortable,

chamber 1: normal PO2 and high PCO2

chamber 2: low PO2 and normal (i.e no) PCO2

A

chamber 1 very unpleasant

chamber 2: mild discomfort

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14
Q

Why is a chamber with normal PO2 and high PCO2 more distressful?

A

as soon as you breath in CO2, you disrupt the partial pressure gradient.

reduce partial pressure gradient. moves into the system circulation and moves into tissues

toxic effect

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15
Q

What will breathing in a high PCO2, what receptors are stimulated and what occurs?

A

central chemoreceptors stimulate the respiratory centre and promote hyperventilation

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16
Q

In chamber 1 (normal PO2 and high PCO2), the body will hyperventilate.

Why is this bad?

A

you will breath in more CO2, disrupt the partial pressure gradient of CO2

17
Q

Why does changing the partial pressure of O2 have less effect in ventilation that CO2?

A

the partial pressure curve of O2

there is no major change in ventilation until PO2 goes below 60mmHg

18
Q

Do you inhale or exhale after swallowing?

A

EHALE

19
Q

Why do you exhale after swallowing?

A

to avoid aspiration of food or fluids into the airways. Swallowing is followed by an expiration in order that any particles are dislodged outwards from the region of the glottis.