The neural control of the heart, circulation and respiration Flashcards

1
Q

where is the SAN

A

right atrium lateral side adjacent to the SVC

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2
Q

where is the AVN

A

poster wall of the right atrium posterior to the tricuspid valve - delays the impulse end gives the atria time to contract

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3
Q

neural regulation of the heart - parasympathetic in from of what nerve

A

vagal nerves

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4
Q

what part of the autonomic NS controls the arterioles

A

sympathetic

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5
Q

how to remember the brainstem

A

ice-cream

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6
Q

baroreceptors at bifurcation of CCA to solitary nucleus where cranial nerve

A

CN9

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7
Q

pharynx and larynx to nucleus ambiguus what cranial nerve

A

CN10

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8
Q

brainstem control of vessels

A

reticular formation
medulalla and pons
sned para to vagus and sympathetic through spinal cord

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9
Q

in the medulla and inf 1/3 of pons there are what areas

A

vasoconstrictor area - sup medulla , constricts vessels, increase HR and contraction force
vasodilator area - antlat inf medula - inbits the vasoconstricotr area
sensory area - nucleus solitaires and postal portion of the medulla
receives signals from CN9,10

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10
Q

brainstem control of the heart what areas are there

A

cardioaccelaratory area - dorsal medulla , increase hr and contraction
cardioinhibtory area - nucleus ambiguous and morals nuces of the vagus - opposite
other Brian areas involved includ the frontal lobe ( relaxation therapy ) and the hypothalamus

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11
Q

neural control of respiration - involuntary control

impulses sent by what nerves

A

primary resp muscles ( diaphragm and intercostal muscles) stimulated by groups of neurones in pen and medulla ( resp control centres)

phrenic and intercostal nerves

ventral resp group - inspiration
dorsal rep group - expiration
pontine reps group - rate and pattern

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12
Q

ventral resp group controls what

A

inspiration

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13
Q

dorsal resp group controls what

A

expiration

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14
Q

pontine resp group controls what

A

rate and pattern

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15
Q

voluntary control of reparation is controlled by what

A

the motor cortex

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16
Q

brainstem control of respiration - where are the peripheral chemoreceptors

A

carotid bodies and aortic bodies - artierial oxygen and stretch receptors int eh airways and lungs

17
Q

central chemoreceptors found where

A

chemosensitive respiratory area - most ventral part of the medulla - detects oxygen and carbon dioxide and hydrogen ions

18
Q

as we know the DRG and controls inspiration

A
located around nucleus solitaires 
afferent role 
receives sensory information 
from CN9,10 
drives quiet passive inspiration 
helps to maintain a constant breathing rhythm
19
Q

the VRG controls expiration

A
located ventral to DRG
located inside the ncuelsu ambiguous 
longer than DRG 
efferent role 
drives forced isyrpaition and expiration
20
Q

rhythmic respiration is initiated by a small group of synaptically coupled pacemaker cells in the

A

pre-botzinger complex

21
Q

pontine respiraotry group controls rate and pattern of breathing

A

located in pons
pneumatic centre ( switch off button at end of inspiration) - depth of breathing
amnesic centre - depth

22
Q

chemosenstiive repriotry area

A

0.2mm from ventral surface of medulla

23
Q

is the phrenic nerve post or anterior to the subclavian artery

A

posterior

24
Q

ondine curse

A

cerebral cortex takes over involuntary breathing making it voluntary - but cannot take over when sleeping

25
Q

central hypoventilation syndrome

A

ondine curse - most lethal when sleeping
voluntary breathing necessary

treated with phrenic Neve diaphragm pacer

26
Q

brainstem death

A

one of the two ways of confirming death