Ventillation And Control Flashcards

1
Q

What muscles are used in inspiration and through which nerves?

A
External intercostal (intercostal nerves)
Diaphragm (phrenic nerve)
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2
Q

Where is the respiratory Center located in the brain?

A

The pons and medulla

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3
Q

Action potentials in the DRG travel to which muscles?

A
Inspiration muscles
(External intercostal and diaphragm)
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4
Q

What might alter the autonomic rhythm of the respiratory centres?

A

Emotion
Voluntary over-ride (via higher centres in the brain)
Mechano-sensory input from the thorax (stretch reflex)
Chemical composition of the blood detected by chemoreceptors

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5
Q

Where does the action potentials which reach the expiratory muscles come from?

A

The ventral respiratory group (of neurones)

VRG

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6
Q

Where are the central and peripheral chemoreceptors found?

A

Medulla - central

Carotid and aortic bodies - peripheral

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7
Q

What does the central chemoreceptors respond to?

A

Respond directly to H+ (which directly reflects c02)

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8
Q

What does the peripheral chemoreceptors respond to?

A

Plasma H+ and PC02

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9
Q

What is the primary ventilator drive?

A

Central chemoreceptors

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10
Q

Hypercapnea will primarily be detected by which chemoreceptors?

A

Raised C02 (hypercapnea) will result in an increase in H+ therefore will be detected firstly by the central chemoreceptors

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11
Q

Central chemoreceptors do not respond to direct changes in what?

A

Plasma H+ (only respond to changes in H+ in CSF around the brain)

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12
Q

What chemoreceptors respond to an increase in arterial Pc02?

A

Primarily the central chemoreceptors.
C02 will cross the blood brain barrier and form bicarbonate and H+
The central chemoreceptors will respond indirectly to the H+ and bring about ventilation

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13
Q

What chemoreceptors will respond to a decrease in arterial Pa02?

A

Peripheral chemoreceptors

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14
Q

Changes in plasma PH will alter ventilation via what chemoreceptors?

A

Peripheral chemoreceptors

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15
Q

If plasma PH falls what will happen to ventilation?

A

Rise in PH = rise in H+

Therefore ventilation will be stimulated

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16
Q

If there is a rise in PH what will happen to ventilation

A

Rise in PH = decrease in H+

Therefore ventilation will be inhibited

17
Q

What involuntary stimuli cannot be overridden for breathing?

A

PC02 or H+

18
Q

Descending pathways from where in the brain allow large degree of voluntary control over breathing?

A

Cerebral cortex

19
Q

What types of drugs depress respiratory rate?

A

Barbiturates and opioids

20
Q

What effect does nitrous oxide have on ventilation?

A

NO blunts peripheral chemoreceptors response to falling Pa02.
Problematic in people who rely on hypoxia drive for ventilation.