Lecture 8: Control of ventilation Flashcards

1
Q

In the brain what are know as the respiratory centres

A

pons and the medulla

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2
Q

what spinal level is severd for breathing to cease

A

C3-5

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3
Q

respiratory centres can have their rhythm modulated, what factors do this

A

emotion
voluntary override
mechano-sensory input from the thorax
chemical composition of the blood

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4
Q

out of all factors that can have an effect on breathing rate what is the most significant

A

chemoreceptor input

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5
Q

what are the two types of chemoreceptors that you know of

A

central - medulla

peripheral - carotid and aortic bodies

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6
Q

the medulla is a central chemoreceptor, what does it respond directly to

A

directly to H+ which directly reflects the PCO2

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7
Q

the carotid and aortic bodies are peripheral chemoreceptors, what do they respond primarily to

A

primarily to plasma H+ and Po2 (less so to Pco2)

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8
Q

do central chemoreceptors monitor the Pco2 directly or indirectly in the CSF

A

indirectly

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9
Q

Dissolved co2 within the arterial blood can readily diffuse through the blood brain barrier into the CFS. what is it then converted to

A

carbonic acid H2CO3

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10
Q

the central chemoreceptor responds to what, H+ or CO2

A

H+ that is produced once the co2 has diffused across the BBB

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11
Q

what do peripheral chemoreceptors respond to, arterial Po2 or oxygen content

A

arterial Po2

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12
Q

If plasma pH falls (H+ increases) what will happen to ventilation

A

ventilation will be stimulated

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13
Q

if plasma pH increases (H+ falls) what will happen to ventilation

A

ventilation will be inhibited

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14
Q

what are the muscles used for inspiration

A

scalene
sternonucleoidmastoid
external intercostals
diaphragm

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15
Q

what are the muscles used for expiration

A

internal intercostals

abdominal muscles

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16
Q

what are two common drugs that depress the respiratory centre

A

Barbiturates and opiods

17
Q

What is Nitrous oxide used for and what does it do to peripheral chemoreceptor response

A

used for sedative and as a light anaethetic agent.

blunts peripheral chemoreceptor response to falling PaO2

18
Q

what is swallowing always followed by in terms of respiration

A

expiration to so any particles are dislodged outwards from the region of the glottis