Control of lung function Flashcards

(32 cards)

1
Q

What are the 4 groups/centres in the medulla that regulate breathing

A
  • Dorsal respiratory group
  • Ventral respiratory group
  • Apneustic centre
  • Pneumotaxic centre
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the function of the dorsal respiratory group?

A
  • Inspiratory centre
  • Main controller of Inspiration
  • Set the rate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the function and features of the Ventral respiratory group?

A
  • Expiratory centre
  • inactive during quiet breathing
  • inhibit APNEUSTIC centre
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the features and function of APNEUSTIC centre

A
  • Stimulate activity in dorsal respiratory group
  • Inhibited by pulmonary afferents
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the features and function of the pneumotaxic centre

A

Inspiratory off switch

Regulates depth and frequency of breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does the centres and groups interact with each other

A

DRG- inhibits VRG

Pneumotaxic centre- inhibits DRG

VRG- inhibits DRG and inhibits APNEUSTIC centre

Apneustic centre- stimulates DRG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Descirbe the innervation of the respiratory muscles

draw it

A

Diaphragm- phrenic nerve (C3,4,5)

intercostal nerves- intercostal muscles

pulmonary plexus- lungs

*learn the diagram*

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Descirbe the capillary of the blood brain barrier; how is it different from other SIMILAR capillary

A

Continuous capillaries with TIGHT junction - charged/lipid molecules cannot pass Blood brain barrier

other continuous capillaries have water filled gap junction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe how the brain detects the amount of metabolism in th body

A

High metabolism- high respiration hence high CO2

CO2 is lipid soluble and easily crosses Blood Brain Barrier; into CSF

CO2 combines with H2O to make H+ and HCO3-in CSF

H+ is detected by receptors in Brain (medulla) and send impulses to DRG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the different types of receptors in the lungs/airways that are part of pulmonary afferents

A

Stretch receptors

J-receptors

Irritant receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe the features, location and function of Irritant receptors

A

Found within and beneath epithelium cells (nerve endings) in trachea

Lead to cough- forceful expiration against closed glottis with sudden glottal opening and high velocity expulsion of air

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe the features, location and function of stretch receptors

A

Found in lobar bronchioles

Activated by Excessive inflation of the lungs

send afferent signals to respiratory centres- inhibits DRG and Apneustic centre

stimulates VRG and Pneumotaxic

Prevents hyper-inflation of the lungs by Inhibiting inspiration and stimulating expiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe the features, location and fucntion of J receptors

A
  • Sensitive to oedema and pulmonary capillary engorgement
  • increases breathing frequency
  • found next to capillaries
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the buffering capacity of blood

A

The blood has an enormous buffering capacity that can react almost immediately to Imbalances

Has a lot of HCO3-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do you convert H+ concentration to pH

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is alkalaemia

A

HIgher than normal pH of blood

17
Q

What is Acidaemia

A

Lower than normal blood pH

18
Q

What is Alkalosis

A

Descirbe cirucastance that will decrease [H+] and increased pH

19
Q

What is Acidosis

A

Describes circumstances tha will increase [H+] and decrease pH

20
Q

What is needed to correct an acidosis

21
Q

How does kidney aid in acid base homeostasis

A

Changes in H+ and HCO3- retention/secretion in kidneys can stimulate a SLOW compensatory response to increase/decrease pH respectively

22
Q

How does ventilation aid in acid base homeostasis

A

Changes in ventilation can stimulate a rapid compensatory response to change CO2 elimination and therefore alter pH

23
Q

Where are peripheral chemoreceptors found and what respective nerve do they carry sensory information via?

A

They detect O2 levels unlike the BRAIN that detects CO2

Carotid bodies in aortic arch- near baroreceptors; they carry information via CN IX

AORTIC bodies- via CNX

24
Q

What are emotional changes to ventilation

A

Limbic system

Special sensory like ears and eyes. E.g. loud sound or fire shouted will increase breathing rate

25
How does exercise affect breathing
Efferent from primary motor cortex (to skeletal muscle) branch to innervate medulla to prepare it for exercise afferents from proprioceptors - muscle spindle and Golgi tendons innervate medulla on the way to Brain add diagram
26
Explain the effect of skin afferent on breathing
Immersion in cold water below 0 degrees Celsius will cause" Inspiratory gasp and hyperventilation receptors on skin causes cold shock
27
Summarise the whole of this lecture (Control of lung function) on a paper draw it
28
What happens as action potential frequency increases (for respiratory muscles)- what nuclei in brain are involved
APNEUSTIC centre is involved until it reaches maximum then Pneumotaxic centre takes over to reduce it to zero so that expiration can occur
29
Describe the danger of volitional apnoea after hyperventilation
Can reach O2 threshold for blackout before CO2 threshold for breathing. Hence you black out in water and drown
30
Describe what causes respiratory acidosis and alkalosis and the compensatory mechanisms explain what happens to pCO2, base excess (of HCO3-) and pH draw a graph of what happens over time during the compensatory time
31
Describe what causes **metabolic** acidosis and alkalosis - and summarise how the body tries to achieve acid-base imbalances give relevant values
32
What occurs to cause these breathing patterns