Control of Lung Function Flashcards

1
Q

What part of the brain + spinal chord innervates the lungs?

A

medulla oblongata ( + pons region )

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2
Q

What are the 4 parts of the brain + spinal chord that innervate the lungs?

A
  • Dorsal respiratory group
  • Ventral respiratory group
  • Apneustic centre
  • Pneumotaxic centre
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3
Q

What does the dorsal respiratory group do?

A
  • Inspiratory centre
  • Main ‘controller’ of inspiration
  • Set the ‘rate’
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4
Q

What does the ventral respiratory group do?

A
  • Expiratory centre
  • Inactive during quiet breathing
  • Inhibits apneustic centre
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5
Q

What does the apneustic centre do?

A
  • Stimulates activity in DRG

* Inhibited by pulmonary afferents

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6
Q

What does the pneumotaxic centre do?

A
  • The ‘inspiratory off switch’

* Regulates depth & frequency

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7
Q

How does the dorsal respiratory group affect other centres + groups?

A

• inactivates the ventral respiratory group

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8
Q

How does the ventral respiratory group affect other centres + groups?

A
  • inactivates the dorsal respiratory group

* inactivates the apneustic centre

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9
Q

How does the apneustic centre affect other centres + groups?

A

• stimulates activity in dorsal respiratory centre

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10
Q

How does the pneumotaxic centre affect other centres + groups?

A

• inhibits activity in the dorsal respiratory group

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11
Q

How does the pneumotaxic centre regulate the apneustic one?

A

when a threshold frequency is hit, the pneumotaxic centre inhibits the apneustic one + causes a period of latency before the the apneustic centre can start again - called quiet breathing

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12
Q

What motor nerves innervate the skeletal muscles of the lungs?

A
  • phrenic nerve from C3 to C5 innervates diaphragm

* intercostal nerves from T1 to T11 innervate intercostal muscles

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13
Q

What are the internal intercostal muscles + accessory respiratory muscles responsible for?

A

expiration

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14
Q

What are the external intercostal muscles + diaphragm responsible for?

A

inspiration

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15
Q

What ganglion + nerves are involved in parasympathetic innervation of the lungs?

A

jugular ganglion + nodose ganglion + vagus nerve (all coming from brainstem medulla)

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16
Q

What ganglion + nerves are involved in sympathetic innervation of the lungs?

A

superior cervical ganglion + lots of innervation from C1 to T12

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17
Q

What are the junctions between cells like in normal capillaries?

A

H2O filled gap junctions

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18
Q

What are the junctions between cells like in the BBB (blood brain barrier) capillaries?

A

continuous capillaries with tight junctions

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19
Q

Why are the tight junctions of the BBB capillaries important?

A

only lets small molecules (e.g. CO2 pass through) + restricts large + charged molecules (e.g. H+ ions, etc.)

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20
Q

How are levels of O2 detected in the medulla?

A
  • central chemoreceptors on surface of the medulla - looks for changes pH as a result of increased CO2 in CSF
  • peripheral chemoreceptors in the arterial blood for O2 + CO2
21
Q

When do CO2 levels in the blood rise?

A

during increased metabolic use of O2, e.g. exercise

22
Q

How is CO2 converted + transported in the bloodstream?

A
  • CO2 → H2CO3 (carbonic acid, enzyme: CARBONIC ANHYDRASE

* H2CO3 → HCO3- (bicarbonate ions) + H+, no enxyme for acid disassociation

23
Q

How does a build-up of CO2 change pH?

A

increased CO2 = increased H+ ions = decreased pH

24
Q

How do respiratory centres react when blood pH falls?

A

pH sensors in brain stem respond immediately + cause RCs to INCREASE rate + depth of breathing

25
What are the 3 pulmonary afferents that affect ventilation?
* irritant receptors * stretch receptors * J receptors
26
What are irritant receptors?
* embedded within + beneath airway epithelium * leads to coughing - forceful expiration against closed glottis w/ sudden glottal opneing + high velocity expulsion of air
27
What are stretch receptors?
• activated by excessive inflation of lungs • afferent signals to respiratory centres inhibit DRG + apneustic centre + stimulate pneumotaxic + VRG • inspiration inhibited + expiration stimulated
28
What are J receptors?
* sensitive to oedema + pulmonary capillary engorgement | * increases breathing frequency
29
What is volitional apnoea
cessation of breathing
30
What is an acid?
molecule with a loosely bound H+ ion
31
Why does blood acidity need to be regulated?
changes in pH will result in marked changes in 3D structure of proteins
32
What is a base?
anionic molecule capable of reversibly binding to protons
33
What is the relationship between acids + bases?
in equilibrium
34
How was the buffering capacity of blood identified?
Pitts + Swan injected acid into dog expecting pH change BUT there was very little change in pH
35
What is the buffering capacity of blood?
ability to react to pH imbalances almost immediately + return it to normal
36
How is proton concentration converted to pH?
pH = -log10[H+]
37
How is pH converted to proton concentration?
[H+] = -10 to the power of pH
38
What is alkalaemia?
higher-than-normal pH of blood
39
What is acidaemia?
lower-than-normal pH of blood
40
What is alkalosis?
circumstances that will decrease [H+] and increase pH
41
What is acidosis?
circumstances that will increase [H+] and decrease pH
42
What is needed to correct alkalosis?
acidosis
43
What is needed to correct acidosis?
alkalosis
44
What is the difference between the compensatory responses of the lungs vs. the kidneys?
changes in ventilation = RAPID response | changes in HCO3- + H+ retention + secretion in kidneys = SLOW response
45
What are peripheral chemoreceptors?
* positioned near carotid baroreceptors | * responds to changes in blood molecule concentrations + helps maintain cardiorespiratory homeostasis
46
How can emotional change affect ventilation?
higher brain centres (limbic system) + special senses → emotional response → respiratory control centre
47
How can exercise affect ventilation?
* efferents from primary motor cortex to skeletal musculature partly innervate the medulla otw * proprioceptive afferents from muscle spindles & golgi tendon organs innervate medulla otw to brain
48
What is the effect of skin afferents on breathing?
immersion in cold water (< 10 degrees) = changes in ventilation (e.g. inspiratory gasps + hyperventilation)