Control of Respiration Flashcards

1
Q

what are some factors that modulate breathing

A

reflexes like coughing
vocalisation like singing
volitional control like holding the breath
emotional events like crying
physiological challenges like sleep and exercise

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2
Q

what are the two signal senders to the brain in relation to breathing

A

chemoreceptors
mechanoreceptors

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3
Q

what do chemoreceptors do in relation to breathing

A

provide feedback on partial pressures of oxygen and carbon dioxide, and pH

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4
Q

what do mechanoreceptors do in relation to breathing

A

provide feedback on mechanical status of the lungs, chest wall and airways

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5
Q

what do the chemoreceptors and mechanoreceptors send neural signals to

A

respiratory muscles and upper airway muscles. they also produce reflexes to keep airways patent like coughing and sneezing

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6
Q

what do respiratory muscles do

A

they produce rhythmic breathing movements like diaphragm and intercostals

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7
Q

what are the upper airway muscles

A

laryngeal
pharyngeal
tongue

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8
Q

what are some reflexes to keep airways patent

A

coughing and sneezing

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9
Q

where are many of the important neuronal cell groups found

A

in the brainstem

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10
Q

what are chemoreceptors

A

sensory receptors that detect chemical changes in the surrounding environment

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11
Q

what are peripheral chemoreceptors

A

small, highly vascularised bodies in the region of the aortic arch and the carotid sinuses

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12
Q

how is the information from peripheral chemoreceptors sent

A

via glossopharyngeal and vagus nerves to the nucleus in brainstem called the NTS

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13
Q

what is the NTS

A

the nucleus tractus solitatius

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14
Q

label this

A
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15
Q

what do peripheral chemoreceptors respond to

A

decrease in the partial pressure of oxygen

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16
Q

what is the term for a decrease in partial pressure of oxygen

A

hypoxia

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17
Q

describe the peripheral chemoreceptor pathway

A

reduction in arterial partial pressure
peripheral chemoreceptors stimulated
neural signals sent from the carotid and aortic bodies in the NTS in the brainstem
ventilation increases to restore the partial pressure of oxygen levels

18
Q

describe the ventilatory response to hypoxia

A

progressive reductions in inspired oxygen have little effect until about 60mmHg
below 60 there is progressive hyperventilation
hypoxic response originates in carotid and aortic bodies
play little part in the moment to moment control of breathing

19
Q

what are central chemoreceptors

A

central chemoreceptors are clusters of neurones in the brainstem that are activated when partial pressure of carbon dioxide is increased or pH is decreased

20
Q

what is the term for a increase in the partial pressure of carbon dioxide

A

hypercapnia

21
Q

describe the pathway of the central chemoreceptors when there is an increase in the partial pressure of carbon dioxide

A

the central chemoreceptors are stimulated
signals are processed and information is passed on to the neuronal clusters in the brainstem involved in generating breathing
ventilation increases to restore the partial pressure of carbon dioxide levels

22
Q

describe the ventilatory response to hypercapnia

A

very small changes in partial pressures of carbon dioxide have large effects on ventilation
hypercapnic response originates in the central chemoreceptors in the brainstem
plays a major role in the moment to moment control of breathing

23
Q

what are mechanoreceptors

A

sensory receptors that detect changes in pressure, movement and touch

24
Q

what do the mechanoreceptors detect in the respiratory system

A

movement of the lung and the chest wall ie during inspiration the mechanoreceptors detect inflation of lungs and movement of the chest

25
Q

describe the pathway of mechanoreception

A

inflation of lungs activates mechanoreceptors
neural signals sent via the vagus nerve to the NTS in the brainstem
ventilation is adjusted accordingly

26
Q

what are mechanosensory signals essential for

A

adapting and adjusting breathing
integrating the respiratory pattern with other movements like posture and locomotion

27
Q

what is the location of respiratory mechanoreceptors

A

airway smooth muscle

28
Q

what is the reflex of the mechanoreceptors when there is inflation of the airways

A

termination of inspiration

29
Q

describe the pathway of respiratroy mechnoreceptors in the airway epithelium

A

they detect rapid lung inflation or deflation and lead to a sigh or shortened expiration

30
Q

what does the NTS do

A

receive information from mechanoreceptors and peripheral chemoreceptors

31
Q

what is the NTS

A

cluster of respiratory neurones in the brainstem that generate the rhythm of breathing.
forms a vertical column of grey matter in the medulla oblongata of the brainstem.

32
Q

describe information processing in the NTS

A

processed by the neurones and sent to respiratory muscles

33
Q

when are inspiratory neurons active

A

during inspiration

34
Q

when are expiratory neurones active

A

during expiration

35
Q

what are the neurons found in the NTS

A

rhythm generating neurons that continue to produce a respiratory like rhythmic output when isolated

36
Q

describe the pathway of the output of signals from the brainstem to the respiratory muscles

A

neurons produce rhythmic output
rhythmic neural signals sent to the spinal cord
phrenic nerve exits the spinal cord from 3-5
phrenic nerve innervates the diaphragm
nerves exit the thoracic spinal cord to innervate the intercostal muscles

37
Q

this is the medulla oblongata. label it

A
38
Q

describe high centre modulation of breathing

A

the high centres are the cerebral cortex, limbic system and the hypothalamus
it has volitional and emotional control

39
Q

describe somatotopic organisation of the primary motor cortex

A

the area of the motor cortex dedicated to a particular muscle is proportional to the number of motoneurones innervating the muscle

40
Q

where are the respiratory rhthym generating neurones located

A

in the brainstem