Control of Respiration Flashcards

1
Q

Where is the major respiration rhythm generation located?

A

Medulla Oblongata

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2
Q

What network of neurones generates the breathing rhythm?

A

Pre-Bötzinger Complex

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3
Q

What type of activity do the neurones in the Pre-Bötzinger complex display?

A

Pacemaker activity

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4
Q

Where is the Pre-Bötzinger complex located?

A

Near the upper end of the medullary respiratory centre

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5
Q

How does the Pre-Bötzinger complex generate inspiration?

A

It excites the dorsal respiratory group neurones, whose firing leads to contraction of inspiratory muscles –> inspiration

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6
Q

What happens when the firing of the dorsal respiratory group neurones stops?

A

Passive expiration

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7
Q

How is hyperventilation/active inspiration initiated?

A

Increased firing of dorsal neurones excites ventral respiratory group neurones which stimulate the accessory muscles of breathing –> Forceful expiration

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8
Q

Which centre in the pons modifies rhythm?

A

Pneumotaxic centre

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9
Q

What does the pneumotaxic centre lead to?

A

Termination of inspiration

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10
Q

When is the pneumotaxic centre stimulated?

A

When the dorsal respiratory group neurones fire

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11
Q

What could be the consequence of the pneumotaxic centre NOT inhibiting inspiration?

A

Apneusis - breathing would consist of prolonged inspiratory gasps with brief expiration

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12
Q

What do impulses from the apneustic centre lead to?

A

Excitation of the inspiratory area of the medulla; prolonging inspiration

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13
Q

From where do higher brain centres send stimuli to control respiration?

A

Cerebral cortex
Limbic system
Hypothalamus

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14
Q

What is the Hering-Breuer Reflex?

A

Pulmonary stretch receptors are activated during inspiration if tidal volume is much greater than 1L. Afferent discharge inhibits inspiration to prevent over-inflation of lungs during hard exercise

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15
Q

Where are joint receptors located?

A

In the veins

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16
Q

What do impulses from moving limbs sent to joint receptors lead to?

A

Increase breathing

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17
Q

What stimulates juxta-pulmonary receptors (J-receptors)?

A

Pulmonary capillary oedema or pulmonary embolism

18
Q

What does stimulation of J-receptors leads to?

A

Rapid shallow breathing

19
Q

What results when baroreceptors sense a decrease in BP?

A

Increased ventilatory rate

20
Q

Which factors may increase ventilation during exercise?

A
Reflexes from body movement
Adrenaline release
Impulses from cerebral cortex
Increase in body temperature
Later on: Accumulation of carbon dioxide and hydrogen ions
21
Q

Explain the Cough Reflex

A

Irritation/tightening of the airways leads to afferent discharge stimulating the sequence:
a short breath intake
closure of the larynx
contraction of abdominal muscles (increasing intra-alveolar pressure)
Opening of the larynx
Expulsion of air at high speed

22
Q

What is the physiological benefit of the cough reflex?

A

Helps clear airways of dust, dirt or excessive secretions

23
Q

Where is the cough reflex centred?

A

In the medulla oblongata

24
Q

Chemical control of respiration involves negative feedback control of mainly _______ blood cast tension which is measured by chemoreceptors.

A

Carbon dioxide

25
What do peripheral chemoreceptors sense?
Tension of oxygen and carbon dioxide and hydrogen ions in the blood
26
Where are central chemoreceptors situated?
Near the surface of the medulla of the brainstem
27
What do central chemoreceptors respond to?
Hydrogen ions of the CSF
28
Out of the following, which diffuses readily across the BBB? - Hydrogen ions - Bicarbonate - Carbon dioxide
Carbon dioxide
29
How is bicarbonate formed
CO2 + H2O H2CO3 H+ + HCO3-
30
What accumulates very quickly during hypercapnia and hyperventilation?
Carbon dioxide
31
What does an accumulation of CO2 stimulate via central chemoreceptors?
Initiation of mechanisms to increase breathing - increase volume of air inspired per minute
32
What is the hypoxic drive of Respiration?
When partial pressure of oxygen in arterial blood is low, ventilation increases
33
Over which receptors does the hypoxic drive of respiration take place?
Peripheral chemoreceptors
34
Below which level doe PO2 have to fall for peripheral chemoreceptors to be activated?
<8 kPa
35
When does hypoxic drive become important?
CO2 retention / Type II Respiratory Failure
36
What causes hypoxia at high altitudes?
Decreased partial pressure of inspired oxygen (PiO2)
37
What is the acute response to hypoxia at high altitudes?
Hyperventilation and increased cardiac output
38
What condition is caused by high altitude hypoxia?
Acute Mountain Sickness
39
What are the symptoms of acute mountain sickness?
``` Headache Fatigue Nausea Tachycardia Dizziness Sleep disturbance Exhaustion Dyspnoea Unconsciousness ```
40
What are chronic adaptation to high altitudes?
Increase in RBC production (polycythaemia) Increase in 2,3 BPG produced within RBCs Increase in number of mitochondria Acid conservation by kidneys
41
The hydrogen ion drive effect is via which receptors?
peripheral chemoreceptors
42
How do peripheral chemoreceptors adjust for acidosis caused by addition of non-carbonic acid hydrogen ions to the blood?
Hyperventilation and increased CO2 elimination reducing the H+ load in the body