Control of Ventilation Flashcards

1
Q

Breathing depends on cyclical activation of what nerves?

A

Phrenic

Intercostals

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2
Q

The phrenic and intercostal nerves stimulate contraction of what muscles?

A

Inspiratory

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3
Q

The neural activity of rhythmic breathing is triggered by what neurones?

A

Medullary inspiratory neurones

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4
Q

Breathing is triggered by the medullary inspiratory neurones with

A

voluntary override

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5
Q

What muscle of inspiration does the phrenic nerve innervate?

A

The diaphragm

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6
Q

Ventilatory control resides within ill-defined centres located in the

A

pons and medulla

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7
Q

Is ventilatory control normally conscious or subconscious?

A

Subconscious

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8
Q

If the spinal cord was severed above the origin of the phrenic nerve, what would happen to breathing?

A

It would cease

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9
Q

At what vertebral level is the origin of the phrenic nerve?

A

C3-C5

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10
Q

What are the functions of respiratory systems

A
  • to set an automatic rhythm of breathing

- to adjust this rhythm in response to stimuli

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11
Q

How do respiratory systems set an automatic rhythm of breathing?

A

Through co-ordinating the firing of smooth and repetitive bursts of action potentials in dorsal respiratory group (DRG)

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12
Q

What factors modulate the rhythm of respiratory centres?

A
  • emotion
  • voluntary override
  • mechano-sensory input from the thorax (e.g. stretch reflex)
  • chemical composition of the blood (PCO2, PO2 and pH, detected by chemoreceptors)
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13
Q

The rhythm of respiratory centres is modulated by emotional input via what system?

A

The limbic system

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14
Q

Input from higher brain centres changes the respiratory system rhythm via

A

voluntary override

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15
Q

Where are central chemoreceptors located?

A

Medulla

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16
Q

Central chemoreceptors detect changes in the concentration of what ions in the CSF around the brain?

17
Q

Where are peripheral chemoreceptors located?

A

Carotid and aortic bodies

18
Q

What do central chemoreceptors cause following a rise in [H+]?

A

Reflex stimulation of ventilation

19
Q

What effect will a decrease in arterial PCO2 have on ventilation?

A

Ventilation is reflexly inhibited - ventilation rate is slowed

20
Q

Do central chemoreceptors respond to direct changes in plasma [H+]?

21
Q

What changes do peripheral chemoreceptors detect?

A

Changes in arterial PO2 and [H+]

22
Q

Peripheral Chemoreceptors cause reflex stimulation of ventilation following what?

A

A significant fall in arterial PO2 or a rise in [H+]

23
Q

Do peripheral chemoreceptors respond to arterial PO2 or oxygen content?

A

Arterial PO2

24
Q

What usually accompanies a rise in arterial PCO2?

A

Increased [H+]

25
Changes in plasma pH will alter ventilation via what pathways?
Peripheral Chemoreceptor Pathways
26
If plasma pH falls, ventilation will be
stimulated
27
What effect does alkalosis have on ventilation?
Ventilation will be inhibited
28
A large degree of voluntary control over breathing is allowed by what?
Descending neural pathways from cerebral cortex to respiratory motor neurons
29
What effect does hyperventilation have on ventilation?
Ventilation is reflexly inhibited by an increase in arterial PO2 or a decrease in arterial PCO2
30
What common drugs depress respiratory centre and can result in death following an overdose?
Barbiturates | Opioids
31
What effect does nitrous oxide have on peripheral chemoreceptor response to falling PaO2?
It blunts the response
32
Respiration is inhibited during swallowing to avoid what?
Aspiration of food or fluids into the airways