control of ventilation Flashcards

1
Q

what does ventilatory control require the stimulation of?

A

skeletal muscle of inspiration

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2
Q

what does ventilatory control occurs via?

A

phrenic (to diaphragm) and intercostal nerves (to intercostal muscles)

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3
Q

what are respiratory centres

A

pons and medulla

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4
Q

is ventilatory control subconcious?

A

yes

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5
Q

what is ventilatory control dependent on?

A

signalling from the brain

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6
Q

what do resp centres have their rhythm modulated by?

A

emotion
voluntary over-ride
mechano-sensory input from the thorax
chemical composition of the blood- detected by chemoreceptors

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7
Q

what are the functions of central chemoreceptors in the medulla?

A

Detect changes in [H+] in CSF around brain

Cause reflex stimulation of ventilation following rise in [H+]

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8
Q

what is ventilation inhibited by?

A

a decrease in arterial PCO2

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9
Q

what crosses the blood brain barrier if arterial PCO2 increases?

A

carbon dioxide not H+

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10
Q

where does central chemoreceptors monitor the the PCO2 indirectly

A

cerebrospinal fluid

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11
Q

does decreased arterial PCO2 speed up or slow ventilation rate?

A

slows

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12
Q

what increases ventilation in response to increased arterial PCO2?

A

feedback via resp centres

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13
Q

where are peripheral chemoreceptors located?

A

carotid and aeortic bodies

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14
Q

what is the function of peripheral chemoreceptors?

A

detect changes in arterial PO2 and H+

Cause reflex stimulation of ventilation following significant fall in arterial PO2 (consider haemoglobin dissociation) or a rise in [H+]

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15
Q

does peripheral chemoreceptors respond to arterial PO2 or oxygen

A

PO2

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16
Q

what does an increase in H+ usually follow a rise in?

A

arterial PCO2

17
Q

does changes in the plasma pH alter ventilation? via what pathway?

A

yes via the peripheral chemoreceptor pathways

18
Q

what happens to ventilation if plasma pH falls ?

A

ventilation will be stimulated (acidosis)

19
Q

where would you find central chemoreceptors?

20
Q

what are the main differences between central and peripheral chemoreceptors?

A

location- medulla / carotid and aortic bodies

response - directly to H+ / primary to plasma and PO2

ventilatory drive - primary / seconday

21
Q

do central chemoreceptors respond to changes in plasma H+?

22
Q

what controles our rate of breathing and depth of respiration?

A

respiratory centres

23
Q

what are the two respiratory centres?

A

pons and medulla

24
Q

what are the different types of respiration groups?

A

dorsal
ventral
pontine

25
what are dorsal resp groups for?
output primarily to inspiratory muscles
26
whats the ventral resp group for?
output to expiratory, some insp,
27
where is resp rhythms modulated by emotion?
limbic system in the brain
28
which chemoreceptor is less sensitive to CO2?
peripheral
29
what is CSF
interstitial fluif in the brain and is very heavily monitored
30
when is there a reflex simulation of ventilation in central chemoreceptors?
following a rise of H+
31
what is hypercapnea?
rise of PCO2
32
what protects the csf?
blood brian barrier
33
what cant pass through blood brain barrier
ions
34
what will happen to resp rate in an anaemic patient with a blood oxygen content half the normal value
stay the same
35
can you override involuntary stimuli such as arterial PCO2 or H+
no
36
how is ventilation inhibited?
increase in arterial PO2 or a decrease in arterial PCO2
37
when is respiration intentionally inhibited?
during swallowing