Drive to breathe Flashcards

(32 cards)

1
Q

What does the dorsal respiratory group do (DRG)? (2)

A
Normal breathing
Inspiratory neurons (to diaphragm and ext. intercostals)
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2
Q

What does the ventral respiratory group do (VRG)? (3)

A

Forced breathing (e.g. exercise)
Inspiratory & EXPIRATORY neurons
pre-Botzinger complex

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3
Q

What is the pre-Botzinger complex and where is it located?

A

Respiratory rhythm generator –> sets basal respiratory rate

Located in VRG

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4
Q

What does the apneustic centre do? (2)

A

Stimulates DRG

Increases intensity of inhalation (deep breaths)

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5
Q

What does the pneumotaxic centre do? (3)

A

Inhibits apneustic centre
Promotes expiration
Shallow, frequent breaths (to prevent hyperventilation)

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6
Q

What inhibits the apneustic centre?

A

Pneumotaxic centre

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7
Q

Where are the DRG and VRG located?

A

Medulla

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8
Q

Where are the apneustic and pneumotaxic centres located?

A

Pons

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9
Q

What are slowly adapting stretch receptors (SASRs) activated by?

A

Lung distension

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10
Q

During high activity, what do SASRS do?

A

Inhibit further inspiration to begin expiration

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11
Q

What happens to SASRs if lung inflation is maintained?

A

They slowly adapt to low-frequency firing

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12
Q

What are rapidly adapting stretch receptors (RASRs) activated by?

A

Lung distention and irritants

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13
Q

During high activity, what do RASRs cause?

A

Bronchoconstriction

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14
Q

Characteristic of RASR’s response to stimulation?

A

Produce brief burst of activity

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15
Q

What are C fibres J receptors activated by?

A

Increase in interstitial fluid and thus pressure

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16
Q

What do C fibres J receptors do? (4)

A

Rapid, shallow breaths
Bronchoconstriction
CV depression
Dry cough

17
Q

Where are peripheral chemoreceptors located?

A

Carotid bodies

Aortic bodies

18
Q

What do peripheral chemoreceptors respond to?

A

Decreased PaO2

Increased arterial [H+] due to increased CO2

19
Q

How do peripheral chemoreceptors respond on detection of hypoxia? (2)

A

Stimulate medullary inspiratory neurons

Increases ventilation

20
Q

Why aren’t peripheral chemoreceptors sensitive to small reductions of PaO2?

A

Begin firing when PaO2 is near 60mmHg as Hb is 90% saturated.
Increasing ventilation before this would have little increase in PaO2

21
Q

Why is there no peripheral chemoreceptor input in presence of CO?

A

PaO2 is unaffected

CO doesn’t affect amount of O2 dissolved in blood or oxygen-diffusion capacity of the lung

22
Q

Where are central chemoreceptors located?

A

Medulla oblongata

23
Q

What do central chemoreceptors respond to?

A

Increased [H+] of CSF

Very small increases in PaCO2

24
Q

How do central chemoreceptors respond to small increases in PaCO2? (2)

A

Stimulate medullary inspiratory neurons

Increases ventilation

25
Why are central chemoreceptors more sensitive to small increases in PaCO2?
CO2 diffuses into CSF and contributes to CSF pH
26
Why are changes in blood [H+] poorly reflected in the CSF?
BBB impermeable to H+
27
What causes the drive to breathe?
Increased CO2 in blood, not necessarily the low O2
28
What is hypoxia?
Deficiency of O2 at tissue level
29
What the 4 common causes of hypoxia?
- Hypoventilation - Diffusion impairment - Shunting - Ventilation-perfusion mismatch (most common cause)
30
What is hypercapnia?
CO2 retention and increased PaCO2 | Main drive to breathe!
31
What happens in type 1 respiratory failure?
1 change: low pO2, normal/low PaCO2
32
What happens in type 2 respiratory failure?
2 changes: low pO2, high PaCO2