Lecture 25: Central Control of Respiration Flashcards

(29 cards)

1
Q

what is the primary regulator of ventilation?

A

PaCO2

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2
Q

what are the ventilation control elements?

A

central controllers
effectors (resp muscles)
sensors (central and peripheral)

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3
Q

what are the respiratory centers in the brainstem

A

medulla and pons

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4
Q

what are the breathing rhythm generators

A

rostral ventromedial neurons (pre-Botzinger complex) in the medulla

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5
Q

what are the inspiratory neurons of medulla

A

dorsal respiratory group

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6
Q

what are both inspiratory and expiratory neurons in medulla

A

ventral respiratory group

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7
Q

what two respiratory centers around found in the pons

A

pneumotaxic center (turns off inspiration of DRG)
Apneustic center (prolongs inspiration)

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8
Q

when is the dorsal respiratory group of medulla active

A

during eupnea (reg breathing)
inspiratory neurons

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9
Q

what does the dorsal respiratory group receive sensory input from

A

CN 9 and 10

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10
Q

when is the ventral respiratory group active

A

during forced expiration

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11
Q

what are the pontine centers

A

pneumotaxic center and apneustic center

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12
Q

what is the role of the penumotaxic center

A
  • turns off inspiration at the DRG
  • limits tidal volume
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13
Q

what is the role of the apneustic center

A
  • apneusis = abnormal breathing pattern w/ prolonged inspiration
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14
Q

what is the cortical control of respiration responsible for

A

voluntary control of vocalizations, sighing, breath holding, etc

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15
Q

what is the limbic respiratory system responsible for

A

emotionally induced changes in ventilation

ex: fear

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16
Q

what is hypothalamic respiratory control responsible for

A

temperature control
ex: fever

17
Q

what sensors are chemoreceptors, which are both chemo and mechanoreceptors

A

central sensors = chemoreceptors
peripheral sensors = chemo and mechanoreceptors

18
Q

where are central chemoreceptors located

A

ventral surface of medulla

19
Q

what stimulates central chemoreceptors

A

increased H+ in the CSF
H+ comes from CO2 diffusing across the BBB

20
Q

Decreasing PaO2 causes an increased sensitivity of ventilation to ?

21
Q

where are peripheral chemoreceptors found

A

carotid and aortic bodies

22
Q

what do peripheral chemoreceptors mainly respond to

A

changes in PaO2
- also respond to changes of H+ (acidosis stimulates ventilation)
- have a weak response to CO2

23
Q

what must PaO2 levels fall to before ventilation gets increased significantly

A

PaO2 must be below 60-70mmHg

24
Q

name of cells in carotid bodies that respond to hypoxia, hypercapnia and low pH (part of peripheral chemoreceptor)

25
what is the effect of activation of pulmonary stretch receptors (mechanosensitive receptors in airway smooth muscle)
inhibit further inspiration = Hering-Breuer reflex
26
what respiratory receptors increase ventilation w/ limb movement
chest wall and proprioceptive receptors
27
what is the effect of activation of irritant receptors
bronchoconstriction
28
what activates J-receptors and what is the effect
activated by engorgement of pulmonary capillaries (ex. left sided heart failure) - stimulates respiration
29
what is the hypothesized ventilatory regulation response to exercise?
ventilation response to exercise is thought to be caused by impulses from the motor cortex