Respiratory responses Flashcards

1
Q

What are the physical barriers to irritation/invasion of the respiratory tract?

A
  • Nares, nasal cavity, pharynx, larynx
  • Terminal bronchioles
  • Mucociliary escalator
  • Pseudostratified columnar epithelium with goblet cells
  • Alveolar macrophages
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2
Q

Rapidly adapting receptors respond to changes in?

A

Mechanical properties e.g. stretch, mainly in intrapulmonary airways

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3
Q

When do rapidly adapting receptors become more active?

A

As rate and volume of lunch inflation increases during normal respiration

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4
Q

What effect do rapidly adapting receptors have on airways?

A

Reflex bronchoconstriction and mucus secretion

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5
Q

What do C-fibres respond to?

A

Noxious chemical and mechanical stimuli

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6
Q

What are C-fibres directly activated by?

A

Bradykinin and capsaicin

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7
Q

Where are slowly adapting receptors found?

A

Around bronchioles and alveoli

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8
Q

How does inspiration and expiration affect the activity of slowly adapting receptors?

A

Increases during inspiration and decreases during expiration

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9
Q

What is the afferent nerve of the cough reflex?

A

Vagus nerve

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10
Q

Is the coughing reflex unconscious or conscious?

A

It is automatic but there is a degree of conscious control as it can be suppressed

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11
Q

Where is the cough centre?

A

Medulla and pons

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12
Q

Where are some mechanical receptors for the cough reflex found?

A

Pharynx, ear canal, eardrum, paranasal sinuses, diaphragm, pleura, pericardium and stomach

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13
Q

Efferent impulses to generate a cough are sent via which routes?

A

Phrenic nerve - to the diaphragm
Spinal motor nerves - to abdominal wall muscles
Respiratory centre - stimulates muscles of inspiration and expiration
Vagus and laryngeal nerve - to the larynx

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14
Q

What are the 3 mechanical phases to a cough?

A
  1. Inspiratory
  2. Compression: Glottis and larynx close which builds pressure in the thorax
  3. Expiratory
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15
Q

Where are receptors for the sneeze reflex found?

A

Nasal mucosa

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16
Q

What is the afferent nerve of the sneeze relfex?

A

Trigeminal

17
Q

Where is the sneezing centre found?

A

Medulla oblongata

18
Q

What are some peculiarities that can cause a sneeze reflex?

A
  • Bright light
  • Full stomach
  • Stimulation of the trigeminal nerve
  • Sexual arousal
19
Q

What are the afferent and efferent nerves of the nasopulmonary reflex?

A
Afferent = Trigeminal 
Efferent = Vagus
20
Q

How can minute ventilation increase?

A

Increased RR
Increased tidal volume
Need both

21
Q

Increased ventilation needs to be matched by an increase in?

A

Perfusion

22
Q

What needs to be utilised to increase minute ventilation above the normal levels?

A

Active inspiration and expiration

23
Q

Activation of which NS is needed for bronchodilation?

A

Sympathetic

24
Q

Hyperventilation persisting leads to?

A

Hypocapnia

25
Q

How does pneumonia cause hypocapnia?

A

CO2 dissolves more easily in fluid so it can continue to be exchanged when oxygen can’t
An animal with pneumonia will have an increased RR to drive for more oxygen so in doing so it will lose more CO2

26
Q

How does hyperventilation/hypocapnia affect ventilation drive? describe the mechanism

A

Reduces the drive for increased ventilation

  • Chemoreceptors detect low PaCO2
  • Effect on PaO2
  • pH increases
27
Q

What are the overall consequences of persistent hyperventilation?

A
  • Hypocapnia
  • Reduced drive for increased ventilation
  • Increased workload on respiratory muscles
  • Increased production of CO2 by these muscles
28
Q

Excessive loss of CO2 can lead to … alkalosis?

A

Respiratory - removal of too much CO2 and hydrogen ions from the body

29
Q

Describe type 1 respiratory failure

A
  • Hypoxia with normo- or hypocapnia
  • Usually disease of the gas exchange portion
  • May be alkalotic
  • Responds to supplemental oxygen
30
Q

Describe type II respiratory failure

A
  • Hypoxia and hypercapnia
  • Usually a disease of the conducting portion
  • Oxygen supplementation can worsen the hypercapnia
  • Reduces respiratory drive