Ventilation Control Flashcards

(39 cards)

1
Q

What stimulation does ventilation control need for inspiration

A

stimulation of skeletal muscle

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2
Q

What two nerves stimulate skeletal muscle

A

Phrenic

Intercostal

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3
Q

What does the phrenic nerve supply

A

the diaphragm

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4
Q

What are the two respiratory centres in the brain

A

Pons and medulla

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5
Q

What is ventilation control dependent on

A

signals from the brain

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6
Q

What would happen if the spinal chord was severed above c3 - c5

A

breathing would cease

As supply the diaphragm

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7
Q

What does dorsal respiratory group control

A

muscles of inspiration contractions

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8
Q

What does the ventral respiratory group control

A

Muscles of expiration and some inspiratory to pharynx, larynx and tonuge

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9
Q

What does the ventral respiratory do to the pharynx, larynx and tongue

A

maintain the tone of the muscle to ensure patency

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10
Q

What is the function of the respiratory centres

A

set automatic rhythm of breathing

adjust the rhythm in response to a stimuli

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11
Q

What is the automatic rhythm of breathing co-ordinated by

A

firing of smooth muscle

Action potential in then dorsal respiratory group

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12
Q

What four factors can modulate the rhythm of breathing

A

Emotion
Voluntary override
Mechano sensory input from the thorax
Chemical composition of the blood

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13
Q

Where does emotion come from

A

Via the limbic system in the brain

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14
Q

When does the mechno sensory input from the thorax

A

as a safety mechanism performs a stretch reflex to prevent over inflamation from the lungs

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15
Q

What makes up the chemical composition in the blood

A

CO2, pH, and O2

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16
Q

What detects chemical composition

A

chemoreceptors

17
Q

What is the most significant input in altering the rhythm of breathing

A

chemical composition

18
Q

Where is the central chemoreceptors located

A

In the medula

19
Q

Where is the peripheral chemoreceptors located

A

carotid (neck) and aortic bodies

20
Q

What out out of the two receptors is the primary ventilation drive

21
Q

What does central chemoreceptors respond directly to?

A

CO2 increasing [H+] in the CSF around the brain

22
Q

What triggers the raised [H+] levels in the CSF

A

raised PCO2 levels crossing across the blood brain barrier increasing the CSF [H+] levels

23
Q

Why cant CO2 directly cross the blood brain barrier

A

its impermeable

24
Q

How much does a 10% increase in PCO2 levels increase minute ventilation, and why is this

A

100%
The body is extremely sensitive to CO2
Linear relationship

25
When arterial PCO2 drops what happens to the CSF [H+]
decreases - HYPERVENTILATION
26
What do the peripheral chemoreceptors respond to
the H+ in the plasma and PO2
27
When will peripheral chemoreceptors be stimulated
When PO2 levels fall below 60mmHg - hypoxic drive
28
When is peripheral chemoreceptors more commonly stimulated
In people with a hypoxic drive
29
How does H+ increase, increase ventilation
as H+ increase is accompanied by an increase in PCO2 (equation swings left)
30
Can you override involuntary stimuli such as arterial PCO2?
No
31
What are examples of ways you can control your breathing in voluntary override
Breath holding hyperventilation Breathing in high levels of CO2
32
What is the result of breathing in high levels of CO2
increase PCO2, Partial pressure of CO2 has a small gradient therefore the overall partial pressure gradient is imparied
33
What neural pathway allows a control over breathing
cerbral cortex to respiratoty motor neurons
34
When in breathing inhibited
when swallowing to avoid aspiration of food
35
Why do you expire after you swallow
to dislodge any food particles
36
What is the affect of Barbiturates and opiods, gaseous anaesthetics have on the respiratory system (e.g. NO2)
``` depress peripheral chemoreceptors breath shallower (decrease tidal volume) and faster (increase respiratory rate) ```
37
When would nitrous oxide cause you problems
if you are having an hypoxic drive -already low on oxygen
38
When does the central pathway no longer become you primary drive
when you experience type 2 reparatory failure
39
Why wouldnt you give pure oxygen to someone on hypoxic drive
as Oxygen needs have been satisfied and you stop breathing, retaining CO2 then ya die