Podcast
Questions and Answers
How does increased activity of skeletal muscles during exercise directly relate to the respiratory system's homeostatic contribution?
How does increased activity of skeletal muscles during exercise directly relate to the respiratory system's homeostatic contribution?
- By decreasing the depth, but increasing the rate, of breathing.
- By decreasing the rate, but increasing the depth, of breathing.
- By decreasing both rate and depth of breathing.
- By increasing rate and depth of breathing. (correct)
How do the lungs contribute to the endocrine system, specifically regarding blood pressure regulation?
How do the lungs contribute to the endocrine system, specifically regarding blood pressure regulation?
- By secreting atrial natriuretic peptide (ANP), which lowers blood volume.
- By releasing erythropoietin, which stimulates red blood cell production.
- By synthesizing and releasing epinephrine during periods of stress.
- By producing angiotensin-converting enzyme (ACE), which is involved in angiotensin II formation (correct)
During inhalation, how does the respiratory pump mechanism assist the cardiovascular system?
During inhalation, how does the respiratory pump mechanism assist the cardiovascular system?
- By increasing arterial blood pressure
- By aiding in venous blood return to the heart. (correct)
- By decreasing pulmonary blood flow.
- By increasing the amount of blood ejected from the heart.
How does the respiratory system contribute to the acid-base balance in body fluids?
How does the respiratory system contribute to the acid-base balance in body fluids?
What is the primary physiological stimulus that leads to the control of ventilation by affecting breathing rate and depth?
What is the primary physiological stimulus that leads to the control of ventilation by affecting breathing rate and depth?
What is the primary role of chemoreceptors in the context of respiratory control?
What is the primary role of chemoreceptors in the context of respiratory control?
If the brainstem is severed below the medulla oblongata, what is the expected outcome regarding respiration?
If the brainstem is severed below the medulla oblongata, what is the expected outcome regarding respiration?
What is the consequence of separating the pons from the medulla?
What is the consequence of separating the pons from the medulla?
Which of the following best describes the function of the ventral respiratory group (VRG)?
Which of the following best describes the function of the ventral respiratory group (VRG)?
What physiological response would occur if the central chemoreceptors detect a significant decrease in the pH of cerebrospinal fluid (CSF)?
What physiological response would occur if the central chemoreceptors detect a significant decrease in the pH of cerebrospinal fluid (CSF)?
How does carbon dioxide get transported to the lungs?
How does carbon dioxide get transported to the lungs?
How does carbon monoxide (CO) affect oxygen transport by haemoglobin?
How does carbon monoxide (CO) affect oxygen transport by haemoglobin?
What does the Bohr effect describe regarding oxygen saturation?
What does the Bohr effect describe regarding oxygen saturation?
What is the effect of 2,3-diphosphoglycerate (DPG) on the oxygen-haemoglobin dissociation curve, and under what conditions is this effect typically observed?
What is the effect of 2,3-diphosphoglycerate (DPG) on the oxygen-haemoglobin dissociation curve, and under what conditions is this effect typically observed?
An individual is at high altitude. How do peripheral chemoreceptors respond to predict Ventilation?
An individual is at high altitude. How do peripheral chemoreceptors respond to predict Ventilation?
Why is decreased $P_{O_2}$ not as effective at firing ventilation than increased $P_{CO_2}$?
Why is decreased $P_{O_2}$ not as effective at firing ventilation than increased $P_{CO_2}$?
Under what condition might vascular stasis stimulate peripheral chemoreceptors?
Under what condition might vascular stasis stimulate peripheral chemoreceptors?
What impact do baroreceptors have on ventilation?
What impact do baroreceptors have on ventilation?
What would you expect to happen if there are afferent fibres in stimulated by an increased arterial blood pressure?
What would you expect to happen if there are afferent fibres in stimulated by an increased arterial blood pressure?
What best describes how “Compliance” influences ventilation?
What best describes how “Compliance” influences ventilation?
Which of the following most accurately describes the location of the central chemoreceptors that influence respiratory control?
Which of the following most accurately describes the location of the central chemoreceptors that influence respiratory control?
Which of the following is a primary function of central chemoreceptors?
Which of the following is a primary function of central chemoreceptors?
Which of the following changes are most likely to stimulate central chemoreceptors and, as a result, increase ventilation?
Which of the following changes are most likely to stimulate central chemoreceptors and, as a result, increase ventilation?
Under certain conditions, chronic retention of which gas reduces the sensitivity of the body’s respiratory center?
Under certain conditions, chronic retention of which gas reduces the sensitivity of the body’s respiratory center?
Apart from carbon dioxide retention, which condition would directly impact chemoreceptors?
Apart from carbon dioxide retention, which condition would directly impact chemoreceptors?
What is the effect of anaesthetics on ventilation?
What is the effect of anaesthetics on ventilation?
Why is there high blood flow in the carotid body & aortic arch in peripheral chemoreceptors?
Why is there high blood flow in the carotid body & aortic arch in peripheral chemoreceptors?
What blood $P_{O_2}$ condition will trigger most effectively action planning of peripheral ventilation: HIGH OR LOW?
What blood $P_{O_2}$ condition will trigger most effectively action planning of peripheral ventilation: HIGH OR LOW?
What is the average breaths per minute an adult would take at rest?
What is the average breaths per minute an adult would take at rest?
What do stretch receptors respond to?
What do stretch receptors respond to?
What is the function of airway smooth muscle?
What is the function of airway smooth muscle?
How do impulses influence "drives” motor neuron?
How do impulses influence "drives” motor neuron?
What happens inside the lungs during inhalation?
What happens inside the lungs during inhalation?
How does the body facilitate inhalation?
How does the body facilitate inhalation?
According to elastic recoil of the lungs, where does the breathing occur?
According to elastic recoil of the lungs, where does the breathing occur?
Relating to forced breathing, in what stage will diaphragms contract?
Relating to forced breathing, in what stage will diaphragms contract?
Relating to the homeostatic components of the respiration control system, identify the correct effector
Relating to the homeostatic components of the respiration control system, identify the correct effector
How would holding your breath typically affect arterial blood gas levels and pH?
How would holding your breath typically affect arterial blood gas levels and pH?
How does the cooperative binding of oxygen to haemoglobin affect oxygen saturation?
How does the cooperative binding of oxygen to haemoglobin affect oxygen saturation?
What is the primary role of the Dorsal Respiratory Group (DRG) during quiet breathing?
What is the primary role of the Dorsal Respiratory Group (DRG) during quiet breathing?
In scenarios of increased metabolic demand, such as during intense exercise, how does the body ensure adequate oxygen supply to tissues?
In scenarios of increased metabolic demand, such as during intense exercise, how does the body ensure adequate oxygen supply to tissues?
How do central chemoreceptors respond to a sustained increase in arterial $P_{CO_2}$?
How do central chemoreceptors respond to a sustained increase in arterial $P_{CO_2}$?
What is the functional significance of the extensive network of capillaries surrounding the alveoli in the lungs?
What is the functional significance of the extensive network of capillaries surrounding the alveoli in the lungs?
What is the effect of increased levels of 2,3-diphosphoglycerate (DPG) on the oxygen-hemoglobin dissociation curve?
What is the effect of increased levels of 2,3-diphosphoglycerate (DPG) on the oxygen-hemoglobin dissociation curve?
How does the Bohr effect influence oxygen unloading during exercise?
How does the Bohr effect influence oxygen unloading during exercise?
What mechanisms enable the carriage of carbon dioxide to the lungs?
What mechanisms enable the carriage of carbon dioxide to the lungs?
During forced breathing, what role do the inspiratory muscles play, and how is this coordinated?
During forced breathing, what role do the inspiratory muscles play, and how is this coordinated?
If central chemoreceptors primarily detect changes in pH of the cerebrospinal fluid (CSF), how does systemic hypercapnia (increased arterial $P_{CO_2}$) lead to their activation?
If central chemoreceptors primarily detect changes in pH of the cerebrospinal fluid (CSF), how does systemic hypercapnia (increased arterial $P_{CO_2}$) lead to their activation?
What is the primary function of Angiotensin-Converting Enzyme (ACE) that is released from endothelial cells of alveolar capillaries?
What is the primary function of Angiotensin-Converting Enzyme (ACE) that is released from endothelial cells of alveolar capillaries?
How do stretch receptors in lung tissues affect the control of breathing during forced ventilation?
How do stretch receptors in lung tissues affect the control of breathing during forced ventilation?
In what scenario would vascular stasis most likely stimulate peripheral chemoreceptors?
In what scenario would vascular stasis most likely stimulate peripheral chemoreceptors?
What physiological advantage is conferred by the sigmoidal shape of the oxygen-haemoglobin dissociation curve?
What physiological advantage is conferred by the sigmoidal shape of the oxygen-haemoglobin dissociation curve?
How does anaemia affect firing of peripheral chemoreceptors?
How does anaemia affect firing of peripheral chemoreceptors?
The respiratory system helps counteract blood acidity by directly:
The respiratory system helps counteract blood acidity by directly:
What is the influence of baroreceptors on ventilation?
What is the influence of baroreceptors on ventilation?
Why is the blood flow in the carotid body & aortic arch high?
Why is the blood flow in the carotid body & aortic arch high?
Following severing of the brainstem below the medulla oblongata, what is the predicted outcome for ventilation?
Following severing of the brainstem below the medulla oblongata, what is the predicted outcome for ventilation?
During exercise, the ______ system supports increased activity of skeletal muscles by increasing the rate and depth of breathing.
During exercise, the ______ system supports increased activity of skeletal muscles by increasing the rate and depth of breathing.
The respiratory system contributes to overall homeostasis by providing oxygen and removing ______.
The respiratory system contributes to overall homeostasis by providing oxygen and removing ______.
The ______ system works with the respiratory system to regulate the pH of body fluids.
The ______ system works with the respiratory system to regulate the pH of body fluids.
The average time an adult can hold their breath is more influenced by the build-up of blood-acidifying ______ than the lack of oxygen.
The average time an adult can hold their breath is more influenced by the build-up of blood-acidifying ______ than the lack of oxygen.
[Blank] are sensors that monitor blood pH, $PaO_2$, and $PaCO_2$ levels to control respiration.
[Blank] are sensors that monitor blood pH, $PaO_2$, and $PaCO_2$ levels to control respiration.
The efficiency of gas exchange in the lungs depends on both alveolar distribution and ______ in all parts of the lungs.
The efficiency of gas exchange in the lungs depends on both alveolar distribution and ______ in all parts of the lungs.
Endothelial cells of alveolar capillaries release ______, which plays a role in blood pressure regulation.
Endothelial cells of alveolar capillaries release ______, which plays a role in blood pressure regulation.
The percentage saturation of hemoglobin indicates how much ______ is bound to hemoglobin compared to its maximum capacity.
The percentage saturation of hemoglobin indicates how much ______ is bound to hemoglobin compared to its maximum capacity.
Compared to oxygen, carbon dioxide is 24 times more ______, which means it doesn't require a carrier to be transported in the blood.
Compared to oxygen, carbon dioxide is 24 times more ______, which means it doesn't require a carrier to be transported in the blood.
Hemoglobin (Hb) binds 98% of oxygen, forming ______ ($HbO_2$).
Hemoglobin (Hb) binds 98% of oxygen, forming ______ ($HbO_2$).
According to ______, carbon dioxide unbinds from hemoglobin and diffuses out of the RBC.
According to ______, carbon dioxide unbinds from hemoglobin and diffuses out of the RBC.
The ______ describes the shift in the hemoglobin saturation curve due to changes in pH.
The ______ describes the shift in the hemoglobin saturation curve due to changes in pH.
Steady state alveolar ventilation is equal to ______.
Steady state alveolar ventilation is equal to ______.
An increase in 2,3-diphosphoglycerate (DPG) causes the oxygen-hemoglobin dissociation curve to shift to the ______.
An increase in 2,3-diphosphoglycerate (DPG) causes the oxygen-hemoglobin dissociation curve to shift to the ______.
[Blank] enables the Cl shift, facilitating the transport of carbon dioxide in the blood.
[Blank] enables the Cl shift, facilitating the transport of carbon dioxide in the blood.
The medulla oblongata, which controls respiration, is fine-tuned by neurons in the ______.
The medulla oblongata, which controls respiration, is fine-tuned by neurons in the ______.
The ______ pattern of respiration refers to the automatic control of inspiratory and expiratory muscles by neurons in the medulla.
The ______ pattern of respiration refers to the automatic control of inspiratory and expiratory muscles by neurons in the medulla.
The ______ cortex, the origin of voluntary control, additionally influences the respiratory center.
The ______ cortex, the origin of voluntary control, additionally influences the respiratory center.
Severing the brainstem below the ______ results in no breathing.
Severing the brainstem below the ______ results in no breathing.
The medulla oblongata coordinates quiet and forced breathing, and controls the ______ of ventilation.
The medulla oblongata coordinates quiet and forced breathing, and controls the ______ of ventilation.
The ______ respiratory group controls the diaphragm and external intercostal muscles.
The ______ respiratory group controls the diaphragm and external intercostal muscles.
Respond to changes in blood pressure are ______, located in the carotid body and aortic arch.
Respond to changes in blood pressure are ______, located in the carotid body and aortic arch.
Central chemoreceptors are most effective in altering ventilation due to their responsiveness to changes in ______ concentration.
Central chemoreceptors are most effective in altering ventilation due to their responsiveness to changes in ______ concentration.
Peripheral chemoreceptors respond to low arterial $PO_2$, a condition known as ______.
Peripheral chemoreceptors respond to low arterial $PO_2$, a condition known as ______.
At very high altitude, ventilation is increased due to the decreased alveolar $PO_2$; there is also a larger ______ in $O_2$ loading into the blood.
At very high altitude, ventilation is increased due to the decreased alveolar $PO_2$; there is also a larger ______ in $O_2$ loading into the blood.
[Blank] is when dissolved $PO_2$ is the same, but there is low $O_2$ carrying capacity, does not trigger firing. (Hb content/capacity differs)
[Blank] is when dissolved $PO_2$ is the same, but there is low $O_2$ carrying capacity, does not trigger firing. (Hb content/capacity differs)
If vascular stasis (decreased blood flow to the carotid body) occurs, ______ chemoreceptors will be stimulated.
If vascular stasis (decreased blood flow to the carotid body) occurs, ______ chemoreceptors will be stimulated.
An impulse inhibits respiration via the respiratory centre via the medulla is called ______.
An impulse inhibits respiration via the respiratory centre via the medulla is called ______.
In a normal individual, airway resistance to airflow occurs in the ______ airways.
In a normal individual, airway resistance to airflow occurs in the ______ airways.
[Blank] is a measure of the ease of lung expansion.
[Blank] is a measure of the ease of lung expansion.
The term volume describes a relationship between amount of carbon dioxide produced and oxygen absorbed.
The term volume describes a relationship between amount of carbon dioxide produced and oxygen absorbed.
The medulla responds to hypercapnia which results in an increase of what component in cerebral spinal fluid [CSF]?
The medulla responds to hypercapnia which results in an increase of what component in cerebral spinal fluid [CSF]?
The average adult takes ______ to ______ breaths per minute to move approximately ~ 6 L of air.
The average adult takes ______ to ______ breaths per minute to move approximately ~ 6 L of air.
External intercostal muscles ______, which increases the volume of the thoracic cavity.
External intercostal muscles ______, which increases the volume of the thoracic cavity.
In forced breathing stimulates the VRG and apneustic center to begin ______.
In forced breathing stimulates the VRG and apneustic center to begin ______.
The impulses mediating conscious change travel via the ______.
The impulses mediating conscious change travel via the ______.
[Blank] are bags that are elastic, but lack muscle that would allow them to expand or contract themselves.
[Blank] are bags that are elastic, but lack muscle that would allow them to expand or contract themselves.
[Blank] monitor $PCO_2$, pH and, $PO_2$ of arterial blood, moderating rhythm of breathing.
[Blank] monitor $PCO_2$, pH and, $PO_2$ of arterial blood, moderating rhythm of breathing.
A shift to the right indicates a ______ affinity of hemoglobin for oxygen, facilitating oxygen release to tissues.
A shift to the right indicates a ______ affinity of hemoglobin for oxygen, facilitating oxygen release to tissues.
[Blank] are found in the muscular portion of the walls of the bronchi and bronchioles - prevent over-inflation.
[Blank] are found in the muscular portion of the walls of the bronchi and bronchioles - prevent over-inflation.
During inhalations, the respiratory pump aids the return of ______ blood to the heart.
During inhalations, the respiratory pump aids the return of ______ blood to the heart.
The lungs contain ______-converting enzyme (ACE), which catalyzes the formation of angiotensin II from angiotensin I.
The lungs contain ______-converting enzyme (ACE), which catalyzes the formation of angiotensin II from angiotensin I.
The nose contains receptors for the sense of smell, known as ______.
The nose contains receptors for the sense of smell, known as ______.
Together, the respiratory and ______ systems regulate pH, which ensures the body can maintain acid-base balance
Together, the respiratory and ______ systems regulate pH, which ensures the body can maintain acid-base balance
The average time an adult can hold their breath it is more related to the build-up of blood-acidifying ______ than the lack of oxygen.
The average time an adult can hold their breath it is more related to the build-up of blood-acidifying ______ than the lack of oxygen.
The amount of oxygen bound to hemoglobin depends on the plasma O2 and the amount of ______.
The amount of oxygen bound to hemoglobin depends on the plasma O2 and the amount of ______.
A shift in the hemoglobin saturation curve resulting from a pH change is known as the ______ effect.
A shift in the hemoglobin saturation curve resulting from a pH change is known as the ______ effect.
H+ ions bind hemoglobin molecules and (reversibly) cause a ______ change.
H+ ions bind hemoglobin molecules and (reversibly) cause a ______ change.
An increase of 2,3-diphosphoglycerate shifts the curve to the ______ under conditions such as exercise, drop in blood pH, and increase in the thyroid hormones.
An increase of 2,3-diphosphoglycerate shifts the curve to the ______ under conditions such as exercise, drop in blood pH, and increase in the thyroid hormones.
Approximately 70% of the CO2 load is converted to bicarbonate and ______.
Approximately 70% of the CO2 load is converted to bicarbonate and ______.
The relationship between amount of carbon dioxide produced and oxygen absorbed is known as the ______.
The relationship between amount of carbon dioxide produced and oxygen absorbed is known as the ______.
[Blank] can be described as increased rate and depth of breathing supporting increased activity of skeletal muscles during exercise.
[Blank] can be described as increased rate and depth of breathing supporting increased activity of skeletal muscles during exercise.
The average ventilation is at rest 12 and 15 breaths per minute ~______ mLs air at each breath ~ 6 L per minute.
The average ventilation is at rest 12 and 15 breaths per minute ~______ mLs air at each breath ~ 6 L per minute.
The medulla oblongata and pons ______ ventilation in the respiratory system.
The medulla oblongata and pons ______ ventilation in the respiratory system.
The two control centers are Dorsal Respiratory Group and ______ Respiratory Group.
The two control centers are Dorsal Respiratory Group and ______ Respiratory Group.
The carotid and aortic bodies are locations of ______ chemoreceptors.
The carotid and aortic bodies are locations of ______ chemoreceptors.
Activation of ______ influences elastic recoil of the lungs, thus promoting quiet exhalation.
Activation of ______ influences elastic recoil of the lungs, thus promoting quiet exhalation.
A main control is by central chemoreceptors in response to altered ______.
A main control is by central chemoreceptors in response to altered ______.
In forced breathing only, the expansion of lungs inhibits neurones in respiratory centre via ______ nerve.
In forced breathing only, the expansion of lungs inhibits neurones in respiratory centre via ______ nerve.
Compared to central chemoreceptors, decreased PO₂ is not as powerful stimulator of ______.
Compared to central chemoreceptors, decreased PO₂ is not as powerful stimulator of ______.
Flashcards
What is the function of capillaries surrounding the alveoli?
What is the function of capillaries surrounding the alveoli?
A network of capillaries that surround the alveoli in the lungs, facilitating gas exchange.
What is Angiotensin Converting Enzyme (ACE)?
What is Angiotensin Converting Enzyme (ACE)?
The enzyme released by endothelial cells of alveolar capillaries that catalyzes the conversion of angiotensin I to angiotensin II.
How is gas transport controlled in the body?
How is gas transport controlled in the body?
Carried in blood and controlled by the lungs and cardiovascular system.
What is the effect of oxygen binding to Hb?
What is the effect of oxygen binding to Hb?
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What is the Bohr Effect?
What is the Bohr Effect?
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How does decreasing pH affect O2 saturation?
How does decreasing pH affect O2 saturation?
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What is 2,3-Diphosphoglycerate (DPG)?
What is 2,3-Diphosphoglycerate (DPG)?
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What dictates the amount of time a human can hold their breath?
What dictates the amount of time a human can hold their breath?
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What key factor maintains homeostasis and control of respiration?
What key factor maintains homeostasis and control of respiration?
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What is the Dorsal Respiratory Group (DRG)?
What is the Dorsal Respiratory Group (DRG)?
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What is the Ventral Respiratory Group (VRG)?
What is the Ventral Respiratory Group (VRG)?
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What do chemoreceptors respond to?
What do chemoreceptors respond to?
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What is the role of central chemoreceptors?
What is the role of central chemoreceptors?
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What is a key factor the medulla responds to?
What is a key factor the medulla responds to?
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What are peripheral chemoreceptors?
What are peripheral chemoreceptors?
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What describes lung compliance?
What describes lung compliance?
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What is normal/quiet breathing?
What is normal/quiet breathing?
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What is forceful breathing?
What is forceful breathing?
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What are stretch receptors?
What are stretch receptors?
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What is the rate of ventilation?
What is the rate of ventilation?
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Breath Holding Duration
Breath Holding Duration
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Chemoreceptors
Chemoreceptors
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Central Chemoreceptors
Central Chemoreceptors
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Peripheral Chemoreceptors
Peripheral Chemoreceptors
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Baroreceptors
Baroreceptors
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Lung Stretch Receptors
Lung Stretch Receptors
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Lung Compliance
Lung Compliance
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Medulla Neurons
Medulla Neurons
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Pons Function
Pons Function
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Chemoreceptors function
Chemoreceptors function
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Automatic Breathing
Automatic Breathing
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Central Chemoreceptor Location
Central Chemoreceptor Location
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Medulla's Role
Medulla's Role
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Inflation Reflex
Inflation Reflex
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Pons Function
Pons Function
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Airway resistance
Airway resistance
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Lung tissue
Lung tissue
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Ventilation Volume
Ventilation Volume
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Study Notes
- The respiratory system covers the respiratory system anatomy, mechanisms of ventilation, respiration in health and disease, gaseous transport and the control of respiration.
Learning Outcomes
- Identify the physiological stimuli that trigger control of ventilation and explain a stimuli's effect on depth and rate of breathing
- Describe quiet breathing control with reference to receptors and pathways of communication
- Explain different hypoxia types and apply them to everyday scenarios
- Describe the control that occurs to return this back to normal breathing homeostasis
- Explain forced breathing control with crosstalk between DRG and VRG areas
Control of Breathing
- The average adult can hold their breath for 30-60 seconds
- Breath holding relates more to blood-acidifying carbon dioxide build-up than lack of oxygen
Arterial Blood
- Arterial Pco2, PO2, and pH are key for respiratory homeostasis and control.
Lung Perfusion
- Blood is supplied via pulmonary and systemic circulations
- Gas exchange depends on the alveolar distribution and blood flow in the lungs parts
- Capillaries in the lungs measure 1,600 km if placed end to end
- Lungs have low resistance
- Lung are affected by gravity
Blood Supply
- Blood goes from the right side of the heart to the rest of the body
- The alveoli are surrounded by a network of capillaries
- Lung has lobules supplied by an arteriole and venule
- Alveolar capillaries' endothelial cells release Angiotensin Converting Enzyme (ACE).
Haemoglobin and Oxygen
- Oxygen bound to Hb relies on plasma O2 and the amount of haemoglobin present
Carbon Dioxide Transport
- CO2 is carried from tissues to the lungs
- CO2 diffuses from cell to blood across the alveolar membrane because of the pressure gradient
- CO2 is 24x more soluble than O2 and uses no carrier
Gas Transport
- Lungs/cardiovascular system control carried blood
- Hemoglobin binds 98% of O2, forming oxyhemoglobin HbO2
- Oxygen binding to Hb is cooperative, increasing carrying capacity 70X
- Binding one O2 molecule enables easier subsequent binding of molecules
- PO2 determines Oxygen-Hb binding
- Hemoglobin include iron core and 4 haem groups
- Each haem group binds one molecule of O2
Haemoglobin Saturation
- Pco2 measures 45mm Hg, pH measures 7.35-7.45, and a temperature of 37C
- Hemoglobin saturation has a sigmoidal shape related to O2
- The amount of O2 in the blood isn't affected in the lungs by PO2 fluctuations (100-60mm Hg)
- The curve is steep at the tissues' PO2, having a larger effect on gas exchange to release CO2 from the tissues
Effect of pH
- A shift in the hemoglobin saturation curve is the Bohr effect
- Extended periods of low oxygen cause chronic hypoxia
- H+ ions that bind hemoglobin molecules cause a shape change, decreasing the "grip" on O2 molecules
- Decreasing pH (increasing H+ ions) reduce O2 saturation and makes shift in the dissociation curve
Respiratory Quotient
- Respiratory Quotient (RQ) relates the carbon dioxide amount produced with the oxygen amount absorbed (VA/Q)
- Steady state alveolar ventilation = PCO2
- A value of infinity means ventilation and no perfusion
- A value of 0 means perfusion but no ventilation
- Steady state -actual values measure 0.7-1.0
2,3-Diphosphoglycerate (DPG)
- 2,3-Diphosphoglycerate acts as inhibitor
- 2,3-Diphosphoglycerate binds to Haemoglobin structure
- 2,3-Diphosphoglycerate can trigger a curve shift the to right during exercise, drop in blood pH and with increase of thyroid hormones and growth hormone
- Foetal Haemoglobin has poor binding of 2,3 DPG, supporting higher affinity for O2 than the mother
Carbon Dioxide Transport
- 7% dissolved in blood, 70% converted to bicarbonate ions and 23% bound to hemoglobin
- Carbonic anhydrase speeds up in the Cl- shift
- Hemoglobin binds H+
- Hb + CO2 = carbaminohemoglobin
What Controls Respiration?
- Central pattern mechanism involves the medulla and fine-tuned by Pons
- Voluntary mechanism involves the cerebral cortex, and influences respiratory center
Respiratory Centers
- Severing the brainstem below the medulla triggers no breathing
- Separating the medulla from the Pons can trigger gasping/irregular depth
- The medulla supports primary control
Central Control
- Sensory info is integrated in the Pons to fine tune signals to and from the respiratory center
- Inspiratory and expiratory muscles are controlled by neurons in the medulla
- The medulla serves as the pacemaker
- The medulla coordinates quiet and forced breathing
- The medulla controls ventilation frequency.
- The Pons manages volume and depth of ventilation
- The Pons is influenced by O2/CO2 requirements
Medulla Oblongata - Respiratory Control
- Dorsal Respiratory Group (DRG) control the diaphragm and external intercostal muscles during inspiration and expiration in quiet breathing
- Ventral Respiratory Group (VRG) controls accessory inspiratory and expiratory muscles during inspiration/expiration during forced breathing
Chemoreceptors and Baroreceptors
- Chemoreceptors respond to changes in Pco2, Po2 and [H+]
- Chemoreceptors are location in the central and peripheral locations
- Chemoreceptors are effective in altering ventilation
Ventilation - Chemistry
- Medulla responds to hypercapnia, or a increase of [H+] in the cerebral spinal fluid
- Impacts the rate and depth of breathing
Central Chemoreceptors
- Central chemoreceptors are located on the ventro-lateral surface of the medulla oblongata
- Central chemoreceptors monitor composition of the cerebrospinal fluid (CSF)
- Only respond to a rise in [H+] and Pco2
- Stimulation by way of the DRG increases depth and rate of respiration
Affecting Chemoreceptors
- Chronic CO2 retention reduces respiratory centre sensitivity
- H+ is also increased by non-respiratory causes like diabetic ketoacidosis
- Sleep, age, narcotics, alcohol, anaesthetics and some drugs affect the chemoreceptors
Peripheral Chemoreceptors
- Peripheral chemoreceptors are located in the carotid body and aortic arch
- The carotid body and aortic arch feature high blood flow
Peripheral Chemoreceptors
- Respond to low arterial PO2, known as Hypoxia
- Decreased PO2 triggers firing and increased ventilation
- Anemia (low O2 carrying capacity) does not trigger in this case because dissolved PO2 is the same
Firing of Peripheral Chemoreceptors
- Chemoreceptors only switch on when PO2 gets below 60 mm Hg in oxygenated blood
- Decreased PO2 is not as powerful as increased PCO2 for respiration as a stimulator
- Main control comes from central chemoreceptors with altered pH
Peripheral Chemoreceptors
- At high altitudes, alveolar PO2 can get below 40 mm Hg, increasing ventilation and affecting the oxygen loading into the blood
Other Stimulators
- Peripheral chemoreceptors also react to vascular stasis, cyanide, nicotine and increases in [K+]
Baroreceptors
- Afferent fibres in the carotid sinuses, aortic arch, atria and ventricles, stimulated by↑ blood pressure
- Impulses inhibit respiration via respiratory centre in medulla
- Decreasesiing BP triggers increased ventilation
- Increasing BP triggers decreased ventilation
- Overall, the influence is very minor
Ventilation
- Lungs act as elastic bags resembling balloons
- Lungs lack muscle to expand/contract themselves
Ventilation Rate
- At rest, ventilation rate occurs between 12 and 15 breaths per minute with ~500 mLs of air at each breath, roughly 6L per minute
- Children tend to breathe faster
- Involves anatomical dead space
- Increasing CO2 increases ventilation
- Decreasing CO2 decreases ventilation
Spirometry
- Ventilation of alveoli relies on tidal volume, airway resistance and compliance
Ventilation - Compliance/Airway Resistance
- Compliance measures ease in lung expansion
- Distribution of air in lungs is uneven
- Airway resistance to airflow in a normal individual is in larger airways
- Disease airway resistance can occur in peripheral airways
Neural Control of Breathing
- Complex distribution and organization occurs at the respiratory centre
- Upper motor neurones drive the lower motor neurones
- Travel in the corticospinal tract support with consciously changing breathing patterns
Ventilation - Inhalation
- Inhalation involves the diaphragm flattening, external intercostal muscles contracting
- Inhalation increases thoracic cavity volume and expands lungs
- Air flows down a pressure gradient into lungs
Control of Normal Quiet Breathing
- The Dorsal respiratory group (DRG) is active for 2 seconds and the inactive for 3 seconds.
- Diaphragm contracts with external intercostal muscles during their phase
- Diaphragm then relaxes with external intercostal muscles being less active
- Lungs recoil as a result.
Control of Forced Breathing
- Dorsal respiratory group (DRG) contracts diaphragm and external intercostal muscles
- Ventral respiratory group (VRG) activates accessory muscles
Forced Breathing
- Baroreceptors in the DRG, Inspiratory VRG and Expiratory VRG help with forced breathing as well as Chemoreceptors
Stretch Receptors
- Stretch receptors in muscular walls of bronchi/bronchiole prevent over-inflation
- They reflect lung volume
- Respond in the lungs to inflation, in respiratory centre neurones go via the vegus nerve
- Occurs with forced breathing ONLY
- Stimulate the VRG and apneustic centre to stimulate expiration
Airway Pharmacology
- Airways have afferent (sensory) and efferent (motor) nerves
- Airways also have cholinergic and noradrenergic innervation
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