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37 Cards in this Set

  • Front
  • Back
HOLW IS THE MAJORITY OF CO2 TRANSPORTED
as bicarbonate
how can CO2 be transported
dissolved
bicarbonate
carbaminoglobin
what occurs in order for CO2 to enter tissue
CO2 is made via metabolism
CO2 dissolved into circulation
CO2 enters RBC
in RBC CO2 joins w/ H2O and in presence of carbonic anhydrase forms CARBONIC ACID
carbonic acid dissociates into HCO3- and H+
HCO3- leaves RBC into plasma and a Cl- enters (chloride shift)
how does Hb prevent venous pH from being more acidic than arterial
Hb binds the H+ ion forming deoxyhemoglobin
what do chemoreceptors do
monitor the CO2 and O2 concentrations and send input to the respiratory centers
during hypoventilation what happens to the pCO2
pCO2 increases
what is the central controller (respiratory center) made of
Brain stem(medulla/pons)
cortex
what is the purpose of the cortex
involved in voluntary breathing
what is the purpose of the brain stem
involuntary control of breathing (autonomis control)
what over rides voluntary control of breathing
chemoreceptors (brain stem)
if there is an increase in pCO2 what do the chemoreceptors do
the chemoreceptors think you arent breathing and send a signal to the respiratory centers which cause an increase in depth of inspiration
what are the neurons in the central controller/respiratory center
dorsal respiratory group
ventral respirtory group
what does the dorsal respiratory group do
it is responsible for inspiration
sends AP in form of RAMP
what is the purpose of the inspiratory ramp
makes sure the lungs expand gradually otherwise we would be gasping for air due to the sudden contraction of the lungs
what does the ventral respiratory group do
responsible for active expiration

not responsible for resting expiration b/c it is a passive process
what would happen if you OD on narcotics/barbituats/general anesthetics/morphine/codine
they depress the respiratory center/central controller and would lead to respiratory arrest
where does expiration occur in the RAMP
expiration occurs in the gaps between the inspiratory ramp
what does the apneustic center do
sends message to dorsal respiratory group prolonging the inspiratory ramp

-excites inspiratory ramp
-unknown role in humans
what does the pneumotaxic center do
if these neurons are excited there is an increase in the number of breathes but a decrease in depth of inspiration

SHORTENS INSPIRATORY RAMP
what do central chemoreceptors detect
they only detect the pCO2 and concentration of H+
how do the central chemoreceptors work
once there is an increase in the H+ concentration due to an increase in the amount of CO2 the central chemoreceptors sense the acidic environment and send a signal to the central controller/respiratory center to increase breathing
how are central chemoreceptors excited
they get excited when there is a high [H+]
why are central chemoreceptors not sensitive to O2
because there are already safety mechanisms that watch the [O2]
what do the peripheral chemoreceptors do
they are located in major arteries
sensitive to pO2

ONCE THE pO2 DROPS BELLOW 70mmHg the peripheral chemoreceptors kick in

sensitive to pCO2 and H+ concentration as well
how does snoring occur
vibrations of the relaxed tissues in upper respiratory tract therefore obstructive breathing
what is obstructive sleep apnea
the entire air passage has closed due to the tissue relaxing so much air can't get out
what is apnea
the absense of breathing
what chemoreceptors kick in during obstructive sleep apnea
the central chemoreceptors

during obstructive sleep apnea there is an increase in pCO2 which is sensed by central chemoreceptors that signal the respiratory center which causes the effector muscles to start breathing
in obstructive sleep apnea is the respiratory center working
yes
what occurs in central sleep apnea
something is wrong with the respiratory center and it may not be sending signals to the effector muscles

if this occurs while awake it can be over come with the cortex but while asleep this is very dangerous
what are the different kinds of Hypoxia
hypoxic
ischemic
anemic/CO
histotoxic
what is Hypoxia
deficiency in O2
what is anemic or CO hypoxia
the hypoxia is due to either abnormal Hb or having less RBC

Hb may be normal but due to CO poisoning O2 is not able to bind
what occurs in Ischemic hypoxia
this occurs in specefic regions of the body and the arterial pO2 decreases and therefore a drop in O2 content

can occur if there is a blood clot
what is histotoxic hypoxia
this occurs in cyanide poisoning because the pO2 and O2 content is normal the but the cells can't utilize the O2
what occurs in Hypoxic hypoxia
this is true hypoxia
reason for hypoxia is due to a decrease in pO2 and therefore less O2 content

occurs when you go to high altitudes
what is hypercapnia
increase CO2 content
not always associated w/ hypoxia