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Car/Pul Final Exam
SPC Cardiopulmonary Physiology Final Exam Unit 5 Review
Question | Answer |
---|---|
Anatomical location of Peripheral Chemoreceptors? | Aortic Arch & Carotid Sinus |
Which nerve innervates the carotid bodies? | Glossopharyngeal (IX) |
Which nerve innervates the aortic bodies? | Vagus (X) |
The chemical stimuli for Peripheral Chemoreceptors? | Low O2 Tension <60 & Low pH |
Anatomical location of Central Chemoreceptors? | Ventrolateral Surface of the medulla immersed in CSF |
The chemical stimuli for Central Chemoreceptors? | High CO2 Tension & Low pH |
How is ventilation effected in chronic respiratory acidosis? | 1. HCO3 increases in CSF and the central chemoreceptors are obtunded (dull). 2. Low PaO2 stimulated the peripheral chemoreceptors establishing hypoxic drive. |
How is ventilation effected in severe metabolic acidosis (Ketoacidosis)? | H+ stimulate the central and peripheral chemoreceptors causing a Kussmaul's breathing pattern and PaCO2 drop in the 20's |
What is the control center for ventilation? | Cerebral Cortex |
VE Changes: PaCO2 | With normal PaO2, VE increases 3L/min for each mmHg rise in PACO2. |
VE Changes: PaO2 | VE increases dramatically when the PaO2 falls below 60mmHg. |
VE Changes: pH | Acute Acidosis stimulates Peripheral Chemoreceptors & VE increases. The lower the pH, the greater the VE increases. |