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SPC Cardiopulmonary Physiology Final Exam Unit 5 Review

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Question
Answer
Anatomical location of Peripheral Chemoreceptors?   Aortic Arch & Carotid Sinus  
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Which nerve innervates the carotid bodies?   Glossopharyngeal (IX)  
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Which nerve innervates the aortic bodies?   Vagus (X)  
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The chemical stimuli for Peripheral Chemoreceptors?   Low O2 Tension <60 & Low pH  
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Anatomical location of Central Chemoreceptors?   Ventrolateral Surface of the medulla immersed in CSF  
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The chemical stimuli for Central Chemoreceptors?   High CO2 Tension & Low pH  
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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.  
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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  
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What is the control center for ventilation?   Cerebral Cortex  
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VE Changes: PaCO2   With normal PaO2, VE increases 3L/min for each mmHg rise in PACO2.  
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VE Changes: PaO2   VE increases dramatically when the PaO2 falls below 60mmHg.  
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VE Changes: pH   Acute Acidosis stimulates Peripheral Chemoreceptors & VE increases. The lower the pH, the greater the VE increases.  
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