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. Author manuscript; available in PMC: 2013 Aug 13.
Published in final edited form as: Crit Care Nurse. 2009 Sep 1;29(6):41–55. doi: 10.4037/ccn2009612

Table 2.

Receptors and their effect on autonomic respiratory drivea

Peripheral chemoreceptors Pulmonary stretch receptors Irritant receptors Pulmonary juxtapulmonary capillary receptors Baroreceptors Proprioceptors Other receptors Central chemoreceptors
Location Aortic arch
Carotid bodies
Airway smooth muscle Epithelium of nose, pharynx, larynx, trachea, bronchi Pulmonary capillary walls Aortic arch Muscles and joints (tendon organs) Nociceptors in skin, organs
Mechanoreceptors in skin
Ventrolateral surface of each side of medulla
Sense Hypoxemia
Acidosis
Hypercapnia
Lung inflation
Increased pulmonary pressures
Inhaled irritants
Mechanical factors: Anaphylaxis Pulmonary congestion
Pulmonary congestion
Increased interstitial fluid
Chemical irritants
Microemboli
Change in blood pressure Body movement Pain
Touch
Hydrogen ion concentration in cerebrospinal fluid
Carbon dioxide crosses blood-brain barrier and yields carbonic acid
Sent to medulla by Vagus and glossopharyngeal nerves Vagus nerve Vagus nerve Vagus nerve Vagus nerve Ascending spinal nerves Ascending spinal nerves Bathing cerebrospinal fluid
Effect on respiratory drive If acidotic or hypoxemic: Increased rate and tidal volume
If alkalotic: Decreased rate and tidal volume
Increased inspiratory time
Increased rate
Hyperpnea
Cough
Laryngospasm
Rapid, shallow breathing
Hypoventilation
If low blood pressure: Hyperventilation
If high blood pressure: Hypoventilation
Increased rate and tidal volume Visceral pain: Decreased drive
Somatic pain: Increased drive
Acidosis: Increased drive
Alkalosis: Decreased drive
a

Based on data from Kacmarek et al.21