[020] pulmonary ventilation Flashcards

1
Q

what is the fluid between visceral and parietal pleura called

A

pleural fluid

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2
Q

what is the function of the small quantity of lubricating fluid between pleural surfaces

A

lubricates the surfaces, allowing them to easily move over one another during breathing

in addition, surface tension generated holds the surface together

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3
Q

what is excess accumulation of fluid called

A

pleural effusion

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4
Q

if air penetrates between two layers of pleura,

what happens?

A

called pneumothorax

layers separate, lung collapses
movement of ribs would not be transmitted to lungs since changes in negative intrathoracic pressure would not be generated

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5
Q

functional residual capacity

A

the volume of gas contained in respiratory tract (lungs and airways) at beginning of inspiration under normal circumstances

to increase or decrease lung volume away from FRC requires activation of respiratory muscles

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6
Q

what muscles are active during normal resting inspiration

A

main muscle active : diaphragm

external intercostal may play a small part but not essential

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7
Q

are expiratory muscles active during normal quiet expiration

A

no

quiet expiration is a passive process so expiratory muscles are not active

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8
Q

how are lungs returned to FRC in normal quiet expiration

A

elastic recoil of lung tissue and effects of surface tension
‘pull’ lungs back to FRC

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9
Q

which muscles are recruited to achieve maximal inspiration

A

external intercostal muscles (play bigger part when inspiration is maximal)

accessory muscles of inspiration are recruited :
scalene muscles elevate first 2 ribs and
sternocleidomastoids raise sternum

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10
Q

what muscles are active during maximal expiration

A

abdominal muscles
- most important muscles recruited during active expiration, squeeze abdominal contents up against diaphragm, pushing it up into thorax

internal intercostal muscles also aid active expiration

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11
Q

what factors determine the maximum volume that can be inspired

A

determined by many factors including:
maximal force that can be generated by inspiratory muscles
compliance of chest wall and lungs
- compliances depend on posture, age and body size

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12
Q

what factors determine maximum volume that can be expired

A

chest wall and lung compliance
posture, body size and age

resistance of airways and tendency for airway to collapse

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13
Q

define

minute ventilation

A

volume of air entering and leaving nose or mouth per minute

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14
Q

define

alveolar ventilation

A

volume of air entering and leaving alveoli per minute

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15
Q

define

dead space ventilation

A

volume of air not taking part in gas exchange per minute

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16
Q

what has a greater effect of VA alveolar ventilation –

a doubling of frequency or a doubling of VT (tidal volume)

A

doubling of VT tidal volume increases VA more than doubling respiratory frequency

17
Q

control of resistance of bronchial smooth muscle

A

sympathetic and parasympathetic nerves control resistance
by altering tone of bronchial smooth muscles

  • beta 2 agonists drugs eg salbutamol
  • anticholinergics (eg tiotropium, ipratropium) can dilate airways