3. Respiratory system Flashcards
Role of oxygen in the body?
WITHOUT OXYGEN = CELLS DIE
oxygen is required to make ATP - without it the cell relies on anaerobic respiration which is ineffective and the cell will therefore be unable to carry out any function requiring energy
e.g. operating the sodium/ potassium pump
Define pneumothorax and its pathophysiology.
= a condition where air enters the pleural cavity separating the visceral and parietal pleura destroying the negative pressure = lung collapse
- Air separates the visceral and parietal pleurae = destroys the negative pressure
Classified as
- primary = spontaneous pneumothorax
Classification of a pneumothorax
spontaneous pneumothorax
- primary
- secondary - underlying lung disease
Traumatic pneumothorax
- e.g. fractured rib - tension pneumothorax - from mechanical ventilation or respiration disease such as COPD
Signs and symptoms of pneumothorax
- SOB
- chest pain
- pressure in chest
- blue discolouration
- increased HR
- increased RR
Complications of pneumothorax
- effusion
- haemorrhage
- empyema
- respiratory failure
- arrhythmias
- severe hypoxemia
- tracheal deviation away from affected lung
- hypotension
Treatment
- pain, infection and bleeding
How would the body attempt to restore homeostasis with a pneumothorax
The blood pressure decreases and there is a reduction of arterial oxygen
= results in increasing RR and HR
Define emphysema and describe its pathophysiology
= permanent abnormal enlargement of the respiratory tract distal to the terminal bronchioles and associated destructive changes of the alveolar wall
= loss of elastin and other major structural proteins in the lower airways, resulting in widespread destruction of alveoli
- abnormal dilation of the alveoli
- loss of the lung elasticity
Signs and symptoms of emphysema
- SOB
- fatigue
- insomnia
- cyanosis
- use of accessory muscles
Complications of Emphysema
- pneumonia
- collapsed lungs
- heart problems - lack of oxygen puts strain on the heart
How would the body attempt to restore homeostasis with emphysema
- increase HR and RR
Pathophysiology of chronic bronchitis
= results of inflammation for more than 3 months in the bronchi and bronchioles
- muscle spasms
- mucus production
- inflammation
Signs and symptoms of chronic bronchitis
- Chills, muscle aches, fatigue
- sputum producing cough
- blue bloater: poorly oxygenated lung causing cyanosis
- right sided heart failure due to pulmonary hypertension resulting from constriction of pulmonary blood vessels
- peripheral oedema due to right sided heart failure
- acidosis resulting from CO2 retention
Complications of chronic bronchitis
- persistent inflammation scarring the lining of the respiratory tract
- increased mucus secreting glands and goblet cells
- bronchial wall thickness due to increased bronchial smooth muscle
- may lead to CO2 retention
- respiratory failure,
- pneumonia,
- Enlargement and weakness of right heart ventricle of the heart caused by lung disease,
- pneumothorax
How would the body attempt to restore homeostasis with chronic bronchitis
- coughing to expel what is blocking the airways
Define pulmonary embolism and its pathophysiology
= a condition in which one or more arteries in the lungs become blocked by a blood clot
- this is due to a deep vein thrombi detaching