5. Respiratory Physiology Flashcards
Structure of the Respiratory System Mechanisms for Inspiration and Expiration Gas Exchange Gas Transport in Blood Respiratory Pathology
What is Cellular Respiration?
Metabolic processes use O2 to produce CO2, they derive energy from nutrient molecules
What does the Respiratory Quotient (RQ) mean?
Ratio of CO2 produced to O2 consumed. Vaires depending on foodstuff consumed.
What is External Respiration?
Exchange of O2 and CO2 between environment and organism.
Name the 4 steps of External Respiration.
Ventilation, O2 and CO2 exchange between air in alveoli an blood in capillaries, Transport of O2 and CO2 in blood to tissues, and excahnge between tissues and blood
What is an airway?
Pathway of air into lungs
Describe the structure of Trachea and Bronchi
Rigid tubes, rings of cartilage to avoid collapsing.
Describe the structure of Bronchioles
No cartilage, walls contain smooth muscle (autonomic NS). Sensitive to certain hormones and chemicals
Describe the structure of Alveoli
Thin Walled inflatable sacs. The site of Gas Exchange.
What is the difference between Type 1 and Type 2 alveolar cells.
Type 1 is one cell thick, short diffusion distance. Type 2 secretes surfactant
What is the role of Alveolar macrophages and the Pores of Kohn?
Macrophages guard lumen and pores allow airflow between neighbouring alveoli (collateral ventilation)
Name 3 features of alveoli that make it effective for its function.
Large surface area, thin walls (one cell thick) and surrounded by capillary vessels. (increase diffusion)
What is the diaphragm made from?
Smooth muscle
What is the role of the Diaphragm?
Separates thoracic cavity from abdominal cavity.
What is the pleural sac?
Double-walled, closed sac separating each lung from theoracic wall.
What is the pleural cavity.
Area which surrounds the lung. It allows room for the lungs to expand and contract, and is designed to make it easy for the lungs to inflate after they have deflated
What is the function of intrapleural fluid?
Secreted by surfaces of the pleura and it protects the lung from damage.
Name the 4 primary functions of respiratory system.
Exchange of gases between air and blood, homeostatic regulation of body pH, defence against inhaled pathogens and irritating substances (cilia, Mucus escalator and macrophages), and vocalisation.
Name the three pressures to consider in the respiratory system.
Atmospheric, Intra-alveolar and intrapleural pressure.
If alveolar pressure is greater than atmospheric pressure, where does the air go?
Flows out of lungs to the environment.
What is Boyle’s Law?
At any constant temperature, pressure exerted by a gas vaires inversely with the volume of a gas. Change in lung size changes pressure.
What is the transpulmonary pressure?
Pressure inside the lungs minus the pressure in the intrapleural fluid (outside lungs)
Name the nerves that the diaphragm and intercostal muscles are innervated by.
Diaphragm: Phrenic Nerve
Intercostal muscles: Intercostal nerve.
What happens to the diaphragm during inspiration which allows air to enter lungs?
Diaphragm contracts and flattens to lower the volume of the intrapleural pressure. The lungs expand into this area of lower pressure which increases the volume of the lungs and lowers intra-alveolar pressure below the atmospheric pressure so air move in.
Other than the diaphragm, what other structures further enlarge the thoracic cavity which further increases the volume of the lungs.
Contraction of accessory inspiratory muscles.
What decreases the size of the chest cavity during expiration?
Relaxation of inspiratory muscles, diaphragm and muscles of the chest wall. Elastic recoil of the alveoli.
What happens to the intrapleural pressure during expiration?
Increases
What happens during forced expiration?
Internal intercostal muscles contract to further reduce the volume of the lungs to force more air out of the lungs.
What is compliance?
Effort needed to stretch lungs. The change in volume due to a given force or pressure. -V/P
What causes recoil?
Highly elastic connective tissue in lungs. Alveolar surface tension.
What is the function of the surfactant?
Produced by type 2 alveolar cells. Contain phospholipid molecules which lowers surface tension of liquid lining alveoli so pressure needed to hold alveoli open is reduced.
What is the law of LaPlace?
P = 2T/R
What is the main determinant of airway resistance?
Diameter of conducting airway.
What can mucus accumulation cause?
Increased resistance
What affect does the collapsible tubes of the Bronchioles have on the airway resistance?
Increases airway resistance.
What other factors increase airway resistance?
Large lengths of system and high viscosity of substance flowing.
Define tidal volume
Volume of air per breath (500ml)
Define Inspiratory Reserve
Extra Volume that can be max inspired. (3000ml)
How do you work out Inspiratory capacity?
Tidal Volume + Inspiratory Reserve (3500ml)
Define Expiratory Reserve
Extra Volume that can be expired by maximal contraction beyond normal. (1000ml)
Define Residual Volume.
Minimal volume remaining in lungs after maximal expiration. (1200ml)
Define Functional Residual Capacity.
Volume of air in lungs at end of normal expiration. (Expiratory Reserve + Residual Volume) (2200ml)
Define Vital Capacity
Maximum volume of air moved in a single breath after maximum inspiration. (Inspiratory reserve + Tidal Volume + Expiratory Reserve) (4500ml)
Define Total Lung Capacity.
Maximum volume that the lungs can hold. (Vital Capacity + Residual Volume) (5700ml)
Define Forced Expiratory volume in 1 sec
Volume of air can be expired during the first second of expiration in a vital capacity determination.
How do you work out Minute Ventilation?
Tidal Volume x Respiratory Rate.
What is dead space?
Air that fills the conducting respiratory passageway and never contributes to gas exchange
What is Alveolar dead space?
Inspired fresh air not used for gas exchange with the blood even though it reaches alveoli.
How do you work out alveolar ventilation?
(Tidal Volume - Dead Space) x Respiratory Rate.