6.8 Exchange of gases in the lungs Flashcards
List the 4 types of lung disease you are expected to know.
Pulmonary Tuberculosis (TB)
Fibrosis
Asthma
Emphysema
How does Tuberculosis (TB) affect the respiratory system?
Immune system builds a wall around bacteria
Hard lumps called tubercules form
Surface area of lungs reduced
Infected tissue containing tubercules dies
What effect does TB have on the breathing of the patient?
Gaseous exchange surface is damaged.
Tidal volume is decreased.
Less air can therefore be inhaled with each breath.
Patients have to breathe faster in order to take up enough oxygen, this creates a faster ventilation rate.
What are the symptoms of Tuberculosis (TB)?
Increased ventilation rate Shortness of breath Chest Pain Reduced tidal volume Persistent Cough Coughing up blood and mucus Fatigue and weakness
What causes Tuberculosis (TB)?
Tuberculosis Bacteria
How does Fibrosis affect the respiratory system?
Large amount of scar tissue formed
Scar tissue reduces expansion of lungs
Surface area of lungs reduced
What are the symptoms of Fibrosis?
Shortness of breath Chest Pain Fatigue and weakness Dry cough Reduced tidal volume Reduced FVC Faster ventilation rate than normal.
Why does fibrosis have an effect on the function of the lungs?
A large amount of scar tissue is formed. This tissue is thicker and less elastic compared to regular lung tissue.
This means the lungs are able to expand at a lesser volume, therefore the patient can not take in as much air as normal.
What are the two most likely causes of fibrosis?
Exposure to substances such as asbestos
Infection
How does Fibrosis affect the volume of air the patient can take in?
Tidal volume is reduced
FVC is reduced
Reduction in rate of gaseous exchange.
Faster ventilation rate to allow patients to take in enough air into their lungs in order to oxygenate blood.
Why does fibrosis cause a reduction in the rate of gaseous exchange?
Diffusion is slower across a thicker scarred membrane due to a greater diffusion pathway.
What is the most common cause of Asthma?
Allergic reaction to substances such as pollen and dust
What are the symptoms of asthma?
Tight chest
Wheezing
Shortness of breath
What happens during an asthma attack?
Airways constrict as they become inflamed and irritated
Less oxygen reaches alveoli
Smooth muscle lining of bronchioles contracts
Large amount of mucus produced
Constricting the airways further as it becomes more difficult to breathe
How does asthma affect the respiratory system?
Due to constriction of airways, air flow in and out of the lungs is severely reduced.
Less oxygen enters the alveoli and into the bloodstream.
Reduced air flow means that FEV is severely reduced
How can the symptoms of asthma be relieved?
Use of drugs which cause the muscles in the bronchioles to relax and in turn open up the airways.
How does Emphysema affect the respiratory system?
Foreign particles become trapped in the alveoli
Inflammation of airways
Increased number of phagocytes in area
Phagocytes produce enzyme that breaks down elastin in alveoli
Alveoli lose shape due to less elastin and can’t recoil
Surface area of alveoli reduced due to destruction of the alveoli walls.
What are the symptoms of Emphysema?
Increased ventilation rate
Shortness of breath
Wheezing