Aging on the Pulmonary System Flashcards
Changes in Chest Wall
- decr ROM of costovertebral joints
- loss of proteoglycans and H20 in discs
- decr height of discs
- incr kyphosis
- incr work of breathing
____ closing volume
-increased
increased residual volume cause airways to collapse
Increased closing volume causes:
-vent/perfusion mismatching b/c air distributed unevenly
pulmonary system is often the limitation to _____ in older pts
-exercise
changes in lung parenchyma
- decreased:
- -# of radially arranged elastic fibers in small airways->collapsing
- -forced vital capacity
- -forced expiratory volume
- -forced expiratory flow
- -FEF
_____ elastic recoil
-decreased
decreased elastic recoil causes:
-increased residual volume
Closing Volume
-volume of lung at which dependent airways begin to close during expiration
changes in pulmonary vasculature
-decr # of pulmonary capillaries leading to decr diffusion capacity
decreased surface area leads to:
decr diffusing capacity
changes in respiratory Mm
Decreased:
- # type I and II fibers
- # motor units
- capability of neuromuscular junction to transmit impulses
- diaphragm strength & endurance
decrease strength and endurance of diaphragm causes:
-increased use of accessory Mm