Breathing Flashcards

1
Q

what controls breathing

A

respiratory pacemaker in medulla

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2
Q

what is the control of breathing sensitive to?

A

pH and CO2 levels

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3
Q

what is the name of
-air coming into lungs
-blood coming into lungs

A

air - ventilation
blood - perfusion

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4
Q

where does gas exchange occur in the lungs

A

alveoli

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5
Q

what lines the inside of the lungs, blood vessels, nerves and bronchi

A

visceral pleura

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6
Q

subunits of haemoglobin

A

2 alpha, 2 beta

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7
Q

oxygen haemoglobin dissociation curve axes

A

saturation of haemoglobin(%)/oxygen (partial pressure kPa)

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8
Q

more oxygen in environment results in what

A

quicker and increased oxygen pick up

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9
Q

what does a shift to the right on the oxygen haemoglobin dissociation curve mean

A

less affinity for oxygen, gives it up more readily (happens in tissues needing O2)

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10
Q

what causes a right shift on oxygen haemoglobin dissociation curve

A

increased CO2
increased H+ (more acidic)
increased temperature
increase in the metabolite 2,3 DPG

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11
Q

how is CO2 transported?

A

acid (product of metabolism) combines with bicarbonate (enzyme) to form carbonic anhydrase then forms CO2 and H2O
all occurs in haemoglobin

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12
Q

% oxygen saturation of haemoglobin

A

97%

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13
Q

what is used to estimate the degree of saturation of haemoglobin

A

light shined through finger = absorption spectroscopy

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14
Q

what causes not enough oxygen to get into the lungs?

A

low oxygen environments, diseases obstructing flow (eg asthma, COPD)

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15
Q

pathology of asthma

A

airway inflammation narrows airway

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16
Q

COPD overview

A

smoking related
increased mucus production obstructs airway and collapse of airways

17
Q

diseases affecting gas eschange

A

something in the way?
alveolar thickening?

18
Q

pneumonia?

A

fluid in alveoli
ventilation to perfusion mismatch - blood cant get oxygenated
patients given lots of oxygen

19
Q

what happens during pulmonary fibrosis

A

alveolar thickening

20
Q

what causes not enough blood in lungs

A

pulmonary embolism

21
Q

treating low oxygen levels

A

give oxygen therapy
treat underlying cause (different for each condition)