Ch 22- Respiratory System Flashcards

1
Q

Functions of the respiratory system

A

gas exchange- O2 and CO2 with blood/air
Communication- speech, vocalizations
olfaction- smell
acid-base balance- pH influence of body fluids by eliminating CO2
Blood pressure regulation- synthesizes
blood and lymph flow- breathing creates pressure gradients
platelet production- made by megakaryocytes
blood filtration- lungs filter small clots
abdominal contents- breath holding assits in urination, childbirth etc

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2
Q

layers of respiratory membrane

A

-endothelium type I cells
-thin basement membrane
-capillary endothelium

-O2 coming in and CO2 exits

-type II cells- secrete macrophages

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3
Q

Gas exchange

A

pulmonary ventilation- air in and out of lungs

external respiration- gas exchange between lungs and blood

transport of gas exchange in blood

internal respiration- exchange of gases between blood and interstitial fluid

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4
Q

pulmonary ventilation- functions

A

-breathing (repetitive cycle, inhaling, exhaling)
-respiratory cycle (one complete inhale and exhale)
-quiet respiration (breathing at rest, effortless)
-forced respiration (deep, rapid, like exercise)

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5
Q

pulmonary ventilation- respiratory muscles

A

quiet resp- elasticity of lungs and thoracic cage, as muscles relax it recoils to original shape and become the size of thoracic cavity
-results in airflow out of lungs

forced resp- rectus abdominis, intercostals, lumbar, and pelvic muscles increase the pressure and pushes viscera up against diaphragm increasing thoracic pressure, forcing air out

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6
Q

what is valsalva maneuver

A

breathing technique to help expel content

-childbirth, urination, vomiting

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7
Q

pulmonary ventilation- respiratory cycle

A

-at rest, atmospheric pressure and intrapulmonary pressures are equal , no airlfow

-in inspiration, thoracic expands, intrapulmonary drops below atmospheric pressure and air flows in lungs

-in expiration, thoracic contracts, intra pressure rises above atm pressure and air flows out of lungs

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8
Q

pulmonary ventilation- resp control center in CNS

A

-unconscious breathing is controlled by resp centers in medulla and pons

-two resp centers in the medulla:
-VRG-primary generator of rhythm, signlas to spine, diaphragm and intercostals
-DRG- modifies rate and depth of
breathing, chemo, irriat and stretch receptors,

-one pair in pons:
PRG- modifies resp rate, sleep, exercise, coughing, talking

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9
Q

pulmonary ventilation- central and peripheral chemoreceptors and respiration

A

central chemo:

-pH- most important factor for regulation of breathing
-CO2

-peripheral: CO2, H+, O2

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10
Q

pulmonary ventilation- Pneumothorax

A

-presence of air in pleural cavity (cavity between lungs and thoracic with fluid )

-thoracic wall punctured
-air sucks though, becomes air filled cavity, allows lungs to recoil and collapse

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11
Q

pulmonary ventilation- atelectasis

A

collapsed part of all of lung

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12
Q

pulmonary ventilation- resistance to airflow

A

-increasing resistance and decreasing airflow

two factors influencing airway resistance:
-diameter of bronchioles: resistance increases during smaller tubles, dilation and constriction
-pulmonary compliance: ease for lungs to expand by change of volume from pressure change

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13
Q

pulmonary ventilation- surfactant and IRDS

A

-S: In your lungs, there are tiny air sacs called alveoli where oxygen gets into your blood.

Inside those sacs, there’s a bit of water, and water tends to stick together because of something called hydrogen bonds—this can make the sacs collapse so aveolar type II cells make surfactant which breaks up those sticky water bonds, making it easier for the air sacs to stay open. This lowers the surface tension

In premature babies, they might not make enough surfactant yet, so their lungs can have a hard time staying open. This is called Infant Respiratory Distress Syndrome (IRDS). Doctors treat them by giving artificial surfactant until their lungs are ready to make their own.

-IRDS: premature babies lacking surfactant making it harder for them to breathe so they re treated with artificial surfactant until they can make there own

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14
Q

Pulmonary Ventilation- Dalton’s law

A

total atm is the sum of all indiv gases (partial pressure)

-GO OVER SLIDES

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15
Q

External Respiration (AGE)- functions to swap across membrane in lungs

A

-the swapping of O2 and CO2 across the resp membrane
-for O2 to get in blood, it must dissolve in water and pass through the resp membrane and into bloodstream
-for CO2 to leave the blood, it must pass the other way and then diffuse out of the water into the alveolar air

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16
Q

Gas transport- Chem Equation

A

CO2 + H2O = H2CO3= H+ + HCO3-

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17
Q

Pulmonary Ventilation- Boyles Law

A

-inc in vol, dec in pressure

-dec in vol, inc in pressure

18
Q

External Respiration (AGE)- Composition Air

A

-78 % N
-20% O
-0.04% CO2
-0-4% water vapor
-minor gases

19
Q

External Respiration (AGE)- Henrys Law

A

-moves down the gradient until the partial pressure of the air equals a partial pressure of the water

-gases move from high to low pressure that’s why oxygen goes into the blood cause there’s more of it in the air and CO2 leaves the blood because there’s more of it in the blood than the air

-each gas mixture behaves independently

20
Q

External Respiration (AGE)- Alveolar Gas exchange

A

-CO2 more soluble in H2O then O2
-pressure gradient: O2 has a bigger change then CO2

-equal amount of O2 and CO2 are exchanged across the membrane, CO2 diffuses more rapidly

-membrane thickness so gases have farther to travel

21
Q

External Respiration (AGE)- Ventilation perfusion coupling

A

-air and blood flow are matched to each other

-requires good ventilation and perfusion of the capillaries

-pulmonary blood vessels change diameter depending on air flow

-for both: inc of airflow inc the blood flow and dec of air flow dec the blood flow

22
Q

How to Gas Transport/travel around in blood body

A

the process of carrying gases from alveoli to systemic and vis versa

-O2 mostly transported by hemoglobin from lungs to body
-CO2 mostly transported from bicarbonate ions from body to lungs

23
Q

gas exchange- oxygen

A

-arterial blood carries O2 in hemoglobin
-four globin portions, each binds one O2 to iron
-can carry up to 4 O2 each

-oxyhemoglobin (HbO2)- O2 bound to hemoglobin

-deoxyhemoglobin(HHb)- hemoglobin with no O2

24
Q

gas exchange- Carbon Dioxide

A

transported in three ways:
-freely as a gas (7%)

  • turned into carbonic acid dissolved in plasma (70%) (bicarbonate)

-sticks to proteins (amino acids) to form carbaminohemoglobin (23%)

-does not compete with O2

25
Gas exchange- Carbon monoxide poisoning
CO-type of gas in cigs, engines, fumes, furnaces -competes with oxygen for a spot on hemoglobin (bad) which is called carboxyhemoglobin
26
internal respiration (systemic gas exchange)
-unloading of O2 and loading CO2 at systemic capillaries -CO2 diffuses into the blood
27
Internal Respiration- systemic gas exchange diagram
draw and explain
28
Internal respiration (systemic gas exchange)- 4 factors of metabolic needs
-partial pressure -temp -pH -BPG
29
Internal respiration (systemic gas exchange)-chloride shift
keeps reaction proceeding, exchanges HCO3 for Cl H+ binds to hemoglobin
30
Internal respiration (systemic gas exchange)- inc and dec of the four factors
hemoglobin- like a delivery truck 🚚 that carries oxygen (O₂) to your body’s tissues, body tells hemoglobin to drop it off: - Low Oxygen Levels (↓ PO₂) - High CO₂ / Low Acid pH (Bohr Effect) -Higher Temperature -More BPG eg fever, exercise (Bisphosphoglycerate)
31
Blood gases and the respiratory rhythm
normal range: -pH of 7.4- most potent, mainited by pulmonary ventilation for pH brain -PCO2 of 40 mmHg -PO2- 95 mmHg -brainstem receives input from central and peripheral chemoreceptors that monitor CSF and blood
32
Blood gases and the respiratory rhythm-resp acidosis and alkalosis
-pH imbalance resulting from mismatch of of pulmonary ventilation and CO2 production -hyperventilation can be a response from acidosis -blowing off CO2 faster then productions, pushing reaction to the left and reduces H+ which inc pH
33
Blood gases and the respiratory rhythm- CO2 effects on breathing
-has strong indirects on effects on respiration (through pH) direct: stimulates peripheral chemoreceptors and trigger ventilation quickly
34
Blood gases and the respiratory rhythm- O2 effects on breathing
-little effect of respiration -hypoxia- inability to use oxygen types: -chronic hypoxemia- PO2 less then 60 mmHg Hypoxemic Hypoxia- low Po2 in the blood hypoxic drive- long term hypoxemia causes for all: high elevation, drowning, diseases
35
Respiration and Exercise
-increases respiration during exercise -looking at stairs can change it from motor signals in brain exercise stimulates proprioceptors of muscles and joints and increase breathing to inform muscles are moving
36
COPD- chronic obstructive pulmonary disease
-long term air flow obstruction -usually from smoking, but also from air pollution, hereditary defects -major COPD is bronchitis and emphysema
37
chronic bronchitis
-severe -inflammation of lower resp tract -excess thick mucus -cough to bring up mucus -symtoms- hypoxemia
38
emphysema
-alveolar walls break down -lungs less elastic -air passage collapse -weak thoracic muscles
39
lung cancer
- most common death of cancer -caused from smoking mainly -squamous cell carinoma is the most comon lung cancer -dividing cells invade bronchial wall and cause bleeding lesions -dense swirls of keritin -small cell carcinoma- common in women, least common, most dangerous
40
- Pneumonia
thickening of resp membrane -inflames lungs -fluid fills in sacs
40
Conducting Zone Respiratory Zone Function
conduct: Transports air to the site of gas exchange; filters, warms, and humidifies incoming air. Resp: Site of gas exchange (oxygen and carbon dioxide) between the air and the blood.
42
What are the four processes required for oxygen to reach the tissues and CO2 to leave the body?
Pulmonary ventilation, external respiration, gas, transport, internal respiration