ch 22 respiratory system p2 Flashcards

1
Q

respiratory volumes

A

amount of air that can be pushed into and out of lungs during ventilation

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2
Q

tidal volume

A

normal volume of air that moves into and out of lungs during normal breathing, 500 mL air

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3
Q

IRV inspiratory reserve volume

A

amount of air that can be inspired forcibly past tidal volume. 2100-3000 mL air breathe in until iu can’t

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4
Q

ERV expiratory reserve volume

A

amount of air that can be forced from lungs after normal tidal volume expiration 1000-1200 mL air
force air out until u can’t

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5
Q

RV residual reserve

A

amount of air left in lungs after forced expiration 1200 mL

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6
Q

can the lungs be void of all air

A

no, lungs can never be empty of air- even in dead

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7
Q

respiratory capacities

A

sum of two or more respiratory volumes.

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8
Q

inspiratory capacity IC

A

total amount of air that can be inspired after normal tidal volume expiration, how much air we can force in after we breathe out

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9
Q

IC=

A

TV plus IRV

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10
Q

functional residual capacity FRC

A

amount of air remaining in lungs after normal tidal volume expiration,

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11
Q

FRC=

A

RV plus ERV

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12
Q

vital capacity

A

total amount of exchangeable air

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13
Q

VC=

A

TV + IRV + ERV

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14
Q

what volume does not contribute to vital capacity

A

residual volume, it never leaves the lungs so it can’t contribute

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15
Q

total lung. capacity TLC

A

the total amount of air the lungs can hold after maximum inhalation, 6 L

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16
Q

TLC =

A

IRV + TV + ERV + RV

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17
Q

deadspace

A

air that fills conducting zone, but never contribute to gas exchange

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18
Q

anatomical dead space

A

150 mL air

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19
Q

what is the total volume used for gas exchange

A

350 mL for the exchange (500 from TV - dead space 150 mL)

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20
Q

alveolar dead space

A

air reaches alveoli but no gas exchange occurs. due to localized damage or alveoli collapse. ex smoking damage or mucus blockage temporary

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21
Q

total dead space

A

anatomical dead + alveolar dead, all non useful volumes

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22
Q

daltons law of partial pressure

A

total pressure exerted by a mixture of gases is sum of pressures exerted independently by each gas in the mixture

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23
Q

daltons law for dummies

A

total atm pressure = pressure of different gases that make up the air we breathe

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24
Q

how much N and O air in the air we breathe

A

N 79
O 20.9
rest is CO2 and water vapor

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25
Q

partial pressure

A

each individual gas in the mixture, PP of each gas is independent of the other no influence

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26
Q

why is partial pressure important

A

if we know the PP of each gas, we can see pressure gradients which drive diffuion into and out of blood

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27
Q

henrys law

A

gas will dissolve in liquid proportional to its partial pressure.

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28
Q

more PP = (henrys law)

A

more gas dissolved in liquid

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29
Q

gases dissolve best in liquid under what conditions of pressure, tem, and solubility

A

pressure- high
temp- low
solubility- high

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30
Q

is the PP of O2 greater in alveolar space as a gas or in blood as liquid? would O2 move into or out of the blood as liquid

A

PP more as gas, alveolar space. gas goes out into space, in the body CO2 leaves and diffuses from blood to lungs to become O2. O2 foes into blood as liquid

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31
Q

gas exchange occurs in

32
Q

3 factors which affect rate at which gas exchange occurs between alveoli and capillaries

A

PP gradients and gas solubility, thickness and surface area of respiratory membrane, ventilation perfusion coupling

33
Q

PP gradients and gas solubility alveoli

A

alveoli pressure > lung capillary pressure. O2 moves from alveoli into vblood

34
Q

what direction does CO2 move

A

CO2 moves from blood to lungs, equal amounts CO2 and O2 exchanged.

35
Q

thickness and surface area of respiratory membrane

A

respiratory membrane is so thin, gas exchange occurs fast. more SA more gas that can exchange, and alveolar SA is huuuuge

36
Q

ventilation perfusion coupling

A

optimal gas exchange results from equal amounts of gas reaching alveoli and blood supply to pulmonary capillaries

37
Q

perfusion is

A

blood flow thorough vessels

38
Q

influence of PO2 on perfusion

A

occurs at lungs, local PO2 low and local arterioles to those alveoli constrict

39
Q

why do local arterioles to those alveoli constrict when PO2 Is low

A

less blood to capillary where lungs don’t have O2, redirect blood flow to optimize O2 exchange. ensures it is good O2 intake

40
Q

what happen when local pO2 is high n why

A

local arterioles to those alveoli dilate, to flush blood and capillaries with more O2, blood intake is more

41
Q

influence of PCO2 on ventilation

A

local PCO2 high makes bronchioles dilate so CO2 eliminated faster and affects blood pH, PCO2 levels low they all constrict (usually to dispose of CO2 bc basic

42
Q

alveolar gas is composed of

A

mostly CO2 and water vapors.

43
Q

why is atm gas different from alveolar gas

A

gas exchange occurs in alveoli so O2 diffuses into blood and CO2 to alveoli.

conducting passages humidify air creating water vapor

mixture of air in alveoli inspiration brings new gases in, but reserve volume wit leftover air still exists

44
Q

internal respiration

A

gas exchange that occurs in body tissues

45
Q

PCO2 in tissues > PCO2 in blood, what direction does CO2 travel

A

high to low, opposite of lungs. CO2 enters blood tho

46
Q

PO2 in blood > PO2 in tissueswhat direction does O2 travel

A

cellular respiration moves blood to body tissues and O2 leaves blood

47
Q

what can be said about PP and diffusion gradients between internal and external respiration

A

external is high to low pressure in blood, internal is high to low in tissues

48
Q

oxygen is transported usually by

A

Hb, 4 O2 per 1 Hb. first O2 bind makes rest go go go

49
Q

why is it helpful for first O2 molecule to begin the unloading of the next 3 in Hb

A

1 heme bind 4 O2, 1 O2 facilitates other 3 so O2 more readily binds and the process is faster and Easier

50
Q

arterial blood is how saturated

51
Q

venous blood is how saturated

52
Q

why is venous blood not 0% saturated

A

venous blood is not completely deoxygenated, more than half the heme still bound, 75% is our reserve. ensures blood circulation before hypoxia happens.

53
Q

CO2 ways to transport

A

dissolved in plasma, bound to Hb, as bicarbonate ions in plasma.

54
Q

CO2 when bound to Hb

A

doesn’t bind heme, binds amino acids of globulin

55
Q

why do we not want CO2 to bind Heme or Fe

A

ensures fast and easy pickup so O2 and CO2 don’t have to compete w each other for transport spot

56
Q

bicarbonate ions in plasma with CO2 transport

A

most important, CO2 diffuses Into erythrocyte comb9nes with water to make carbonic acid. splits to form H+ and HCO3- (bicarb) THIS REACTION CAUSES FREE H+ TO RELEASE IN BLOOD PLASMA SO CO2 INFLUENCES BLOOD PH

57
Q

what will release when CO2 goes to bicarbonate

A

H+, buffered by RBC and maintains the pH of blood

58
Q

respiratory acidosis

A

too much CO2 so pH decreases. slow, shallow breathing

59
Q

respiratory alkalosis

A

too little CO2, pH increases, rapid deep breathing

60
Q

medullary respiratory center

A

two areas that set normal respiratory rhythm

61
Q

ventral respiratory group, VRG

A

neurons fire during inspiration and expiration, but do NOT fire at same time.

62
Q

dorsal respiratory group (DRG)

A

integrates info fro, other structures and delivers to VRG

63
Q

pontine respiratory center PRC

A

interacts with medullary respiratory centers to smooth respiratory patterns in pons. transports from inspiration to expiration.

64
Q

what does the CNS measure to determine breathing rate and depth

A

CO2 (most potent and closely controlled) and PO2 of arterial blood

65
Q

hypercapnia , what happens to blood pH and how does CNS change breathing rate to correct it

A

increase In PCO2 levels of blood, pH more acidic drops down.

too much CO2, H+ ions will cause blood pH to drop and chemoreceptors say HEY inc the breath rate and don’t notice a lot (person won’t) can hyperventilate to make it go down bc breathing in own CO2

66
Q

hypocapnia

A

decrease in PCO2 levels of blood, pH more basic and alkalosis, slows breath rate and depth, so pH will balance out

67
Q

PO2 of arterial blood

A

not much infleunce as CO2, venous blood reservoir is there so body can use it. if its a lot dropped, respiratory centers stimulated and ventilation inc

68
Q

COPD

A

group of conditions characterized by the physiological inability to expel air from lungs. irreversible, coughing hard to breathe q

69
Q

emphysema

A

type of COPD, permanent enlargement of alveoli and eventual destruction of their walls. lungs lose elasticity. bronchioles collapse and traps air in alveoli. leads to barrel chest bc ribs expand due t excess inside. damages pulmonary capillaries

70
Q

chronic bronchitis

A

chronic production of excess mucous due to inhaled irritants. lower respiratory passages enflamed over time and fibrous (scar tissue) so ventilation decreases. mucous won’t leave lungs, easy to get infection bc bacteria breeds in mucous

71
Q

asthma

A

temporary bronchospasm attacks with symptom free periods. allergic asthma most common, inflammation caused by IgE antibodies. no real cure but can be treated

72
Q

Tuberculosis

A

bacterial disease spread by inhaled air, 33% of world infected but usually not active, can spread past lungs, bad cough with fever and sweats as well as weight loss

73
Q

sleep apnea

A

temporary cessation of breathing during sleep
must wake up during sleep, due to lack of gas exchange. 30x per hour even, leads to fatigue as well as heart disease and strokw

74
Q

obstructive esleep apnea

A

upper air ways collapse during sleep. muscles associated with pharynx relax, airway closes. men common more. obesity worse. CPAP helps to make continuous airway response

75
Q

central sleep apnea

A

resp centers of brain slack during sleep so breathing rate not maintained. hard to treat.