Chapter 16: Respiratory Physiology Flashcards

1
Q

What are the Alveoli and how many are there in the lungs?

A

Tiny air sacs that exchange gas in the lungs. There are estimated 300 million air sacs. They provide a larger surface area.

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2
Q

Why are Macrophages in alveoli?

A

Pulmonary macrophages can phagocytose particles that enter the lungs.

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3
Q

What is surfactant? Why do we need it?

A

It is a biological soap that is secreted into the alveoli by type II alveolar cells made up of phospholipids. Surfactant is interspersed between water molecules reducing H bonds, reducing the surface tension.

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4
Q

What is another name for the Cricoid Cartilage

A

Adam’s apple

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5
Q

Where is the glottis and vocal cords (true and false cord)?

A

In the larynx. The glottis is a hole and the true vocal cord closely surrounds it. The false vocal cord is in the ventricular fold and the epiglottis is a skin flap that goes over the glottis

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6
Q

What is Lung Compliance and how can it be symbolically represented?

A

It is the change in lung volume per change in transpulmonary pressure. Change V/Change P. A given transpulmonary pressure, in other words, will cause greater or lesser expansion, depending on the compliance of the lungs.

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7
Q

What decreases lung compliance?

A

The infiltration of lung tissue with connective tissue proteins, a condition called Pulmonary Fibrosis. If the lungs were filled with concrete, transpulmonary pressure would not increate so the compliance would be zero.

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8
Q

What is the Law of Laplace?

A

The pressure created by surface tention should be greater in the smaller alveolus than in the larger alveolus. This implies that (without surfactant) smaller alveoli would collapse and emply their air into larger alveoli.

(2 x surface tension)/radius=pressure created by surface tension.

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9
Q

What does surfactant do?

A

It becomes interspersed between water molecules to reduce the hydrogen bonds between water molecules to reduce surface tension. Made up of phospholipids.

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10
Q

What is a restrictive disorder? Give examples

A

the vital capacity is reduced to below normal. However, the FEV is normal. EX: pulmonary fibrosis, emphysema

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11
Q

What is an obstructive disorder? Give examples

A

The VC is normal b/c lung tissue is not damaged. However, Expiration is difficult (FEV). Obstructive disorders are diagnosed via testing FEV. If FEV is below 80%, there is a presence of obstructive pulmonary disease. EX: Bronchoconstriction, asthma

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12
Q

What is emphysema?

A

It is a restrictive disease that destroys alveolar tissue resulting in fewer alveoli»> reducing surface area for gas exchange. This results in the ability of bronchioles to remain open during expiration–> collapsing the bronchioles.

Smoking can cause this.

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13
Q

What is Chronic Obstructive Pulmonary Disease (COPD)?

A

Chronic inflammation of airways and destruction of alveolar walls. caused by cigarette smokes free radicals.

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14
Q

What is Dalton’s Law?

A

It is the total pressure of gas mixture (like air) is equal to the sum of the pressures that each gas in the mixture would exert independently. Like a dry atmosphere=760mmHg. N2+O2+CO2=760mmHg

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15
Q

What is Partial Pressure?

A

The pressure that a particular gas in a mixture exerts independently.

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16
Q

What conditions create an environment that could cause Oxygen Toxicity?

A

Breathing 100% oxygen at one or two atmospheres pressure can be safely tolerated for a few hours. Being over oxygenated can cause damages to the nervous system by the OXIDATION OF ENYMES.

17
Q

What is Decompression Sickness AKA “the bends” ?

A

If a diver surfaces slowly, a large amount of nitrogen can diffuse through the alveoli and be eliminated in the expired breath. Bubbles of N2 gas form in the tissue fluids and enter the blood. This process in analogous to the formation of carbon dioxide.

18
Q

What forms the Rhythmicity Center?

A

The respiratory rhythm is generated by a loose aggregation of neurons in the ventrolateral region of the medulla oblongata which forms the rhythmicity center for the control of automatic breathing.

19
Q

What does the apneustic center promote? How?

A

Appears to promote inspiration by stimulating the inspriatory neurons in the medulla.

20
Q

What does the pneumotaxic center do?

A

seems to antagonize the apneustic center and INHIBIT inspiration. This center is closest to the Pons and midbrain.

21
Q

What are Chemoreceptors sensitive to?

A

changes in the pH of brain interstitial fluid and cerebrospinal fluid, AND in the P-co2, pH and P-o2 of the blood. A lowered pH (more acidic) causes less O2 which raises CO2 levels.

22
Q

Where are central chemoreceptors?

A

In the medulla oblongata

23
Q

Where are peripheral chemoreceptors?

A

In the aorta and the carotid arteries

24
Q

What is the pathway of the regulation of ventilation by the CNS?

A

See Fig. 16.26 on page 555

25
Q

What is Oxygens effect in blood?

A

The oxygen content of the blood decreases slowly b/c of the large “reservoir” of oxygen attached to hemoglobin.

The content of blood, on the other hand, is not significationly increased by hyperventilation (b/c HEMOGLOBIN in arterial blood is 97% SATURATED with OXYGEN even during normal ventilation.

26
Q

What is Carbon Dioxide effect in the blood?

A

During hyperventilation, conversely, blood P-co2 quickly falls and pH rises because of the excessive elimination of carbonic acid.