Chapter 21: Respiratory function and alterations in gas exchange Flashcards

1
Q

what are the structures of the upper airway?

A

nasopharynx
oropharynx
laryngopharynx

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2
Q

what are the structures of the lower airway

A
larynx 
trachea 
bronchi 
bronchioles 
alveoli
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3
Q

what does the nasal cavity function in?

A

conducts gases to an from the lungs
filters, warms and humidifies the air
heat exchange system

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4
Q

what is ciliary function impaired by ?

A

smoking, alcohol, hypothermia, hyperthermia, cold air, low humidity, starvation, anesthetics, corticosteroids, noxious gases, the common cold, increased mucus production

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5
Q

where is the eustachian tube located?

A

between the middle ear and posterior nasopharynx

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6
Q

true or false: gas exchange occurs in the conducting airways

A

false

no gas exchange occurs in the conducting airways

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7
Q

what are the conducting airways ?

A

trachea
bronchi
bronchioles

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8
Q

what do the conducting airways help assist in?

A

passage of gases to the alveoli where gas exchange occurs

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9
Q

alveolar macrophages do what?

A

phagocytize foreign particles

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10
Q

true or false: type II alveolar cells produce surfactant

A

true

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11
Q

what are the partial pressures of gases in alveoli?

A

PAO2 for oxygen

PACO2 for carbon dioxide

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12
Q

what are the partial pressures of gases in the blood?

A

PAO2

PACO2

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13
Q

blood supply to the lungs comes from where?

A

bronchial arteries

pulmonary arteries

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14
Q

what is the function of the bronchial arteries ?

A

supply small amounts of oxygenated blood to pleura and lung tissue

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15
Q

what is the function of the pulmonary arteries?

A

vast network of capillaries that provide gas exchange

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16
Q

what happens once blood leaves the right ventricle?

A

goes to the pulmonary arteries (unoxygenated) and then to the pulmonary arterioles to the capillary membrane for gas exchange

17
Q

true or false: the respiratory system in children is significantly different from that of adults which makes children more susceptible to obstruction, aspiration, and infection

18
Q

true or false: vital capacity is the volume of gas that can be exhaled during maximal expiration

19
Q

what does surfactant function in?

A

decreases surface tension, allowing the alveoli to open easily with each breath

20
Q

what happens during inspiration?

A

the chest wall muscles contract, elevating the ribs as the diaphragm moves downward creating a negative intrapleural pressure

21
Q

what happens during expiration?

A

lung deflates passively because of elastic recoil and relaxation of the diaphragm

22
Q

airway resistance is provided from?

A

radius of airways
elastic fibers
surface tension in the alveoli

23
Q

true or false: chemoreceptors respond to changes in arterial CO2 and pH

24
Q

normal perfusion, but low alveolar ventilation causes?

A

collapsed lung
pneumonia
ARDS

25
true or false: thickening of the alveolar-capillary membrane cannot cause impaired diffusion
false
26
hypoxemia is defined as?
deficient blood oxygen as measure by low arterial O2 and low hemoglobin saturation
27
hypoxia is defined as ?
decrease in tissue oxygenation
28
acute respiratory failure results in?
state of disturbed gas exchange low PAO2 high PACO2 greater than 50 mmHg pH less than 7.30
29
what are the three mechanisms of secondary pulmonary HTN?
increased pulmonary blood flow increased resistance to blood flow increased left atrial pressure
30
what is one way to diagnose pulmonary hypertension?
ECG
31
describe a pulmonary embolism
an undissolved detached material that occlude blood vessels
32
what are 3 factors that virchow said causes thrombus formation?
venous stasis/ sluggish blood flow hypercoagulability damage to the venous wall
33
what are the four major types of pulmonary malignancies?
large cell carcinoma small cell carcinoma squamous cell carcinoma adenocarcinoma