chapter 22 Flashcards

Respiratory system

1
Q

What are the 4 processes involved in respiration

A
  1. pulmonary ventilation
  2. external respiration
  3. gas transport
  4. internal respiration
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2
Q

What does the respiratory system and circulatory system do

A

Together they carry out four processes that supply the body with oxygen and rid the body of carbon dioxide

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3
Q

Describe Dalton’s law of partial pressure

A
  1. Total pressure exerted by a mixture of gases is the some of the pressure exerted by each gas
  2. partial pressure of each gas is directly proportional to its percentage in the mixture
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4
Q

Describe Henry’s law for gas exchange

A
  1. when a mixture of gases is in contact with a liquid each gas will dissolve in the liquid in proportion to its partial pressure
  2. the amount of gas that will dissolve in a liquid also depends upon its solubility. (i.e. CO2 is 20x more soluble than O2 when in water)
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5
Q

What does a spirometer do

A

It measures respiratory volumes and capacities

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6
Q

Describe lung compliance (EXAM)

A

It’s the ability of the lung to respond to changes in transpulmonary pressure

  1. the higher the compliance unless the effort needed to breathe
  2. it’s normally high because of distensibility of the lung tissue and surface tension within the pleural cavity
  3. lung compliance can be diminished by nonelastic scar tissue, reduced production of surfactant, decreased flexibility of the thoracic cage, or blockage of smaller respiratory passages
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7
Q

Describe respiratory volumes and total lung capacity

A
  1. Tidal Volume (TV) - average air moved in/out in single breathe (500mL)
  2. Inspiratory reserve volume (IRV) - the maximum amount that can be inhaled in addition to TV. (~2400mL)
  3. Expiratory reserve volume (ERV) - the maximum amount that can be forcefully expired out after TV. (~1000mL)
  4. Residual Volume (RV) - Volume left in the lungs after a forceful expiration (which prevents collapse of airways and lungs) (~1100mL)
    TOTAL LUNG CAPACITY(TLC) = TV + IRV + ERV + RV = 5000mL
    VITAL LUNG CAPACITY(VLC) - volume moved in/out with as deep a breath as possible = TV + IRV + ERV = ~80%TLC or 4000mL
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8
Q

Describe external respiration

A
  1. between the inhaled air and the blood in the alveoli
  2. o2 and CO2 are exchanged across the respiratory membrane by simple diffusion
  3. direction of diffusion depends on the partial pressure, or concentration, gradients of the gases
  4. there must be equal ventilation perfusion coupling. The amount of gas reaching the alveoli must equal the amount of blood reaching the Alveoli
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9
Q

Describe ventilation perfusion coupling

A
  1. the amount of gas reaching the alveoli must equal the amount of blood reaching the Alveoli
  2. Changes in Po2 in the alveoli cause diameter of arterioles to change. o2 high = dilate, to increase blood flow
  3. changes is Pco2 in the alveoli cause the diameters of the bronchioles to change. high co2 = dilate, increases air flow
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10
Q

Describe internal respiration

A
  1. gas exchange in body tissues between blood and tissue cells
  2. partial pressures and diffusion gradients are reversed compared to external respiration
  3. oxygen is normally used at the same rate that CO2 is produced
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11
Q

Describe the influence of Po2 on hemoglobin saturation

A
  1. binding and releasing of o2 is influenced by the Po2 of the blood
  2. Hemoglobin hangs onto oxygen in areas where the oxygen concentration is high and releases it where oxygen concentrations are very low. This ensures that all tissues get enough oxygen and this a large VENOUS RESERVE that can be used if needed. blood leaving tissue is STILL 75% saturated with o2
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12
Q

Describe the four homeo static imbalances of oxygen transport: HYPOXIA - shortage of o2 to tissues leads to cyanosis

A
  1. anemic hypoxia is insufficient red blood cells
  2. Ischemic hypoxia, is blocked blood supply to tissues
  3. histotoxic hypoxia, cells cannot utilize oxygen (i.e. cyanide)
  4. Hypoxemic oxygen is not getting to RBC’s (CO poisoning)
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13
Q

List the three forms in which CO2 is transported in the blood

A
  1. 7-10% dissolved in the plasma
  2. 20% bound to glob in of the Hb as carbaminohemoglobin
  3. 70% is carried as bicarbonate ion (HCO-) in plasma
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14
Q

Compare contrast the Bohr effect and Haldane effect

A

As carbon dioxide enters the bloodstream it causes more oxygen to disassociate from hemoglobin (Bohr effect), which in turn allows more carbon dioxide to combine with hemoglobin and more bicarbonate ions to be formed (haldane effect)

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15
Q

describe the influence of CO2 on blood pH

A

HCO3 bicarbonate in plasma is the alkaline reserve of the carbonic acid-bicarbonate buffer system. Essentially, if pH changes the H+ is either removed by combining with the HCO3 (if + H+) OR (if - H+) drops then H2CO3 dissociates releasing H+, which returns pH to normal levels.

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16
Q

name the blood circuit that delivers o2 to the lungs tissues themselves

A

bronchial circuit

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17
Q

alveolar cells that produce surfactant

A

Type II - cuboidal cells

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18
Q

alveolar cells that perform gas exchange

A

Type I - squamous

19
Q

filling and emptying of the lungs is called this

A

ventilation

20
Q

process by which gases move from the alveolar air into the blood

A

simple diffusion

21
Q

what do you call a lung collapse caused by injury to the chest

A

Pneumothorax, which leads to Atelectasis (lung collapse)

22
Q

irritants entering this area trigger sneezing

A

nasal cavity

23
Q

the cavity in the left lung that accommodates the heart

A

cardiac notch

24
Q

name given to the amount of air moved in and out of the lungs during quiet breathing

A

tidal volume

25
type of cartilage forming the epiglottis
elastic
26
ability of the lung to stretch in response to pressure changes
lung compliance
27
name given to the maximum volume of air moved in and out of the lungs with deep breathing
vital capacity
28
where are the vocal cords located and describe
larynx | fold of mucosa over vocal ligaments where vibration produces sound
29
type of epithelium that lines the trachea
ciliated pseudo stratified columnar with goblet cells
30
in the trachea, what is the connective tissue with C shaped cartilage rings called
Adventitia
31
what is the carina in the trachea
the last tracheal cartilage point where it branches into the L/R bronchi's
32
intercostal muscle involved in forced expiration
internal intercostals
33
what three structural changes occur in the bronchi and subdivisions
1. cartilage changes from C ring , to having no cartilage in the bronchioles 2. epithelium changes ciliated pseudo stratified columnar, to columnar (w/some cilia), to cuboidal epithelium in the bronchioles 3. relative amount of smooth muscle INCREASES as the tubes get smaller
34
What do the parasympathetic and sympathetic fibers do in relation to breathing
Parasympathetic fibers CONSTRICT the bronchioles, decreasing air intake Sympathetic fibers DILATE the bronchioles, increasing air intake. (fight or flight)
35
describe Boyle's law on the relationship between pressure and volume of gas
At a constant temperature the pressure exerted by a gas varies INVERSELY with its volume. ie. if volume decreases, pressure increases
36
describe the adhesion of the lungs to the thoracic wall
Opposing forces: surface tension within the alveoli. The elastic recoil of lungs decreases lung size Favouring forces: surface tension within the pleural cavity. the elasticity of the chest wall pulls the thorax outward and enlarges the lungs
37
what is hypercapnia
excessive co2 in the blood which increases pressure and accumulates in the brain
38
what is hypocapnia
decline in co2 levels which causes cerebral ischemia and vasoconstriction
39
what are the two neural mechanism centers in the medulla
1. Ventral respiratory group | 2. Dorsal respiratory group
40
what does the ventral respiratory group do
1. sets normal breathing rate (eupnea) | 2. stimulates the Phrenic and intercostal nerves to further contract the diaphragm and external intercostals
41
what is the neural mechanism found in the pons and what does it do
the Pontine respiratory group. smooths out the transition between inspiration and expiration and also modifies breathing rhythm to accommodate activities like speaking, exercising, and sleeping. Damage to this PRG will result in apneustic breathing
42
what three neural factors cause increase in ventilation (HYPERPNEA) as exercise begins
1. anticipation 2. motor cortex activates 3. preparation for action
43
list some important factors affecting breathing rate
A. Pco2 is strongest stimulus to respiratory centres - directly via increase in H+