chapter 7 Flashcards
Muscles of inspiration
Diaphragm
external intercostals (in pockets)
scalenes - top 2 ribs
sternomastoid - sternum
Muscles of expiration
Rectus abdominis Internal oblique muscles External oblique muscles Transversus abdominis Internal intercostal muscles
causes of increased compliance
normal aging lung
emphysema
causes of decreased compliance
pulmonary fibrosis
alveolar edema
collapse/atelectasis
what is normal compliance of human lung?
200 ml/cm water
what is specific compliance
compliance per unit volume of lung
What is Laplace’s law?
P = 4T/r
where P is pressure, T is surface tension, and r is radius.
When only one sur- face is involved in a liquid-lined spherical alveolus, the numerator is 2 rather than 4.
What is physiological advantage of surfactant?
- low surface tension on alveoli increases compliance of the lung and reduces the work of expanding it with each breath
- alveoli stability promoted (prevents small bubbles from collapsing while big bubbles keep getting bigger - Laplaces law)
- keeps alveoli dry
- reduced surface tension of alveoli reduces the hydrostatic pressure in the tissue outside the capillaries - prevents transudation of fluid
what is interdependence
support offered to lung units by those surrounding them
- same principle for blood vessels as the lung expands
regional difference in intrapleural pressure?
less negative at bottom psrt of lung
- harder to blow up from RV
- airway closure at base
What is the equation for the total compliance of the lung and chest wall?
1/CT = 1/CL + 1/CCW
At what TLC does the chest wall hit equilibrium?
75% VC
What is Reynolds number equation and what is the significance?
Re = 2rvd/n
r = radius, v = average velocity, d =density, n = viscosity
Measure of inertial forces to viscous forces
Re > 4000 = turbulent flow
Re > 2000 = transitional flow
Re < 2000 = laminar flow
Turbulent flow is more likely to occur when tube diameter high and velocity high
Fully laminar flow in small airways where Reynold number = 1
what is poiseuille law for laminar flow?
volume flow rate = P(pi)r^4/8nl
n = viscosity, l = length, pi= 3.`1415
P = K * volume flow rate
VISCOSITY OF GAS IS MORE IMPORTANT
What is pressure equation for turbulent flow?
P = K * (volume flow rate)^2
DENSITY OF GAS IS MORE IMPORTANT