Exam 3 Condensed Flashcards
Is the V/Q ratio higher at the top or bottom of the lungs and why?
high at top
due to GRAVITY, the apex is more ventilated by less perfused
What zone of the lungs are better ventilated and have experience the greatest volume change?
zone 3
What zone has the highest blood flow (most perfused)?
zone 3
What zone is the most ventilated?
zone 3
What zone has the higher PO2?
zone 1
What zone has the higher PCO2?
zone 3
What four mechanisms control breathing?
- control centers in brainstem
- chemoreceptors
- mechanoreceptors
- respiratory muscles
What are the 2 brainstem respiratory centers?
medulla
pons
What are the 2 respiratory groups of the medulla center?
dorsal
ventral
What does the dorsal respiratory group (DRG) do?
controls rhythm of inspiration
Where does the dorsal respiratory group (DRG) receive it signals from?
pre-Botzinger complex
Where does the dorsal respiratory group (DRG) send its signals?
diaphragm
What does the ventral respiratory group (VRG) do?
controls forceful expirations
Why is the ventral respiratory group (VRG) usually not active?
normal exhalation is passive
What respiratory group is responsible for the sign reflex with the help of the pre-Botzinger complex?
VRG
What are the 2 respiratory groups of the pons?
apneustic
pneumotaxic
What does the apneustic respiratory group do?
long inspiration with short expiration
What other respiratory group does the apenustic group talk with?
DRG (both deal with inspiration)
What does the pneumotaxic repiratory group do?
turns of DRG so it can control inspiration and rate of breathing
Where are the central chemoreceptors located?
under medulla in brainstem
What respiratory group do central chemoreceptors communicate with?
DRG
What molecule are central chemoreceptors most sensitive to?
[H+]
pH changes
Where are peripheral chemoreceptors located?
carotid body
aortic arch
What molecule are peripheral chemoreceptors most sensitive to?
changes in O2
What receptor receives more blood than organs?
peripheral chemoreceptors
Which peripheral chemoreceptor senses changes in pH while the other receptors does not?
carotid body receptors
What are the 2 mechanoreceptors?
irritant receptors
J receptors
What do irritant receptors do?
cause constriction of bronchial smooth muscles to increase breathing rate
- located in between epithelium
What do J receptors do?
sense enlargement of capillaries and will increase interstitial fluid (Starling force) to increase breathing
- located in alveolar walls near capillaries
What does the FEV1/FVC ratio represent?
percentage of a person’s vital capacity (FVC) that they can exhale in the first second of a forced exhalation (FEV1)
In asthma, is the FEV1 or FVC smaller and why?
FEV1
its harder to breath out
In fibrosis, is the FEV1 or FVC smaller and why?
FVC
harder to breath in
What is anatomic dead space?
volume of conducting airways
What is functional dead space?
hypoxic alveolar volume
What is physiological dead space?
functional + anatomical dead space
How do you calculate pulmonary minute ventilation?
tidal volume x breaths/min
How do you calculate alveolar ventilation?
(tidal volume - dead space) x breaths/min
What is tidal volume?
normal amount of air displace when breathing