Handout 1: Resp Sys 1 Flashcards

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1
Q

primary muscles of inspiration

A

diaphragm, external intercostals

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2
Q

primary muscles of expiration

A

abdominal muscles (rectus abdominis, external oblique, internal oblique, transverse abdominal) and internal intercostals

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3
Q

secondary muscles of exp/insp

A

several neck and thorax muscles

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4
Q

quiet breathing involves

A

Primarily contraction and relaxation of the diaphragm

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5
Q

adult quiet rest breathing rate

A

12-18 BPM

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6
Q

Infant quiet rest breathing rate

A

40-70 BPM

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7
Q

children quiet rest breathing rate

A

18-25 bpm

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8
Q

Why is the rate of quiet rest breathing the way it is?

A

inhale/exhale time 40/60%; nose breathing predominates over mouth, abdominal movements (diaphragm) predominate over rib cage movements

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9
Q

tidal volume

A

the volume of air that we breath in and out during a cycle of respiration

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10
Q

norms for TV for age/gender

A

adult male = 600 - 750 cubic centimetres (cc) or millilitres (ml) or .60 - .75 litres (l)

adult female = 450 cc

increases with age; 7yrs = 200 cc; 13yrs = 390 cc (see table 2.5 or (7.5))

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11
Q

Vital capacity

A

volume of air that can be exhaled after maximum inhalation

total volume of air available

combination of 3 volume; 1. inspiratory reserve volume 2. expiratory reserve volume 3. tidal volume

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12
Q

norms for VC by age

A

VC for young adults 5000 – 5300 cc

VC for children 5yrs = 1000 – 1200 cc; 13yrs = 3000 - 3500 cc (table 2.5 or (7.5))

VC decreases by about 10-20% for older adults; 75yrs = 4500 cc (table 2.6 or (7.6))

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13
Q

Within your total respiratory range (vital capacity), where does your rest breathing take place?

A

10%

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14
Q

Within your total respiratory range (vital capacity), where does your speech breathing take place?

A

20%

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15
Q

Within your total respiratory range (vital capacity), where does your loud speech breathing take place?

A

40%

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16
Q

Within your total respiratory range (vital capacity), where does your child speech breathing take place?

A

35%

17
Q

Inspiratory reserve volume (IRV)

A

volume of air that can be inhaled above tidal volume

18
Q

Expiratory reserve volume (ERV)

A

volume of air that can be exhaled below tidal volume

19
Q

residual volume RV

A

volume of air remaining in lungs after a maximum expiration and that cannot be voluntarily expelled (adults 1000-1500cc)

20
Q

Functional residual capacity (FRC)

A

volume of air remaining in the lungs and airway at the end-expiratory level (ERV+ RV)

21
Q

Total lung capacity

A

total amount lungs can hold; TV + IRV + ERV + RV

22
Q

Maximum Respiratory Performance (Volume)

A

maximum phonation time (MPT) can be used as a rough estimate of maximum respiratory volume but it is influenced by laryngeal function. High laryngeal resistance can inflate MPT values

23
Q

MPT norms for gender and age

A

young adult males = 28 sec (22-35sec); young adult females = 23 sec (15-26sec)

elderly males = 13.8 sec (13-18 sec); elderly females = 14 sec (10-15sec)

maximum /s/ durations remove the laryngeal component and appear to be comparable to MPT in normals. 20-30 sec for young adults; 14-20 sec for older adults (need more norms)

24
Q

diffs bw life and speech breathing

A

Location of air intake = nose for life breathing, speech = mouth breathing

Ratio of time for inhalation versus exhalation: life = 40/60 % inhalation/exhalation, speech = 10/90 % inhalation/exhalation

Volume of air: life = 10% of VC, speech = 20-25% of VC

Muscle activity for exhalation

life = Passive; muscles of thorax and diaphragm relax

speech = Active; muscles of thorax and abdomen contract to control recoil of the ribcage and diaphragm

25
Q

breath group

A

of words per breath

26
Q

breath group norms (words per breath), dec or inc w age?

A

adults 11-16 words per breath

dec w age