Introduction and Histology of Respiratory Tract Flashcards
What does the respiratory system work to do?
Ensure that all tissues receive the oxygen that they need, and can dispose of the CO2 they produce
What does blood do?
In relation to gas exchange
Carries gases to and from tissues, where the lungs exchange them with the atmosphere
What is the Kinetic Theory of Gases?
Gases are a collection of molecules moving around a space, generating pressure by colliding with the walls of the space. As collisions become more frequent, and harder, the pressure goes up.
What is Boyle’s Law?
If a given amount of gas is compressed into a smaller volume, the molecules will hit the wall more often, therefore pressure will rise.
If temperature is constant, pressure is inversely proportional to volume
What is Charles’ Law?
The kinetic energy of molecules increases with temperature. As temperature increases, the molecules hit the walls more often, so pressure increases.
Pressure is proportional to absoloute temperature (scale starts at absoloute zero)
What is the Universal Gas Law?
Pressure x Volume = Gas constant x Temperature (oK)
What does the Universal Gas Law allow?
The calculation of how volume will change as pressure and temperature changes
What is meant by partial pressure?
In a mixture of gases, molecules of each type behave independently, so each gas exerts its own pressure, which is a portion of the total pressure- a partial pressure
What is partial pressure calculated as?
The same fraction of the total pressure as the volume fraction of the gas in the mixture
What is meant by vapour pressure?
In biological systems, gas mixtures are always in contact with water, so gas molecules dissolve, and water molecules evaporate, and then exert their own partial pressure- this is known as vapour pressure
What is meant by saturated vapour pressure?
When the rate of molecules entering and leaving water at the same time is equal, this is the saturated volume pressure
How much water vapour is in gases when they enter our body?
In terms of saturation
They are completely saturated with water vapour
Why are gases entering our body completely saturated with water vapour?
So they don’t dry out our lungs
What does gas tension in liquids indicate?
How readily a gas will leave the liquid, not (at least directly) how much gas is in the liquid
What is tension equal to at equilibrium?
Partial pressure
How quickly is tension equilibrium reaching in the body?
Very quickly
What is the amount of gas that enters a liquid to establish a particular tension determined by?
Solubility
How is content of gas in a liquid calculated?
Content = solubility x tension
i.e. how easily a gas will dissolve x how readily it will leave
What must happen if the gas reacts with a component of the liquid?
With regards to tension and content
The reaction must be complete before tension, and therefore content can be established
What is total content equal to?
Total content = Reacted gas + Dissolved gas
What is meant by tidal volume?
The lung volume that represents the amount of air that is displaced between normal inspiration an expiration, when extra effort is not required
Draw a diagram illustrating-
- Inspiratory capacity
- Expiratory reserve volume
- Residual volume
- Vital capacity
- Inspiratory reserve volume
- Tidal volume
- Funtional residual capacity
- Total lung capacity
What is meant by respiratory rate/pulmonary ventilation rate?
The number of breaths taken in a set time, usually 60 seconds
What are the two circulations of the lungs?
- Pulmonary
- Bronchial
What is the bronchial circulation part of?
The systemic circulation
What is the purpose of the bronchial circulation?
It meets the metabolic requirements of the lungs
What is the pulmonary circulation?
The blood supply to the alveoli
What is the pulmonary circulation required for?
Gas exchange
What must the pulmonary circulation accept?
The entire cardiac output
At what resistance does the pulmonary circulation work?
Low
What allows the pulmonary circulation to work at low resistance?
- Short, wide vessels
- Lots of capillaries connected in parallel
- Arterioles with relatively little smooth muscle
What does the low resistance of the pulmonary circulation lead to?
The circulation operating under low pressure
What is the mean pressure of the pulmonary artery?
12-15mmHg
What is the mean pressure of the pulmonary capillaries?
9-12mmHg
What is the mean pressure of the pulmonary veins?
5mmHg
What must happen for efficient oxygenation?
With respect to ventilation
Ventilation of the alveoli need to be matched with perfusion
What is the optimal ventilation/perfusion ratio?
0.8
What is required to maintain the optimal ventilation/perfusion ratio?
Diverting blood from alveoli that are less well perfused
How is diversion of blood from less well perfused alveoli achieved?
Hypoxic pulmonary vasconstriction
How does hypoxic pulmonary vasoconstriction achieve ventilation-perfusion matching?
Alveolar hypoxia results in vasoconstriction of pulmonary vessels, and the increased resistance means less flow to the poorly ventilated areas and greater flow to well ventilated areas
What can chronic hypoxic vasoconstriction lead to?
Right ventricular failure
Why can chronic hypoxic vasoconstriction lead to right ventricular failure?
The chronic increase in vascular resistance puts a high afterload on the right ventricle, leading to its failure
What is meant by the upper respiratory tract?
The parts of the respiratory tract lying outside the thorax
What components does the upper respiratory tract consist of?
- Nasal cavity
- Pharynx
- Larynx
What is meant by the lower respiratory tract?
Parts of the respiratory system lying inside the thorax
What components does the lower respiratory tract contain?
- Trachea
- Main/primary bronchi
- Lobar bronchi
- Segmental bronchi
- Sub-segmental bronchi
- Bronchioles
- Termainal bronchioles
- Respiratory bronchioles
- Alveolar ducts
- Alveoli
How many lobar bronchi are there?
- Three on right
- Two on left
What do bronchi have in their walls?
Cartilage
How do bronchioles walls differ from those of bronchi?
- No cartilage
- More smooth muscle
Label this diagram
- A - Nasal cavity
- B - Pharynx
- C - Larynx
- D - Trachea
- E - Primary bronchi
- F - Lungs
What are the lungs a means of doing?
Getting air to one side, and blood to the other, of a very thin membrane, with a large surface area
What structural features do the trachea and bronchi have?
Cartilaginous rings
Why do the trachea and bronchi have cartilaginous rings?
In order to hold them open and provide a path for air to travel to the alveoli
How do bronchioles draw air into the lungs?
By increasing their volume
How do bronchioles increase their volume?
Using the smooth muscle in their walls
What cells do alveoli have?
- Type I
- Type II
What type of cells are type I alveolar cells?
Simple squamous epithelia
What is the purpoes of type I alveolar cells?
Provide single cell thickness membrane for diffusion
What is the purpose of type II alveolar cells?
Produce surfactant to reduce surface tension of alveoli
Where is the nose found?
Superior to the hard palate
What is the nose comprised of?
The external nose and nasasl cavity
What is the nasal cavity divided into?
Right and left cavities
What divides the left and right cavities of the nasal cavity?
The nasal septum
What are the functions of the nose?
- Smelling
- Respiration
- Filtration of dust
- Humidification of inspired air
- Reception and elimination of secretions from the paranasal sinuses and nasolacrimal ducts
What happens to air passing over the respiratory area of the nose?
It is warmed and moistened before it passes through the rest of the upper respiratory tract to the lungs
What contains the peripheral organ of smell?
The olfactory area
What are the nasal conchae?
Scroll-like structures
What are the nasal conchae also known as?
Terbinates
What are names of the nasal conchae?
- Superior
- Middle
- Inferior
How do the nasal conchae sit?
They curve inferiormedially, hanging like short curtains from the lateral wall of the nasal cavity
What is the purpose of the nasal conchae?
They offer a vast surface area for heat exchange
Which concha is longest and broadest?
The inferior
What is the inferior concha formed by?
An independent bone (the inferior concha)
What are the middle and superior conchae formed from?
The medial processes of the Ethmoid bone
What underlies each of the terbinates?
A recess or nasal meatus
What is the effect of the nasal meatus?
It divides the nasal cavity into 5 passages
Where does the sphenoethmoidal recess lie?
Superoposteiror to the superior conca
What does the sphenoethmoidal recess receive?
The opening of the sphenoidal sinus
Label this diagram
- A - Ethmoidal crest of maxilla
- B - Atrium
- C - Lumen
- D - Nasal vestible
- E - Vibrissae (nasal hairs)
- F - Spheno-ethmoidal recess
- G - Superior nasal meatus
- H - Middle nasal meatus
- I - Inferior nasal meatus
- J - Nasopharynx
What are the paranasal sinuses?
Air-filled extensions of the respiratory part of the nasal cavity into cranial bones
What are the sinuses named according to?
The bones in which they are located
What are the names of the paranasal sinuses?
- Frontal
- Ethmoid
- Sphenoid
- Maxilla
Where are the right and left frontal sinuses located?
Between the outer and inner tables of frontal bone, posterior to the superciliary arches and the root of the nose
When are the frontal sinuses usally detectable?
In children by 7 years of age