Introduction Lecture 1 Flashcards

1
Q

Functions of the respiratory system are

A

Gas exchange - large surface area for diffusion
Blood pH control - important as CO2 affects acidity
Remove blood clots from the circulation - acts as a filter for stopping clots going to the heart/brain
Defence against microbes - lots of white blood cells in the lung
Heat and water loss through ventilation
Blood reservoir (pulmonary vessels) - holds quite alot of blood and can help circulation
Metabolic functions - eg Ang II, BK, PGs

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2
Q

What are the 2 types of circulation

A

Pulmonary and Bronchial (bronchial for nutritive blood supplying the lungs to allow cells to get nutrition)

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3
Q

Functions of various parts in the airways are

A

Filtering (hairs filter in nose), warming (through blood supply) , humidifying (dry air coming in, but as we breathe water is added) and distribution (airways provide distribution to the lungs).

Trachea - C shaped cartilage ring acts as a scaffold
Bronchiole - smooth muscle, can change size of airways to change air flow by bronchoconstriction/dilation.

Pulmonary artery = low oxygen entering lung
Pulmonary vein - high oxygen leaving lung

Clara cells - produce mucus
Type II cells, produces surfactant
Capillary - provides short diffusion distance to alveoli
Alveoli have huge surface area for diffusion

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4
Q

The generation of airways

A

Up to generation 16, it is the conducting zone = air conducted through to the gas exchange regions
From generation 17 to 23, is the transitional and respiratory zones where gas exchange occurs

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5
Q

What happens to the surface area as the number of airways go up

A

Surface area increases as you go down the generations due to increased number of airways.
By generation 17, velocity is less than the speed of diffusion. THe velocity is low so diffusion can occur.
FLow = velocity x area
Increase in total cross sectional area results in decreasing gas velocity

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6
Q

Types of gas transport in the genarations

A
Air to generation 16 = convection
Generation 17 to alveoli = diffusion
Gas exchange = diffusion 
Pulmonary capillaries to systemic capillaries = convection
Gas exchange in tissue = diffusion
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7
Q

Describe convection and diffusion

A
Convection = Moves down fluid/gas pressure gradient,  conducting airways and in blood vessels, used to move down O2 and CO2 long distances around the body, found in larger tubes, 
Flux = velocity x concentration

Diffusion = moves down concentration gradient, found at sites of large gas exchange, in alveoli and capillaries, used to move O2/CO2 short distances around the body only.
Ficks law

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8
Q

What is dead space

A

The volume of gas within the respiratory system where no gas exchange takes place.
Where there are no alveoli, no airflow, no blood flow.

Anatomic dead space = 150ml
Alveolar dead space = 0ml (due to there being gas exchange in alveoli)

Affected by body size, age (increase with age), head position (decreases when tilted forwards), drugs (bronchodilators/constrictors)

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9
Q

How to work out physiological dead space

A

Anatomic dead space + alveolar dead space

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10
Q

Tidal breathing and ventilation are

A

Vt = tidal volume (volume expired in each breath) = 500ml

fR = respiratory frequency (number of breaths per min) = 12

VE = minute ventilation (volume of air expired per min)

VE = Vt x fR
= 6000ml/min at rest

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11
Q

How to work out tidal volume

A

Vt = VD + VA

VD = dead space volume (no gas exchange) 
VA = alveolar volume has gas exchange 
VE = Vt x fR
VD = VD x fR
VA = VA x fR
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12
Q

Respiratory quotient (RQ) =

A

VCO2 / VO2

= Rate of CO2 and O2 consumption (about 0.8 at rest)

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