Introduction to the respiratory system and lung mechanics Flashcards
Definition of internal respiration
Exchange of cases between blood, interstitial fluid and cells
Definition of external respiration
Exchange of gases (O2, CO2) between blood and the external environment
Definition of pulmonary ventilation
Physical movement of air into and out of the lungs.
Movement of air needs pressure gradient to be generated along the airways
Definition of functional residual capacity
Volume of lung at end of a normal expiration
Definition of transmural pressure
Pressure differences between the inside compartment minus the outside compartment
Definition of respiratory cycle
Single cycle of inhalation and exhalation
Definition of tidal volume
Amount of air moved in 1 cycle (500ml)
Definition of dead space
Airway volume with no gas exchange
Definition of dyspnoea
Breathlessness
Definition of elastic resistance
Resistance to stretch of lung tissues and air liquid interface lining alveoli
Definition of airway resistance
Resistance due to friction between layers of flowing air and between the air and airway walls
Definition of compliance
∆V/∆P, the measure of elastic resistance (stiffness)
What is the difference between external and internal respiration
Internal
Exchange of gases between blood, interstitium and cells
External
Exchange of gases between blood and lungs
Describe step 1 of inspiration
-muscle contraction (obligate and accessory)
Inspiratory muscles contract => expands cage
Obligate
- ext intercostals
- diaphragm
- scalenes
Accessory
-sternocleidomastoid
Describe step 2 of inspiration
-how does cage expansion affect the pleural cavity
Cage expands => pulls on the pleural cavity => pleural cavity pressure gets more -ve => lungs expand
PC starts -ve due to natural cage recoil out and lung recoil in
Describe step 3 of inspiration
-how does the change in Ppl affect the Pl
Pl gets more +ve => holds lungs open => Pa becomes more -ve
Pl = -Pa – Ppl
Pl starts +ve due to both recoils in equilibrium => lungs held open
Describe step 4 of inspiration
-how does the change in Pa affect the movement of gas
More +ve Pl => more -ve Pa
As Pa is more negative than Pb => bulk air flow into lung
Describe step 1 of expiration
-muscle contraction (obligate and accessory)
Expiratory muscles contract => shrinks cage
Obligate
- Int intercostals
- Passive process
Accessory
- RA, EO, IO, TA
- Chest wall, limb girdle muscles