L13 - respiratory physiology - volumes and pressures Flashcards

1
Q

define tidal volume (Vt)

A

total vol of air breathed in and out in one breath at rest

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2
Q

define inspiratory reserve volume (IRV)

A

the max amount the lung vol can be increased by above Vt (forceful inhale)

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3
Q

define expiratory reserve volume (ERV)

A

further vol that can be exhaled forcefully after Vt

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4
Q

what is residual volume (RV)

A

volume left in lungs after max expiratory effort (cant be measured)

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5
Q

what is inspiratory capacity

A

vol of air that can be inhaled in one forceful inhale (Vt + IRV)

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6
Q

what is expiratory capacity

A

vol of air that can be exhaled in one forceful exhale (Vt + ERV)

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7
Q

what is vital capacity

A

max volume of air breathed in and out in one forceful breath (ERV + Vt + IRV)

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8
Q

what lung capacities can a spirometer measure

A

any not involving RV

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9
Q

what is total lung capacity

A

RV + ERV + Vt + IRV

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10
Q

define alveolar ventilation

A

vol of fresh air entering alveoli every min

Va

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11
Q

define alveolar minute ventilation

A

total ventilation per minute (Ve)

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12
Q

what is the equation for alveolar minute ventilation

A

Ve = R x Vt

R= breathing rate - breaths per min 
Vt = tidal vol
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13
Q

why are Va and Ve different

A

because gas exchange doesn’t occur in conducting zone so isn’t fresh air

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14
Q

what is anatomical dead space?

A

air in the pharynx to terminal bronchioles (conducting zone)

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15
Q

what is the value for anatomical dead space

A

~150ml (fixed)

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16
Q

what is the equation for Va

A

Va = Ve - Vd

Vd = breathing rate x 150 (dead space vol)

17
Q

what is Vd

A

dead space ventilation (breaths per min x dead space vol)

18
Q

explain physiological dead space

A

in healthy lungs physiological ds = anatomical ds

if some alveoli have poor blood supply there will be no gas exchange there (alveolar dead space)

19
Q

equation for physiological Dead space

A

physiological ds = 150 + alveolar dead space

20
Q

what is the equation that shows how lung ventilation occurs

A

flow = change in pressure (Palv - Patm)
___________
resistance

21
Q

what is boyles law

A

if vol increases = pressure decreases

if vol decreases = pressure increaes

22
Q

what is intrapleural pressure (Pip)

A

pressure between the pleural membranes

23
Q

what is balanced at FRC?

A

inward recoil of lungs and outward recoil of chest wall

24
Q

what happens to the pleural membranes at FRC?

A

inward recoil of lungs and outward recoil of chest wall pull the membranes apart slightly creating a small pressure for Pip

25
Q

what is Palv at FRC?

A

0

26
Q

function of Ptp

A

the force that makes alveoli expand in response to chest wall expansion

27
Q

describe sequence of events (and pressure changes ) during inspiration

A
  1. chest wall expands
  2. Pip falls (more -ve)
  3. causes Ptp to increase causing alveoli to expand
  4. Palv decreases due to increased volume
  5. Palv
28
Q

describe sequence of events (and pressure changes ) during expiration

A
  1. chest wall recoils inward
  2. Pip increases (less -ve)
  3. causes Ptp to decrease
  4. expanded lungs recoil compressing alveoli
  5. Palv > Patm so air forced out
29
Q

what causes Pip to increase

A

expiration

30
Q

what happens to Ptp when Pip

increases

decreases

A

Ptp does the opposite

decreases

increases

31
Q

what causes alveoli to expand

A

increase in Ptp

32
Q

what causes Pip to decrease

A

inspiration