L2-ventilation and lung mechanics Flashcards

1
Q

what do the muscles of respiration include?

A

the diaphragm, muscles of inspiration and expiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the structure of the diaphragm

A

a large dome shaped muscle upon which the lungs rest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

where does the diaphragm arise from

A

lateral and posterior walls of the body cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what happens to the muscles of respiration during inspiration

A

contractions of the diaphragm are combined with contractions of muscles associated with an elevation of the ribs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what happens to the muscles of respiration during expiration

A

the muscles associated with inspiration relax and the elastic properties of the lungs promotes a return to the resting volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is required for air to flow in and out of the lungs

A

there has to be an associated pressure difference between the internal environment of the lungs and the external environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what can the movement of the air in the lungs be compared to

A

the flow of fluids in tubes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how can you calculate the flow rate

A

F= (P1-P2)/R
P1=the pressure at point P1
P2= the pressure at point P2
R=the resistance to flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what can be used to describe the pressure in the alveoli

A

boyles law

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what does boyles law state

A

pressure of a gas is inversely proportional to the volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what equation is used to describe the relationship of boyles law

A
P=nRT/V
P=pressure
n=number of moles of gas
R=gas constant
T=absolute temperature (degrees kelvin)
V=volume
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the 2 possible reasons for collapse of the lungs

A

elastic recoil

surface tension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is elastic recoil?

A

based upon the elastic properties of the alveolar walls

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is surface tension?

A

formation of the droplets in the alveoli can cause the alveolar membranes to be drawn together resulting in alveolar collapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how is collapse of the lungs prevented

A

combination of surfactant and intrapleural pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is surfactent

A

a mixture of lipoproteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

where is surfactant secreted from

A

surfactant is secreted by the alveolar epithelium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is the attractive force produced by surface tension with surfactant present

A

4mm Hg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the attractive force produced by surface tension without surfactant

A

between 20-30 mm Hg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what else does intrapleural pressure help

A

prevention of alveolar collapse

21
Q

what happens to intrapleural pressure during expiration

A

will drop to about 2 mm Hg below atmospheric pressure (atmospheric pressure=760mm Hg)

22
Q

when does elastic recoil stop

A

elastic recoil stops as it comes to balance with the negative intrapleural pressure

23
Q

what is the compliance of the lungs and thorax

A

the ability to expand

24
Q

how is the compliance of the lungs and thorax measured

A

measured in terms of the increased lung volume per unit of pressure change in intrapulmonary pressure

25
how is compliance expressed
expressed as litres per cm of water (L/cm)
26
what is the normal compliance of lungs and thorax
0.13L/cm
27
what happens when intrapulmonary pressure increases
for every 1cm increase in intrapulmonary pressure, the lungs volume will increase by 0.13L
28
how is the flow of air into and out of the lungs measured
spirometer
29
what can be examined for air flow
pulmonary volumes | pulmonary capacities
30
what is tidal volume
volume of air that passes into and out of the lungs during normal inspiration and expiration (500ml)
31
what is inspiratory reserve volume?
the amount of air that can be inspired on top of the tidal volume (3000ml)
32
what is expiratory reserve volume
the volume of air that can be exhaled forcefully (1100ml)
33
what is the typical residual volume
1200ml
34
what are the pulmonary capacities
measure of 2 or more pulmonary volumes combined
35
what is the normal inspiratory capacity
3500ml
36
what is the functional residual capacity
provides a measure of the total amount of air left in the lungs after a normal expiration
37
what is the typical functional residual capacity
2300ml
38
what is vital capacity
the total amount of air that can be exhaled after a maximal inspiration
39
what is the typical vital capacity
4600ml
40
what other measurement is included in pulmonary capacities
the total lung capacity
41
what is the minute respiratory volume
a measure of the total volume of air that passes through the respiratory system per minute
42
what is the minute respiratory volume in a normal healthy individual
about 6L
43
what is dead air space
the regions of the respiratory system where gas exchange does not occur
44
what are the 2 types of dead space
anatomical and phsiological
45
what is the anatomical dead air space?
volume taken up by the nasal cavities to the terminal bronchioles
46
what is the typical volume of the anatomical dead air space
about 150ml
47
what is the physiological dead air space
anatomical dead air space and the volume of non functional alveoli
48
what is the alveolar ventilation rate
the volume of air available for gas exchange per minute
49
how is the alveolar ventilation rate (AVR) calculated
AVR=RR(TV-DAS) RR= respiratory rate (breaths/min) TV= tidal volume (ml/respiration) DAS= dead air space (ml/respiration)