L23 Respiration - Movement Of Air Flashcards

1
Q

What is compliance?

A

Refers to the ability of a biological structure to change its volume in response to a change in pressure

Veins are more compliant than arteries, allowing them to store larger volumes of blood at lower pressures

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2
Q

How would you calculate compliance?

A

Change in volume / change in pressure

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3
Q

What does it mean to have low/high compliance?

A

Low compliance - more work required to inspire (less flexible) (Imagine a stiff balloon. It takes a lot of effort to inflate it even a little bit)

High compliance - can undergo a large change in volume with a small increase in pressure

(a thin rubber balloon. It inflates easily with minimal effort)

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4
Q

Will lung compliance decrease or increase for someone who has emphysema (damage to air sacs which loses elasticity of alveoli walls)?

A
  • Lung compliance will increase
  • Emphysema causes destruction of tiny of alveoli (tiny air sacs) in the lungs. This leads to a decrease in the elastic recoil of the lungs
  • With less elastic recoil, lungs become easier to inflate therefore defined as increased lung compliance
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5
Q

What are the two major components contributing to the elastic recoil of the lungs?

A
  • Anatomical component (elastic nature of cells)
  • The surface tension generated on the inner surface of the alveoli
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6
Q

How does surface tension develop within the lungs?

A

Due to the difference in the forces on water molecules at the air/water interface a surface tension develops

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7
Q

What does Laplace equation describe?

A

The relationship between the pressure inside a sphere or cylinder and its surface tension and radius at the gas/water border

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8
Q

What is Laplace’s equation?

A

P=(2T/r)

T - surface tension of the fluid

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9
Q

What would the pressure be in a small alveoli compared to a larger alveoli ?

A

Small alveoli would have a larger pressure according to Laplace’s law

Air will flow from smaller alveoli to larger, leading to their collapse

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10
Q

What is the role of surfactant for alveoli cells ?

A

Surfactant disrupts the cohesive forces between water molecules at the air-liquid interface within the alveoli which reduces surface tension
- Ultimately preventing smaller alveoli from collapsing

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11
Q

How is surfactant in alveoli’s produced ?

A

They are produced by type II pneumocyte. Surfactant is composed of a number of lipids and proteins

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12
Q

How are all the lung volumes measured?

A

With the exception of residual lung volume, all the other lung volumes are measured by a spirometer

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13
Q

What is anatomical dead space?

A

It’s the volume of the conducting airways that does not participate in gas exchange (doesn’t come into contact with the alveoli)

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14
Q

Why does anatomical dead space exist ?

A

The conducting airways are necessary to transport air to the alveoli, but they don’t have the specialised structures for gas exchange
. It allows for rapid and efficient delivery of air to the alveoli

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15
Q

What is physiological dead space?

A

Physiological dead space is the volume of air that is inhaled but does not participate in gas exchange, like anatomical dead space. Physiological dead space includes both the anatomical dead space and the alveolar dead space

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16
Q

How would you calculate the physiological dead space?

A

Conducting zone + non - functional areas of respiratory zone

17
Q

What is IRV and ERV?

A

IRV - inspiratory reserve volume. Additional volume of air that can be inhaled forcefully after a normal inhalation

ERV - Expiratory reserve volume. Additional volume of air that can be forcefully exhaled after a normal exhalation

18
Q

What is tidal volume?

A

The amount of air that moves in or out of the lungs with each normal breath

19
Q

What happens when the tidal volume increases?

A

Increased oxygen intake and enhanced carbon dioxide removal

20
Q

How is residual volume calculated?

A

Functional residual capacity (FRC) - expiratory reserve volume (ERV)

21
Q

What is the flow of air into or out of the lungs proportional to?

A

Proportional to the pressure gradient and inversly proportional to the resistance

22
Q

What does this mean ‘The impact of resistance on flow is determined by Poiseuille’s law’?

A

Airway resistance is proportional to gas viscosity and the length of the tube but is inversely proportional to the fourth power of the radius.

23
Q

Equation of poiseuille’s law?

A

R = (8/pie) * (nl/r^4).

24
Q

Which airways have the series resistance and which has the parralel resistance? (Diameter)

A

Series resistance - Larger
Parallel resistance - Smaller

25
Q

How is series resistance calculated?

A

Rt = R1+R2+R3+…

26
Q

How is parallel resistance calculated?

A

1/Rt = 1/R1 + 1/R2 + …

27
Q

How is the ANS involved in control of bronchial smooth muscles?

A
  1. Parasympathetic - Acetylcholine is released from the vagus, acts on muscarinic receptors leading to constriction.
  2. Sympathetic - Release of norepinephrine from nerves
28
Q

What 3 factors impact airway resistance?

A

Airway diameter: increased mucus secretion will effectively reduce airway diameter- increase resistance

Oedema- increased fluid retention in the lung tissue will cause swelling and narrowing of the airways - increased resistance

Airway collapse - for example during forced expiration, narrows airway, increased resistance