Lab 2 PhysioEx Notes Contd. Flashcards
the … is a device that measures the volume of air inspired and expired by the lungs over a specified period of time
spirometer
with emphysema, there is a significant loss of … in the lung tissue, which occurs as the disease destroys the …
elastic recoil; walls of the alveoli
in emphysema, … is also increased as the ling tissue in general becomes more flimsy and exerts less anchoring on the surrounding airways. thus, the lung becomes overly … and … easily
airway resistant; compliant; expands
in emphysema, a great effort is required to expire bc the lungs can no longer … and …
each expiration requires a noticeable and exhausting muscular effort, and a person with emphysema expires slowly
passively recoil; deflate
during an acute asthma attack, … and, thus, the airways become constricted (that is, reduced in diameter)
bronchiole smooth muscle spasms
during an acute asthma attack, bronchioles also become clogged with … secretions, leading to significantly increased airway resistance
thick mucus
(asthma) underlying these symptoms is an airway … response brought on by triggers such as … (for example, dust and pollen), extreme … changes, and even …
inflammatory;
allergens;
temperature;
exercise
(asthma) like with emphysema, the airways … and pinch closed before a forced expiration is completed. thus, the volumes and peak flow rates are significantly … during an asthma attack. Unlike with emphysema, the … is not diminished in an acute asthma attack
collapse; reduced; elastic recoil
(asthma) when an acute asthma attack occurs, many people seek to relieve symptoms with an inhaler, which atomizes the medication and allows for direct application onto the afflicted airways. usually, the medication includes a … (for example, a … agonist or an … antagonist) that relieves the bronchospasms and induces bronchiole …
smooth muscle relaxant;
ß2;
acetylcholine;
dilation
(asthma) the medication can also contain an … agent, such as a …., that suppresses the inflammatory response. the use of the inhaler reduces …
anti-inflammatory;
corticosteroid;
airway resistance
during moderate aerobic exercise, the human body has an increased …, which is met, in part, by changes in respiration
metabolic demand
during moderate exercise, both the … of breathing and the … increase. these two respiratory variables do not increase by the same amount
rate; tidal volume
(exercise) the increase in the … is greater than the increase in the … for moderate exercise
tidal volume; rate of breathing
(exercise) during heavy exercise, further changes in respiration are required to meet the extreme metabolic demands of the body. in this case both the rate of breathing and the tidal volume increase to their …
max tolerable limits
a normal resting tidal volume is expected to be around …
500 mL
which respiratory process is impaired the most by emphysema? …
expiration
during an asthma attack … and … are impaired
inspiration; expiration
during moderate aerobic exercise, which respiratory variable increases the most? …
tidal volume
when obstructive lung disease develops, what happens to the FEV1 (%). it …
decreases
which of the following respiratory values represents a decreased flow rate during the obstructive lung diseases? …
FEV1
**know how to calculate ERV and FVC
what is the largest volume for the normal patient? …
IRV
what happened to the RV for the emphysema patient and the asthmatic patient? it … for both patients
increased
In the patient emphysema, … decreased, … decreased, …. increased, …. decreased, …. decreased, and …. decreased. Patients with emphysema experience a decrease in elastic recoil in lung tissue, and airway resistance increases. Thus, it’s more difficult for patients to forcibly inhale more air, and exhalation is also much more difficult because the lungs cannot adequately recoil. As a result, ERV and IRV decrease. RV increases because ineffective exhalation indicates that more air will be left in the lungs. FEV1 and FEV1 (%) also decrease for similar reasons.
ERV; IRV; RV: FVC: FEV; FEV1(%)
Which of these two parameters changed more for the patient with emphysema, the FVC or the FEV1?
FEV1
What lung values changed (from those of the normal patient) in the spirogram when the patient experiencing an acute asthma attack was selected?
…. and … decreased, … increased, … decreased, and … and … decreased. This is again due to the increase in resistance experienced by those who are asthmatic, which is why this trend is so similar to what was observed for the patient with emphysema.
ERV; IRV; RV; FVC; FEV1; FEV1(%)
The inhaler for the asthmatic returned every value to normal except for the …, …., …., and …. IRV was … than normal still, RV was …., FVC was … and FEV1 was also …. Perhaps not all of the values returned to normal because the medication did not fully dilate all of the bronchioles.
IRV; RV; FVC; FEV1; lower; higher; lower; lower;
With moderate aerobic exercise, which changed more from normal breathing, the ERV or the IRV? How well did the results compare with your prediction?
IRV changed more
at any gas-liquid boundary, the molecules of the liquid are attracted more strongly to each other than they are to the gas molecules. this unequal attraction produces tension at the liquid surface called …
surface tension
bc surface tension resists any force that tends to increase surface area of the gas-liquid boundary, it acts to … the size of hollow spaces, such as the …, or microscopic air spaces within the lungs
increase; alveoli
if the film lining the air spaces in the lung were pure water, it would be very difficult, if not impossible, to inflate the lungs. however, the aqueous film covering the alveolar surfaces contains …, a detergent-like mixture of lipids and proteins that decrease surface tension by reducing the attraction of water molecules to each other
surfactant
between breaths, the pressure in the pleural cavity, the …, is less than the pressure in the alveoli. two forces cause this negative pressure condition:
(1) the tendency of the lung to … because of its … properties and the … of the alveolar fluid
(2) the tendency of the compressed … to recoil and expand outward.
these two forces pull the lungs away from the thoracic wall, creating a partial … in the pleural cavity
intrapleural pressure;
recoil; elastic; surface tension;
chest wall;
vacuum
because the pressure in the intrapleural space is lower than atmospheric pressure, any opening created in the pleural membranes equalizes the intrapleural pressure with atmospheric pressure by allowing air to enter the pleural cavity, a condition called …
pneumothorax
a pneumothorax can then lead to lung collapse, a condition called …
atelectasis
just before an inspiration begins, the pressure within the intrapleural cavity is …. than the pressure within the alveoli
less
… often have difficulty breathing because the amount of surfactant in their lungs is too low
premature infants
…. simulated pneumothorax
opening the valve in the side of the glass bell jar
the best way to rapidly reinflate a person’s collapsed lung is to … out of the intrapleural space to recreate …
pump air; negative pressure (e.g. chest tube)
… refers to the percentage of red blood cells, or erythrocytes, in a sample of whole blood
hematocrit
a hematocrit of 48 means that …% of the volume of blood consists of RBCs
48