Lecture 15 Respiration 1 Flashcards

1
Q

Steps of external respiration

A

1) ventilation/ gas exchange between atmosphere and alveoli (air sacs) in lungs
2) exchange of O2 and CO2 between air in alveoli and blood
3)transport of O2 and CO2 in blood to tissues
4)O2 and CO2 exchange between tissues and blood

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2
Q

Steps of internal respiration aka cellular respiration

A

Metabolic processes derive energy from nutrient molecules using O2 and produce CO2

Respiratory quotient (RQ)
- ratio of CO2 produced/O2 consumed
- varies depending on foodstuff consumed

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3
Q

Respiratory system

A

Airways - path to lungs
Lungs- organs of gas exchange

Upper resp tract: nasal passage/mouth
Pharynx, Larynx

Lower respiratory tract: Trachea
Bronchi, Bronchioles, Terminal bronchioles,Alveoli

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4
Q

Conduction zone and exchange surface

A

Trachea and bronchi: rigid tubes with rings of cartilage to prevent collapse

Bronchioles: no cartilage, walls contain smooth muscle (ANS controlled) sensitive to certain hormones and chemicals

Alveoli: thin walled inflatable sacs, site of gas exchange

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5
Q

Alveoli

A

Type l alveolar cells - 1 cell thick
Type ll alveolar cells - secrete surfactant

Pulmonary capillaries encircle each alveolus

Alveolar macrophages guard the lumen

Pores of Kohn: airflow between neighbouring alveoli - collateral ventilation

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6
Q

Good blood flow essential

A

Capillary network surrounds alveoli. Fusion of alveoli/capillary wall creates thin barrier. Large SA and thinness for gas exchange. 300x10⁶ alveoli per lung create 75m² SA that’s 75x the capacity of a hollow lung without alveoli

Thorax/chest is closed compartment

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7
Q

Pleural sacs enclose the lungs

A

Diaphragm
-skeletal muscle
- separated thoracic from abdominal cavity

Pleural sacs
- double walled, closed sac separating each lung from thoracic wall
- pleural cavity is interior of sac
- intrapleural fluid secreted by surfaces of the pleura allows smooth movement - reduces friction

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8
Q

4 primary functions of respiratory system

A

Exchange of gases between air and blood

Homeostatic regulation of body pH

Defences against inhaled pathogens/substances - cilia, mucus escalator, macrophages

Vocalisation

(Also water loss and heat release e.g. panting in dogs)

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9
Q

Ventilation and lung mechanics

A

Relative pressure in/outside lungs is important in ventilation

3 pressures to consider
- atmospheric (barometric) pressure
- intra-alveolar pressure (intrapulmonary pressure)
-intrapleural pressure (intrathoracic pressure)

Alveolar pressure < atmospheric air entering lungs

Alveolar pressure> atmospheric air flowing out of the lungs

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10
Q

Boyle’s law

A

At any constant temp. Pressure exerted by a gas varies inversely with the volume of gas V alpha 1/P

Change container size (lung dimensions) change pressure

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11
Q

Lung mechanisms

A

No muscle attached to lungs surface. Volume depends on difference in pressure between inside and outside of lungs and their stretchability (or compliance)

Pressure diff. Is called transpulmonary pressure -TP=Palv-Pip

Pressure inside lungs = air pressure inside alveoli (Palv)

Pressure outside lungs= pressure in intrapleural fluid (Pip)

Respiratory muscles attached to chest wall contract/relax, changing dimensions of chest causing changes in transpulmonary pressure thus changing lung volume

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12
Q

Inspiration : inspiratory muscles

A

Major inspiratory muscles

Diaphragm: innervated by phrenic nerve

Intercostal muscles - activated by intercostal nerve

75% of enlargement of thoracic cavity (quiet breathing) due to contraction and flattening of diaphragm

This expansion decreases intrapleural pressure. Lungs expand into this area of low pressure. Increase in lung vol lowers intra alveolar pressure below atmospheric pressure so air enters the lungs

(Accessory inspiratory muscles can further enlarge thoracic capacity)

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13
Q

Expiration

A

Starts by relaxation of inspiratory muscles

Relaxation of diaphragm and muscles of chest wall (plus the lasting recoil of alveoli) decrease size of chest cavity

Intrapleural pressure increases and lungs are compressed

Intra-alveolar pressure increases. When pressure increases above atmospheric pressure, air moves out - expiration occurs

Forced expiration can occur by contraction of expiratory muscles:
Abdominal wall muscles
Internal intercostal muscles

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14
Q

Lungs have elastic recoil

A

Compliance refers to effort needed to stretch lungs. Recoil due to highly elastic connective tissue in lungs and alveolar surface tension

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15
Q

Lung compliance

A

The change of volume due to given force or pressure -DV/DP

Ease with which chest volume can be changed

Reciprocal of elastance

Compliance high - chest expansion easy

Pressure volume curve closed loop (hysteresis)

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16
Q

Surface tension law

A

P=2T/R

If air pressure in large alveoli <smaller then small liable to collapse (air flows into larger alveoli)

Surfactant - produced by type ll alveolar cells is a phospholipid molecule that lowers surface tension of liquid lining alveoli so pressure needed to hold alveoli open reduced and smaller alveoli do not collapse

Pathology: new born respiratory distress syndrome - cortisol injection to mother before birth prevents this

17
Q

Airway resistance

A

Upper airway diameter constant, resistance to airflow constant

Mucus accumulation can increase resistance.

Bronchioles: collapsible tubes, increase airway resistance

Bronchoconstriction/dilation can occur

Factor/affected by/mediated by

Length of system/constant/none

Viscosity of air- usually constant but humidity or altitude may alter it/none

Diameter of airways:
Upper airways/physical obstruction/ mucus and other factors

Bronchioles/
bronchoconstriction/PNS muscarinic receptors histamine and leukotrienes
Bronchodilation/ CO2 & epinephrine receptors

18
Q

Spirometry

A

See diagram

19
Q

Lung vol/capacity

A

Tidal vol (TV) vol of air breathed in 500ml

Inspiratory reserve (IRV) extra vol that can be max inspired (above TV) 3000ml

Inspiratory capacity IC=IRV+TV 3500ml

Expiratory reserve (ERV) extra vol tha t can be expired 1000ml

Residual vol (RV) min vol remaining in lungs after max expiration 1200ml

Functional residual capacity (FRC) vol of air in lungs at end of norm expiration (FRC=ERV+RV) 2200ml

Vital capacity (VC) max vol of air moved in single breath after max expiration.
VC=IRV+TV+ERV 4500ml

Total lung capacity (TLC) max vol lungs can hold TLC=VC+RV 5700ml

Forced expiratory volume in 1 second (FEV) vol of air that can be expired during first second of expiration in a VC determination

20
Q

Anatomical dead space

A

Minute ventilation= tidal volume X respiratory rate

500ml each breath 10 breaths/min = 5000 ml/min available for respiration?

NO!!
Because there is dead space, conducting airways - larynx, trachea, bronchioles and terminal bronchioles
When no gas exchange occurs has a volume of 150ml

2200ml + 150ml remains in lung

21
Q

Physiological dead space

A

Alveolar dead space present in normal individuals
-Inspired fresh air not used for gas exchange with the blood even though it reaches alveoli
- absence of blood flow to some alveoli e.g. if a vessel is blocked

Physiological dead space= anatomical dead space+alveolar dead space

22
Q

Minute ventilation: vol air breathed in/out per min (ml/min)

A

Pulmonary ventilation= tidal volume X respiratory rate

Alveolar ventilation= (tidal volume - dead space) X respiratory rate

23
Q

respiration and conduction zone

A

respiratory zone is where gas exchange takes place
the conduction zone is effectively the tube system that transports air to the alveoli