lecture 16 - respiratory system 3 Flashcards

1
Q

consequences of dead space

A

last out first in

conducting system filled with stale air at the end of expiration (high PCO2) which returns to the lungs on inspiration

this reduces the overall PO2 and raises PCO2

mixing of old and fresh air

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

factors affecting diffusion of gas in the respiratory system

A

pressure gradient of the gas

solubility of the gas in liquid - gas needs to be soluble to be transported

temperature

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

what is Daltons law?

A

the total pressure (P) exerted by a mixture of gases is equal to the sum of the pressures exerted by the individual gases

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

what is partial pressure of a gas?

A

the pressure of an individual gas in a mixture

determined by its relative abundance in the mixture and is independent of the molecular size of the gas

= P(atmos) x % of gas

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

what is Henry’s law?

A

at constant temperature, the amount of gas thats dissolved in a liquid depends on the solubility of the gas in the liquid and the partial pressure of the gas

CO2 is more soluble than O2
• more CO2 in solution

why theres a need for O2 carrying molecules

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

characteristics of pulmonary circulation

A

low pressure system

high flow

right ventricle –> pulmonary trunk –> pulmonary arteries –> lungs –> pulmonary veins –> left atrium

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

what is Flicks law of diffusion?

A

diffusion is proportional to the SA, conc gradient and barrier permeability

flux = (P x ∆C) / X

P = permeability of barrier x SA 
∆C = concentration gradient 
X = diffusion distance 

SA, permeability and distance are usually constant, so conc gradient is the main drive for gas exchange

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

what is the symbol for alveolar pressure?

A

P(A)

P(A)O2 and P(A)CO2 are inversely related during changes in ventilation

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

hyperventilation

A

results in increased P(A)O2 and decreased P(A)CO2

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

hypoventilation

A

results in decreased P(A)O2 and increased P(A)CO2 and hypoxemia

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

what does hyperbaric mean?

A

higher than normal pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is hyperbaric oxygen therapy?

A

person placed in chamber and exposed to higher than normal PO2 leads to increased P(A)O2 levels and O2 exchange

used to treat conditions benefitting from increased O2 delivery
• severe blood loss 
• crush injuries 
• anaemia 
• burns 
• general recovery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how is hyperbaric oxygen therapy used to treat decompressive sickness?

A

seen in divers who ascended too rapidly

used by dissolved gases in the blood coming out of solution and forming bubbles in the blood stream

therapy forces gases back in solution, eliminating bubbles

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

emphysema

A

destruction of alveoli means less SA for gas exchange

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

fibrotic lung disease

A

thickened alveolar membrane slows gas exchange

loss of lung compliance may decrease alveolar ventilation

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

pulmonary edema

A

fluid in interstitial space increases diffusion distance

arterial PCO2 may be normal due to higher CO2 solubility in water

17
Q

asthma

A

increased airway resistance decreases alveolar ventilation

18
Q

what does alveolar ventilation (V(A)) depend on?

A

posture

rate of inspiration

amount of inspired air

19
Q

when is the base of the lung most ventilated?

A

when standing upright with normal inspiration

20
Q

what is lung perfusion (Q) determine by?

A

gravity

hydrostatic pressure in pulmonary arteries

pressure in pulmonary veins

alveolar air pressure

21
Q

what happens in V/Q mismatch?

A

V doesn’t match Q

blood is ‘shunted’ from the right to the left side of the heart without adequate oxygenation

V/Q = 0.9-1 – ideal gas exchange

V/Q < 0.9 – lower PAO2, poor gas exchange

22
Q

what is hypoxic pulmonary vasoconstriction?

A

redirects blood flow to ventilated alveoli

improves gas exchange

contracts with systemic circulation

23
Q

why does the top of the lungs have limited expansion of alveoli?

A

volume of lower part of lung increases more as lower ribs are more curved and mobile

descent of the diaphragm expands lower lobes more

compliance greater in peripheral lung tissue

gravity causes progressive decrease in intrapleual pressure

24
Q

what is bronchiole diameter mediated by?

A

CO2 levels in exhaled air