lecture 17 - the work of breathing Flashcards

1
Q

What determines the direction of airflow into/out of the lungs?

A

The difference between atmospheric and intrapulmonary pressure

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2
Q

What is the pressure inside the lungs?

A

Intrapulmonary pressure

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3
Q

What is the pressure outside the lungs?

A

Atmospheric pressure

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4
Q

What are the 2 opposing forces that must be overcome to take a breath?

A

Stiffness of the lungs, resistance of the airways to the lungs due to friction

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5
Q

What is compliance, in terms of the lungs?

A

The magnitude of the change in lung volume produced by the given change in pressure - how ‘stiff’ the lungs are

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6
Q

What is the equation for lung compliance?

A

C= ΔV/ΔP

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7
Q

What distinct condition is characterised by low compliance/ ‘stiff lungs’?

A

Pulmonary fibrosis

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8
Q

What are the characteristics of pulmonary fibrosis?

A

Thickening and scarring of alveolar membranes due to chronic inflammation or exposure to industrial chemicals, resulting in decreased lung compliance

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9
Q

What is the cause of surface tension in the lungs?

A

Fluids surrounding the lungs exert surface tension

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10
Q

What is surface tension?

A

The tendency of a fluid surface to occupy the smallest possible surface area.

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11
Q

Why does surface tension arise?

A

Due to hydrogen bonds

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12
Q

What is the cause of surface tension in the alveoli?

A

They are lined with fluid and have very thin walls which enhances the effects of surface tension

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13
Q

How does surface tension affect lung function?

A

Causes stiffness that must be overcome to expand the lungs

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14
Q

how does surfactant reduce lung stiffness?

A

By reducing surface tension in the alveoli and makes them easier to expand.

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15
Q

How does surfactant lower the surface tension in the fluid in alveoli?

A

Reduces the attractive forces between fluid molecules by inserting hydrophobic ligands between H2O molecules

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16
Q

What is the cause of respiratory distress syndrome in premature infants?

A

Premature infants have immature type II pneumocytes so do not produce surfactant, which causes lung stiffness

17
Q

How does bronchial radius influence resistance to air flow due to friction?

A

Decreasing the bronchial radius increase the resistance to airflow

18
Q

What is the equation for air resistance in the bronchioles?

A

R = 1/r^4, where R = resistance, r = radius of bronchiole

19
Q

What is the main area of airway resistance?

A

The bronchi

20
Q

What does a spirometer measure?

A

Volume of air inspired/exhaled and the rate of breathing

21
Q

On a spirometry trace, what is tidal volume (VT)?

A

Volume of air moved in and out during a normal quiet breath

22
Q

On a spirometry trace, what is inspiratory reserve volume (IRV)?

A

Extra volume that can be inhaled over and above the tidal volume

23
Q

On a spirometry trace, what is expiratory reserve volume (ERV)?

A

The extra volume that can be exhaled voluntarily after completion of a normal, quiet respiratory cycle

24
Q

On a spirometry trace, what is residual volume?

A

The volume of air remaining in the lungs are maximal exhalation

25
Q

On a spirometry trace, what is minimal volume?

A

Volume remaining in lungs if they collapsed

26
Q

On a spirometry trace, what is vital capacity?

A

Inspiratory reserve + expiratory reserve + tidal volume - total volume that can be moved in and out of the lungs in one breath cycle

27
Q

On a spirometry trace, what is total lung capacity?

A

Vital capacity + residual volume - the total volume of air that can fit in the lungs

28
Q

On a spirometry trace, what is inspiratory capacity?

A

Inspiratory reserve + tidal volume - total volume of air that can be inspired from rest

29
Q

On a spirometry trace, what is functional residual capacity?

A

Expiratory reserve + residual volume 0 the volume remaining in the lungs after normal maximal exhalation

30
Q

What is the typical value of tidal volume?

A

500mL