LESSON 11 - pulmonary ventilation and gas diffusion Flashcards
what are the three parts of the oxygen cascade ?
lungs, heart blood and muscle
what is air flow ?
flow of air or any other fluid is caused by a pressure differential between two points
where does air flow originate and how does pressure move ?
flow will originate from an area of high concentration to low concentration
what are the anatomical parts of the pulmonary structures ?
- nasal cavity
- pharynx
- larynx
- trachea
- primary bronchi
- bronchiole
- lung
within the capillaries what do we have ?
pulmonary veins and pulmonary arteries
where is the alveolus located ?
scan of air that exists at the terminal endpoints of our bronchioles
what is the alveolus ?
capillary network location of gas exchange / air transfer
between the pulmonary artery and pulmonary veins; which is deoxygenated/oxygenated ?
pulmonary veins = oxygenated
pulmonary arteries = deoxygenated
what are the two mechanics of ventilation ?
inspiration and expiration
what happens to the diaphragm during inspiration ?
diaphragm contracts, flattens out, moves downwards
what happens to pressure during inspiration ?
air in lungs expands, reducing its pressure
what happens to the diaphragm during expiration ?
sternum and ribs swing down, diaphragm moves towards thoracic cavity
what happens to pressure during expiration ?
air in lungs compresses, increasing its pressure
when does the diaphragm moves up ?
expiration
when does the diaphragm move down ?
inspiration
when do ribs rise ?
inspiration
when do ribs lower ?
expiration
what are the two pressures we talk about within the respiratory cycle ?
intrapleural and intrapulmonary
where is intrapleural pressure located ?
space between lung and thoracic wall
what is the intrapleural pressure ?
756 mmHg
where is intrapulmonary pressure located ?
within the lungs itself
what is the intrapulmonary pressure ?
760 mmHg
why is the intrapulmonary pressure higher ?
to prevent the lungs from collapsing
what is ventilation ?
the movement of air in and out of the lungs
what is minute ventilate (Vᴇ) ?
total volume of expired gas per minute
what is the formula for Vᴇ?
Vᴇ = respiratory rate (RR) x tidal volume (Vᴛ)
what is tidal volume ?
volume of our breath
what is respiratory rate ?
how many breaths we take in a minute
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peak ventilation, during incremental exercise (VO2 max) is around _______ L/min
180 L/min
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Vᴇ at rest is around _______ L/min
5 L/min
RR x Vᴛ =
Vᴇ
what is alveolar ventilation ?
volume of gas per minute that participates in gas exchange
the air that reaches alveoli is referred as …
alveolar ventilation
what is dead space ventilation ?
areas where we cannot do gas exchange
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increase Vᴅ means an increase Vᴇ is needed to maintain VA for adequate CO2 removal and O ________
uptake
what is the formula for Va =
alveolar ventilation = Vᴇ - Vᴅ
what is another way to calculate Va =
RR x ( Vᴛ - Vᴅ )
what are the three distributions of Vᴛ in a healthy person at rest ?
- alveolar air
- physiologic dead space
- anatomic dead space
whats physiological dead space ?
can’t transmit or transport gasses into the tissue
whats anatomic dead space ?
doesn’t participate in gas exchange
what is maximal inspiratory volume ?
maximum volume of air that can be inhaled following a resting state
what is vital capacity ?
It is equal to the sum of inspiratory reserve volume, tidal volume, and expiratory reserve volume
what is tidal volume ?
the amount of air that moves in or out of the lungs with each respiratory cycle
what is expiratory reserve volume ?
the amount of extra air exhaled during a forceful breath out
what is residual volume ?
the amount of air that remains in a person’s lungs after fully exhaling
spirometry of a person at rest shows :
- tidal volume
- max expiration to residual volume
- max inspiration to total lung capacity
why do we breathe ?
to take up oxygen and release carbons dioxide
where does gas exchange occur ?
at the alveolar - pulmonary capillary interface
how does gas exchange occur ?
through the process of pulmonary diffusion
how do we know that gasses are exchanging properly ?
by the partial pressure of oxygen and carbon dioxide in arterial blood
what determines proper gas exchange ?
arteriole ventilation / Q (perfusion) matching and diffusion capacity
what does Q stand for ?
perfusion
what are the two laws of basic concept of diffusion ?
daltons and henrys law
who’s law is of partial pressure ?
daltons law
who’s law is of diffusion between gases and liquids ?
henrys law
describe daltons law of partial pressure :
- individual gases in a mixture exert pressure proportional to the abundance
more molecules in a given space =
greater partial pressure
sum of partial pressures =
total pressure
describe henry’s law of diffusion between gases and liquids :
- amount of gas dissolved in fluid depends on pressure differential between gas above fluid and dissolved in it and solubility of gas in fluid
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in regards to henry’s law, without gradient, gases are in equilibrium - meaning _________
no diffusion
which law is from one fluid to another ?
henrys law
what is gas concentration ?
amount of gas in a given volume determines by product of gas partial pressure and solubility
what is gas pressure ?
force exterted by gas molecules agains surfaces they encounter (mmHg)
what is partial pressure ?
percentage concentration (F) x total pressure of gas mixture (P)
what is ambient dry air ?
total pressure around 760 mmHg
what is tracheal humidified air ?
total pressure around 760 mmHg - 47 mmHg (vaporized water) = 713 mmHg
what is alveolar-capillary interface ?
site of pulmonary diffusion
what is the alveolar-capillary interface made up of ?
alveolar wall + capillary all + respective basement
describe air inflow in regards to gas exchange between alveoli and capillaries ?
bronchial tree to alveoli
describe blood inflow in regards to gas exchange between alveoli and capillaries ?
right ventricle to pulmonary arteries to pulmonary capillaries (deoxygenated blood)
what are alveoli surrounded by ?
capillaries
what are the two major functions of alveolar-capillary interface ?
- replenishes blood oxygen supply
- removed carbon dioxide from blood
what is atmospheric PO2 =
149 mmHg
what is arterial blood PO2 =
100 mmHg
what is skeletal muscle PO2 =
40 mmHg
what is fick’s law of diffusion ?
describes the movement of particles from a region of high concentration to a region of lower concentration
what does increased SA mean for diffusion ?
more easy to move
what is ficks law of diffusion directly proportional to ?
- surface area
- differential in partial pressure of gas on both sides of membrane
- diffusion constant ; determined by gas solubility and molecular weight
what is ficks law inversely proportional to ?
- thickness of tissue thru which gas must diffuse
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in general, having a Va/Q mismatch will mean you need to ________ to satisfy gas exchange requirements
increase Vᴇ
what does Vᴇ stand for ?
ventilation
what does Vᴅ stand for ?
dead space ventilation