Mechanics of Breathing Flashcards

1
Q

What is the equation for flow?

A

Flow (V)= (Patm-Palveoli)/R

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2
Q

Which muscle is the most important for inspiration?

A

Diaphragm

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3
Q

Describe the movements of the diaphragm during inspiration.

A

Muscle fibers in the diaphragm radiate out from the central tendon and they shorten during inspiration ind pull it down in order to increase intrathoracic and intrapleural pressure

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4
Q

What animal has active exhalation all of the time?

A

Horses

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5
Q

What other muscles help during inspiration?

A

External intercostals-elevate ribs
Sternomastoids-raise sternum
Scalene-raise the first two ribs

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6
Q

How is the lung able to move in the thoracic cavity?

A

The pleura that contains a small amount of pleural fluid allows it to slid up and down and the pressure in the intrapleural space determines alveolar volume and gas flow

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7
Q

When do the nares tend to collapse and why?

A

The nares will collapse during inhalation due to a very high negative pressure

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8
Q

What is laryngeal hemiplagia?

A

In horses, usually the left recurrent laryngeal nerve is damaged and the cricoarytenoids dorsalis is unable to open the glottis-roaring

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9
Q

What is dynamic compress?

A

Little dogs have weak tracheas that collapse on inhalation and cause a honking noise

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10
Q

What are some muscles of expiration?

A
  • Abdominals- increase the pressure in the abdomen when the contract
  • Internal intercostals-forces ribs downward
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11
Q

What is a compliance curve?

A

This is when pressure and volume are plotted on a graph. Inspiration and expiration have a separate curve. Inspiration shows a greater increase of pressures at lower volume showing us that the lungs don’t work as well at TLC

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12
Q

What are the basis for lung compliance?

A
  1. Elastin and collagen
  2. Surface tension
  3. Interdependence
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13
Q

How does surface tension increase the compliance?

A

Surfactant produced by alveolar type II cells, keep the alveoli from collapsing

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14
Q

How does interdependence increase compliance?

A

If one region starts to collapse, the other areas around it create torsional pull that keeps it open

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15
Q

Which region of the lung has higher ventilation?

A

Lower region

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16
Q

Where is intrapleural pressure the most negative?

A

At the apex of the lung

17
Q

Why is the lower region of the lung more ventilated?

A

The IPP is so high at the apex it creates a higher negative pressure which expands the alveoli here more. This allows form more of the air to reach the lower alveoli to be used. The apical alveoli are much stiffer and therefore do not ventilate as much as the lower region.

18
Q

What happens during pneumothorax?

A

The intrapleural space and chest wall have been pierced. This cause the lung to recoil and the chest wall springs out and there is a negative IPP

19
Q

What happens to the lungs with emphysema?

A

The lung compliance in increased due to holes in the parenchyma. This gives it a very low recoil and the IPP is less negative. Patients often appear barrel chested and are unable to force the air out of the lungs without collapse of the airways

20
Q

What happens to the lungs with pulmonary fibrosis?

A

You get a decrease in compliance and an increased recoil due to build up in scar tissue. This creates a very negative IPP and the lung wants to collapse.

21
Q

Which airways have the most resistance?

A

Larger airways

22
Q

Why is the resistance in the alveoli so low?

A

The cross sectional area of the alveoli is so much higher than that of the large airways thus leading it to have a lower resistance

23
Q

Describe the flow of expiration on a compliance graph.

A

The graph will be asymmetric. The first part of expiration will be a sharp linear line in flow due to the recoil of the lungs and the large size of the airways having less resistance. This is called effort independence. Once the expiratory muscles start to act, this increases the alveolar driving forces and raises intrathoracic pressure. This will increase the resistance of the airways and collapse in unsupported ones and the flow of air being expired slows down from the fast flow when there was no effort