Mechanics of breathing I Flashcards

1
Q

How do changes in lung volume contribute to helping air move from the atmosphere to the alveoli?

A

Changes in lung volume induces changes in alveolar pressure, which generates pressure gradients between alveoli & atmosphere, causing air to flow.

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2
Q

How does the lung volume change during inspiration and how does this help air flow from the atmosphere to the alveoli?

A

During inspiration the diaphragm contracts & thoracic cavity expands (lung volume increases).
This causes the Alveolar pressure to decrease meaning alveolar pressure is now lower than atmospheric.
This creates a pressure gradient between the alveoli and the atmosphere which the air moves down to move into the alveoli.

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3
Q

How does the lung volume change during expiration and how does this help air flow from the alveoli back out to the atmosphere?

A

During expiration the diaphragm relaxes & the lungs recoil causing lung volume decreases.
This causes the Alveolar pressure to increase meaning alveolar pressure is now higher than atmospheric.
This creates a pressure gradient between the alveoli and the atmosphere which the air moves down to go back out into the atmosphere.

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4
Q

Between inspiration and expiration why is there no movement of air?

A

The alveolar pressure and atmospheric pressure are equal meaning there is no pressure gradient for the air to move down.

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5
Q

What is the pleural cavity?

A

Fluid filled space between the 2 membranes (pleura) that line the chest wall and each lung.

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6
Q

What are the 2 pleura that surround the lungs?

A

Visceral (inner) pleura - attached to lungs

Parietal (outer) pleura - attached to chest wall

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7
Q

What are the functions of the pleural cavity?

A

Helps to provide a frictionless surface to aid movement of the lungs.
Also, ensures that movement of the chest wall results in movement of the lungs since lungs aren’t directly connected to chest wall.

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8
Q

Both the chest wall and the lungs have elasticity and are able to recoil. How does their ability to recoil affect the pressure within the pleural cavity?

A

The opposing elastic recoil of the chest wall (outward) and lungs (inward) causes the pleural cavity to be stretched slightly thus increasing the volume within pleural cavity. Because pleural cavity is sealed increase in volume decreases pressure leading to generation of negative pressure.

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9
Q

What is negative pressure?

A

Lower number of molecules within a certain volume relative to the surroundings. This generates a collapsing force (pulls surfaces of contained space together) which decreases the volume and works to re-establish equilibrium between the sealed space and the surroundings.

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10
Q

What is positive pressure?

A

Higher number of molecules within a certain volume relative to the surroundings. This generates an expanding force (pushes surfaces of contained space apart) which increases the volume and works to re-establish equilibrium between the sealed space and the surroundings.

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11
Q

What are the 2 opposing forces that causes the 2 pleura to move in different directions?

A

Lung recoil - force pulling the visceral pleura inwards

Negative intrapleural pressure - force pulling the visceral pleura outwards

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12
Q

How do changes in the forces acting on the pleura result in an increase in lung volume during inspiration?

A

During inspiration, muscular contraction pulls the parietal pleura outwards, stretching the chest cavity. This causes an increase in volume and decrease in intrapleural pressure.

The decreased (more negative) intrapleural pressure creates a greater level of force acting to pull the pleurae together (effectively acting to pull the visceral pleura outwards).

When the force generated by negative intrapleural pressure becomes greater than the inward force generated by lung recoil, the visceral pleura (and the lungs) will be pulled outwards, expanding the lung.

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13
Q

How do changes in the forces acting on the pleura result in an decrease in lung volume during passive expiration?

A

During (passive) expiration, relaxation of previously contracted respiratory muscles, reduces the outward force acting on the parietal pleura, reducing the degree to which the cavity is stretched, increasing the negative intrapleural pressure

When the increased (less negative) intrapleural pressure no longer generates sufficient force to overcome the elastic recoil of the lung, the visceral pleura will be pulled inward (along with the pleural cavity and parietal pleura) decreasing lung volume.

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14
Q

Why is the decrease in lung volume during forced expiration much quicker than during passive expiration?

A

During a forced expiration, contraction of other respiratory muscles (such as the abdominals and internal intercostals) acts to provide further inward force on the parietal pleura, compressing the pleural cavity (further increasing intrapleural pressure), forcing an increased and more rapid decline in lung volume.

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15
Q

Briefly describe the processes that leads to air being moved into the alveoli during inspiration?

A

Respiratory muscles (e.g. diaphragm) contract

Parietal pleura pulled outwards

Volume of thoracic cavity increases

Intrapleural pressure becomes more negative

Outward force exerted on visceral pleura becomes greater than inward force of lung recoil

Visceral pleura pulled outwards, Lungs expand, increasing volume

PAlv (alveolar pressure) decreases below PAtm (atmospheric pressure) creating pressure gradient

Air moves down pressure gradient, through airways into alveoli, expanding the lungs

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16
Q

Briefly describe the processes that leads to air being moved out of the alveoli during expiration?

A

Respiratory muscles (e.g. diaphragm) relax, lungs recoil due to elastic fibres

Parietal pleural pulled inwards

Volume of thoracic cavity decreases

Intrapleural pressure increases

Inward force generated by lung recoil becomes greater than outward force exerted on visceral pleura

Visceral pleura pulled inward, Lungs become compressed causing lung volume to decrease

PAlv increases above PAtm

Air moves down pressure gradient, into atmosphere, deflating lungs

17
Q

What is pneumothorax?

A

An abnormal collection of air in the pleural space between the lung and the chest wall.

18
Q

What are the 2 different types of pneumothorax?

A

Open pneumothorax - Damage to parietal pleura causes opening in chest wall which causes air to leak from atmosphere into the pleural space

Closed pneumothorax - Damage to visceral pleura causes Air from within the lungs leaks into the pleural space

19
Q

How to damage to either of the pleural membranes lead to pneumothorax?

A

If either pleural membrane is ruptured, the pressure gradient between the pleural cavity and surrounding environment will cause air to enter the pleural cavity until intrapleural pressure is equal to atmospheric pressure.
This causes pleural cavity volume to increase but causes lung volume to decrease (lung collapses).

20
Q

How does pneumothorax affect inspiration?

A

No negative pressure within pleural cavity before inspiration means that during inspiration the intrapleural pressure changes will be reduced preventing the lungs from expanding properly.