mechanics of ventilation 1 Flashcards

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1
Q

2 integrated processes of respiration

A

external respiration

internal/cellular respiration

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2
Q

external respiration

A

Exchange of oxygen and carbon dioxide between the body and the external environment

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3
Q

internal respiration

A

Uptake, utilisation of oxygen by cells and release of carbon dioxide

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4
Q

what is ventilation driven by

A

mechanical forces

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5
Q

gas pressure

A

Force that the gas exerts on the walls of its container

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6
Q

boyle’s law

A

For a fixed mass of enclosed gas at constant temperature, the product of the pressure (P) and volume (V) remains constant.”

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7
Q

boyle’s law formula

A

PV = k or P1V1 = P2V2

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8
Q

where does pressure differential exist

A

exists only between pulmonary and pleural pressure

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9
Q

what pressure is greater pleural pressure or pulmonary pressure and why

A

Pleural pressure < Pulmonary pressure
keeps lungs inflated
opposing forced - lungs stretched under tension, wanting to pull inwards
chest wall wants to pull outwards

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10
Q

pressure of pleural sac, lung and airway before inspiration

A

pleural sac - 756
lungs - 760
airway - 760

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11
Q

pressure of pleural sac, lung and airway during inspiration

A

size of thorax increases
lungs stretch - less pressure
pleural sac expands - pressure decreases

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12
Q

intrapleural pressure decreases after intrapulmonary pressure true or false

A

false

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13
Q

8 events of inspiration

A

Inspiratory muscles contract
The diameter of the thoracic cage increases
Intrapleural pressure (PPL) becomes more negative
Transmural pressure (PTM) increases and causes alveoli to swell or open
Intra-alveolar pressure falls relative to atmospheric pressure
Air flows down pressure gradient from atmosphere to alveoli
Tidal volume (VT) of about 500 mls is added to resting volume or FRC
At end of inspiration – no airflow and intra-alveolar pressure = atmospheric pressure

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14
Q

3 types of inspiratory muscles

A

primary
accessory
airway

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15
Q

primary inspiratory muscles

A

diaphragm

external intercostals

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16
Q

accessory inspiratory muscles

A

contract only during forceful inspiration
sternomastoid
scalene

17
Q

airway inspiratory

A

laryngeal
pharyngeal
genioglossus

18
Q

how does diaphragm change during inspiration

A

dome shaped; flattens upon contraction and descends (1-10 cm); causing 75% of inspiration

19
Q

how does external intercostal change during inspiration

A

Lift ribs upwards and outwards

20
Q

how does scalenes change during inspiration

A

Raise the first 2 ribs

21
Q

how does sternomastoid change during inspiration

A

Raise the sternum

22
Q

Examples for respiratory diseases associated with the requirement of accessory muscle activity

A

Chronic bronchitis
Asthma
Emphysema
 Chronic obstructive pulmonary diseases (COPD)

23
Q

how do airway muscles keep inspiration occuring

A
  • > Enlarging of the airway ->Reduced flow resistance

- > Stabilisation of the airway (esp. pharynx) -> Preventing collapse

24
Q

passive expiration

A

Passive process, when at rest

Relaxation of inspiratory muscles sufficient

25
Q

active expiration

A

Contraction of abdominal muscles (push up diaphragm)

Contraction of internal intercostals

26
Q

expiration requires relaxation of..

A

external intercostal muscles

diaphragm

27
Q

expiration requires contraction of.

A

internal intercostal muscles - flattens sternum reducing dimensions
abdominal muscles

28
Q

lung volumes measured using

A

spirometer

reading a spirogram

29
Q

FEV

A

Forced expiratory volume

30
Q

FVC calculated

A

Max. inhalation followed by fast exhalation