Mechanism of ventilation pt.1 Flashcards

1
Q

What are the 2 zones of respiratory passage

A

Conducting zone and respiratory zone

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2
Q

Which generation is each zone

A

conducting zone: 1-16
Respiratory zone: 17-23

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3
Q

What are the innervations for smooth muscle cells

A

Parasympathetic N.S (muscarinic receptors): bronchodilatation
Sympathetic N.S (beta 2 adrenergic receptors): bronchoconstriction

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4
Q

What are the 2 layers covering the lungs

A

Visceral pleura
parietal pleura

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5
Q

what are the functions of the pleural fluid

A

Prevent lung and chest from being pulled apart
Allows them to easily slide over each other

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6
Q

What happens during excess accumulation of pleural fluid

A

Pleural effusion

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7
Q

What is the normal respiratory rate for adults and children

A

Adults: 12-18
children: 30-40

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8
Q

what are the 3 changes in dimensions of the thoracic cage

A

Longitudinal
transverse
vertical

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9
Q

What is normal breathing called

A

Eupnea

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10
Q

Why is inhalation active during eupnea

A

It involves contraction of diaphragm and external intercostal muscles

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11
Q

Why is expiration passive during eupnea and how is it achived

A

No muscle contraction
Achieved by elastic recoil of lungs

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12
Q

What is the origin, insertion and innervation of the diaphragm

A

Origin: Lower ribs
Insertion: Central tendon
Innervation: Phrenic nerve (C4, 5)

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13
Q

What is the origin, insertion and innervation of the external intercoastal muscles

A

Origin and insertion: runs down and forwards from rib to rib
Innervation: intercoastal nerves

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14
Q

which dimensions does contraction of external intercoastal muscles increase

A

Transverse and anteroposterior

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15
Q

What changes during forced breathing

A

Both inspiration and expiration is active

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16
Q

What changes during forced breathing in terms of inspiration

A

stronger diaphragm contraction
contraction of accessory muscles

17
Q

what are the 3 accessory muscles

A

Sternomastoid
Serratus anterior
Scalene muscles

18
Q

What changes during forced breathing in terms of expiration

A

Contraction of internal intercoastal muscles
contraction of abdominal wall muscles

19
Q

How are lung volumes measured

A

spirometer

20
Q

What and how much is tidal volume (TV)

A

The air inhaled or exhaled each breath
~500ml

21
Q

What and how much is Inspiratory reserve volume

A

Air forcibly inhaled above tidal volume
~3000ml

22
Q

What and how much is Expiratory reserve volume (ERV)

A

Air forcibly exhaled above tidal volume
~3000 ml

23
Q

What and how much is Residual volume (RV)

A

The air that remains in lungs after maximum/forced expiration (cannot be measured by spirometer
~1200ml

24
Q

What is lung capacity

A

2 or more lung volumes added together

25
Q

What and how much is Inspiration capacity (IC)

A

Maximum volume of air inspired after normal expiration
TV+ IRV
~3500ml

26
Q

What and how much is Functional residual capacity (FRC)

A

It is the remaining volume of air after normal expiration when all respiratory muscles are relaxed
ERV + RV
~2300ml

27
Q

What and how much is Vital capacity (VC)

A

Maximum volume inhaled and exhaled
IRV + ERV + TV
~4600ml

28
Q

What and how much is Total lung capacity

A

Total volume of air after maximum inspiration/ total lug volumes
~5800ml

29
Q

why is RV is >30%

A

Obstructive lung disease -> difficulty exhaling which causes more air to be remained in the lungs

30
Q

How to measure RV

A

Helium dilution method

31
Q
A