Module 10 - Respiration Flashcards
1
Q
Lung Location
A
- In thoracic cavity
- Surrounded by rib cage & diaphragm
2
Q
Airway Components
A
- Nasal cavity & mouth
- Pharynx
- Larynx (voice box)
- Trachea
3
Q
Trachea Anatomy
A
- Divides into left & right bronchi
- Divide into smaller bronchioles
- Divide into alveoli
4
Q
Alveoli Wall Composition
A
- Type I & type II cells
5
Q
Type I Alveoli Cells
A
- Flat alveolar epithelial cells
6
Q
Type II Alveoli Cells
A
- Secrete surfactant
- Line alveoli
7
Q
Capillary Composition
A
- Vascularized tissues
- Thin endothelial wall
- Large cross-sectional area
- Low blood velocity
8
Q
Capillary Function
A
- Diffuses O2 into blood & CO2 out
9
Q
Respiratory Membrane
A
- Region between alveolar spaces & capillary lumen
- 0.3 microns thick
10
Q
Respiratory Membrane Function
A
- Allows gas exchange between air & blood
- Immune cells for protection against airborne particles
11
Q
Respiratory Immune Cell Types
A
- Macrophages
- Lymphocytes
12
Q
Parietal Pleural Membrane
A
- Lines & sticks to ribs
13
Q
Visceral Pleura Membrane
A
- Surrounds & sticks to lungs
14
Q
Intrapleural Space Composition
A
- Formed by two membrane layers
- Small amount of pleural fluid
15
Q
Pleural Fluid Function
A
- Reduce friction
- Between pleural membranes during breathing
16
Q
Lung Movement during Respiration
A
- Recoil & collapse
- Due to elastin
17
Q
Pressure Levels Between Breaths
A
- Alveolar & atmospheric high
- Intrapleural low
18
Q
Cause of Lower Intrapleural Pressure
A
- Chest wall & lungs moving in opposite directions
19
Q
Transpulmonary Pressure
A
- Difference between alveolar & intrapleural pressures
20
Q
Transpulmonary Pressure Equation
A
TP = Alveolar pressure - Intrapleural pressure
21
Q
Transpulmonary Pressure Importance
A
- Hold lungs open
22
Q
Pneumothorax
A
- No pressure holding lungs open
- Causing collapse
- Puncture of intrapleural space
- Alveolar & intrapleural pressure become equal
23
Q
Boyle’s Law Definition
A
- Volume decrease causes pressure increase
- Pressure inversely proportional to volume
24
Q
Boyle’s Law Equation
A
Pressure ∝1/Volume
25
Pressures of Air Moving into Lungs
- High atmospheric pressure
- Low alveolar pressure
26
Pressures of Air Moving out of Lungs
- High alveolar pressure
- Low atmospheric pressure
27
Muscles of Inspiration
- Diaphragm moves downwards (contracts)
- External intercostal muscles of rib contract
28
Pressure Change of Inspiration
- Alveolar pressure drops
- Atmospheric pressure remains same
29
Inspiration Contraction Process
- Active process
- Relies on signals from respiratory center (brainstem)
- Inhibits expiratory muscles & centre
30
Muscles of Expiration
- Diaphragm moves upwards (relaxes)
- External intercostal muscles of rib relax
31
Pressure Change of Expiration
- Alveolar pressure increases
- Atmospheric pressure remains same
32
Expiration during Exercise
- Air forced out of lungs
- Contracts abdominal & internal rib intercostal muscles
- Creates larger pressure gradient
- Alveolar pressure increase
33
Compliance
- Stretchability of lungs
- More stretch = more compliance
34
Pulmonary Compliance
- Volume change from pressure change
- Determines ease of breathing
35
Compliance Equation
= Volume change/pressure change
36
Factors of Compliance
- Amount of elastic tissue in wall of alveoli, vessels, bronchi
- Surface tension of liquid film lining alveoli
37
Elastic Tissue
- Present in walls of alveoli, blood vessels, bronchioles
- Arranged to easily stretch elastin fibers, not collagen
- More elastin = less compliance
38
Surface Tension
- Force developed at liquid surface
- Caused by attractive forces between H2O molecules
- Water molecule tension is inward
39
Pulmonary Compliance Surface Tension
- Thin liquid film lining alveoli surface tension
- Collapse alveoli
- Decreasing compliance
- Difficult to inflate lungs
40
Pulmonary Surfactant
- Lipoprotein substances
- Produced by type II alveolar cells
41
Lipoprotein Composition
- Phospholipids
42
Lung Volume Types
- Tidal volume
- Residual volume
- Inspiratory reserve volume
- Expiratory reserve volume
43
Tidal Volume
- Air volume entering/leaving lungs
- During 1 breath at rest
44
Residual Volume
- Remaining air in lungs
- After max exhalation
45
Inspiratory Reserve Volume
- Maximum air to enter lungs
- In addition to tidal volume
46
Expiratory Reserve Volume
- Maximum air exhaled
- Beyond tidal volume
47
Lung Capacity Types
- Inspiratory capacity
- Functional residual capacity
- Vital capacity
- Total lung capacity
48
Lung Capacity Definition
- 2+ lung volumes
49
Inspiratory Capacity
- Max amount of air inhaled
- After exhaling tidal volume
- Tidal volume + inspiratory reserve volume
50
Vital Capacity
- Maximal amount of air exhaled
- After maximal inhalation
- Inspiratory reserve + tidal volume + expiratory reserve
51
Total Lung Capacity
- Maximum air lungs can hold
- Vital capacity + residual volume
52
Respiratory Zone Composition
- Alveoli
- No cartilage/cilia
53
Conducting Zones/Anatomical Dead Space Composition
- Cartilage in airways
- Cilia on bronchial epithelium
54
Conducting Zones/Anatomical Dead Space Function
- Conduct air
- Microbial defence
- NO gas exchange
55
Respiratory Zone Function
- Gas exchange
- Microbial defence
56
Pulmonary Ventilation (VE)
- Air entering all conducting & respiratory zones
- In 1 MIN
- 7500mL/min at rest
57
Pulmonary Ventilation Equation
Tidal volume(mL) x respiratory rate (breaths/min)
*mL/min
58
Alveolar Ventilation (VA)
- Air entering respiratory zones
- Each minute
- Volume of fresh air available for gas exchange
- Take anatomical dead space into account
59
Alveolar Ventilation (VA) Calculation
Pulmonary ventilation (VE) - Dead space ventilation (VD)
60
Dead Space Ventilation (VD)
- Equal to persons body weight in pounds
61
High O2 Parietal Pressure
- Alveolar (Highest)
- Systemic Artery
- Pulmonary Vein
62
High CO2 Parietal Pressure
- Pulmonary Artery
- Systemic Vein
- Tissue
63
Partial Pressure Movement
- O2 & CO2 move from high-low partial pressure areas
- Down partial pressure gradients
64
Oxygen Movement
- From alveolar space (105mmHg)
- To bloodstream (40mmHg)
65
Carbon Dioxide Movement
- From blood (46mmHg)
- To alveolar space (40mmHg)
66
Hemoglobin O2 Transport
- Transports majority of O2
- Each hemoglobin molecule carries 4 O2 molecules
67
Plasma O2 Transport
- Transports very low amount
- Can't supply enough O2 to meet body needs
68
Erythropoiesis
- RBC production
- Within bone marrow
69
Erythropoiesis Requirements
- Amino acids
- Iron
- Folic acid
- Vitamin B12
70
Amino Acids & Iron Function
- Components of hemoglobin
71
Folic Acid & Vitamin B12 Function
- Formation of DNA
- Cell division
72
RBC Life Span
- 120 days
- Destroyed by liver & spleen
73
Erythropoietin (EPO) Hormone
- Erythrocyte production
- Ensure RBC production equals RBC loss
74
Erythropoietin (EPO) Hormone Secretion
- 90% kidneys
- 10% liver
75
Testosterone Effects on RBC
- Increase EPO Secretion
- Larger amount of RBC in males than females
76
Immature RBC's
- Contain nucleus
- Direct production of hemoglobin
77
Mature RBC's
- No nucleus
- Circulating in blood
- No more hemoglobin produced
78
High PO2 Levels
- In lungs
- O2 binds to Hb
- Forming HbO2
79
Low PO2 Levels
- In tissue
- O2 unloads from Hb
80
HbO2 Dissociation Factors
- Temperature
- Acidity (pH)
81
PO2 at Rest
- 50% of Hb saturated
82
PO2 During Exercise
- Body warms up & pH decreases (acidity increase)
- 5% saturation of Hb
- Unloading of O2 from Hb
83
CO2 Transport Mechanisms
- Dissolved & carried in plasma (PCO2)
- Carried as bicarbonate ion (HCO3)
- Attached to proteins in blood forming carbamino compounds
84
CO2 Dissolved in Plasma
- 20x more soluble than O2
- Dissolves easy
- 7-10% of CO2 transport
85
CO2 as Bicarbonate Ion
- 70% of CO2 transport
- CO2 reacts with H20 to produce carbonic acid (H2CO3)
- H2CO3 dissociates in bicarbonate (HCO3) & H+
86
CO2 as Carbamino Compound
- 20-23% of CO2 transport
- Hb unloads O2 picks up CO2
- Forms HbCO2
- Returns to lungs
- Diffuses into alveolar space
87
CO2 Chloride Shift
- CO2 converted to HCO3-
- HCO3- diffuses out of RBC into plasma
- HCO3- leaving cell = more negative
- Cl- diffuses in to balance charge
88
High PCO2 Levels
- In tissue
- Loading hemoglobin with CO2
- Form bicarbonate ion (HCO3-)
89
Low PCO2 Levels
- At lungs
- CO2 unloads from Hb
- HCO3- coverts back to CO2
- CO2 diffuses out of RBC into alveoli
90
Spontaneous Respiration
- Originates in medullary respiratory center
- Produced by rhythmic activity from neurons
91
Voluntary Respiration
- Located in cerebral cortex
- Can override medullary respiratory center
92
Quiet Exhalation
- Passive process
- Relaxation of inspiratory muscles
- Elastic properties & muscle recoiling
93
Forceful Exhalation
- During exercise
- Contraction of abdominal muscles
- Contraction of internal intercostal muscles of ribs
94
Pneumotaxic Center
- Regulates rate of breathing
95
Apneustic Center
- Controls depth of breathing
96
Role of Pons in Respiration
- Modify spontaneous signals from medulla centre
- Ensures proper gas concentrations in blood
97
Voluntary Respiration Center
- Originates in cerebral cortex
- Modify ventilation
- Modify signals in apneustic or pneumotaxic center
98
Chemeoreceptors
- Special receptors to detect ion concentrations in blood
- O2, CO2, H+
99
Peripheral Chemoreceptors
- Located in aortic arch & carotid sinus
- Cardiovascular system
100
Central Chemoreceptors
- Located in medulla of brainstem
- Close to respiratory center
101
Peripheral Chemoreceptor Characteristics
- Primarily sensitive to O2
- Slightly sensitive to CO2
- Detect levels & send signals to respiratory center
- Increase ventilation
- Restoration of PO2 & PCO2
102
Central Chemoreceptor Characteristics
- Sensitive to H+ levels in interstitial space of brain
- Diffuse interstitial space crossing blood brain barrier
- Detect levels & signal to respiratory center
- Increase ventilation
- Restore normal blood gas concentrations
103
Respiration Negative Feedback System
- Set point (proper gas concentration)
- Control center (brain)
- Sensors (chemoreceptors detect gas levels)
- Effector (muscles of respiration)
- Controlled variable (ventilation of lungs)