✅Muscles & Mechanics Of Respiration Flashcards

1
Q

What is the larynx associated with?

A
  1. Muscles of neck and pharynx

2. Intrinsic muscles:
– Control vocal folds
– Open and close glottis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does the Trachealis muscle do?

A

Controls air going in and out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the two pleural cavities separated by?

A

mediastinum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does each pleural cavity contain?

A

– Holds a lung
– Is lined with a serous membrane (the pleura)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are pleura?

A

Thin membranes between the lung & chest wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the inner and outer pleura called?

A

» Visceral pleura (inner)
» Parietal pleura (outer)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe pleural space

A

» Contains a small amount of fluid
» Airtight, creating a negative pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When does Pneumothorax occur?

A

Occurs when air enters the pleural space, due to spontaneous rupture or trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What happens when Pneumothorax occurs?

A

Lung collapses while chest wall expands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What lubricates space between two layers?

A

Pleural Fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does boyles law refine?

A

• Defines the relationship between gas pressure and volume
P = 1/V

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What happens in a contained gas?

A

– External pressure forces molecules closer together
– Movement of gas molecules exerts pressure on container

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What happens If you decrease the volume of the container

A

collisions occur more often per unit of time, increasing the pressure of the gas.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What happens If you increase the volume?

A

fewer collisions occur per unit of time, because it takes longer for a gas molecule to travel from one wall to another. As a result, the gas pressure inside the container decreases.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What happens in the body when breathing?

A

» Ribcage moves upward & outward during inspiration
» Ribcage moves downward & inward during expiration
» Inspiration creates a more –ve pressure in pleural space & lungs
» Air fills the lungs until the intrapulmonary gas pressure equals atmospheric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What happens in inspiration?

A

Diaphragm, functioning like a piston

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What happens in expiration?

A

» “Elastic” recoil
» When ventilatory requirements increase (e.g. exercise), muscles of expiration are recruited.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What direction does air flow?

A

from area of higher pressure to area of lower pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What does A respiratory cycle consist of?

A
An inspiration (inhalation)
An expiration (exhalation)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the components of the ventilatory pump?

A

chest wall, respiratory muscles, pleural space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the chest wall made up of?

A

» Muscles of respiration (mostly intercostals)
» Bones (spine, ribs and sternum)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What does the chest wall do?

A

It Enables outward expansion and inward recoil forces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the respiratory muscles made up of?

A

» Diaphragm (major inspiratory muscle), separates the thorax from abdomen (bottom) & from the muscular chest wall (sides)
» Expiratory muscles used in “active breathing” (major: internal intercostals & abdominal muscles)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What does pulmonary ventilation do?

A

Causes volume changes that create changes in pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

The volume of the thoracic cavity changes with expansion or contraction of……. or …….

A

Diaphragm

Rib cage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What does the diaphragm form?

A

The floor of the thoracic cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is the diaphragm’s shape when relaxed?

A

Dome shaped

28
Q

What is the diaphragm made up of?

A

xiphoid process, internal surface of rib cage, costal cartilages of last 6 ribs and anterior surfaces of lumbar vertebra

29
Q

What is inside the diaphragm?

A

The central tendon

30
Q

What is always active?

A

Inhalation

31
Q

What are the mechanics of breathing?

A

As the rib cage is elevated or the diaphragm is depressed, the volume of the thoracic cavity increases

32
Q

What does Boyle’s law define?

A

The relationship between gas pressure and volume

33
Q

What does P =

A

1/V

34
Q

What happens in a contained gas?

A

– External pressure forces molecules closer together
– Movement of gas molecules exerts pressure on container

35
Q

What are the four most common methods of reporting gas pressures?

A

Millimetres of mercury
Torr
Centimetres of water
Pounds per square inch

36
Q

What is the mechanics of inhalation?

P outside > P inside

A

Elevation of the rib cage and contraction of the diaphragm increase the size of the thoracic cavity. Pressure within the thoracic cavity decreases, and air flows into the lungs.

37
Q

What is the mechanics of exhalation?

P outside < P inside

A

When the rib cage returns to its original position and the diaphragm relaxes, the volume of the thoracic cavity decreases. Pressure increases, and air moves out of the lungs

38
Q

What major factors does breathing depend on?

A
  • the compliance of the lungs and chest wall
  • the resistance of the airways to the smooth flow of air
39
Q

Describe wall compliance

A

The lung is elastic: constantly pulling inward & would collapse if not held open by the chest wall. The chest wall is also elastic, put constantly being pulled outward by muscles that are always under slight tension

40
Q

Describe the airway resistance

A

The radius of the vessels of the airway establishes the resistance to airflow (inverse square law). Diameter of bronchi & bronchioles rarely restrict flow of air in healthy persons, but in some diseases (chronic obstructive pulmonary disease) airflow is restricted.

41
Q

Compliance is an indicator of what?

A

Expandability

42
Q

Low compliance requires what?

A

Greater force

43
Q

High compliance requires what?

A

Less force

44
Q

What 3 factors affect compliance?

A
  1. Connective tissue structure of the lungs
  2. Level of surfactant production
  3. Mobility of the thoracic cage
45
Q

Describe surfactant

A

• An oily secretion
• Contains phospholipids and proteins
• Coats alveolar surfaces and reduces surface tension

46
Q

What is The intrapulmonary (also called intra-alveolar) pressure is relative to?

A

Atmospheric pressure

47
Q

In relaxed breathing, the difference between atmospheric pressure and intrapulmonary pressure is what?

A

Small

48
Q

Maximum intrapulmonary pressure: during maximum straining (dangerous activity) range can increase from what?

A

-30 mm Hg (inhalation) to +100 mm Hg (closed glottis)

49
Q

What is intrapleural pressure?

A

The pressure in space between the parietal and visceral pleura

50
Q

What does the intrapleural pressure remain below?

A

atmospheric pressure throughout respiratory cycle (due to relationship between lungs and body wall)

51
Q

Describe 2 injuries to the chest wall

A

– Pneumothorax allows air into pleural cavity
– Atelectasis (also called a collapsed lung) as a result of pneumothorax

52
Q

What does Cyclical changes in intrapleural pressure operate?

A

the respiratory pump, aiding venous return to the heart

53
Q

What is tidal volume (Vt)?

A

the amount of air moved in and out of lungs in a single respiratory cycle

54
Q

What are the most important respiratory muscles? (Primary respiratory muscles)

A

• The diaphragm
• External intercostal muscles of the ribs
• Accessory respiratory muscles – activated only when respiration increases significantly

55
Q

Why is the diaphragm important in inhalation?

A

– Contraction draws air into lungs – 75% of normal air movement

56
Q

Why are External intercostal muscles important to inhalation?

A

– Assist inhalation
– 25% of normal air movement

57
Q

Why are accessory muscle important in inhalation?

A

Assist in elevating the ribs

58
Q

What are the accessory muscles?

A

– Sternocleidomastoid
– Serratus anterior
– Pectoralis minor
– Scalene muscles

59
Q

When do the accessory respiratory muscles become active?

A

When the depth and frequency of respiration must be increased markedly

60
Q

What do the Internal intercostal +
transversus thoracis
muscles in exhalation?

A

Depress the ribs

61
Q

What do the abdominal muscles do in exhalation?

A

Compress the abdomen

Forces the diaphragm upward

62
Q

What are the two modes of breathing?

A

Quiet

Forced

63
Q

Describe quiet breathing

A

– Involves active inhalation and passive exhalation – Diaphragmatic breathing or deep breathing
 dominated by diaphragm
– Costal breathing or shallow breathing
 dominated by rib cage movements

64
Q

What is dyspnea?

A

Shortness of breath” – producing an accelerated pattern of shallow, ineffective breathing, and accompanies elevated arterial CO2 and [H+]

65
Q

What is hyperventilation?

A

Overbreathing” so that the increase in pulmonary ventilation exceeds the oxygen needs of metabolism, it lowers the normal alveolar concentration of CO2, leading to excessive CO2 unloading