Nasal Cavity Function + Intro Flashcards
What drives O2 across alveolar membrane
Partial pressure
Is the pressure higher or lower at higher altitudes
P is lower
Arterial content of O2 is lower
Hb conc increases
what does Qº mean
Blood flow OVER TIME
What are the conducting zone airways
Trachea -> terminal bronchioles
1st 16 generations
What are the transitional/respiratory zone airways
Resp bronchioles -> alveolar sacs
Last 7 generations
Functions of conducting zone
Heating, humidifying and filtering inspired air
delivery of air
upper airway resistance
NO GAS EXCHANGE OCCURS IN CONDUCTING ZONE
Effect of O2 equilibrium on gas exchange
DOES NOT STOP gas exchange
What travels into and out of alveoli (non-ciliated)
Macrophages - remove particles by lymphatics and blood flow
What pressure pushes fluid into alveoli
Hydrostatic pressure
What pressure pushes fluid out of alveoli
Oncotic pressure
Effect of fluid filled alveoli on gas exchange
No gas exchange due to decrease in oncotic P
When does a baby produce surfactant
@ 28 weeks
Non-pulmonary functions of respiratory system
- Control of pH in EC fluid - blood and ISF
pH => CO2 and bicarbonate
pH = 6.1 + log10 ([HCO3-]/0.03 x pCO2)
- Behavioural - phonation
- Defense - humidifcation, IGs, Lysozymes, complement system
4 consequences of infection
- Granuloma formation
- Phagocytosis of bacilli - NO production
- Increase in IL-10 (anti-inflammatory) and TNF-alpha (WBCs)
- TLR 2/3 (recognises 2x stranded DNA)/4 - recognise patterns on microbes
4 consequences of asthma
- DC activation
- Increase in M2
- IL-10
- Chemokines - eosinophils, basophils
3 consequences of COPD
Impaired TLR2
Impaired phagocytes
Increase in IL-8, TNF-alpha, ROS
6 ways normal macrophage function could be impaired
- Inhaled gases - ozone, cigarette smoke
- Toxic particles e.g. silica
- Alveolar hypoxia
- Radiation
- Corticosteroids
- Alcohol ingestion
How are small particles lodged in conducting airways removed
What happens if there are no Cl- ions secreted
- A stream of mucus propelled by ciliary action, moving them upwards towards epiglottis to be swallowed
- Mucus does not move and traps microbes in respiratory tract => persistent infections
CF - type of disorder
what is it a mutation of
Autosomal recessive heterogneous genetic disorder
Mutation of CF transmembrane conductance regulator (CFTR) - chromosome 7
What is the CFTR protein
where is it found
cAMP regulated Cl- channel
Regulates other ion channels
=> those with CF have salty sweat
found in plasma membrane of epithelial cells
Pathophysiology of CF
- Increase in trans-epithelial electric PD
- Inhibits cAMP-dependent kinase and PKC-regulated Cl- transport
- Increase in Na+ transport, decrease in Cl- transport
- Decreased salt and water content in mucus
- Depeletes peri-ciliary liquid
- Mucus adheres to airways => decreased mucus clearing
- Pre-disposition to staph and pseudomonas infections
Functions of nasal cavity (5)
- Resp humidification
- Heating
- Resonating chamber - speech
- Olfactory receptors
- Sebaceous glands
What are olfactory receptors
Primary sensory epithelial cells - modified neurons
What is the surface of an olfactory recptor coated with
Mucus secretions from olfactory glands
Pathway of info from olfactory receptor
Olfactory bulb
- FRONTAL CORTEX - conscious perception of smell
- HYPOTHALAMUS AMYGDALA - motivational and emotional aspects of smell
- HIPPOCAMPUS - odour memory
Ability decreases with age
What nerve fibres are found in the olfactory membrane
Trigeminal nerve fibres
Orthonasal
Nose -> olfactory receptors -> olfactory bulb -> odour perception
Retronasal
Mouth -> olfactory receptors -> olfactory bulb -> odour perception
What do the paranasal air sinuses do (7)
- Serve as resonating chamber for voice
- Decrease weight of skull
- Warm and moisten inhaled air
- Shock absorbers - trauma
- Help control immune system
- Regulate intranasal pressure
- Contribute to facial growth
Deglutition
Swallowing - propulsion of food down the oesophagus
4 functions of the larynx
- Deglutition
- Protection
- Pressure generation
- Vocalisation
Protection (larynx)
Epiglottis closes over, preventing food to enter trachea
Pressure generation (larynx)
Valsalva - childbirth, defacation
Vocalisation (larynx)
What is the size of the vocal cords influenced by
Vibration of vocal cords due to intermittent airflow
the greater the pressure the louder to noise
Size of vocal cords is influenced by testosterone
What are the factors influencing
- Sound quality
- Loudness
SOUND QUALITY
Symmetrical vibration at midline of glottis
LOUDNESS
- Subglottic pressure
- Glottic resistance
- Transglottic airflow
- Amplitude of vibration
What is the pleura
Flattened sac of serous membrane surrounding each lung
What does the parietal layer of pleura do with fluid
Secretes fluid
What does the visceral layer of pleura do with fluid
Resorbs fluid
How does the pleural cavity affect expansion of chest wall and lungs
Delay between expansion of chest wall and lungs
What is the intrapleural pressure like
Always negative compared to atm P
=> acts as a SUCTION to keep lungs inflated
What is the -ve IP due to (3)
SURFACE TENSION
Water-air interface of alveolar fluid tends to pull each of the alveoli inward
ABUNDANT ELASTIC TISSUE IN LUNGS
Recoils and pulls lung inwards, creating -ve P
ELASTIC THORACIC WALL
Tends to pull away from lung, enlarging the pleural cavity and creating a -ve pressure
Functions of pleural fluid
What is its normal vol
- Prevents separation of pleura
- Acts as a lunbricant between pleura
- Facilitates lung movement
10-20 ml
What is a pleural effusion
Accumulation of fluid within pleural space
Where is the pleural pressure most -ve
APEX
Where is the pleural pressure least -ve
Base
Which alveoli are bigger - apical or basal
Apical
what are pleural blebs
Where are they more often found
Air pockets in pleural fluid
More often in apex
Is inhalation passive or active
ALWAYS active
Exhalation can be both
How much of inspiratory effort does the diaphragm account for
75% inspiratory effort
Muscles involved in quiet inhalation
Diaphragm and external ICs
When are accessory resp muscles activated
In forced inhalation and exhalation
What are the pressures driving ventilation
- Alveolar pressure
- Atmospheric pressure
What is transpulmonary pressure
Ptp = Palv - Pip