Physio Exam 4 Set 2 Flashcards

1
Q

Bronchioles

A

Lack gas exchange
- Lack cartilage
- small epithelium
- pulmonary blood supply

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2
Q

No pulmonary capillaries

A

no gas exchange

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3
Q

Bronchi

A

Cartilage
- >1 diameter
- pseduostratified columnar
- Bronchial Blood supply
- 150 ml

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4
Q

Respiratory Bronchioles

A
  • No cartilage
  • <1
  • Cuboidal Epithelia
  • Pulmonary BSup
  • 1500 mL
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5
Q

Alveoli

A
  • No cartilage
  • <1
  • Squamos Epithelia
  • Pulmonary BSupp
  • 3000 mL
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6
Q

Alveolar Cell:
Type 1

A
  • 95% Most numerous
  • AIR EXCHANGE
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7
Q

Alveolar Cells :
Type 2

A

-5% Least Numerous
- Little Larger
PRODUCE SURFACTANTS (detergents) - decrease surface tension and easier to inflate

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8
Q

Surface Tension and Surfactants

A
  • Small alveoli harder to inflate
  • Surfactants make alveoli easier to inflate
  • Increased volume, Decreased Surfactant
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9
Q

Elastic Recoil

A

Helps maintain airway deflation during exhalation.
- (Prevents complete deflation (complete Collapse), promoting partial deflation.

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10
Q

Emphysema

A

Disrupted alveolar attachments
(Decreased elastic recoil)

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11
Q

COPD

A
  • Disrupted Alveolar attachments (emphysema)
  • Mucus Hypersecretion
  • Mucosal and peribronchial inflammation and fibrosis
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12
Q

Flow

A

Volume/Time

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13
Q

Volume

A

Flow x Time

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14
Q

Pressure

A

Flow x Resistance

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15
Q

Resistance

A

Change in pressure / flow

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16
Q

Compliance

A

Volume/ Change in pressure

17
Q

Work of breathing

A

Pressure x Volume

18
Q

Reynolds Number Re
Re>3000

A

Turbulent airflow

19
Q

Re <2000

A

Laminar

20
Q

Airway Airflow Resistance

A

4-8 Majority of resistance

21
Q

During Inhalation

A

-Diaphragm Contracting
(moving downward and forward)

  • External Intercostals
22
Q

During Exhalation

A
  • Diaphragm Rises and relaxes
  • Internal Intercostals
23
Q

Base of the lungs

A
  • higher compliance
  • More flow
  • Lower transmural pressure (absolute value)
24
Q

Airflow
- Increased Resistance

A
  • Obstructive Disease
  • Decreased volume
25
Q

Airflow
- Decreased Compliance

A
  • Restrictive Diseases
  • Drastic decrease in lung volume
26
Q

Breathing rate or frequency

A

12-18/min

27
Q

Duty cycle or time per breath

A

1-2 seconds

28
Q

Breathing volume or Tidal Volume

A

0.4 - 0.6 L

29
Q

Sympathetic
- increases air flow
-Increases Breathing rate
- Relaxes bronchioles
- Increases Ciliary breathing

A

Parasympathetic
-Decreases air flow
-Decreases Breathing Rate
-Constricts Bronchioles
- Decreases Ciliary Breathing

30
Q

Acidosis - stimulates Respiration

A

Alkalosis - Inhibits Respiration

31
Q

Control of Respiration

A

Central Receptors
Peripheral receptors
CO2 is main stimulus but also O2 and Stretch Receptors
Modulate Baseline output from breathing center

32
Q

Inhalation

A

Negative Pressure Difference

33
Q

Exhalation

A

Positive Pressure Difference

34
Q

Main Breathing Muscles

A

Diaphragm
Intercostal Muscles
Abdominal Muscles