Physiology Flashcards
4 steps of external respiration
Ventilation
Gas exchange between alveoli and blood
Gas transport in blood
Gas exchange at tissue level
Ventilation
The mechanical process of moving air between the atmosphere and alveolar sacs
Boyle’s law
As the volume of gas increases the force expected by the gas decreases
Two forces which make lungs and thorax move together
- Intrapleural fluid cohesiveness
2. Negative intrapleural pressure - lungs push outwards, chest squeezes inward
What does the external intercostal muscle do?
Lift the ribs and move the sternum out
alveolar surface tension
Attraction between water molecules at liquid air interference
LaPlace Law
P = 2T/r i.e. smaller alveoli have a higher tendency to collapse
What is causes respiratory distress syndrome in a newborn
Lack of surfactant
3 forces that keep the alveoli open
Transmural pressure gradient
Pulmonary surfactant
Alveolar interdependance
2 forces which promote alveolar collapse
Elasticity of stretched pulmonary connective tissue fibres
Alveolar surface tension
Accessory muscles of inspiration
Sternocleidomastoid
Scalenus
Major muscles of inspiration
External intercostal muscles
Diaphragm
Muscles of active expiration
Internal intercostal muscles Abdominal muscles (TIRE)
Tidal volume
Volume of air entering or leaving the lungs during a single breath
Inspiratory reserve volume
Extra volume of air that can be maximally inspired over and above the typical resting tidal volume
Inspiratory capacity
Maximum volume of air that can be inspired after a normal expiration
Expiratory reserve volume
Extra volume of air that can be actively expired by maximal contraction beyond the normal volume of air after a resting tidal volume
Residual volume
Minimum volume of air remaining in the lungs after maximal expiration
Vital capacity
Maximum volume of air that can be moved out during a single breath following maximal inspiration
Total lung capacity
Maximum volume of air that the lungs can hold = VC + RV
Forced Vital capacity
The volume of air that can be forcefully expelled following maximal inspiration
Forced Expiratory Volume in 1 sec (FEV1)
The volume of air that can be expelled during the first second of expiration
Spirometry results for obstructive lung disease
FVC = Normal FEV1 = Low FEV1/FVC% = low
Spirometry results for restrictive lung disease
FVC = Low FEV1 = Low FEV1/FVC% = Normal
What happens to intrapleural pressure during inspiration
Falls - diaphragm moves down
What happens to intrapleural pressure during expiration
Rises - diaphragm moves up