Pneumonia 9/25 Flashcards

1
Q

Pneumonia

A

infection affecting alveoli caused by pathogen

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2
Q

alveoli

A

site of gas exchange

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3
Q

process- what inhaled and to where

A

Oxygen in the inhaled air (high concentration) moves across the alveolar membrane into the blood within capillaries surrounding the alveoli (low oxygen concentration).

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4
Q

what is simultaneously exhaled

A

carbon dioxide from the blood (high concentration) moves into the alveoli to be exhaled.

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5
Q
A
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6
Q

Factors contributing to efficient alveolar gas exchange

A

large surface area, thin membrane, rich blood supply

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7
Q

large surface area

A

the many tiny alveoli provide a large surface area for gas exchange to occur

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8
Q

thin membrane

A

the wall of the alveoli is very thin, allowing for quick diffusion of gases

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9
Q

rich blood supply

A

a dense network of capillaries surrounds the alveoli, ensuring efficient blood flow for gas exchange

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10
Q

defense mechanisms

A

mucociliary clearance, alveolar macrophages, immune system

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11
Q

mucociliary clearance

A

mucus traps pathogens and tiny hairs called cilia move the mucus out of the airways

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12
Q

alveolar macrophages

A

immune cells that engulf and destroy pathogens in the lungs

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13
Q

immune system

A

using neutrophils, T cells, and antibodies to fight off infections and keep the lungs healthy.

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14
Q

Mechanism 1. Inhalation of pathogen

A

microorganisms can enter the alveoli, bypassing the body’s normal defense mechanisms

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15
Q

Mechanism 2. alveolar inflammation

A

Once inside, they begin to multiply and trigger an inflammatory response in the lungs.

In this response, cytokines are released by the alveolar cells, which recruit immune cells such as neutrophils and macrophages to the site of infection

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16
Q

Mechanism 3. Fluid accumulation

A

These immune cells work to destroy the pathogens, but in the process, they also cause damage to the lung tissue. This leads to the accumulation of fluid, proteins, and immune cells in the alveoli – a process called alveolar filling. As a result, gas exchange becomes compromised, leading to hypoxia, or low oxygen levels in the blood.

17
Q

Mechanism 4. Spread of infection

A

spread to adjacent alveoli or entire lobes of the lungs, a condition known as lobar pneumonia. Alternatively, the infection may affect multiple areas within the lungs, leading to bronchopneumonia.

18
Q

hypoxemia

A

low oxygen levels in blood

19
Q

ventilation-perfusion mismatch

A

even though blood is flowing to the lungs, the alveoli are filled with fluid and can’t exchange oxygen and carbon dioxide effectively

20
Q

shunting

A

blood bypasses these non-functioning alveoli entirely, which further reduces oxygen levels

21
Q

impaired mucociliary clearance

A

The excess mucus and fluid in the airways make it harder for the lungs to clear out pathogens and debris, further contributing to infection and inflammation.

22
Q

systemic inflammatory response

A

sepsis

23
Q

acute respiratory distress syndrome (ARDS)

A

lungs fail to provide enough oxygen to body