Pulmo Physio Flashcards

1
Q

explain the pathway of air

A

external nares - nasopharynx - oropharynx

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2
Q

it filters inhaled air

A

nose hairs - 10-3 micrometers

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3
Q

why is air humidified

A

dry air damages - nasopharynx humidifies nd warms

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4
Q

why is swimming reco for asthmatics

A

1 foot above water - vv humidified air - less attacks

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5
Q

why is the nose an area of high infection

A

bc of high sebum

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6
Q

why is nose vv sensitive part

A

cribiform plate is perforated passage of olfactory n - access to CNS - meningitis

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7
Q

what is the movement of cilia

A

beat down - orad - toward mouth

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8
Q

what are the 2 types of fluid on top of cilia

A

Gel layer - mucus, sticky one; bottom
Sol layer - water component; top

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9
Q

exp how cilia works

A

filters 3-0.3 micrometer - particles caught in sol layer - moved to orad - spit/swallow

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10
Q

what happens to sol layer when we have coughs or colds

A

lessened nd gel becomes more viscous - difficulty to move upward - = cough - water to replenish sol

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11
Q

what happens to cilia in chronic smokers

A

bc cuboidal - no cilia - sol nd gel are stuck - smokers cough

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12
Q

why c shaped cartilage ng trachea

A

for esophagus to prevent collapse

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13
Q

why is cricoid full circle

A

prevents excessive movement when labored breathing

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14
Q

right vs left bronchioles

A

right more vertical than left - debris get dislodged more - infection - pneumonia

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15
Q

how many generations are there

A

23

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16
Q

what are the diff gens

A

1-17 - conducting zone
18-19 - transition zone
20-23 - respi zone

17
Q

cough reflex is until what zone lng

18
Q

what are the 3 types of alveolar cells

A

type 1 - primary pneumocytes
type 2 - surfactant secreting
macrophages

19
Q

what is the impotance of surfactants

A

reduces surface tension - prevents collapse of alveolus - easy to inflate

20
Q

how nicotine affects the lungs

A

gets dissolved in fluid of alveolus - harder for o2 - cyanotic

21
Q

how many alveolocapillary membrane layers

22
Q

how thick is respiratory membrane

A

0.5 micrometer

23
Q

piston action

A

up down of diaghpraghm

24
Q

bucket handle effect

A

external itercostal causs ribs to flare out - inc chest diameter

25
pump handle effect
sternum moves anteriorly - inc diameter
26
caliper effect
ribs approximate - spaces narrow down - inc diameter
27
how does the lungs expire air
during elastic recoul - diagphragm moves superiorly -
28
what does hypertrophied SCM
problem in breathing bc always mag deep breathing
29
Pressure within the alveoli. Between breaths, it equals
athmospeheric psi 760mmHg
30
what happens to intrapulmonary psi in inhalation
1mmHg dec - 500 ml o2 - dec
31
what happens to intrapulmonary psi in exhalation
inc 1mmHg
32
intrapleural pressure
always negative - prevents lung collapse - 2nd reason
33
explain the intrapleural changes
-4 to -7 and go back to -4 during expiration
34
explain the effects of pneumothorax
psi = - lungs collapse on inflation - depressurized - gsw or stab
35
how to treat pneumothorax
close wound nd suck air out to reinflate - other lung will work normally bit br inc nd depth
36
what are the factors that airway resistance
Ach - constrict histamine - contrict epi - dilate
37
acute respiratory syndrome
premature 8 mo - no surfactant - lungs collapse - inject surfactant of pig