Pulmonary A&P Flashcards

1
Q

fibers of the diaphragm

A

vertical: on the outer edges, take care of easy breathing
horizontal: only necessary for heavy breathing, change the shape of the dome of the diaphragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

parasternals

A

stabilize the upper thorax so that the diaphragm can do its job

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

scalenes

A

attach to 1st and 2nd rib and help with pump handle motion of sternum
get stronger as they contract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

muscles that help with respiration during exercise/disease

A
SCM
upper traps
pec major
pec minor
subclavius
spinal extensors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

pec major clavicular head

A

help with inspiration if humeral attachment is above clavicle (hands on head)
help with expiration when humeral attachment is below clavicle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

active musclesof exhalation

A
transverse abdominus
internal obliques
external obliques
rectus abdominus
spinal flexors
lats
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

R and L lobes

A

3 on R, 2 on L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

elastic recoil

A

the lungs want to be deflated, as soon as the inspiratory muscles turn off the lungs pull

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

thoracic spring force

A

the thorax wants to pull out and pulls on the pleura which forces the lungs to expand during inspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

respiratory muscle force

A

at rest: only active during inspiration, pull on the thorax

end of exhalation-no respiratory muscles are active

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

resting end expiratory pressure

A

equilibrium of elastic recoil, thoracic spring force, respiratory muscle force
pressure in the lungs when you expire tidal volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

tidal volume

A

normal breath volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

expiratory reserve volume

A

after tidal volume exhale, the rest of the air you are able to breathe out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

total lung capacity

A

everything in your lunge– IRV, ERV, TV, RV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

vital capacity

A

the amount of air you have control over

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

residual volume

A

the air that is always in your lungs to keep them inflated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

inspiratory reserve volume

A

what you can breathe in after your tidal volume inspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

FEV1

A

the amount of air you can blow out in one second

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

V/Q

A

ventilation/perfusion

normally, when the blood has travelled 1/3 of the way around the alveoli, it is fully oxygenated

20
Q

dead space in alveoli

A

no perfusion from blood

21
Q

shunt

A

alveoli are closed, blood is coming through but it is not taking in air

22
Q

how does v/q change with positioning

A

q is what changes the most
in standing your v/q ratio is the best because the most blood is in zone 3 (gravity) and the place where the most oxygen is is where the lungs can expand the most (lower thorax)

23
Q

PAO2

A

partial presure of oxygen in the atmosphere

24
Q

PACO2

A

partial pressure of carbon dioxide in atmosphere

25
PaO2
partial pressure of oxygen in arterial blood | normal 100 mm Hg
26
PACO2
partial pressure of carbon dioxide in arterial blood | normal 40mm Hg
27
pH
hydrogen ions normal 7.4
28
H2CO3
carbonic acid
29
hyper/hypoventilation
dependent on levels of PaCO2
30
biots breathing
baby breathing-- uncoordinated because the muscles are not fully formed/motor patterns have nor been established if in an adult-- not normal, problem in pons or medulla
31
neural control of breathing
cortical control is available but not necessary for us because involuntary breathing is regulated by pons and medulla
32
cheyne-stokes breathing
different amplitudes of breathing followed by periods of apnea
33
cardiac structure/positioning
RV under sternum, apex of the heart at midclavicular line base: atria (top of heart) apex (LV, bottom of heart)
34
great vessel valves
aortic valve: between LV and aorta | pulmonary valve: between RV and pulmonary artery
35
AV valves
tricuspid: between RA and RV mitral: between LA and LV chordi tendoni stretch and open the valves from the ventricles
36
right ventricle pressure
max systole 30 | diastole: 0-8
37
Right atrium pressure
0-8
38
Left atrium pressure
0-10
39
left ventricle pressure
100-140 systole | 3-12 diastole
40
pulmonary artery pressure
systole = RV systole | diastole NOT equal to RV diastole (greater)
41
aorta pressure
systole equal to left ventricle systole | diastole NOT equal to LV diastole (greater)
42
AV node
can fire on its own if SA is not working, fires at 40-60bpm
43
SA node
sits in the back of the RA, responsible for depolarizing and setting off the rest of the pathway, fires at 70-80bpm
44
coronary arteries
R&L , left anterior descending (front of the heart, LV), Left circumflex (inferior part of the heart) --fill during diastole
45
cardiac automaticity
heart will fire if taken out of the body as long as blood is being pumped
46
cardiac contractility
different because of the alignment of fibers atria: umbrella ventricle: fist
47
EKG values P, QRS, T
P: atria depolarization QRS: ventricle depolarization T: ventricle repolarization