PULMONARY VENTILATION Flashcards

1
Q

main function of respiration

A

provide oxygen to tissues and remove carbon dioxide

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2
Q

4 major components of respiration

A
  1. pulmonary ventilation
  2. diffusion of oxygen and carbon dioxide between the alveoli and blood
  3. transport of oxygen and carbon dioxide in the blood and body fluids
  4. regulation of ventilation
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3
Q

2 ways the lungs can be expanded or contracted

A
  1. downward or upward movement of the diaphragm
  2. elevation or depression of the ribs
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4
Q

the most important muscles that raise the rib cage

A

external intercostals

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5
Q

muscles that help in raising the ribcage

A
  1. sternocleidomastoid
  2. anterior serrati
  3. scaleni
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6
Q

muscles that pull the rib downward during expiration

A

abdominal recti
internal intercostals

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7
Q

T/F: There are no attachments between the lung and walls of the chest cage

A

true

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8
Q

it is where the lungs are suspended

A

mediastinum

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9
Q

the lungs are surrounded by a thin layer of ___ that lubricates movement of the lungs within the cavity

A

pleural fluid

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10
Q

the pressure of the fluid in the thin space between the lung pleura and chest wall pleura

A

pleural pressure

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10
Q

the pressure of the fluid in the thin space between the lung pleura and chest wall pleura

A

pleural pressure

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11
Q

the pressure difference between that in the alveoli and that on the outer surfaces of the lungs (pleural pressure)

A

transpulmonary pressure

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12
Q

the elastic forces in the lungs that tend to collapse the lungs at each instant of respiration

A

recoil pressure

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13
Q

the extent to which the lungs will expand for each unit increase in transpulmonary pressure

A

lung compliance

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14
Q

the characteristics of the compliance diagram are determined by 2 elastic forces namely:

A
  1. elastic forces of the lung tissue
  2. elastic forces caused by surface tension of the fluid that lines the inside walls of the alveoli
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15
Q

the elastic forces of the lung tissue are determined mainly by ___ and ____ interwoven among the lung parenchyma

A

elastin and collagen fibers

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16
Q

The fluid-air surface tension elastic forces of the lungs
also increase tremendously when the substance called ____ is not present in the alveolar fluid.

A

surfactant

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17
Q

surfactant is a _____ agent in water

A

surface-active

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18
Q

surfactant is secreted by

A

type II alveolar epithelial cells

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19
Q

the most important components of surfactant are

A

dipalmitoyl phosphatidylcholine
surfactant apoproteins
calcium ions

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20
Q

Pulmonary ventilation can be studied by recording the
volume movement of air into and out of the lungs, a
method called ____

A

spirometry

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21
Q

the volume of air inspired or expired with each normal breath

A

tidal volume

22
Q

volume that is the extra volume of air that can be inspired over and above the normal tidal volume when the person inspires with full force

A

inspiratory reserve

23
Q

the maximum extra volume of air that can be expired by forceful expiration after the end of a normal tidal expiration

A

expiratory reserve volume

24
the volume of air remaining in the lungs after the most forceful expiration
residual volume
25
equals the tidal volume plus the inspiratory reserve volume
inspiratory capacity
26
expiratory reserve volume plus the residual volume
functional residual capacity
27
equals the inspiratory reserve volume plus the tidal volume plus the expiratory reserve volume
vital capacity
28
equal to the vital capacity plus the residual volume.
total lung capacity
29
the total amount of new air moved into the respiratory passages each minute
minute respiratory volume
30
equal to the tidal volume times the respiratory rate per minute.
minute respiratory volume
31
the minute respiratory volume averages about ___
6 L/min
32
The rate at which new air reaches gas exchange areas is called
alveolar ventilation.
33
air that is not useful for gas exchange
dead space air
34
The work of inspiration can be divided into three fractions
compliance/elastic work tissue resistance work airway resistance work
35
surfactant begin to secrete in the alveoli during _
6th and 7th month of gestation
36
Normal quiet respiration requires ___ energy
3%-5% energy
37
indicate changes in lung volume under different conditions of breathing
Spirogram
38
Types of lung volume:
1. Tidal volume 2. Inspiratory reserve volume 3. Expiratory reserve volume 4. Residual volume
39
combination of two or more volumes together
PULMONARY CAPACITIES
40
Normal tidal volume
500 ml
41
Normal respiratory rate
12 breaths/mins
42
renew air in the gas exchange areas of the lung continually
Pulmonary ventilation
43
Normal dead space volume
150ml
44
volume of all the space of the respiratory system other than the alveoli and their other closely related gas exchange areas
Anatomical dead space
45
when the alveolar dead space is included in the total measurement of dead space
Physiological dead space
46
Muscular wall of the bronchi and bronchioles - composed of ____ muscles
smooth
47
cause dilation of bronchial tree
beta-adrenergic receptors (from epinephrine)
48
cause mild to moderate constriction of the bronchioles
Acetylcholine
49
can relax the respiratory passages to relieve obstruction
Atropine
50
Substances released by mast cells during allergic reactions:
Histamine
51
keep the respiratory passages moist - traps small particles out of inspired air to never reach alveoli
Mucous goblet cells
52
due to sensitivity of bronchi and trachea to light touch and foreign matter
Cough reflex
53
irritation to nasal passageways
Sneeze reflex