resp 3- ventialtion and pressure changes Flashcards

1
Q

what are static properties of the lung

A

mechanical properties when no air is flowing

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2
Q

why are static properties of the lung necessary

A

necessary to maintain lung and chest wall at a certain volume

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3
Q

what are the 4 static properties

A
intrapleural pressure (PIP)
transpulmonary pressure (PTP)
static lung compliance
surface tension of lung
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4
Q

what are dynamic properties of the lung

A

mechanical properties when the lungs are changing volume and air is flowing in and out

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5
Q

why is dynamic lung properties necessary

A

necessary to permit airflow

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6
Q

3 dynamic properties of the lung

A

alvoelar pressure (PALV)
dynamic lung compliance
airway and tissue resistance

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7
Q

what is bulk flow

A

exchange of air between the atmosphere and the alveoli due to gas moving from high to low pressure

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8
Q

what is boyles law

A

pressure and volume are inversly proportional at contrant T

p1v1=p2v2

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9
Q

which direction does air flow when alveolar pressure is LARGER than atmospheric pressure

A

air flow out

expiration

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10
Q

which direction does air flow when alveolar pressure is SMALLER than atmospheric pressure

A

air flow in

inspiration

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11
Q

bulk flow formula

A

(alv.press. - atm.press)/resistance

change in pressure/ resistance

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12
Q

what are the pleurae

2 types

A

thin double-layered envelope

parietal and visceral

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13
Q

parietal pleura

A

covers thoracic wall (inside of rib cage)

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14
Q

visceral pleura

A

covers the external surface of the lungs

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15
Q

what does intrapleural fluid do

A

reduces friction of lungs against thoracic wall during breathing

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16
Q

what is lung elastic recoil (what does it do)

A

lung have a tendency to collapse

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17
Q

what determines lung volume

A

the interaction between the lungs and the thoracic cage

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18
Q

what is chest wall elastic recoil

A

pull thoracic cage outward

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19
Q

how does elastic recoil equilibriate

A

inward elastic recoil of lungs balances outward elastic recoil of chest wall

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20
Q

what is PIP (definition)

A

the pressure within the pleural cavity

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21
Q

what is PIP like

A

a vaccuum because it is always subatmospheric (negative pressure)

22
Q

what would happen if PIP=PALV

A

lungs would collapse

23
Q

what is PALV

A

the pressure of air inside the alveoli

24
Q

what is PALVs role

A

directly producing air flow, it is dynamic
it governs the gas exchange between lungs and atmosphere
maintain lung expansion in thorax

25
what is PTP
force responsible for keeping the alveoli open | the pressure graident across the alveolar wall
26
PTP formula
PTP=PAVL-PIP
27
what does PTP determine
lung volume
28
is PTP static or dynamic
static, it does not cause airflow | determines lung volume
29
is PALV static or dynamic
dynamic, determines air flow
30
flow formula
change in pressure/resistance
31
what are the resistive forces in the airway
inertia (negligible) | friction
32
how does friction affect the airway
lung tissue past itself during expansion lung&chest wall tissue surface gliding past eachother (interpleural fluid significantly reduces friciton tho) flow of air through the airways (80%!)
33
when is airflow resistance more sensitive to changes in radius
when its not laminar
34
what are the three different types of airflow
laminar, transitional, turbulent
35
what is laminar airflow
little airflow resistance
36
what is transitional airflow
resistance increases, extra energy to produce vertices
37
where is most transitional airflow
bronchial tree
38
where is most laminal airflow
small airways that are distal to terminal bronchioles
39
what is turbulent airflow
where the effective resistance to airflow is the highest
40
where is most turbulent airflow
in large airways (trachea, larynx, pharynx) large radius large linear air velocities
41
what kind of airflow in small airways
laminar
42
what kind of flow in trachea, larynx and pharynx
turbulent
43
what kind of airflow in bronchial tree
transitional
44
which kind of airflow does poiseuilles law
laminar flow
45
what is poiseuilles law
R=viscocity x length / radius^4
46
what is resistance to airflow most sensitive to (poiseuille)
change in radius
47
what is the total airway resistance in healthy subjects usually
1.5cm H2O/(L/s)
48
why is the resistance lower with bronchioles aligned rather than a few large ariways
because resistance in less in parallel than in a series
49
where does COPD have a dramatic increase in resistance (or other diseases)
in the smalllll airways (<2mm diameter)
50
why is there more resistance in small than large airways in disease states
smooth muscles contraction in walls edema in walls of alveoli and bronchioles mucus in bronchioles