RESP- Mechanics of Breathing Flashcards

1
Q

what is airway resistance

A

change in transpulmonary pressure required to produce a unit flow of gas through the airways of the lung

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2
Q

what affect does a decrease in airway radius have

A

increased resistance and dramatic decrease in airflow

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3
Q

what is a respiratory condition where the airway is constricted

A

asthma

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4
Q

what effect does turbulent flow have on airway resistance

A

airway resistance is increased

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5
Q

in what kind of flow does air travel through the airway

A

laminar flow until it reaches the bronchi where there is a small amount of turbulent flow

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6
Q

what creates wheezing

A

a blockage / constricted airway creating turbulent flow

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7
Q

what is the purpose of elastin surrounding alveoli in healthy airways

A

provides radial traction to splint the bronchioles against positive alveolar pressure - without this (such as in CODP) the bronchioles collapse

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8
Q

define lung compliance

A

defines the relationship between the level of expansive force applied to the lung and the resulting change in lung volume

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9
Q

what is the relationship between lung compliance and expansion

A

a greater lung compliance = greater expansion

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10
Q

what is transpulmonary pressure

A

the level of force acting to expand the lung

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11
Q

how is transpulmonary pressure calculated

A

alveolar pressure - intrapleural pressure

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12
Q

how is lung compliance calculated

A

change in volume / change in pressure

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13
Q

on a graph, how is lung compliance expressed

A

the gradient of a curve - the steeper the curve = greater level of compliance

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14
Q

when a lung is described as having low compliance, what does this mean in terms of ease / difficulty in filling the lung

A

a decrease lung compliance = more difficult to inflate the lung

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15
Q

what factors affect lung compliance

A

chest wall mechanics - obesity
alevolar surface tension - NRDS
elastin fibres - fibrosis / COPD

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16
Q

in what way does fibrosis affect lung compliance

A

decreases lung compliance

17
Q

in what way does COPD affect lung compliance

A

increases lung compliance - degradation of elastic fibres = decreased elastic recoil - easier to inspire, more difficult to expire

18
Q

what are the roles of the two types of cells making up the alveoli

A

Type 1 (95% of alveolar surface) - responsible for gas exchange

type 2- secrete pulmonary surfactant

19
Q

what is the role of pulmonary surfactant

A

equalise the pressure and volume across varying alveoli