Respiration Flashcards
TV
tidal volume, normal breathing
IRV
inspiratory reserve volume, largest inhale
IC
inspiratory capacity, standard lung capacity
ERV
expiratory reserve volume, the amount of air you can push out further than your normal breath
RV
residual volume, the amount of air that does not leave your lungs, cannot be measured, 1.0 L
FRC
functional residual capacity
VC
vital capacity, largest possible inhale and exhale
EV
forced expiratory volume in one second, should be 80%
tidal volume (TV) equation
VC - ERV - IRV
inspiratory reserve volume (IRV) equation
VC - TV - ERV
inspiratory capacity (IC) equation
TV + IRV
expiratory reserve volume (ERV) equation
VC - TV - IRV
functional residual capacity (FRC) equation
ERV + RV
vital capacity (VC) equation
TV + ERV + IRV
total lung capacity (TLC) equation
VC + RV
Va
aveolar ventilation (fresh air)
Vd
dead space (inspired dead air)
tidal volume (TV) equation II
Va + Vd
f
ventilation volume/min
Ve
total ventilation/min
total ventilation (Ve) equation
TV * f
aveolar ventilation (Va) equation
f (VT - Vd)
what does age do to spirometry?
FEV, can only expel 40%-60% within 1 second
obstructive lung diseases
asthma, bronchitis, emphysema
restrictive lung diseases
age, SIDS, pulmonary fibrosis
what does asthma/bronchitis do to spirometry?
higher RV, lower VC, and lower ERV
what do restrictive lung diseases do to spirometry?
RV normal
higher ERV
lower IRV
lower TLC
lower VC
what does SIDS do to spirometry?
lower IRV
higher ERV
lower TLC
lower VC
lower TV
general spirometry changes for restrictive lung diseases
lower TLC
lower VC
can’t inhale efficiently
what does exercise do for spirometry?
frequency of TV increases
increase in VC
what does gender do for spirometry?
generally males have larger lung volume than females
general spirometry changes for obstructive lung disease
can’t exhale, same TLC
carbonic anhydrase shift equation
CO2 + H2O <—> H2CO3 <—> H+ and HCO3-
what enzyme cataylizes the shift equation?
carbonic anhydrase
what does decreasing the pH do in respiration?
lowers the carrying capacity of O2
two components of pulmonary physiology
- gas exchange
- gas transport
does O2 contribute to partial pressure when bound to hemoglobin?
no
O2 solubility in fluids
poor, 0.3mL/100mL
hemoglobin
binds four O2 molecules on a heme group
what does hemoglobin bind on its polypeptide chains?
CO2
how much does hemoglobin weigh?
64 kDa
anemia
low iron
HbO2
oxyhemoglobin
HbCO2
carbinohemoglobin
HbCO
carboxyhemoglobin
CO binding to hemoglobin
competes for space with O2, stronger affinity for heme group
how does hemoglobin decide O2 or CO2?
partial pressure
how is O2 transported in the body?
1.5 % physically dissolved
98.5% as HbO2
how is CO2 transported in the body?
10% physically dissolved
30% as HbCO2
60% as HCO3-
Haldane Effect
reduced hemoglobin has higher affinity for CO2
if there is a higher concentration of O2, Hb exhibits…
cooperativity
gases will move down its
concentration diffusional gradient
erythropoiesis
making more Hb over 3-4 days, higher blood viscosity
nitrogen narcosis
depth intoxication
at high pp (depth) gases can be _____.
toxic
at low pp (altitude) gasses can cause _____, _____, _____, and _____.
sickness, nausea, increased heart rate, and insomnia
P50
when 50% of your Hb is saturated, normally 34mmHg
dissociation of O2 as you go _______.
down
association of O2 as you go _____.
up
left Bohr shift
dumping O2 at lower pp (later), retaining O2 longer, and a smaller P50
right Bohr shift
dumping O2 sooner, larger P50
causes of a right Bohr shift
low pH
hypoventilation
high pp of CO2
increased temp
high 2,3-DPG
causes of a left Bohr shift
high pH
low pp of CO2
lower temp
low 2,3-DPG
hyperventilation
blood transfusion
conducting zone
nasal passages
pharynx
trachea
larynx
left/right bronchi
bronchioles
true respiratory zone
alveoli, only location for true gas exchange
Boyle’s Law
P1V1 = P2V2
P = 1/V
inspiratory muscles
diaphragm, external intercostals
what nerve moves the inspiratory muscles?
phrenic nerve
forced inhalation recruits
stemocleidomastoid and reses sternum
inspiration is an _____ process
active
what happens during inspiration?
volume increased
pressure decreased
air goes down its pressure gradient
forced exhalation does what?
pushes diaphragm higher, pulls ribs in tighter, and recruits accessory muscles
what happens during expiration?
volume decreased
pressure increased
air goes down it’s pressure gradient
type 1 alveolar cells
cover surface area
type 2 alveolar cells
make surfactant
- allows for easy of opening