Respiration 2 Flashcards

1
Q

What is compliance?

A

A measure of elasticity

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2
Q

What is the equation for compliance?

A

C = DeltaV/DeltaP

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3
Q

How does low compliance affect respiration?

A

Stiffer muscles require more energy to expand so more energy is required to inspire.
Volume change is smaller

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4
Q

How does high compliance affect respiration?

A

There is a lack of elastic recoil
Tissues around the lungs may be broken down so smaller airways become easier to collapse.
More difficulty expiring

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5
Q

What are the 2 major components of elastic recoil?

A

Surface tension
Elastic tissues

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6
Q

How is elastic recoil created due to surface tension?

A

Surface tension is generated at air-fluid interface
Difference in forces of water molecules but no up pull so vector is downwards ->
Molecules remaining at the surface develop opposing forces

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7
Q

What is Laplace’s equation? What does it explain?

A

P = 2T/r (pressure, tension, radius)
The balance between pressure exerted by the gas and the surface tension in a gas bubble/

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8
Q

Why will air flow from smaller alveoli to larger alveoli?

A

Laplace’s law states twice as much pressure us needed to keep the smaller sacs inflated so the smaller one will empty into the larger one

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9
Q

What specialisation allows small alveoli sacs to overcome collapsing?

A

Surfactant
- Reduces surface tension

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10
Q

How does surfactant reduce surface tension?

A

Decreases the density of the water molecules because their hydrophobic tails pull them upward, reducing the downwards vector

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11
Q

What do type 2 pneumocytes produce?

A

Surfactant

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12
Q

How does a spirometer work?

A

Pen goes up on expiration and down on inspiration

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13
Q

What are the 2 types of dead space?

A

Anatomical
Physiological

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14
Q

Describe anatomical dead space

A

Volume of conducting airways
(trachea, bronchi and bronchioles)
150mls at rest

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15
Q

Describe physiological dead space

A

Volume of lungs not participating in gas exchange
Conducting zone and non functional areas of the respiratory zone

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16
Q

What is the equation for total lung capacity?

A

Total lung capacity = Residual volume + Vital capacity

17
Q

How would you calculate residual volume?

A

Nitrogen dilution technique -
Known volume of air chamber
Helium gas goes into the chamber
A new eq is established as the person breathe
Measure helium conc to calculate the total volume

18
Q

How is airflow related to pressure gradient and resistance? What equation shows this?

A

Proportional to the pressure gradient
Inversely proportional to resistance
V = (Palv - Patm) / R

19
Q

What is the average airway resistance?

A

1.5cm H2O s/L-1

20
Q

What are 3 factors which influence airway resistance?

A

Mucus secretion (reduces diameter)
Oedema (increases fluid retention)
Airway collapse (narrows airways)

21
Q

How does the PNS control bronchial smooth muscle?

A

Acetylcholine is released from the vagus
Acts on muscarinic receptors leading to constriction

22
Q

How does the SNS act on bronchial smooth muscle?

A

Releases norepinephrine from nerve
Leads to dilation

23
Q

Name 2 humoral factors which control bronchial smooth muscle

A

Epinephrine - dilation
Histamine - constriction