Respiration 2 Flashcards

1
Q

What is compliance?

A

The measure of elasticity so how easy it is to expand and relax your lungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the equation for compliance?

A

Compliance= change in volume / change in pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What characterises high compliance in lungs?

A

Easier to expand lungs BUT more difficult to expire DUE TO LOSS OF ELASTIC RECOIL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What happens to lung compliance in pulmonary fibrosis?

A

Compliance DECREASES
Lungs become more rigid
More work required for inspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What happens to lung compliance in emphysema?

A

Compliance INCREASES
Loss of elastic recoil in lung tissue
Easier to inflate lungs but harder to expire

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the 2 major components of elastic recoil in lungs?

A

Anatomical component- elastic and collagen fires in lung tissue

Surface tension generated at air-fluid interface

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is surface tension in lungs?

A

Alveoli have a fluid lining and air inside. This creates an air and fluid interface. Whenever water and air come in contact, the water molecules attract each other and form a sphere structure. THIS CREATES TENSION AND SO SURFACE TENSION IN LUNGS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What can increased surface tension do to alveoli?

A

Collapse them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is surfactant and what is its role?

A

Acts to reduce surface tension

Produced by Type II pneumocytes
Composed of lipids and proteins
Prevents smaller alveoli from collapsing into larger ones

*Without intervention, this would cause smaller alveoli to collapse into larger ones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

recall how a basic spirometer works and the different lung volumes that can be measured

A

A spirometer is a device that measures the volume of air breathed in and out. The basic working principle is:

The person breathes into a mouthpiece connected to a chamber
The chamber either moves up and down (in older water-sealed spirometers) or has sensors that detect airflow
This creates a trace that shows volume changes over time

it can measure:
Tidal Volume (TV)
Inspiratory Reserve Volume (IRV)
Expiratory Reserve Volume (ERV)
Vital Capacity (VC)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

wat volume cannot be measured by a simple spirometers?

A

residual volume because it’s the air that remains in the lungs after maximum expiration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is anatomical dead space?

A

Volume of conducting airways

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is physiological dead space?

A

Volume of lungs not participating in gas exchange

Includes conducting zone + non-functional areas of respiratory zone
Normally almost identical to anatomical dead space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Is physiological dead space and anatomical dead space volumes meant to be similar?

A

Yes
At least for a healthy individual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

when would the physiological dead space volume increase?

A

when there is a blockage restricting gas exchange

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is Tidal Volume (TV)?

A

Volume of air moved during normal breathing

17
Q

What is Inspiratory Reserve Volume (IRV)?

A

Extra volume that can be forcefully inhaled after a normal tidal inspiration

18
Q

What is Expiratory Reserve Volume (ERV)?

A

Extra volume that can be forcefully exhaled after a normal tidal expiration

19
Q

What is Residual Volume (RV)?

A

Volume of air remaining in lungs after maximum expiration

20
Q

What is Vital Capacity (VC)?

A

Maximum volume that can be exhaled after maximum inhalation

21
Q

What is Total Lung Capacity (TLC)?

A

Maximum volume of air lungs can contain

22
Q

What is Functional Residual Capacity (FRC)?

A

Sum of Expiratory Reserve Volume + Residual Volume

23
Q

What is Inspiratory Capacity (IC)?

A

Sum of Tidal Volume + Inspiratory Reserve Volume

24
Q

What determines airflow in the lungs according to Poiseuille’s law?

A

Airflow is:

Proportional to pressure gradient
Inversely proportional to resistance
*Resistance is inversely proportional to the fourth power of radius
Small changes in airway diameter have large impacts on flow rate

25
Q

What was the take home message from Poiseuille’s law?

A

resistance = 1 /radius 4 (to the power of 4)
*Resistance is inversely proportional to the fourth power of radius

well what does that mean?
A small change in the radius has a big impact on the resistance and hence flow rate. AS RESISTANCE GOES UP, BREATHING BECOMES HARDER

26
Q

What is the distribution of airway resistance in a normal individual (total 1.5cm H2O.s.litres-1)?

A

Pharynx-Larynx: 40%

Airways >2mm diameter: 40% (in larger airways, RESISTANCE IN SERIES)
Airways <2mm diameter: 20% (in smaller airways, RESISTANCE IN PARALLEL)

27
Q

How does the parasympathetic nervous system affect bronchial smooth muscle?

A

Acetylcholine is released from the vagus
Acts on muscarinic receptors
Leads to airway CONSTRICTION

28
Q

How does the sympathetic nervous system and epinephrine affect bronchial smooth muscle?

A

Sympathetic: Norepinephrine release (weak agonist) → DILATION

29
Q

What is laplace’s law/ equation?

A

Pressure = 2 x surface tension
——————————
Radius
SO

The bigger the radius, the less pressure is needed to keep the alveoli opened