respiration 2 Flashcards

1
Q

what is compliance?

A

measure of elasticity of lungs/ distensibility

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2
Q

what is compliance equation?

A

C=ΔV/ΔP

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3
Q

what if there is high or low compliance?

A

high - difficulty expiring (emphysema)

low - difficulty inspiring e.g. (fibrosis)

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4
Q

wat is anatomical component of lung recoil?

A

elastic nature of cells and ECM

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5
Q

what is laplaces equation?

A

P = 2T/r

air flows from smaller aveoili to larger aveoli (large aveoli have a lower pressure)

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6
Q

how is the problem of smaller aveoli collapsing prevented?

A

by surfactant production

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7
Q

what produces surfactant?

A

type 2 pneumocytes

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8
Q

what does surfactant do?

A

acts to reduce surface tension

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9
Q

what is surfactant composed of?

A

lipids and proteins

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10
Q

what are lung volumes measured by?

A

spirometer

except lung residual volume

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11
Q

what is physiological dead space?

A

volume of lungs not participating in gas exchange

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12
Q

how can residual volume be measured?

A

helium dilution

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13
Q

how does flow of air into lungs compare to pressure gradient and resistance?

A

air flow into/ out of lungs in PROPORTIONAL to pressure gradient but INVERSELY proportional to resistance

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14
Q

what is poiseilles law?

A

Airway resistance is proportional to gas viscosity and the length of the tube but is inversely proportional to the fourth power of the radius.

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15
Q

do small airway changes have impact on resistance/flow?

A

YES

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16
Q

what is airway resistance in normal individual?

A

1.5cm H2O .s.litres-1

17
Q

what factors impact airway resistaance?

A
oedema (swellings + narrowing of airways)
airway collapse (narrows airways)
mucous secretion (reduce lumen diameter + increased resistance)
18
Q

how is bronchial smooth muscle controlled?

A

autonomic nervous system (parasympathetic and symapthtic and humoral responses)

19
Q

how can acetylchloline cause constriction of airways?

A

PARASYMPATHETIC Ach released from vagus nerve, acts on muscurinic receptors - CONSTRICTION

20
Q

what does histamine do?

A

cause constriciton of airways

21
Q

how does sympathetic NS cause bronchial dilation?

A

release of noradrenaline from nerves - weak agonist - dilation

22
Q

how does adrenaline vary to adrenaline in airways ?

A

(circulating blood) adrenaline is a stronger agonist leads to dilation

23
Q

when is histamine released?

A

during inflammatory processes