Respiration 4 Flashcards
What are the 2 categories of lung disease?
Obstructive
Restrictive
What is an obstructive lung disease?
Reduction in flow through airways
What is a restrictive lung disease?
Reduction in lung expansion
What is the overall effect of lung disease?
A reduction in ventilation in the lungs
Name 3 causes of obstructive lung disease
Excess secretions
Bronchoconstriction
Inflammation
Why does narrowing of the airways lead to reduced flow?
Narrowing of the airways leads to increased resistance which leads to a decreased flow rate
Describe the difference between a normal V/T graph and an obstructive lung disease V/T.
The FEV1 in an obstructive will be < 80% of FVC in obstructive lung disease
Describe the difference between normal volume time curves and obstructive disease volume time curves
In obstructive disease, forced vital capacity is unchanged but there is a decrease in FEV1.
The point volume is the same but takes longer to get there.
Describe the difference in shape in flow-volume loops in normal vs obstructive.
Initial and peak flow are similar
There is a sharp fall in flow-rate on obstructive - leads to a concave shape graph.
What disease produces a persistent productive cough and excess mucus secretion?
Chronic bronchitis
What disease causes hyperactive airways ?
Asthma
What disease causes structural changes?
Chronic obstructive pulmonary disease
What other diseases is COPD linked to?
Bronchitis and emphysema
Which disease is associated with a loss of elastin?
Emphysema
What is an atopic trigger?
An extrinsic trigger e.g. allergies
What is a non-atopic trigger?
An intrinsic trigger e.g. respiratory infections
Explain the asthma response
A non atopic or atopic trigger causes the asthma response.
Inflammatory cells move across the blood into the airways ->
Release of inflammatory mediators (histamine) ->
Smooth muscle has histamine receptors which trigger bronchoconstriction ->
Reduces airflow
What is salbutamol ? What is its effect?
A short acting B2 adrenoreceptor used for short term treatment of asthma.
Dilation of the airways by inhibiting contraction
Is salbutamol an agonist or antagonist?
Agonist, stimulates the airways
What is a long acting asthma treatment?
Glucocorticoids e.g. beclomethasone
What is the mechanism of glucocorticoids?
Interact with beta2 adrenoreceptors ->
Activates coupling of g proteins with adenylcyclase ->
Enhances production of cAMP which activates protein kinase A causing smooth muscle contraction
Name 2 effects of restrictive lung disease
Reduced chest expansion
Loss of compliance (fibrosis)
Describe a restrictive lung disease spirometer
Vital capacity is reduced compared to the predicted value
Describe a restrictive disease volume time curve.
The curve is depressed
FEV1 is reduced
Reduction in vital capacity