Respiration and Ventilation II Flashcards

1
Q

Features of Alveoli Structure

A

Elastic Fibres around alveoli to aid passive recoil on exhalation
Capillary beds surround alveoli for high gas exchange
Smooth muscle around the terminal bronchiole to allow for bronchodilation/constriction
Thin cells walls for efficient gas exchange

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2
Q

Features of Alveolar Epithelium

A

Simple Squamous Epithelium
Consists of thin pneumocytes
Patrolled by dust cells (alveolar macrophages)
Contains septal cells that produce surfactant

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3
Q

Henry’s Law Definition

A

When gas under pressure comes in contact with liquid, gas dissolves in liquid until equilibrium is reached
Gas volume is proportional to partial pressure of gas

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4
Q

5 Reasons for Efficiency of Gas Exchange

A

Substantial Differences in partial pressure across respiratory membrane
Short exchange distances
O2/CO2 are lipid soluble
Total Surface Area = Large
Blood Flow and Airflow are coordinated

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5
Q

Partial Pressures in Alveolar Air/Capillaries

A

Blood arriving has Low PO2 (40) and High PCO2 (45)
Alveoli Air has High PO2 (100) and Low PCO2 (40)
Concentration gradient causes O2 to enter and CO2 to leave blood

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6
Q

Partial Pressures in Systemic Circuit

A

Oxygenated/Deoxygenated Blood mix from conducting pathways
Lowers the PO2 of blood entering systemic system (drops to 95)

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7
Q

Interstitial Fluid Partial Pressure

A

PO2 = 40
PCO2 = 45
Concentration gradient in peripheral capillaries is opposite to lungs

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8
Q

Function of Red Blood Cells

A

Transport O2 and CO2 to and from peripheral tissue
Remove O2 and CO2 from plasma, as plasma cant transport enough O2/CO2 to meet physiological needs

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9
Q

Features of RBC

A

No nucleus for more O2 storage
Concave structure for more efficient gas exchange

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10
Q

2 Types of Capillary

A

Pulmonary - O2 pickup away from alveoli
Systemic - O2 delivery towards alveoli

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11
Q

Haemoglobin Features

A

4 polypeptide structure
4 heme groups - bind to O2
Binding of O2 leads to conformational change in Hb to allow for more efficient O2 pickup

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12
Q

3 Types of Haemoglobin

A

Oxyhaemoglobin (HbO2)
Deoxyhaemoglobin (without O2)
Carbaminohaemoglobin (bound to CO2 after O2 dissociation)

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13
Q

Shape of Oxygen-Hb Saturation Curve

A

Sigmoid Curve
Higher PO2 results in greater Hb Saturation
Curve shown due to Hb changing shape each time O2 binds to it
Allows for Hb to bind to O2 at low O2 levels

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14
Q

Temperature and Hb Saturation Relationship

A

As Temp increases, Hb releases more O2, therefore lower O2 association
Significant in active tissues , e.g. active skeletal muscle
As Temp increases, sigmoid curve is shallower

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15
Q

pH and Hb Saturation Relationship

A

As pH increases, O2 association is higher
Due to Bohr Effect

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16
Q

Bohr Effect Definition

A

CO2 diffuses into RBC
CO2 reacts with H2O to produce H2CO3 (through the use of carbonic anhydrase)
H+ dissociates, lowering pH of blood

17
Q

BPG and Hb

A

As BPG increases, more O2 released by Hb, therefore lower O2 association
BPG levels rise when pH increases
If BPG levels are too low, Hb won’t release O2

18
Q

CO2 Transport Pathways

A

Generated by Aerobic Metabolism
1) Dissolve in plasma (7%)
2) Bind to Hb (23%)
3) Converted to H2CO3 (70%)
All reversible

19
Q

Chloride Shift

A

HCO3- diffuses out of RBC, replaced by Cl-

20
Q

Normal control of Respiration

A

Cellular O2 Absorption + CO2 production in cells = O2 absorption and CO2 excretion at lungs

21
Q

Local Control of Respiration at tissues

A

High activity of peripheral tissue = Low PO2/High PCO2 = lower O2 association

22
Q

Neural Control of Respiration

A

When O2 demand rises, Cardiac output and respiratory rates increase

23
Q

Involuntary Neural Control of Respiration

A

Regulates respiratory muscle activity
Responding to info from lungs and respiratory tract

24
Q

Voluntary Neural Control of Respiration

A

Reflects activity in the cerebral cortex
Affects output of respiratory centres and motor neurons (Medulla Oblongata, Pons)

25
Q

Control of Respiration in the Pons

A

Apneustic and Pneumotaxic Centres used
Paired nuclei that adjust output of respiratory rhythmicity centres

26
Q

Control of Respiration in Medulla Oblongata

A

Role is to establish basic pace and depth of respiration
Uses 2 groups (Dorsal/Ventral Respiratory Group)

27
Q

Dorsal Respiratory Group (Type of Centre and Breathing)

A

Inspiratory Centre
Functions in Quiet and Forced Breathing

28
Q

Ventral Respiratory Group (Type of Centre/Breathing)

A

Inspiratory/Expiratory Centre
Functions in Forced Breathing

29
Q

Quiet Breathing Mechanism

A

Diaphragm/Intercostal muscles contract
Inhalation Occurs
DRG Inhibited
Diaphragm/Intercostal muscles relax
Exhalation occurs
DRG Activated

30
Q

Forced Breathing Mechanism

A

Diaphragm/Intercostal muscles contract
Inhalation occurs
DRG + Inspiratory VRG Inhibited
Expiratory VRG activated
Diaphragm/Intercostal muscles relax
Exhalation occurs
DRG + Inspiratory VRC activated
Expiratory VRG inhibited

31
Q

Types of Respiratory Reflexes

A

Chemoreceptors - PCO2, PO2 or blood pH changes
Baroreceptors - blood pressure changes
Stretch receptors - lung volume changes
Irritation in nasal cavity/larynx/bronchial tree

32
Q

Hering-Breuer Reflexes

A

2 mechanoreceptor reflexes in forced breathing
Inflation/Deflation Reflex

33
Q

Hering-Breuer Inflation Reflex

A

Prevents overexpansion of lungs

34
Q

Hering Breuer Deflation Reflex

A

Inhibits expiratory centres
Stimulates inspiratory centres during lung deflation

35
Q

Chemoreceptor Stimulation

A

Input from Cranial nerves IX + X
Subject to adaptation
Drop in PO2 to around 40 mmHg increases respiratory rate by 50-70%
10% Rise in PCO2 increases respiratory rate by 100%

36
Q

Changes in Respiration at birth

A

Before birth, pulmonary vessels are collapsed, lungs contain no air
At birth, newborn overcomes force of surface tension to inflate bronchial tree and alveoli to take first breath

37
Q

Changes in Respiration in elderly

A

Deterioration of elastic tissue
Arthritic changes and decreased flexibility