respiration - lecture 1 Flashcards

1
Q

what is primary function of respiration

A

gas exchange

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2
Q

what is inspiration

A

air rich in oxygen inhaled into lungs

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3
Q

what is expiration

A

carbon dioxide produced during oxidative processes of body is exhaled from lungs

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4
Q

which system is closely related to respiratory system

A

both gases are transported by the blood
both cardiovascular system and respiratory system involved

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5
Q

describe respiratory tract

A

first through nasal turbinates = nose/mouth, filters, catches, dust and particles
common passage of pharynx = air and food which then split = larynx - vocal chords, sound and speech
trachea = cartilage splits into right and left main bronchi then split smaller and smaller to alveolar region = gas exchange
alveoli = small balloons, covered by capillaries = blood comes from heart and becomes oxygenated and goes back = got rid of co2
airway tree = lots of space for gas exchange

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6
Q

how do lungs inflate

A

lungs do not inflate on own - muscles of ribcage and coupling of ribcage and lungs
done by pleural space - v thin
intercostal muscles - allow for inflation

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7
Q

what is pleural space

A

small amount of fluid
parietal pleura = attached to inside ribcage
visceral pleura = attached to alveoli
pleural space = one per lung, not continuous, creates coupling of ribcage and lungs

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8
Q

how to visualize pleural surfaces

A

drop of water between 2 glass microscope slides = the 2 slides can easily slide over each other but cannot be pulled apart - creates suction = how we breathe

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9
Q

describe when ribcage enlarges

A

enlarges size of lungs = coupling
bigger vol = less pressure so air flows inside lungs down pressure gradient

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10
Q

describe normal pleural space

A

p=0 outside
p=0 inside lung
no air in or out since equal pressures
in pleural space p=-5, negative pressure, lungs like balloon, always want to collapse, lungs pull more than ribcage (which wants to spring out, opposing forces so neg)

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11
Q

describe pneumothorax pleural space

A

p=0 in pleural space
accident = hole through ribcage removes coupling so lungs deflate and ribcage expands = pneumothorax, usually only on one lung since pleural spaces discontinuous
removes coupling

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12
Q

describe mechanical pump

A

syringe = pull down plunger = neg pressure = air moves in and expands like balloon
when respiratory muscles contract = diaphragm and intercostals contract = increase size of ribcage so decrease pressure = holds lung open and causes air to move in

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13
Q

describe bronchi splitting

A

right main bronchus - split into 3 lobar bronchi
left = split into 2 lobar bronchi

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14
Q

name and describe subdivisions of respiratory system

A

conducting zone = trachea, bronchi, bronchioles, terminal bronchioles
respiratory zone = respiratory bronchioles (alveoli budding in walls), alveolar ducts (filled with alveoli), alveolar sacs

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15
Q

describe acinus

A

bronchi = have rings then plaques of cartilage
bronchioles = no cartilage
smooth muscle = involuntary, cannot control, holds tone of airways
asthma = contract and constrict airways and decrease air flow

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16
Q

name the 4 main functions of conducting airways

A

defence against bacterial infection and foreign particles
warm and moisten inhaled air
sound and speech
regulation of airflow

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17
Q

describe defence against bacterial infection and foreign particles - main functions of conducting airways

A

epithelial lining of bronchi = has cilia - beat upwards
epithelial glands secrete a thick substance = mucous which lines respiratory passages as far down as bronchioles
foreign particles stick to mucous and cilia sweep mucous up into pharynx = mucociliary defence system
helps swallow or spit out

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18
Q

describe sound and speech - main functions of conducting airways

A

produced by movement of air passing over vocal chords - larynx

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19
Q

describe regulation of airflow - main functions of conducting airways

A

smooth muscle around the airways may contract or relax to alter resistance to air flow - in whole respiratory tract

20
Q

what is function of respiratory zone

A

site of gas exchange between the air in the alveoli and the blood in the pulmonary capillaries
~300 million alveoli in the human lungs - each alveolus
may be associated with as many as 1000 capillaries

21
Q

describe heart and lungs together

A

inferior vena cava = mixed venous blood - right side and goes to lungs through left and right pulmonary arteries and then comes back into left heart through left and right pulmonary veins and goes to whole body through aorta and also to airway to get oxygenated

22
Q

how many circulations do lungs have

A

2 = pulmonary and bronchial

23
Q

describe pulmonary circulation

A

bring mixed venous blood to lungs
allows for blood to get oxygenated and then to be taken back to heart

24
Q

describe bronchial circulation

A

supplying oxygenated blood from systemic circulation to tracheobronchial tree = circulation allows airways to get oxygenated

25
Q

describe bronchial artery

A

from left heart via aorta
is not much blood going to airways - some goes back to venous system - anastomosis with oxygenated blood - mixed venous blood, and goes back to heart

26
Q

name the 3 alveolar cell types

A

epithelial type 1 and 2 cells
endothelial cells
alveolar macrophages

27
Q

describe epithelial type 1 and 2 cells

A

line alveoli
little known about specific metabolic activities of type 1 cells
type 2 cells produce pulmonary surfactant = substance that decreases surface tension of alveoli

28
Q

describe endothelial cells

A

constitute the walls of pulmonary capillaries
may be as thin as 0.1microns

29
Q

describe alveolar macrophages

A

remove foreign particles that have escaped mucociliary defence system of airways and found way into alveoli

30
Q

describe alveolar capillary membrane

A

interstitium = space between alveoli and blood vessels

31
Q

describe surface tension - specific

A

The surface tension of the liquid film lining the lungs is an important contributor to the mechanical properties of the respiratory system
tension arises because the molecules in the surface of the film tend to arrange themselves in the configuration involving the lowest energy
Being more attracted to themselves than to air, they like to “hold hands” rather than freely associate with air molecules
This causes a tension to be generated across the film surface

32
Q

describe surface tension - gen

A

everything is lined with a bit of water = air water interface with tension, like soap bubble
surface tension at air liquid interface since forces between water molecules greater than forces between water molecules and air

33
Q

describe what happens with surface tension when surface curved

A

like on inside alveoli
tension can produce a pressure that tends to collapse alveolus
vectors add up to pressure that tends to collapse soap bubbles
need surfactant - tends to collapse all the alveoli

34
Q

describe alveoli modelling - soap bubble

A

pressure - p - inside soap bubble radius - r - results from surface tensionT = laplace’s law
p=4T/r
the smaller the bubble = smaller r = greater pressure
small would empty into large = bad system

35
Q

describe pulmonary surfactant

A

decreases tension and smaller alveoli more
small alveoli will collapse, emptying into large ones = prevented from happening by secretion of pulmonary surfactant by alveolar type II cells

36
Q

name the first primary role of pulmonary surfactant

A

making surface tension inside alveoli change with lung vol = prevents pressure inside small alveoli from exceeding pressure of large = biophysical properties that decrease surface tension to a greater extend in smaller than larger alveoli
surfactant = stacks up in many layers, helps better than being spread thin

37
Q

name the second primary role of pulmonary surfactant

A

reducing overal surface tension so we can breathe
if surface tension in liquid layer lining was equal to water = would not be able to inflate lungs

38
Q

describe respiratory muscles

A

lung tissue = elastic but cannot expand or contract by itself
air must be sucked into lungs
function powered by respiratory system muscles of chest wall

39
Q

name the 2 types of respiratory muscles

A

inspiratory and expiratory

40
Q

describe principal muscles of inspiration

A

external intercostals = elevate ribs
parasternal intercartilaginous muscles = elevate ribs, when contract = increase cross sectional dimension of ribs
diaphragm = dome descends, increases longitudinal dimension of chest and elevates lower ribs, separates ribcage from abdomen, bucket handle effect, dome down = increase longitudinal but also attached to lower ribs = bucket handle effect - moves lower ribs outwards = increase cross sectional area too

41
Q

describe accesory muscles of inspiration

A

do not use them = recruit during exercise or disease
sternocleido-mastoid = elevates sternum when contract
scalenus anteior middle and posterior = elevate and fix upper ribs
all increase cross sectional area

42
Q

describe the quiet breathing muscles of expiration

A

expiration results from passive recoil of lungs
ribcage goes back to original size

43
Q

describe the active breathing muscles of expiration

A

recruits these =
internal intercostals, except parasternal intercartilaginous muscles = depress ribs and decreases cross sectional area
abdominal muscles = depress lower ribs, compress abdominal contents, recruit and pushes abdomen in and push diaphragm upwards and get back to original position
all lead to expiration = rectus abdominus, external oblique, internal oblqiue, transversus abdominus

44
Q

what is diaphragm innverated by

A

phrenic nerves from cervical segments 3, 4 and 5

45
Q

why do smokers cough up mucous

A

cilia get momentarily paralyzed by nicotine

46
Q

when is surfactant produced

A

late in gestation and if premature = give drugs to mom so can develop lungs of baby, also artificial surfactant available