Respiration Physiology Part 3 Flashcards

1
Q

What are the two kinds of resistance to ventilation?

A

> elastic resistance
• non-elastic resistance

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2
Q

What is Compliance?

A

ability of an elastic structure to resist
stretching or distortion

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3
Q

What causes compliance?

A

Results from the elastic recoil of the lungs and chest
• Comprises 70% of the total resistance to ventilation

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4
Q

What is Compliance of the lung?

A

•the expandability of elastic tissues when acted on by
foreign forces
• ability of lung to stretch

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5
Q

What is the formula for compliance?

A

C=AV/AP (ДР: transpulmonary pressure)

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6
Q

• The larger the compliance….

A

the less elastic resistance

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7
Q

What is lung compliance the measure of?

A

The lung’s Stretchability

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8
Q

What might happen when lung compliance is abnormally high?

A

the lungs might fail to hold themselves open, and are prone
to collapse.

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9
Q

What might happen when lung compliance is abnormally low?

A

The work of breathing is increased

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10
Q

What does the pressure volume curve reflect?

A

Reflects changes of the lung compliance or elastic resistance
relative to altered volume of the lung

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11
Q

Lung compliance in normal breathing at rest is?

A

approximately
0.2L/cm H20

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12
Q

What is the formula for measuring specific compliance of the lung?

A

compliance=lung compliance measured in normal resting
breathing (L/cmH20) / functional residual capacity of the lung (L)

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13
Q

What is specific compliance ? And what is it’s function?

A

Specific compliance is the compliance per unit volume and is used
to compare the lung elastic resistance of individuals

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14
Q
A
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15
Q

When injected the same amount of air, the lung with larger total capacity expands to a less extent, the elastic resistance of the lung
would be smaller, suggesting?

A

Less compliance

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16
Q

elastic resistance is due to:

A

Surface tension of alveolar fluid (213)
• Elasticity of lungs & thoracic wall (1/3)

17
Q

What does surface tension do?

A

pulls fluids together, that it could cause an alveolus to buckle

18
Q

What is Laplace’s law?

A

P=2T/radius

19
Q

What is a surfactant?

A

A fluid material that
decreases surface tension

20
Q

What secretes surfactant ?

A

type Il alveolar cells

21
Q

What do surfactants contain?

A

mixture of lipoproteins ( DPPC) and surfactant-
associated protein

22
Q

What are the Physiological effects of surfactant?

A

Its density is inversely proportional to the radii of the alveoli
• reduces surface tension
• Reduces respiratory resistance (increases compliance)
• Maintains the stability of the alveoli
• keeps the dryness of the alveoli

23
Q

What is Newborn respiratory distress syndrome?

A

retraction of soft tissue on inspiration (“seesaw”)
Characterized by cyanosis

24
Q

What causes Newborn Respiratory distress Syndrome?

A

Inadequate surfactant

25
Q

What does non elastic resistance include?

A

airway resistance(80-90%)

•inertial resistance
• viscous resistance

26
Q

What causes airway resistance?

A

friction among gas molecules and between gas molecules and the inner way of airway; distributed in nose, glottis, trachea and bronchia and
bronchioles

27
Q

What is the formula for airway resistance?

A

F= (Palv- Patm)/R
• R=1/r4

28
Q

What affects airway radii?

A

physical (transpulmonary pressure; elastic connective tissue fibers), neural
(sympathetic & parasympathetic) and chemical factors

29
Q

What are pulmonary volumes ?

A

measurements of the subdivisions of the air in the lungs

30
Q

What are pulmonary capacities?

A

Combinations of divisions

31
Q

What are the 4 pulmonary volumes?

A

• Tidal Volume
•Inspiratory Reserve Volume
•Expiratory Reserve Volume
• Residual Volume

32
Q

What are the types of pulmonary capacities?

A

• Vital Capacity
•Inspiratory Capacity
•Functional Residual Capacity
• Total Lung Capacity