respiratory 1 Flashcards

1
Q

conducting some of the respiratory system

A

respiratory passages that carry air to the site of gas exchange
filters, humidifies and warms air

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2
Q

respiratory zone of the respiratory organs

A
site of gas exchange 
composed of 
- respiratory bronchioles 
- alveolar ducts 
- alveolar sacs
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3
Q

respiratory membrane

A

air-blood barrier

  • oxygen diffuses from air an alveolus to blood in capillary
  • carbon dioxide diffuses from the blood in capillary to air in the alveolus
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4
Q

capillaries around alveoli

A

spread around the surface of the alveoli to match the surface area

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5
Q

alveoli interconnect by

A

alveolar pores

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6
Q

functions of the Plura

A
  • reduction of friction
  • create suction
  • compartmentalisation two prevents infection
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7
Q

Boyle’s law

A

gas pressure is closed container is inversely proportional to volume of the container
gas will fro from regions of high pressure to regions of low pressure

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8
Q

to get air to the alveoli

A

their pressure must be reduced below atmospheric pressure

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9
Q

how is air pressure is the alveoli reduced below atmospheric

A

increase chest volume

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10
Q

tidal breathing

A

only the diaphragm muscle is used, intercostal is active in inspiration
expiration is a passive process relying on elastic recoil of lungs, chest wall, abdominal contents

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11
Q

in forced breathing

A

inspiration recruits other muscles
- the pectoral muscles, scalene and sternocleidomastoid muscles
- inverse reserve volume
forced costal expiration
- internal intercostals, transverse thoracic muscles, rectus abdominus, external oblique, internal oblique transversus abdominus
- pelvic flood muscles must be active too

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12
Q

intra-pleural pressure

A

pressure between visceral and parietal pleura
sucks lungs to the chest wall
must always be negative

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13
Q

if intra-pleural pressure is positive

A

pneumothorax will occur due to the lung collapsing because suction is lost

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14
Q

intra-pleural pressure quantity

A

-5 cm H2O

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15
Q

intra-pleural pressure changes depending on

A

whether you’re breathing in or out

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16
Q

trans-airway pressure

A

the difference between the trachea and the plueral pressure

difference must be positive

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17
Q

if the trans-airway pressure is negative

A

airways may collapse during forced expiration

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18
Q

transpulmonary pressure

A

pressure between alveolar and pleural pressure

must be positive otherwise the lung will collapse

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19
Q

alveolar pressure changes depending on

A

whether you’re breathing in or out

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20
Q

atmospheric pressure is

A

760 mm Hg

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21
Q

intra pleural pressure is

A

756 mm Hg

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22
Q

alveolar pressure is

A

varies with insp/exp

23
Q

inspiration

A

diaphragm and intercostal contract
increases volume of the thoracic cavity
lung volume increases
alveolar pressure decreases

24
Q

alveolar pressure during insp

A

758 mm Hg

25
Q

expiration

A

muscles relax - or active if forced expiration
volume of the thoracic cavity decreases
lung volume decreases
alveolar pressure increases

26
Q

alveolar pressure during expiration

A

763 mm Hg

27
Q

total lung capacity

A

6L

28
Q

inspiratory reserve volume

A

difference between maximum tidal and total lung capacity

29
Q

maximum voluntary expiration

A

point at total - residual volume

30
Q

residual volume

A

amount that always remains in the lungs

31
Q

inspiratory capacity

A

tidal + inspiratory reservee

32
Q

vital capacity

A

total - residual volume

33
Q

expiratory reserve volume

A

different between lowest tidal and residual volume

34
Q

functional residual capacity

A

total - inspiratory capacity

35
Q

normal total volume

A

500ml

36
Q

normal inspiratory reserve

A

3100ml M / 1900ml F

37
Q

normal expiratory reserve

A

1200ml M / 700ml F

38
Q

normal residual volume

A

1200ml M / 1100ml F

39
Q

normal functional residual capacity

A

2400ml M / 1800ml F

40
Q

normal vital capacity

A

4800ml M/ 3100ml F

41
Q

normal total lung capacity

A

6L M / 4.2L F

42
Q

normal inspiratory capacity

A

3600ml M / 2400ml F

43
Q

what can’t be measured by spirometry

A

residual volume

44
Q

how to measure residual capacity

A

spike with helium and measure concentration over time

45
Q

lung volumes and work

A

inflation of lungs above functional residual capacity required the respiratory muscle to generate sufficient pressure to expand the lung - overcome elastic recoil
deflection below FRC required expiratory muscles to compress the chest to overcome chest stiffness

46
Q

dead space

A

some inspired air never contributes to gas exchange

47
Q

alveolar dead space

A

alveoli that cause to act in gas exchange due to collapse or obstruction

48
Q

total dead space

A

sum of alveolar and anatomical dead space - all non useful volume

49
Q

anatomical dead space

A

volume of conductive zone conduits approx. 150ml

50
Q

minute ventilation

A

TV x f
total volume x frequency (breaths/min)
volume of air expired per minute

51
Q

alveolar ventilation

A

(TV-DV) x f

total volume - dead volume x frequency

52
Q

alveolar ventilation effieicny

A

increase frequency or increase volume

invreasing volume by taking deeper breaths is more efficient that increasing frequency

53
Q

rapid shallow breathing

A

does not increase alveolar ventilation due to the effects of dead space