Respiratory Flashcards
functions of respiratory system
homeostatic regulation of blood gases: provides O2 and eliminates CO2
filtering action: protects against microbial infection
regulates blood pH
contributes to phonation + olfaction
reservoir for blood
upper airways
nasal cavity - nostrils
oral cavity - mouth
pharynx
larynx (vocal cords)
lower system
trachea
left + right main bronchi
left + right lungs
diaphragm
thoracic wall
parietal pleura (membrane)
intrapleural fluid
visceral pleura (membrane)
composition of structures
trachea + primary bronchi = C shape cartilage + smooth muscle
bronchi = plates of cartilage + smooth muscle
bronchioles = smooth muscle
conducting zone
pathway for gas to the respiratory zone
anatomical dead space = no alveoli + no gas exchange
~150mL
trachea
bronchi
bronchioles
terminal bronchioles = smallest airway without alveoli
respiratory zone
where gas exchange occurs
contains alveoli
respiratory bronchioles (sparse alveoli)
alveolar ducts
alveolar sacs (many alveoli)
pulmonary structures + blood vessels
pulmonary artery carries low-O2 blood to alveoli (500 million)
280 billion capillaries → in contact with alveoli for gas exchange
pulmonary vein carries high O2 blood to heart
alveoli
type I alveolar cells = simple squamous epithelium
type II alveolar cell
macrophage
type I alveolar cells
involved in gas exchange
epithelial cells forming surface of alveolus
do not divide
type II alveolar cells
produce surfactant
act as progenitor cells to differentiate into type I cells
respiratory membrane
alveolus → capillary
- alveolar fluid
- alveolar epithelium (type I + II pneumocytes)
- basement membrane of alveolar epithelium
- interstitial space
- basement membrane of capillary endothelium
- capillary endothelium
very thin = easily damaged
respiration steps
- ventilation
- gas exchange in lungs
- gas transport
- gas exchange in tissues
- cellular respiration
- ventilation
breathing = exchange of air between atmosphere and alveoli by bulk flow
steps:
1. CNS sends rhythmic excitatory drive to respiratory muscles
2. respiratory muscles contract rhythmically and in organized pattern
3. changes in volume and pressures at the level of chest + lungs
4. air flows in and out
bulk flow
movement due to pressure gradient → high to low
higher pressure in atmosphere compared to lungs = inspiration
F = (P alv - P atm)/R
- gas exchange in lungs
exchange of O2 + CO2 between alveolar air + blood in lung capillaries by diffusion
diffusion
movement due to concentration gradient (partial pressures)
- gas transport
transport of O2 + CO2 through pulmonary + systemic circulation by bulk flow
- gas exchange in tissues
exchange of O2 + CO2 between blood in tissue capillaries and cells by diffusion
- cellular respiration
cellular utilization of O2 and production of CO2
respiratory muscles
pump muscles
airway muscles
accessory muscles
pump muscles
INS:
- diaphragm
- external intercostals
- parasternal intercostals
EXP:
- internal intercostals
- abdominals (4 = external + internal abdominal oblique, transverse + rectus abdominus)
airway muscles
INS:
- tongue protruders (genioglossus)
- pharyngeal + laryngeal dilators
EXP:
- pharyngeal + laryngeal constrictors
accessory muscles
INS
- sternocleidomastoid
- scalene
normal/quiet inspiration
diaphragm contracts → pushes abdomen down + expands thorax as air comes in
external intercostals + parasternal intercostals → pull ribs up and out
maximal/forced inspiration
stronger contraction of diaphragm
recruitment of accessory muscles → further expansion of thoracic cavity
- sternocleidomastoid + scalenes move sternum up and out
- pectoralis minor elevates ribs
normal/quiet expiration
no active contraction of resp muscles
relaxation of inspiratory muscles → recoil of lungs = air moves out
maximal/forced expiration
abdominal muscles contract → compress organs + force diaphragm higher = push air out
internal intercostal muscles contract → pull ribs down and inward
spirometry
pulmonary function test to determine amount + rate of inspired + expired air
test lung volume + capacity
use spirometer
tidal volume
Vt
volume of air moved in/out of lungs during normal breath
~500 mL
inspiratory reserve volume
IRV
amount of air forcefully inhaled after normal inspiration
additional capacity
~3000 mL
expiratory reserve volume
ERV
amount of air forcefully exhaled after normal exhalation
~1100 mL (smaller than IRV)
residual volume
RV
volume of air remaining in lungs after maximal forceful expiration
~1200 mL
prevents lungs from collapsing
cannot be measured with spirometry
total lung capacity
volume of air in lungs at end of maximal inspiration
Vt + IRV + ERV + RV
5000-6000 mL
inspiratory capacity
Vt + IRV
total capacity for inspiration
vital capacity
Vt + IRV + ERV
max vol of air that can be forcibly exhaled after maximal inspiration
functional residual capacity
ERV + RV
vol remaining in lungs at end of normal expiration
total/min ventilation
total amount of air moved into respiratory system per minute
= Vt x resp frequency
= 0.5L x 12 brpm
= ~6L/min
alveolar ventilation
amount of air moved into alveoli per minute
less than minute ventilation
depends on anatomical dead space = 0.15 L
=(Vt - dead space) x resp frequency
= (0.5 - 0.15 L) x 12 brpm
= ~4.2 L/min
dead space is constant regardless of breath size
increased depth of breathing is more effective in increasing alveolar ventilation than increasing breathing rate
FEV1
spirometry test:
forced expiratory volume in one second
in healthy person: should approximate vital capacity
FVC
spirometry test:
forced vital capacity
total amount of air that is blown out in one breath after max inspiration as fast as possible
~ vital capacity
FEV1/FVC ratio
proportion of the amount of air that is blown out in one second
normal = ~80%
normal resp pattern
ratio = 83%
high FEV1 + high FVC
obstructive resp pattern
FEV1 is significantly reduced, FVC is normal/reduced
= ratio <70% → reduced
difficulty exhaling all air from lungs → shortness of breath
slower exhalation of air due to damage to lungs or narrowing of airways
high air vol in lungs after full exhalation
ex. bronchial asthma, COPD, cystic fibrosis
restrictive resp pattern
reduced vital capacity
FEV1 + FVC are reduced
ratio = 90% (almost normal)
cannot fill lungs completely (restricted from full expansion)
due to stiffness in lungs
ex. pulmonary fibrosis, neuromuscular disease, scarring of lung tissue
flow
F = ΔP/R
proportional to pressure difference between two points
inversely proportional to resistance
Boyle’s Law
P1V1 = P2V2
for a fixed amount of an ideal gas at a fixed temp, P and V are inversely proportional
compression of alveoli
↓ V = ↑ P
expiration
decompression of alveoli
↑ V = ↓ P
inspiration
elastic recoil
- lungs have tendency to collapse
- chest wall pulls thoracic cage outward
at equilibrium: inward elastic recoil of lungs balances outward elastic recoil of chest wall
intrapleural fluid
reduces friction of lungs against thoracic wall during breathing
intrapleural pressure
pressure within pleural cavity
fluctuates with breathing
always sub-atmospheric (-) → opposing directions of elastic recoil of lungs + thoracic cage
if P(ip) = P(alv) → lungs would collapse