Respiratory Flashcards
1
Q
Respiration refers to two related processes.
A
- External respiration - includes all the processes involved in the exchange of O2 and CO2 in the pulmonary blood and alveoli. The purpose is to meet the demands of cells.
- Internal respiration - the absorption of O2 and the release of CO2 by cells. It occurs at systemic capillaries where gas exchange takes place between the blood and body cells.
2
Q
Respiration refers to two related processes.
A
- External respiration - includes all the processes involved in the exchange of O2 and CO2 in the pulmonary blood and alveoli. The purpose is to meet the demands of cells.
- Internal respiration - the absorption of O2 and the release of CO2 by cells. It occurs at systemic capillaries where gas exchange takes place between the blood and body cells.
3
Q
Respiration that includes all the processes involved in the exchange of O2 and CO2 in the pulmonary blood and alveoli. The purpose is to meet the demands of cells. Gas exchanges are being made between the blood and body exterior.
A
External respiration
4
Q
Respiration that involves the absorption of O2 and the release of CO2 by cells. It occurs at systemic capillaries where gas exchange takes place between the blood and body cells. Gas exchange between blood and cells inside the body.
A
Internal respiration
5
Q
External respiration involves three integrated steps
A
i. Pulmonary ventilation (or Breathing), which involves the physical movement of air into and out of the lungs
ii. Gas diffusion across the respiratory membrane between alveolar air spaces and alveolar capillaries, and across capillary walls between blood and other tissues.
iii. The transport of O2 and CO2 between alveolar capillaries and capillary beds in other tissues.
6
Q
If the supply of oxygen to tissue is low the condition is called _____. If the supply is cut off completely, the condition is called ____. This kills cells very quickly.
A
hypoxia/anoxia
7
Q
BREATHING. Air must move into and out of the lungs so that gases in the alveoli are continuously refreshed. It prevents the build up of carbon dioxide in the alveoli and ensure adequate oxygen for the bloodstream. It is the movement of air into and out of the respiratory tract cycles between pressure below atmospheric pressures and pressure above atmospheric pressure. The cycle is explained by Boyle’s Law.
A
Pulmonary ventilation
8
Q
Primary function of pulmonary ventilation.
A
maintenance of adequate alveolar ventilation – movement of air into and out of the alveoli.
9
Q
- AS PRESSURE INCREASE, VOLUME DECREASE.
For a gas in a closed container, the pressure of the gas varies inversely to the volume, if the temperature of the gas is held constant.
A
Boyle’s law
10
Q
Boyle’s Laws says that:
In a closed container, if the volume of the container increases, the air pressure in the container ____ (assuming remains temperature constant)
A
falls
11
Q
Boyle’s Laws says that:
If the volume of the container decreases the pressure of the air in the container ____.
A
increases
12
Q
Boyle’s Laws says that:
Air will flow from an area of ______ to an area of lower pressure.
A
high pressure
13
Q
Boyle’s law formula.
A
Pressure α 1/V (T is held constant)
14
Q
A single respiratory cycle consists of ____ and _____.
A
inspiration and expiration
15
Q
In ______, the lung volume increases and the pressure in the lung falls. Hence atmospheric air (which is at a higher pressure than alveolar air) rushes into the lung.
A
inspiration
16
Q
In ______, the volume of the lungs decreases, hence the alveolar pressure rises and becomes higher than atmospheric pressure and so alveolar air moves out of the lung.
A
expiration
17
Q
The pressure inside the alveoli.
A
Intrapulmonary pressure
18
Q
Intapulmonary cycle.
A
a. At the start of the respiratory cycle, the intrapulmonary pressure and the atmospheric pressure are equal and no air is moving.
b. When inspiration (inhalation) begins the pressure drops to about -6mm Hg and the average intrapulmonary pressure is 760 mm-1 mmHg ( i.e. 759 mm Hg).
c. On expiration (exhalation) the intrapulmonary pressure is 760 mm Hg + 1 mmHg (i.e., 761 mmHg)
d. The amount of air moved in to the lung during inhalation is equal to the amount that moves out on exhalation. That amount is called the tidal volume.
19
Q
a. At the start of the respiratory cycle, the intrapulmonary pressure and the _______ pressure are equal and no air is moving.
A
atmospheric pressure
20
Q
b. When inspiration (inhalation) begins the pressure drops to about -6mm Hg and the average intrapulmonary pressure is _______ mm - 1 mmHg.
A
760 mm - 1 mmHg ( i.e. 759 mm Hg).
21
Q
c. On expiration (exhalation) the intrapulmonary pressure is _____ mm + 1 mmHg.
A
760 mm Hg + 1 mmHg (i.e., 761 mmHg)
22
Q
d. The amount of air moved in to the lung during inhalation is equal to the amount that moves out on exhalation. That amount is called the ________.
A
tidal volume
23
Q
During ______, pressure change such as 760 -30 mm Hg ( 730 mmHg) at inhalation and 760 + 100mm Hg (860 mmHg) can occur.
A
heavy breathing
24
Q
Changes in volume of the thoracic cavity is due to (4)
A
i. contraction and relaxation of the diaphragm
ii. articulation(jointed) between the ribs and the vertebrae
iii. movement of the rib cage
iv. contraction and relaxation of the intercostals muscles
25
The ease with which the lung expands and contracts. The lower the compliance the greater the force (of the muscles) require to pull the lungs open.
Lung compliance
26
Factors that affect compliance include: (3)
a) Loss of supporting tissue (elastic tissue) resulting from alveolar damage (as in emphysema)
b) Low surfactant production (as in neonate or persons exposed to chemicals). Surfactant is secreted by pneumocyte Type ll cells scattered among squamous cells of the alveolar. Surfactant is an oily secretion containing a mixture of phospholipids and protein, which coats over the surface of the alveolar to facilitate their opening. It reduces surface tension in the liquid coating the alveolar surface.
c) Problems with the rib cage movement as in cases of arthritis or other skeletal disorders affecting articulation of the spinal column and the ribs.
27
Surfactant is secreted by _________ cells and scattered among squamous cells of the alveolar.
Pneumocyte Type ll cells
28
An oily secretion containing a mixture of phospholipids and protein, which coats over the surface of the alveolar to facilitate their opening. It reduces surface tension in the liquid coating the alveolar surface.
Surfactant
29
The pressure in the space between the parietal and visceral pleurae.
Intrapleural Pressure
30
Intrapleural pressure averages about ____ mmHg but can reach ___ mmHg during a powerful inhalation.
-4 mmHg/ -18mmHg
31
Inteapleural pressure is below atmospheric pressure due to the relationship between ______ and _____.
the lung and the chest wall.
32
______ cause the elastic lung fibre to adhere to the chest wall.
Surface tension
33
The ______ allows the lungs to expand during the expiration phase of the respiratory cycle.
negative pressure
34
Changes in the volume of the lung occur through the ______ of skeletal muscles.
contraction
35
The skeletal muscles involved in respiration are: (3)
1. the diaphragm
2. the external intercostals muscle
3. the accessory respiratory muscles (which become active when depth and frequency of respiration must be increased markedly). These muscle are internal intercostals, sternocleidomastoid, serratus anterior, pectoralis minor, scalene, transverse thoracis, transverses abdominus, external and internal oblique and the rectus adbominis
36
Muscles used in inhalation (3)
* Contraction of the diaphragm flattens the floor of the thoracic cavity, causing the lung volume to increase and draw in air.
* Contraction of the external intercostal muscles assists in elevating the ribs and expanding the lung volume.
* Contraction of the serratus anterior, pectoralis minor, scalene muscles increase the speed and rib movement.
37
Contraction of the ____ flattens the floor of the thoracic cavity, causing the lung volume to increase and draw in air.
diaphragm
38
Contraction of the ______ assists in elevating the ribs and expanding the lung volume.
external intercostal muscles
39
Contraction of the serratus anterior, pectoralis minor, scalene muscles increase the _____ and _____.
speed and rib movement
40
Muscles used in exhalation (2)
1. When exhalation is passive all the muscles involved in inhalation simply relax.
2. When exhalation is active :
a. the internal intercostal and transverse thoracis muscles contract and depress the rib cage, reducing the width and depth of the rib cage.
b. The abdominal muscles contract compressing the abdomen and forcing the diaphragm upward.
41
Exhalation is either passive or active depending on the level of _______.
respiratory activity
42
1. When exhalation is ____ all the muscles involved in inhalation simply relax.
passive
43
2. When exhalation is ____:
a. the internal intercostal and transverse thoracis muscles contract and depress the rib cage, reducing the width and depth of the rib cage.
b. The abdominal muscles contract compressing the abdomen and forcing the diaphragm upward.
active
44
MODES OF BREATHING (4)
* Quiet breathing (eupnoea) - inhalation involves muscular contractions of the diaphragm and the external intercostals muscles, but exhalations are a passive process.
* Deep-quiet breathing - air is drawn into the lungs as the diaphragm contracts. The contraction of the diaphragm provides the necessary change. Exhalation is passive
* Shallow-quiet breathing - the thoracic volume changes because the rib cage alters shape. Inhalation occurs when the external intercostals muscles contract raising the rib cage and enlarge the thoracic cavity. Exhalation is passive
* Forced breathing (hyperpnoea) - involves active aspiratory and expiratory movements. The abdominal muscles and the intercostals muscles are involved.
45
Mode of Breathing.
Inhalation involves muscular contractions of the diaphragm and the external intercostals muscles, but exhalations are a passive process.
Quiet breathing (eupnoea)
46
Mode of Breathing.
Air is drawn into the lungs as the diaphragm contracts. The contraction of the diaphragm provides the necessary change. Exhalation is passive
Deep-quiet breathing
47
Mode of Breathing.
The thoracic volume changes because the rib cage alters shape. Inhalation occurs when the external intercostals muscles contract raising the rib cage and enlarge the thoracic cavity. Exhalation is passive
Shallow-quiet breathing
48
Mode of Breathing.
| Involves active aspiratory and expiratory movements. The abdominal muscles and the intercostals muscles are involved.
Forced breathing (hyperpnoea)
49
accepting or allowing what happens or what others do, without active response or resistance.
Passive
50
Respiration that includes all the processes involved in the exchange of O2 and CO2 in the pulmonary blood and alveoli. The purpose is to meet the demands of cells.
External respiration
51
Respiration that involves the absorption of O2 and the release of CO2 by cells. It occurs at systemic capillaries where gas exchange takes place between the blood and body cells.
Internal respiration
52
External respiration involves three integrated steps
i. Pulmonary ventilation (or Breathing), which involves the physical movement of air into and out of the lungs
ii. Gas diffusion across the respiratory membrane between alveolar air spaces and alveolar capillaries, and across capillary walls between blood and other tissues.
iii. The transport of O2 and CO2 between alveolar capillaries and capillary beds in other tissues.
53
If the supply of oxygen to tissue is low the condition is called _____. If the supply is cut off completely, the condition is called ____. This kills cells very quickly.
hypoxia/anoxia
54
breathing; the exchange of air between the lungs and the environment, including inhalation and exhalation. It prevents the build up of carbon dioxide in the alveoli and ensure adequate oxygen for the bloodstream. It is the movement of air into and out of the respiratory tract cycles between pressure below atmospheric pressures and pressure above atmospheric pressure. The cycle is explained by Boyle’s Law.
Pulmonary ventilation
55
Primary function of pulmonary ventilation.
maintenance of adequate alveolar ventilation – movement of air into and out of the alveoli.
56
For a gas in a closed container, the pressure of the gas varies inversely to the volume, if the temperature of the gas is held constant.
Boyle’s law
57
Boyle’s Laws says that:
In a closed container, if the volume of the container increases, the air pressure in the container ____ (assuming remains temperature constant)
falls
58
Boyle’s Laws says that:
| If the volume of the container decreases the pressure of the air in the container ____.
increases
59
Boyle’s Laws says that:
| Air will flow from an area of ______ to an area of lower pressure.
high pressure
60
Boyle's law formula.
Pressure α 1/V (T is held constant)
61
A single respiratory cycle consists of ____ and _____.
inspiration and expiration
62
In ______, the lung volume increases and the pressure in the lung falls. Hence atmospheric air (which is at a higher pressure than alveolar air) rushes into the lung.
inspiration
63
In ______, the volume of the lungs decreases, hence the alveolar pressure rises and becomes higher than atmospheric pressure and so alveolar air moves out of the lung.
expiration
64
The pressure inside the alveoli.
Intrapulmonary pressure
65
Intapulmonary cycle.
a. At the start of the respiratory cycle, the intrapulmonary pressure and the atmospheric pressure are equal and no air is moving.
b. When inspiration (inhalation) begins the pressure drops to about -6mm Hg and the average intrapulmonary pressure is 760 mm-1 mmHg ( i.e. 759 mm Hg).
c. On expiration (exhalation) the intrapulmonary pressure is 760 mm Hg + 1 mmHg (i.e., 761 mmHg)
d. The amount of air moved in to the lung during inhalation is equal to the amount that moves out on exhalation. That amount is called the tidal volume.
66
a. At the start of the respiratory cycle, the intrapulmonary pressure and the _______ pressure are equal and no air is moving.
atmospheric pressure
67
b. When inspiration (inhalation) begins the pressure drops to about -6mm Hg and the average intrapulmonary pressure is _______ mm - 1 mmHg.
760 mm - 1 mmHg ( i.e. 759 mm Hg).
68
c. On expiration (exhalation) the intrapulmonary pressure is _____ mm + 1 mmHg.
760 mm Hg + 1 mmHg (i.e., 761 mmHg)
69
d. The amount of air moved in to the lung during inhalation is equal to the amount that moves out on exhalation. That amount is called the ________.
tidal volume
70
During ______, pressure change such as 760 -30 mm Hg ( 730 mmHg) at inhalation and 760 + 100mm Hg (860 mmHg) can occur.
heavy breathing
71
Changes in volume of the thoracic cavity is due to (4)
i. contraction and relaxation of the diaphragm
ii. articulation(jointed) between the ribs and the vertebrae
iii. movement of the rib cage
iv. contraction and relaxation of the intercostals muscles
72
The ease with which the lung expands and contracts. The lower the compliance the greater the force (of the muscles) require to pull the lungs open.
Lung compliance
73
Factors that affect compliance include: (3)
a) Loss of supporting tissue (elastic tissue) resulting from alveolar damage (as in emphysema)
b) Low surfactant production (as in neonate or persons exposed to chemicals). Surfactant is secreted by pneumocyte Type ll cells scattered among squamous cells of the alveolar. Surfactant is an oily secretion containing a mixture of phospholipids and protein, which coats over the surface of the alveolar to facilitate their opening. It reduces surface tension in the liquid coating the alveolar surface.
c) Problems with the rib cage movement as in cases of arthritis or other skeletal disorders affecting articulation of the spinal column and the ribs.
74
Surfactant is secreted by _________ cells and scattered among squamous cells of the alveolar.
Pneumocyte Type ll cells
75
An oily secretion containing a mixture of phospholipids and protein, which coats over the surface of the alveolar to facilitate their opening. It reduces surface tension in the liquid coating the alveolar surface.
Surfactant
76
The pressure in the space between the parietal and visceral pleurae.
Intrapleural Pressure
77
Intrapleural pressure averages about ____ mmHg but can reach ___ mmHg during a powerful inhalation.
-4 mmHg/ -18mmHg
78
Inteapleural pressure is below atmospheric pressure due to the relationship between ______ and _____.
the lung and the chest wall.
79
______ cause the elastic lung fibre to adhere to the chest wall.
Surface tension
80
The ______ allows the lungs to expand during the expiration phase of the respiratory cycle.
negative pressure
81
Changes in the volume of the lung occur through the ______ of skeletal muscles.
contraction
82
The skeletal muscles involved in respiration are: (3)
1. the diaphragm
2. the external intercostals muscle
3. the accessory respiratory muscles (which become active when depth and frequency of respiration must be increased markedly). These muscle are internal intercostals, sternocleidomastoid, serratus anterior, pectoralis minor, scalene, transverse thoracis, transverses abdominus, external and internal oblique and the rectus adbominis
83
Muscles used in inhalation (3)
* Contraction of the diaphragm flattens the floor of the thoracic cavity, causing the lung volume to increase and draw in air.
* Contraction of the external intercostal muscles assists in elevating the ribs and expanding the lung volume.
* Contraction of the serratus anterior, pectoralis minor, scalene muscles increase the speed and rib movement.
84
Contraction of the ____ flattens the floor of the thoracic cavity, causing the lung volume to increase and draw in air.
diaphragm
85
Contraction of the ______ assists in elevating the ribs and expanding the lung volume.
external intercostal muscles
86
Contraction of the serratus anterior, pectoralis minor, scalene muscles increase the _____ and _____.
speed and rib movement
87
Muscles used in exhalation (2)
1. When exhalation is passive all the muscles involved in inhalation simply relax.
2. When exhalation is active :
a. the internal intercostal and transverse thoracis muscles contract and depress the rib cage, reducing the width and depth of the rib cage.
b. The abdominal muscles contract compressing the abdomen and forcing the diaphragm upward.
88
Exhalation is either passive or active depending on the level of _______.
respiratory activity
89
1. When exhalation is ____ all the muscles involved in inhalation simply relax.
passive
90
2. When exhalation is ____:
a. the internal intercostal and transverse thoracis muscles contract and depress the rib cage, reducing the width and depth of the rib cage.
b. The abdominal muscles contract compressing the abdomen and forcing the diaphragm upward.
active
91
MODES OF BREATHING (4)
* Quiet breathing (eupnoea) - inhalation involves muscular contractions of the diaphragm and the external intercostals muscles, but exhalations are a passive process.
* Deep-quiet breathing - air is drawn into the lungs as the diaphragm contracts. The contraction of the diaphragm provides the necessary change. Exhalation is passive
* Shallow-quiet breathing - the thoracic volume changes because the rib cage alters shape. Inhalation occurs when the external intercostals muscles contract raising the rib cage and enlarge the thoracic cavity. Exhalation is passive
* Forced breathing (hyperpnoea) - involves active aspiratory and expiratory movements. The abdominal muscles and the intercostals muscles are involved.
92
Mode of Breathing.
Inhalation involves muscular contractions of the diaphragm and the external intercostals muscles, but exhalations are a passive process.
Quiet breathing (eupnoea)
93
Mode of Breathing.
Air is drawn into the lungs as the diaphragm contracts. The contraction of the diaphragm provides the necessary change. Exhalation is passive
Deep-quiet breathing
94
Mode of Breathing.
The thoracic volume changes because the rib cage alters shape. Inhalation occurs when the external intercostals muscles contract raising the rib cage and enlarge the thoracic cavity. Exhalation is passive
Shallow-quiet breathing
95
Mode of Breathing.
- The internal intercostal muscles are activated to help depress the rib cage, and the abdominal muscles contract and help force air from the lungs by squeezing the abdominal organs upward against the diaphragm.
- Involves active aspiratory and expiratory movements. The abdominal muscles and the intercostals muscles are involved.
Forced breathing (hyperpnoea)
96
accepting or allowing what happens or what others do, without active response or resistance.
Passive
97
O2 and CO2 must be transported to and from the lungs and tissue cells of the body via the blood stream.
Respiratory gas transport.
98
Volume changes lead to pressure changes, which lead to the flow of gases to equalize the pressure.
True.
99
The volume within the lungs.
Intrapulmonary volume
100
The pressure within the pleural space. Its always negative to prevent collapse of the lungs. If it becomes equal to the atmospheric pressure, the lungs immediately recoil completely and relapse.
Interpleural pressure
101
Collapsed lungs. The lungs are useless for ventialtion. This phenomenon is seen when air enters the pleural space through a chest wound, but it may also result from a rupture of the visceral pleura, which allows the pleural space from the respiratory tract.
Atelectasis
102
The prescence of air in the intrapleural space, which disrupts the fluid bond between pleurae. It is reversed by drawing air out of the intrapleural space with chest tubes, which allows the lung to reinflate and resume normal function.
Pneumothorax
103
What causes the lungs to inflate?
The enlargement of the thoracic cavity due to contraction of the diaphragm and intercostal muscles results in lower pressure in the lungs than outside the body. This difference in pressure leads to air flow into the lungs and to their expansion.
104
In ____, the diaphragm contracts and moves inferiorly, the external intercostal muscles contract, and the ribs elevates.
inhalation
105
In _____, the diaphragm relaxes and moves superiorly, the external intercostal muscles relaxes, and the ribs depress.
expiration
106
When does expiration become an active process
Resp. passageways are narrowed by bronchospams (asthma) or clogged with mucus or fluid (chronic bronchitis or pneumonia)
