Respiratory Functions Flashcards
Pneumothorax vs. Hemothorax
1) Pneumothorax= air in the pleural cavity
2) Hemothorax= blood in the pleural cavity
Pleural Effusion & Pleurisy
1) Pleural Effusion= excess fluid in the pleural cavity
2) Pleurisy= inflammation of the pleura
Atmospheric pressure, Intrapulmonic Pressure, & Intrapleural Pressure
1) Atmospheric= pressure exerted on the body by the air surrounding it (760mm Hg)
2) Intrapulmonic= air pressure within the lungs/alveoli (rises and falls during breathing)
3) Intrapleural= pressure within the pleural cavity- always about 4 mmHg less than intrapulmonic pressure
What makes up Respiration & definitions
1) Inspiration- inhalation; active process resulting from skeletal muscle contraction
2) Expiration- exhalation; passive process resulting from recoil of lung tissue
COPD
Chronic Obstructive Pulmonary Disease- a group if disorders that cause obstruction of the air passages in the lungs (EX: Asthma & Emphysema)
Emphysema (definition & result)
-Chronic disease in which long term irritation of lung tissue causes destruction of alveolar walls & decrease elasticity.
- Results in reduced capacity for gas exchange
Asthma (definition & result)
- Chronic inflammation disorder which may be related to an allergy.
- Causes of constriction of smooth muscle of the airway & excessive mucous production that together trigger wheezing, coughing, & great difficulty breathing
Tuberculosis (TB) (2)
- Infectious disease that usually affects the lungs, causing progressive destruction & scarring of alveoli
- Caused by bacterium called Mycobacterium tuberculosis
Atelectasis (2)
- Collapsed lung
- Often caused by trauma (broken ribs), increased intrapleural pressure, or a lack of surfactant in the alveoli
Anoxia vs Hypoxia
- Anoxia= lack of oxygen supply to a tissue or structure that can cause necrosis (tissue death)
- Hypoxia= low or reduced oxygen supply to tissues
Eupnea, Apnea, Dyspnea, & Hyperpnea
- Eupnea= good, normal, quiet breathing
- Apnea= temporaty interruption in respiration
- Dyspnea= difficult or painful breathing
- Hyperpnea= increased rate & depth of breathing
Hyperventilation vs. Hypoventilation
- Hyperventilation= rapid, deep breathing that allows the expiration of more CO2
- Hypoventilation= slow, shallow breathing that allows the expiration of less CO2
What is the sequence of events during Inspiration? (5)
1) Inspiration muscles CONTRACT (diaphragm descends & rib cage rises)
2) Thoracic cavity volume INCREASES
3) Lungs are STRETCHED & intrapulmonary volume INCREASES
4) Intrapulmonary pressure DROPS (to -1mm Hg)
5) Air (gases) flows INTO lungs down its pressure gradient until intrapulmonary pressure is equal to 0 (aka equal to atmospheric pressure)
What is the sequence of events during Expiration? (5)
1) Inspiration muscles RELAX (diaphragm rises & rib cage descends due to recoil of costal cartilages)
2) Thoracic cavity volume DECREASES
3) Lungs are passively RECOILED & intrapulmonary volume DECREASES
4) Intrapulmonary pressure RISES (to +1mm Hg)
5) Air (gases) flows OUT of lungs down its pressure gradient until intrapulmonary pressure is equal to 0 (aka equal to atmospheric pressure)
For each respiration breathe what is the volume over what amount of time?
Pressure gradients move 0.5 liters of air into & out of the lungs over a period of 5 seconds
Spirometry & Spirometer
- Spirometry= process of measuring volumes of air that move into & out of the respiratory system
- Spirometer= device used to measure pulmonary volumes
Boyle’s Law (2)
- The pressure of a gas in a closed container decreases as the container’s volume increases (assuming temperature remains constant)
-Explains why when the thoracic cavity volume increases , air pressure in the lungs decreases & when thoracic cavity volume decreases, air pressure in the lungs increases - P= k/V ( P= pressure, k= a constant for a given temperature, & V= volume of container)
What are the 4 Pulmonary Volumes (measured by a Spirometer) & Abbreviations & Normal volumes for adult males?
1) Tidal Volume- TV- 500 mL
2) Inspiration Reserve Volume- IRV- 3000 mL at rest
3) Expiration Reserve Volume- ERV- 1100 mL at rest
4) Minute Respiratory Volume- MRV- 6000 mL/min
Definitions for each Pulmonary Volume (4)
1) TV= Normal volume of air inspired & expired with each breath (increases when a person is more active & causes a decrease in IRV & ERV)
2) IRV= Amount of air that can be inspired forcefully BEYOND a normal TV
3) ERV= Amount of air that can be forcefully expired BEYOND normal TV
4) MRV= total volume of air flowing into or out of the respiratory tract per minute
What are the Pulmonary Volumes that cannot be measured with a Spriometer? (3)
1) Residual Volume (RV)= Volume of air still remaining in the respiratory passages & lungs after the most forceful expiration (BEYOND ERV)- 1200 mL
2) Minimal Volume (MV)- Volume of air remaining in the lungs after thoracic cavity has been opened
3) Anatomic Dead Space- Air that is inhaled but does not participate in gas exchange (150mL) - numerically equal to a person’s weight in pounds and includes air in the nose, pharynx, larynx, trachea, bronchi, & bronchioles.
What are the 4 Pulmonary lung capacities resulting from the sum of 2 or more volumes?
1) Inspiratory Capacity- IRV + TV= 3600mL
2) Functional Residual Capacity= ERV + RV = 2400 mL (usually about 80% of the total lung capacity)
3) Vital Capacity (VC)= TV + IRV + ERV= 4800 mL
4) Total Lung Capacity (TLC)= TV + IRV + ERV + RV= 6000mL
Lung Compliance (4)
- Measure of how easily the lungs expand and contract due to their elasticity & volume
- Alveolar surface tension determines compliance
- Lower compliance= harder to expand lungs & thorax ( from inelastic fibers in lung tissue, collapse of alveoli, increased resistance to airflow like asthma, etc).
- ## Higher compliance= easier to expand due to loss of elasticity which reduced elastic recoil force thereby making expiration not as efficient.
Charles’ Law (3)
1) Volume of gas is proportional to its temperature, assuming pressure remains constant.
2) Gas temperature rising = volume rising, same for falling
3) Explains how temperature changes during inhalation can allow the lungs to more easily fill with air.
Dalton’s Law (of Partial Pressure)
1) In a mixture of gases, the total pressure of the mixture equals the sum of the partial pressures of its constituents (Atmospheric pressure is sum of all the Partial Pressure in air)
2) Partial Pressure- the pressure exerted by each individual gas alone (within a mixture of gases).
3) Helpful in understanding gas exchange because it tells us that individual gases like CO2 & O2 exert pressure independent of each other (Partial Pressure of Oxygen= pO2 & Partial Pressure of Carbon Dioxide= pCO2)
4) Determined by it’s percentage multiplied by the total pressure.
What factors cause differences in composition among alveolar air, expired air, & atmospheric air? (3)
1) Air entering the respiratory system is humidified
2) O2 diffuses from the alveoli into the blood, while CO2 diffuses from the blood into the alveoli
3) Alveolar air is only partially replaced with atmospheric air during each inspiration
Henry’s Law (3)
1) Assuming temperature remains constant, the ability of a gas to remain dissolved in a liquid depends on it’s partial pressure and its solubility coeficient.
2) Solubility Coeficient= measure of a chemical attraction between gas and the liquid.
3) Gas with high partial pressure & high solubility coefficient will tend to remain dissolved in a liquid fairly easily.
5 Applications of Henry’s Law
1) Effect of opening a can of soda on amount of carbonation present
2) Decompression Sickness- when nitrogen gas bubbles form in body tissues from a person moving too quickly from a high pressure environment to low pressure environment (sea divers)
3) Nitrogen Narcosis
4) Hyperbaric Oxygen CHamber
5) Hyperbaric Chamber