Respiratory - Lung Properties Flashcards

1
Q

How well a lung inflates or deflates with a change in transpulmonary pressure depends on its…

A

Elastic properties

An important feature of an elastic material: once stretched, it recoils to its unstretched position

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2
Q

Define

Compliance

A

How easily lung stretched (distensibility

ΔV/ΔP

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3
Q

High compliance

A

Large ΔV for a given ΔP

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4
Q

Low compliance

A

Small ΔV for a given ΔP

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5
Q

Increase ΔV -> _ Compliance

A

Increases

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6
Q

What affect does gravity have on lungs?

A

It causes the weight of lung (80% water) to pull down to alveoli
Gravity pulling down on lungs causes alveoli in apex to be more expanded

Slinky

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7
Q

Where in the lung is compliance greater?

A

compliance in the base is greater than the apex

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8
Q

More tidal volume goes to…

A

base

bottom alveolii not as stetched at start

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9
Q

Example of Low compliance

disease/disorder

A

Pulmonary fibrosis

collagen deposition due to lung injury - high elastic recoil

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10
Q

Example of highly compliant lung

A

Emphysema

Disappearing tung tissue - low elastic recoil

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11
Q

Normal lung compliance affect on volume

A

Lung elastic recoil and chest wall elastic recoil equal

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12
Q

Emphysema lung compliance affect on lung volume

A

Destroy some lung tissue -> decrease recoil -> Chest wall recoil wins out

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13
Q

Fibrosis lung compliance affect on lung volume

A

Extra lung tissue -> increase recoil -> Lung recoil wins out

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14
Q

What are the functions of surfactant?

A

Lowers surface tension in alveoli
Keeps alveoli dry

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15
Q

How does surfactant decrease surface tension in alveoli? What is it’s purpose?

A

Strong force of attraction of water is decreased by surfactant
Increases compliance of lung making it easier to inflate

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16
Q

How does surfactant keep alveoli dry?

A

Lowers ST
Now less inward pressure which pulls fluid from capillaries

17
Q

What produces surfactant?

A

Alveolar Type II Cell

18
Q

T or F

The maximum amount of air male lungs can hold is 4.2L

A

Flase

6.0L

19
Q

T or F

The lung still contain ~2,400 mL of air at the end of normal quiet expiration

A

True

20
Q

T or F

The work of breathing may be increased when lung compliance is increased

A

True

21
Q

T or F

Surface area is reduced in emphysema

A

True

22
Q

VC + RV =

A

TLC

23
Q

The extra volume of air that can be maximally inspired above typical TV inspiration

A

IRV

24
Q

The volume of air in the lungs at the end of a normal passive expiration

A

FRC

25
Q

TV + IRV + ERV =

A

VC

26
Q

Volume of air that can be inspired at the end of a normal expiration

A

IC

27
Q

Volume of air entering of leaving the lungs in a single breath during quiet breathing

A

TV