Respiratory Mechanisms Flashcards
Respiratory System Functions
- Gas Exchange
- Waste Removal
- Acid Base Balance
- Infuences Temp and Water Balance
Four Forms of Respiration
- Pulmonary
- External
- Internal
- Cellular
Pulmonary Respiration
air movement into/out of lungs
External Respiration
gas exchange from alveoli to surrounding capillaries
Internal Respiration
gas exchange from peripheral capillaries to surrounding tissues
Cellular Respiration
using O2 to burn sugars, metabolites
Diaphragm
muscle that drives respiration
Phrenic Nerve
takes signals from Medulla to control RR
Pleural Cavities
locaiton of the lungs in the thorax
Capillary beds
located in the lungs for gas exchange
Alveoli Chambers
provide air/capillary bed interface
Air Flow in the Body
- Naso/Oropharynx
- Epiglottix
- Larynx
- Trachea
- Primary Bronchi
- Lungs
- Secondary Bronchi
- Bronchioles
Secondary Bronchi
3 in the right lung, 2 in the left lung,
Conducting Zone
First 16 Branches, gas excange does not occur here, gas warming and hydration
cartilage holds this open
Trachea, Bronchi, Terminal Bronchioles
Respiratory Zone
Last 7 Branches, gas exchange in alveolar ducts and sacs
smooth muscle holds this open
respiratory bronciholes, alveoli
Goblet Cells
produce mucus
Alveoli Cell Types
- Type 1 Pnuemocytes
- Type 2 Pneumocytes
- Dust Cells
Mucociliating Elevator
much of respiratory tracts contains upward ciliated cells, upward sweeping
Type 1 Pnuemocytes
gas exchange cells
type of alveoli
Type 2 Pnuemocytes
produce surfactant(reduces surface tension of moist membranes)
type of alveoli
Dust Cells
macrophages
type of alveoli
Muscles of the Respiratory System
- Diaphragm
- External Intercostals, Scalenes, Sternocleidomastoids
- Internal Intercostals
- Abdominal Muscles
Skeletal Components of the Respiratory System
- Ribs (hinge action in vertebre)
- Sternum
Respiratory System
Membrane Components
- Pariatal Pleura
- Visceral Pleura
small amount between each for lubrication
Pariatal Pleura
lining inside the throasic cavity
Visceral Pluera
linign outside of lung
The Three Pressures that Control Respiration
- Intra Alveolar Pressure
- Intra Thorasic Pressure
- Elastic Recoil Pressure
Inflation Pressures
- Intra Alveolar Pressure
- Intra Thorasic Pressure
Deflation Pressure
- Elastic Recoil Pressure
Intra Alveolar Pressure
IAP, 760mmHg or air pressure
Intra Thorasic Pressure
ITP, slightly below atmospheric pressure
Elastic Recoil Pressure
ERP, deflation pressure
End of Passive Exhalation Pressures
IAP=ITP+ERP
760=-3+763
Inspiration Pressures
IAP>ITP+ERP
760>-7+763
Inspiration
- Diaphragm Contracts
- Chest Volume Expands
- ITP decreases
- ERP gradually increases as lungs fill
driven by Diaphram Contraction
Expiration Pressures
IAP<ITP+ERP
760<-3+767
Expiration Steps
- Full Lungs have high ERP
- Diaphragm and Intercostal Muscles relax
- Intrathorasic Volume decreases
driven by ERP
When are internal intercostal muscles and abdominal muscles actively contracted?
during exercise
Compliance Curve
lungs do not fill and empty in a linear relationship with pressure
Resistances that must be overcome to move air
- Viscous resistance
- Airway resistance
- Elastic Recoil Pressure
Viscous Resistance
surface tension of moist membranes
Airway Resistance
friction of air moving in a tube
Work of breathing is increased with pathologies
true
Lung Capacity
Males approximatly 25% larger than females
Tidal Volume
500 mL, normal inspiration/exhalation at rest, TV
normal breathing is from 2200ml to 2700ml
Minute Volume
TV x RR = 5-6 L/min
Inspiratory Reserve Volume
IRV, 3300mL
maximum inspiration, above tidal volume
Inspiratory Capacity
sum of IRV +TV
Expiratory Reserve Volume
ERV, 1000ml
maximum expiration, below tidal volume
Residual Volume
RV, 1200ml
Whats left in the Respiratory system after ERV
Functional Residual Capacity
FRC, sum of ERV + RV
Vital Capacity
IRV + TV + ERV
Total Lung Capacity
TLC, 6000ml
sum of VC + RV
Dead Space
air that is in respiratory passages that is not used in the gas exchange process
Anatomical Dead Space
air trapped in non-gas exchange areas
trachea, bronchi, bronchioles
Physiological Dead Space
air that is trapped in nonfunctional or poorly functioning alveoli
Neural Control of the Respiratory System
inspiratory center located in the medulla
Dorsal Respiratory Group(DRG): inspiration center
Ventral Respiratory Group(VRG): expiration center
apneustic center in pons recieves signals from cortex to override
Ondine’s Curse
patient looses involuntary regulation and must breathe voluntarily
Hering Breur Inflation Reflex
stretch receptors in lung tissue, activated by large lung inflation, sends signals to medulla to stop inflation
Instpiratory Center (DRG) is depressed by
drugs
barbituates, morphine
3 Compounds that Regulate Respiration
- pCO2
- H+
- pO2
pCO2 in respiratory regulation
strongest regulatory force, increase in pCO2 increases RR, mechanism is through H+ production
H+ in respiratory regulation
related to pCO2, increase will increase RR
role of pO2 in respiratory regulation
decrease in pO2 increases RR, very weak regulatory force
Acid Crisis and the Respiratory System
- Increase RR
- Decrease pCO2
- Decrease acid
Base Crisis and the Respiratory System
- Decrease RR
- Increase pCO2
- Increase Acid
Cause of black out in respiratory system
when exercising pO2 can frop before pCO2 levels get low enough to trigger respiration, forget to breath, low O2 causes black out
Role of Epinephrine in Asthma
bronchodilates, also albuterol
Role of Sympathetic stimulation in Asthma
scare the patient if drugs are not available, will stimulate the sympathetic nervous system, releasing natural epinephrine and neurotransmitters
Role of Histamine in Asthma
bronchocontrics
Role of Leukotrienes
trigger broncoconstriction and mucus production
Sneeze Reflex
- Initiated in nose
- inspire 2500ml of air
- close glottis and contract abdominal muscles and internal intercostals
- increase interthorasic pressure by 100mm
- open glottis
- air explodes out at 75-100 mph
cough reflex is similar
Hiccup
rapid inspiration with closure of glottis, chirping sound
possible from diaphragm spasm
External Pneumothorax
Sucking Chest Wounds
Intrathoracic Pressure = Air Pressure
IAP<ITP+ERP
760<0+763
ERP collapses lungs
External Pneumothorax Treatment
remove air from cavity, plug hole, restor to negative ITP
Internal Pneumothorax (spontaneous)
rupture of alveoli, air is released into pleural cavity
Emphysema
COPD
loss of Elastic Recoil Pressure,
IAP>ITP+ERP
lungs fill with extra volume that becomes immovable
RV increases, IRV drops