RESPIRATORY (MIDTERM) Flashcards
The only externally visible part of the respiratory system
NOSE
Air enters the nose through the ______
external nares (nostrils)
The interior of the nose consists of a nasal cavity divided by a _____
nasal septum
______ are located in the mucosa on the superior surface
Olfactory receptors
The rest of the cavity is lined with respiratory mucosa that:
• Moistens air
• Traps incoming foreign particles
Lateral walls have projections called _____
conchae
Lateral walls have projections called conchae that:
• Increases surface area
• Increases air turbulence within the
nasal cavity
The nasal cavity is separated from the oral cavity by the ______
palate
Anterior hard palate (______)
bone
Posterior soft palate (______)
muscle
Cavities within bones surrounding the nasal cavity (4)
• Frontal bone
• Ethmoid bone
• Maxillary bone
• Sphenoid bone
Cavities within bones surrounding the nasal cavity
PARANASAL SINUSES
FUNCTION OF THE PARANASAL SINUSES
• Lighten the skull
• Act as resonance chambers for speech • Produce mucus that drains into the nasal cavity
Muscular passage from nasal cavity to larynx
PHARYNX (THROAT)
Three regions of the pharynx
- Nasopharynx
- Oropharynx
- Laryngopharynx
superior region behind nasal cavity
NASOPHARYNX
middle region behind mouth
Oropharynx
inferior region attached to larynx
Laryngopharynx
The _________ and ______ are common passageways for air and food
oropharynx and laryngopharynx
________ enter the nasopharynx
Auditory tubes
Tonsils of the pharynx (3)
- Pharyngeal tonsil (adenoids)
- Palatine tonsils
- Lingual tonsils
_______ in the nasopharynx
Pharyngeal tonsil (adenoids)
______ tonsils in the oropharynx
Palatine tonsils
_______ tonsils at the base of the tongue
Lingual
Routes air and food into proper channels and plays a role in speech
LARYNX (VOICE BOX)
Larynx is made of ______ rigid hyaline cartilages and a _______ of elastic cartilage (epiglottis)
eight rigid hyaline cartilages;
spoon-shaped flap
STRUCTURES OF THE LARYNX
- Thyroid cartilage
- Epiglottis
- Vocal cords (vocal folds)
- Glottis
• Largest hyaline cartilage
• Protrudes anteriorly (Adam’s apple)
Thyroid cartilage
• Superior opening of the larynx
• Routes food to the larynx and air toward the trachea
Epiglottis
• Vibrate with expelled air to create
sound (speech)
Vocal cords (vocal folds)
opening between vocal cords
Glottis
Connects larynx with bronchi
TRACHEA (WINDPIPE)
Trachea is lined with ______
ciliated mucosa
function of ciliated mucosa:
• Beat continuously in the opposite direction of incoming air
• Expel mucus loaded with dust and other debris away from lungs
Walls are reinforced with _______
C-shaped hyaline cartilage
• Formed by division of the trachea
• Enters the lung at the hilus (medial
depression)
PRIMARY BRONCHI
Right bronchus is ______, ______, and ______ than left
wider, shorter, and straighter
Bronchi subdivide into _______ branches
smaller and smaller branches
Occupy most of the thoracic cavity
LUNGS
Apex is near the _____
clavicle (superior portion)
Base rests on the ________ (inferior portion)
diaphragm
Each lung is divided into lobes by fissures
• Left lung – two lobes
• Right lung – three lobes
COVERINGS OF THE LUNGS
• Pulmonary (visceral) pleura
• Parietal pleura
• Pleural fluid
______ pleura covers the lung surface
Pulmonary (visceral) pleura
______ pleura lines the walls of the thoracic cavity
Parietal pleura
_______ fills the area between layers of pleura to allow gliding
Pleural fluid
RESPIRATORY TREE DIVISIONS
• Primarybronchi
• Secondary bronchi
• Tertiary bronchi
• Bronchioli
• Terminal bronchiole
• Smallest branches of the bronchi
• All but the smallest branches have reinforcing cartilage
BRONCHIOLES
Terminal bronchioles end in _____
alveoli
Site of gas exchange
RESPIRATORY ZONE
Structures of Respiratory Zone (3)
• Respiratory bronchioli
• Alveolar duct
• Alveoli
Gas exchange takes place within the ______ in the respiratory membrane
ALVEOLI
Structure of alveoli
• Alveolar duct
• Alveolar sac
• Alveolus
• Largely a passive process which depends on natural lung elasticity
• As muscles relax, air is pushed out of the lungs
EXHALATION
Normal pressure within the pleural space is always _______
negative (intrapleural pressure)
Differences in lung and pleural space pressures keep lungs from ______
collapsing
NONRESPIRATORY AIR MOVEMENTS can be caused by _____ or ______
reflexes or voluntary actions
NONRESPIRATORY AIR MOVEMENTS examples:
• Cough and sneeze – clears lungs of
debris
• Laughing
• Crying
• Yawn
• Hiccup
Normal breathing moves about _______ml of air with each breath (tidal volume [TV])
500 ml
Many factors that affect respiratory capacity
• person’s size
• Sex
• Age
• Physical condition
after exhalation, about 1200 ml of air remains in the lungs
Residual volume of air
• Amount of air that can be taken in
forcibly over the tidal volume
• Usually between 2100 and 3200 ml
Inspiratory reserve volume (IRV)
• Amount of air that can be forcibly
exhaled
• Approximately 1200 ml
Expiratory reserve volume (ERV)
• Air remaining in lung after expiration
• About 1200 ml
Residual volume
• The total amount of exchangeable air
• Vital capacity = TV + IRV + ERV
Vital capacity
• Air that remains in conducting zone and never reaches alveoli
• About 150 ml
Dead space volume
• Air that actually reaches the respiratory
zone
• Usually about 350 ml
Functional volume
Respiratory capacities are measured with a ______
spirometer
Respiratory Sounds are monitored with a ______
stethoscope
2 Types respiratory sounds
• Bronchial sounds
• Vesicular breathing sounds
produced by air rushing through trachea and bronchi
Bronchial sounds
Soft sounds of air filling alveoli
Vesicular breathing sounds
Oxygen movement into the blood
EXTERNAL RESPIRATION
The alveoli always has _____ than the blood
more oxygen
Oxygen moves by _____ towards the area of lower concentration
diffusion
Carbon dioxide movement out of the
blood
• Blood returning from tissues has higher concentrations of carbon dioxide than air in the alveoli
• Pulmonary capillary blood gives up
carbon dioxide
Blood leaving the lungs is ____ and ____
oxygen-rich and carbon dioxide-poor
• Inside red blood cells attached to
hemoglobin (oxyhemoglobin [HbO2])
• A small amount is carried dissolved in
the plasma
Oxygen transport in the blood
• Most is transported in the plasma as
bicarbonate ion (HCO3–)
• A small amount is carried inside red
blood cells on hemoglobin, but at different binding sites than those of oxygen
Carbon dioxide transport in the blood
Exchange of gases between blood and body cell
INTERNAL RESPIRATION
An opposite reaction to what occurs in the lungs:
• Carbon dioxide diffuses out of tissue to blood
• Oxygen diffuses from blood into tissue
Activity of respiratory muscles is transmitted to the brain by the _____ and _____ nerves
phrenic and intercostal nerves
Neural centers that control rate and depth are located in the _______
medulla
_______ that control rate and depth are located in the medulla
Neural centers
The pons appears to smooth out ______
respiratory rate
Normal respiratory rate (eupnea) is ____ respirations per minute
12–15 respirations per minute
Hypernia is increased respiratory rate often due to ______
extra oxygen needs
______ is increased respiratory rate often due to extra oxygen needs
Hypernia
Factors Influencing Respiratory Rate and Depth
• Physical factors
• Volition (conscious control)
• Emotional factors
• Chemical factors
• Chronic inflamed hypersensitive bronchiole passages
• Response to irritants with dyspnea, coughing, and wheezing
ASTHMA
• over secretion of thick mucus clogs the respiratory system
Cystic fibrosis
AGING EFFECTS
• Elasticity of lungs decreases
• Vital capacity decreases
• Blood oxygen levels decrease
• Stimulating effects of carbon dioxide
decreases
• More risks of respiratory tract infection