Respiratory Physiology Flashcards
week 3
Steps of the oxygen cascade
Oxygen Cascade
Aspiration of air from lungs
O2 diffusion from air –> RBC
RBC circulation
O2 diffusion from RBCs –> mitochondria
Steps for CO2 movement
Diffusion of CO2 from mitochondria –> Blood
Circulation of blood
Diffusion of CO2 from blood into lung
Expiration of air from lungs
What is Pulmonary ventilation
Physical movement of air into and out of resp tract
Maintains alveolar ventilation
How is airway patency maintained?
Trachea – C-shaped cartlidge rings
Bronchi – Cartlidge plates
Bronchioles – positive transmural gradient and radial traction from surrounding tissue
What are the pressures involved in ventilation?
Transmural
Pleural/ interpleural/ intrathoracic
Pulmonary/ intrapulmonary / alveolar
Transmural pressure
Across airway wall or lung wall
Pi –P0
Pleural/ interpleural/ intrathoracic pressure:
Slight negative pressure ( to keep lungs patent and moving in chest wall)
Pulmonary/ intrapulmonary / alveolar
Total gas produced on alveoli
describe the pressure during inspiration.
Negative alveolar pressure (Pi < P0)
More negative pleural pressure
Airflows in to equalise pressure differnce
Describe the volume of thoracic during inspiration
diaphragm and ext intercostal muscles contract = ribs move superiolaterally and superiorly
= increased lung volume
Describe the volume of thoracic during expiration
Elastic recoil as muscles relax
= decreased lung volume
Describe the pressure of thoracic during expiration
Positive alveolar pressure (Pi > P0)
Less negative pleural pressure
Airflows out to equalise pressure difference
Eupnea features
Quiet breathing
Passive expiration (elastic recoil)
Inhalation involving D and Ext IC
Diaphragmatic breathing vs Costal breathing
D= diaphragm contraction creates Neg Alveolar pressure (DEEP)
Ext IC: ext IC create Neg Alvelor pressure (shallow)
Hyperpnoea vs hyperventilation
HP = increased breathing that MATCHES metabolic rate
HV = increased ventilation above that predicated by metabolic rate
Pathophysiology of OSA
Pharyngeal pressure > Patm –> pharnygeal narrowing (normally opposed by pharyngeal dilator muscle PDM)
Whilst sleep: PDM less active and tongue and spft palate fall bac causing partial occlude to airway
How does CPAP help OSA?
pushes air into the upper airways to maintain patency via positive pressure
also opposes the tongue and soft palate falling back
what is minute ventilation and what is its formula?
Amount of air moved each minute
VE= Vt x f
(VT = tidal volume)
What is VD?
Dead Space
Amount of air NOT involved in gas exchange
what is VA and what is its formula?
Alveolar ventilation
Amount of air reaching the alveoli each minute
Va = (VT-VD) x f
what is tidal volume and its normal value?
Amount of air taken INTO the lungs at rest.
Normal value: 500ml
What is inspiratory volume?
Amount of ADDITIONAL air that you inhale AFTER you have inhaled normally
what is expiratory volume?\?
Expiratory Volume
Amount of ADDITIONAL air that you FORCE OUT after have expired normally
What is Residual Volume?
Amount of air LEFT in the lungs after maximum expiration