Respiratory Physiology Flashcards
External Respiration
Integration of the respiratory and CVS systems allowing movement of gases between air and the cells
Normal respiratory rate
10-20 breaths a minute
Patency
How open an airway is
Alveoli
Site of gas exchange in the lungs
Type I pneumocyte
Simple squamous epithelium for gas exchange
Type II pneumocyte
Produces surfactant (reduces surface tension)
Type of epithelium in respiratory tract
Pseudo-stratified columnar epithelium that is ciliated and glandular
Goblet cells
Produce mucous
Boyle’s Law
Pressure exerted by a gas is inversely proportional to its volume
Henry’s Law
Amount of gas dissolved in a liquid is determined by pressure of gas and solubility in the liquid
Dalton’s Law
Total pressure of a gas mixture is the sum of the pressures of the individual gases
Alveolar Pressure
Pressure inside the lungs
Intra-pleural pressure
Pressure inside the pleural cavity (always negative)
Trans-pulmonary pressure
Difference between alveolar pressure and intra-pleural pressure
Muscles of Inspiration
Diaphragm and external intercostals
Muscles of expiration (forced)
Internal intercostals and abdominal muscles
Accessory muscles
Scalene and sternocleidomastoids
Tidal Volume
Volume of air breathed in and out of lungs at each breath
Expiratory Reserve Volume
Maximum volume of air which can be expelled from lungs at end of normal expiration
Inspiratory Reseve Volume
Maximum volume of air which can be drawn into the lungs at end of normal inspiration
Residual Volume
Volume of gas in the lungs at the end of a maximal expiration
Vital Capacity
Tidal volume + IRV + ERV
Total lung Capacity
Vital capacity + reserve volume
Inspiratory capacity
TV + IRV
Functional Residual Capacity
Expiratory reserve volume + residual volume (amount of air normally in lungs at end of expiration)
Anatomical dead space
Volume of gas occupied by the conducting airways and not available for gas exchange
Volume
Amount of air moved in a single expiration
Capacity
2 or more volumes added together
Pulmonary Ventilation
Total air movement into and out of lungs (L/min)
Alveolar Ventilation
Volume of fresh air moving into lungs and therefore available for gas exchange (L/min)
Hyperventilation
More air reaches alveoli (large tidal volume)
Hypoventilation
Less air reaches alveoli (small tidal volume)
Partial Pressure
Pressure of a gas in a mixture of gases (equivalent to % of the gas in the mixture x pressure of whole mixture)
Infant respiratory distress syndrome
Baby struggles to breathe due to lack of surfactant production in lungs
Compliance
Change in volume relative to a change in pressure
Obstructive Lung Diseases
Obstruction of air flow in lungs, especially during expiration
Restrictive Lung Diseases
Loss of lung compliance
Static Spirometry measurement
Only considers volume exhaled
Dynamic Spirometry measurement
Considers volume exhaled and time taken to do so
FEV1
Maximum volume of air expired in 1 second
FVC
Maximum volume of air that can be expired
FEF25-75
Average expiratory flow over the middle portion of a FVC
Pulmonary Circulation
Delivers CO2 from heart to lungs and O2 from lungs to heart
Systemic Circulation
Delivers O2 from heart to body and CO2 from body to heart
Bronchial Circulation
Part of systemic circulation that supplies lungs and airways
Shunt
Blood moves from right to left side of heart without being oxygenated
Alveolar Dead Space
When fresh air in alveoli is not being adequately perfused and oxygen is not reaching blood
Physiological dead space
All the air not taking place in gas exchange (anatomical dead space and alveolar dead space)
Cooperative binding
When 1 molecule binds it increases the affinity of the other binding sites for other molecules of the same substance
Myoglobin
Haemoglobin in which the beta chains have been replaced by delta chains, acts as store of oxygen in muscle cells.
Foetal haemoglobin
Haemoglobin present in fetus, beta chains replaced by gamma chains. Allows fetus to take oxygen from mother.
Anaemia
Any condition where the oxygen carrying capacity of blood is decreased,.
2-3-diphosphoglycerate
Substance produced by erythrocytes as a response of inadequate oxygen supply and decreases Hb affinity for oxygen.
CO poisoning
Caused by CO binding to Hb with an affinity 250 times greater than O2. Causes cherry red skin and mucous membrane, hypoxia (cell death), anaemia and nausea.
Hypoxic Hypoxia
Reduction in oxygen diffusion at lungs due to decreased PP of O2 in atmosphere or tissue pathology
Anaemic Hypoxia
Reduction in oxygen carrying capacity of blood due to anaemia
Ischaemic hypoxia
Heart disease resulting in inefficient pumping of blood
Histotoxic hypoxia
Poisoning prevents cell utilising oxygen delivered to them
Metabolic hypoxia
Oxygen delivery to tissues does not meet increased oxygen demand by cells
chloride shift
Movement of bicarbonate ions into plasma and Cl ions into RBCs during transport of CO2 as carbonic acid.
Respiratory acidosis
Decrease in pH of blood due to CO2 retention as a result of hypoventilation
Respiratory alkalosis
Increase in pH of blood due to CO2 expiration as a result of hyperventilation
Dorsal Respiratory group
Sets automatic rhythm of breathing and innervates muscles of inspiration
Ventral respiratory group
Innervates muscle of expiration, pharynx, larynx and tongue
Central chemoreceptors
Response directly to H ion conc of CSF (PP of CO2) and modulate primary respiratory drive
peripheral chemoreceptors
Carotid and aortic bodies that respond to H ion conc in plasma and PaO2
Hypercapnea
Abnormally high levels of CO2 in blood
Hypoxic Drive
Basal respiratory rate is controlled by peripheral chemoreceptors detecting PaO2
Respiratory acidosis/alkalosis
Disturbance in pH of blood due to disturbance in respiratory system