Respiratory Physiology Flashcards

1
Q

What are the functions of the respiratory system

A

Gas exchanged
Acid base balance
Protect from infection
Communication

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2
Q

What happens in systemic circulation

A

02 rich blood from L side of heart to tissue

CO2 rich blood from tissue taken to R side

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3
Q

What happens in pulmonary circulation

A

C02 rich blood from R rich goes to lungs for gas exchange

Returns O2 rich blood to L side

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4
Q

What is the pulmonary circulation compared to systemic

A

High flow but low pressure as 5l takes same time as it does to go through systemic

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5
Q

How does actual lung tissue get its blood supply

A

From systemic

Part of bronchial circulation

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6
Q

What is the conducting zone of the respiratory system

A

Trachea
Primary bronchi
Bronchioles
Resistance decreases as go down as less molecules and more anatomical dead space

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7
Q

What is the respiratory zone / exchange

A

Alveoli surrounded by pulmonary capillaries

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8
Q

What makes alveoli good for gas exchange

A

Single layer of epithelium

Elastic fibres that stretch when you breath in creating a recoil

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9
Q

What are type 1 alveoli for

A

Gas exchange

Simple sqaumous

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10
Q

What are type 2 alveoli for

A

Producing surfactant - decreased tension, prevent collapse and increase compliance

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11
Q

What are the lungs enveloped in

A

Visceral (outer surface of lungs) and parietal (inner surface of ribs) pleura

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12
Q

What is the space between lungs and thoracic wall called

A

Pleural space

Filled with pleural fluid (30ml) which creates a seal holding lungs to thoracic wall to move with breathing

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13
Q

What content state are the lungs in

A

Wanting to recoil due to inspiration
Elastic recoil pushes chest out when inspire
Creates a negative pressure in the pleural cavity

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14
Q

What are muscles of inspiration

A

Diaphragm = most important
External intercostal

Accessory
Scalene
SCM

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15
Q

What are muscles of expiration

A

Passive at rest
Internal intercostal
Abdominal

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16
Q

What is Boyle’s law

A

Pressure is inversely proportional to volume

As pressure increases volume decreases

17
Q

What happens in inspiration

A

Diaphragm contracts pushes abdominal cavity down
External intercostal and scalene pull ribs out
Leads to increase in volume of thoracic cavity
Intrapleural pressure decreases
Alveolar pressure becomes < than atmosphere and air drawn in

18
Q

What happens in passive expiration

A

Muscles relax
Elastic recoil of stretched lungs allow them to recoil back to original volume
Decreased volume so increased P and air drawn out

19
Q

What happens in forced expiration

A

Contraction of abdominal muscles push thoracic cavity up
Internal intercostal pull ribs in
Alveolar pressure increases pushing air out
Reduces duration of breathing cycle

20
Q

What happens in forced inspiration

A

Similar to normal
Requires accessory muscles
SCM, scalene, pec majro and minor, lattismus dorsi, serratura anterior

21
Q

What is the alveolar pressure

A

Pressure inside thoracic cavity

Equal to atmosphere

22
Q

What is intrapleural pressure

A

Pressur inside pleural cavity

Always -ve due to state of wanting to recoil

23
Q

What is transpulmonary pressure

A
Difference between alveolar and intrapleural
Always +ve
Opposes elastic recoil
Dpeendent on volume of lung
Larger lung = larger pressure
24
Q

What happens between breaths at the end of an unforced expiration

A

No air I flowing
Lungs stretched and attempting to recoil
Chest wall attempting to move out
Creates sub atmospheric intrapleural pressure
Transpulmonary pressure opposes this recoil