Respiratory Physiology I Flashcards
5 major processes involved in respiration
- Ventilation
- Gas exchange
- Transport of O2 and CO2 in the circulatory system
- Diffusion of gases between capillaries and the cells of organ systems
- Control of respiration by receptors, chemoreceptors, and the CNS
Ventilation
Movement of air into and out of the lungs
Gas exchange
Diffusion of gases at the alveolar-capillary membrane in the pulmonary circulation
Respiratory cycle
Inhalation followed by exhalation
Inhalation
muscular contraction expands the thorax and pulls air into the lungs
Exhalation
Elastic forces that are stored in the stretched lungs and thoracic rib cage allow the thorax to decrease in size, and air can leave the lungs
Examples of conducting airways
Nasal cavity Hard palate Soft palate Esophagus Trachea Larynx Epiglottis Tonsil Tongue
7 characteristics of conducting airways
- Pathway for ventilation
- Larger airways: mouth to bronchioles
- No gas exchange
- Anatomic dead-space
- Distribution of air
- Warm/humidify air
- Remove inhaled particles
Examples of respiratory airways
Respiratory bronchioles
Alveolar ducts
Alveolar sacs
Alveoli
5 characteristics of respiratory airways
- Pathway for gas exchange
- Smaller airways: respiratory bronchioles to alveoli
- Significant gas exchange
- Alveolar dead-space
- O2/CO2 gas exchange
Sympathetic effect on airways
Norepinephrine released, causes dilation
Parasympathetic effect on airways
muscarinic cholinergic receptors activated, causes constriction
Inflammatory mediator effect on airways
Histamines cause narrowing of smooth muscle, i.e. constriction
Inhaled irritant effect on airways
Irritants stimulate tracheo-bronchial irritant receptors, cause constriction
Anatomic dead space
The volume in the conducting airways that does not participate in gas exchange
Alveolar dead space
Alveoli that are ventilated by poorly perfused
Physiologic dead space
Anatomic dead space + Alveolar dead space
i.e. the total volume of the lungs that does not participate in gas exchange
Shunt
Perfusion without ventilation
Minute ventilation
The total volume of air breathed per minute
Tidal volume
The volume of air in each breath
Respiratory rate
The number of breaths per minute
Minute ventilation equation
minute ventilation = tidal volume - respiratory rate
3 things that increase minute ventilation
- Exercise
- Metabolic rate
- Sympathetic activation
What is best for detecting alveolar ventilation?
Arterial PCO2 because there are too many factors that can affect alveolar PO2
Inspiratory reserve volume
the additional volume of air that can be breathed in over and above tidal volume
Expiratory volume
The additional volume of air that can be breathed out below tidal volume
Residual volume
The volume of air remaining in the lungs after a forced maximal aspiration
Inspiratory capacity
The tidal volume plus the inspiratory reserve volume
Functional residual capacity
Expiratory reserve volume + Residual volume
i.e. volume of air remaining in lungs after expiration of normal breath
Vital capacity
Inspiratory capacity + expiratory reserve volume
Total lung capacity
Sum of all lung volumes