Respiratory System Flashcards

1
Q

Define the terms ventilation, external respiration, internal respiration, and cellular
respiration

A

ventilation (breathing) - insures continuous refreshing of †he gas in the alveoli of the lungs

external respiration- takes place in the pulmonary capillaries, across the respiratory membrane, the blood take on O2 and gives up CO2
- we breathe CO2 out

internal respiration - takes place in the systemic capillaries, the blood gives up O2 and takes on CO2
- we breathe O2 in

cellular respiration - metabolic process in which ATP is produced

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2
Q

Distinguish between the conducting zone and the respiratory zone of the respiratory
system. Anatomically, what is the first structure in the respiratory zone?

A

conducting zone - consists of all of the respiratory passageways from the nose to the respiratory bronchioles (carry air to the gas exchange sites)
- also cleans, humidify, and warm incoming air (so air reaching the lungs has fewer irritants and is warm and damp)

respiratory zone - the actual site of gas exchange, is composed of the respiratory bronchioles, alveolar ducts, and alveoli

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3
Q

Identify the 4 structures comprising the upper respiratory system

A

nose, nasal cavity
paranasal sinuses
pharynx

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4
Q

What are the 5 general functions of the nostrils and nasal cavity?

What structural features
support these functions?

A

COME BACK

only external part of the respiratory system
- provides an airway for respiration
-moistens and warms entering air
-filters and cleans inspired air
-serves as a resonating chamber for speech
- houses the olfactory (smell) receptors

divided into external nose and internal nasal cavity

the nasal cavity is where the air enters, it is divided by a midline nasal septum, the part of the nasal cavity just superior to the nostril is the nasal vestibule, which is lined with skin containing sebaceous and sweat glands and numerous hair follicles. the hairs filter coarse particles (dust , pollen) from inspired air. the east of the nasal cavity is lined with mucous membranes

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5
Q

Name and describe the location of the three levels of the pharynx.

How does the
epithelial lining change from one level of the pharynx to another?

How does the
change in epithelium support the function of each level of the pharynx?

A

nasopharynx - ONLY an air passageway
- during swallowing, the soft palate and its pendulous uvula move superiorly, closing it off and prevent food from entering

*pseudostratified ciliated epithelium - propels mucus where the nasal mucosa leaves off
- on the posterior wall, the pharyngeal tonsil traps and destroys pathogens entering the air

oropharynx- food and air

*stratified squamous epithelium - accommodated the increased friction and chemical trauma (hot or spicy foods) accompanying food passage

laryngopharynx - food and air
*stratified squamous epithelium
-continuous with the esophagus, which conducts food and fluids to the stomach
- during swelling, food has the right of way and air passage stops temporarily

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6
Q

What are the 3 functions of the larynx? What structural features support these functions?

A

(voice box)

attached to the hyoid bone, opens into the laryngopharynx

1.) Provide a patent (open) airway
2.) Act as a switching mechanism to route air and food into the proper channels
3.) Voice production (houses the vocal chords)

9 hyaline cartilages connected my membranes and ligaments and the epiglottis

the epiglottis - keeps food out of the lower respiratory passages (the larynx), if food does get there, we cough to get it out

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7
Q

Describe the general location and function of each of the following: thyroid cartilage,
cricoid cartilage, epiglottis, glottis, arytenoid cartilage, vestibular folds (false vocal
cords), vocal folds (true vocal cords).

A

thyroid cartilage- shaped like an upright open book. the book spine is known as the laryngeal prominence (Adams apple)

cricoid cartilage (anchored to trachea), arytenoid cartilage (pyramid shaped, anchors the vocal chords), and cuneiform form the posterior walls of the larynx -

epiglottis- the ninth cartilage, flexible and spoon shaped, almost entirely covered by taste big containing mucosa.
covered the laryngeal inlet when swallowing occurs

glottis- the vocal folds and the medial opening between them in which air passes

vestibular folds (false vocal cords)- mucousal folds that play no direct part in sound production but help close the glottis when we swallow
– when the vocal folds vibrate, sound is produced as air rushes from the lungs

vocal folds (true vocal cords).-vocal chords composed of elastic fibers form the core of mucosal folds (true vocal chords) which appear white because they lack blood vessels

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8
Q

Of what type of cartilage are the thyroid cartilages composed?

A

hyaline cartilage

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9
Q

Identify and describe the three layers of the tracheal wall.

A

superior to Inferior

  • mucosa made of pseduostratified ciliated columnar epithelium with inter speed goblet cells, and lamina proprietary or CT or lamina propria
  • submucosa - will cells and seromucous glands

(hyaline cartilage)

  • adventitia
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10
Q

Name the branches of the bronchial tree, beginning with the tubes formed by the
branching of the trachea.

A

branch from the trachea into the primary bronchus , then the lobar secondary bronchus , into the segmental (tertiary) bronchus.

right lung has three lobes

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11
Q

How does the structure of the bronchial walls change as the tubes branch and become
smaller?

A

-Irregular patches of cartilage replace the cartilage rings and by the time the bronchioles are reached, the tube walls no longer contain supportive cartilage.

-the mucosal epithelium thins as it changes from pseudo stratified columnar to simple columnar to simple cuboidal in the terminal bronchioles.

Mucus producing cells and cilia are sparse in the bronchioles.

  • The amount of smooth muscle increases as passage ways become smaller, allows the bronchioles to provide resistance to air passage under certain conditions
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12
Q

Which of the respiratory system structures are considered part of the conducting zone?
of the respiratory zone?

A

Conducting zone:
- trachea
- primary bronchus
- lobar (secondary) bronchus
- segmental (tertiary) bronchus

Respiratory zone:
- respiratory bronchioles
- alveolar ducts
- alveoli
- alveolar sacs
- the respiratory membrane

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13
Q

In what three ways does the upper respiratory tract “condition” air before it reaches the
lungs?

A

cleanse, humidify, and warm incoming air

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14
Q

Describe the structure of an alveolus.

A

gap filled air spaces surrounded by type 1 alveolar cells that form the spherical structures and type 2 alveolar cells that secrete surfactant

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15
Q

Distinguish between type I and type II alveolar cells.

A

type 1 alveolar cells that form the spherical structures and are squamous epithelial cells

and type 2 alveolar cells that secrete surfactant and are cuboidal epithelial cells

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16
Q

What is the function of type II alveolar cells? of alveolar macrophages?

A

type 2 alveolar cells that secrete surfactant and also secrete a number of antimicrobial proteins that are important elements of innate immunity.
alveolar macrophages crawl freely along alveolar surfaces consuming bacteria, duct and other debris

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17
Q

Describe the structure and function of the respiratory membrane?

A

flimsy and thin, surrounded type 1 alveoli cells

capillary and alveolar walls fused their basement membranes to form this

blood barrier, blood forms on one side, gas on the other

gas exchanges occur readily by simple diffusion across the respiratory membrane (passes from the alveolus to the blood and blood to gas filled alveolus)

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18
Q

Distinguish between the following levels of lung organization: lobe, bronchopulmonary
segment, and lobule.

What is the name of the airway and artery associated with each (?) of
these parts of the lung?

A

lobe- the left lungs are divided into superior and inferior lobes by the oblique fissure, the right lung is divided into super, middle and inferior lobes by the oblique and horizontal fissures

each lobe contains
a number of pyramid shaped

bronchopulmonary segments- separated by CT septa.
right lung has 10 and left has 8 to 10. each segment has its own artery and vein.
* are clinically important because pulmonary disease is often confined to one or few segments and their CT partitions allow diseased segments to e surgically removed without damaging neighboring segments or impairing blood supply.

lobule- smallest subdivisions of the lungs that are visual to the naked eye
- on lungs surface look like hexagons , size of a pencil eraser. a large bronchiole and its branches serve each lobe.

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19
Q

Identify and describe the location of the pleural membranes and pleural cavity.

A

is a double layered serosa, produces pleural fluid, divides thoracic cavity into three

parietal layer - covers the thoracic wall and superior face of the diaphragm.
- it continues around the heart and between the lungs, forming the lateral walls and enclose the lung root

from there, the pleurae extends as the visceral pleura to cover the external lung surface, dipping into and lining the fluid

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20
Q

Identify the major functions of pleural fluid.

A

this lubrication secretion allows the lungs to glide over the thorax during our breathing movements

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21
Q

Describe the phenomenon of ventilation-perfusion coupling.

How does ventilation-
perfusion coupling enhance respiratory efficiency?

A

influences expiration

matching alveolar ventilation (the movement of gas during breathing) with pulmonary blood perfusion (pulmonary blood circulation, delivering oxygen to the body tissues)

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22
Q

Describe the mechanics of inspiration and expiration (i.e., how do we move air into and
out of our lungs?).

A

inspiration- the gas exchange that occurs between the systemic capillaries and the tissues. CO2 enters the blood and O2 and O2 leaves the blood and enters the tissues.

expiration- gas exchange that happens in the lungs
*oxygen enters the pulmonary capillaries and carbon dioxide leaves the blood and enters the alveoli
*factors influencing this process:
-
partiial pressure gradient
- thickness of the respiratory membrane
- surface area available
- ventilation-perfusion

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23
Q

What is intrapleural pressure? How is intrapleural pressure created?

A

pressure within the pleural cavity , usually negative relative to intrapulmonary pressure (pressure within alveoli)

-4 mmHg , 756 mmHg

is created when the forces that cause the lungs to collapse (pulling the visceral layer in) are opposed by the natural elasticity of the chest wall to pull the thorax outward. neither force wins because of pleural fluid

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24
Q

Describe the fluctuations in intrapleural pressure during inspiration and expiration.

A

inspiration - intrapleural pressure pulls lungs outwards, towards walls of thoracic cavity, decreasing pressure between lungs and the wall, helping it adhere

so pressure rises ?

expiration - the lungs are pulled inwards, so pressure decreases to ?

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25
Q

What is Boyle’s Law? How does this law relate to the mechanics of pulmonary
ventilation?

A

the pressure of the gas is inversely proportional to the vol of its container (the less vl, the greater the pressure because gas molecules are bouncing off a compact space)

this relates to pulmonary ventilation because it explains the intrapulmonary pressure changes

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26
Q

Is alveolar (i.e., intrapulmonary) pressure higher or lower than atmospheric pressure
during inspiration? during expiration?

A

inspiration - pressure is lower because thoracic cavity expands, so size of lungs is expanding

until it reaches atmospheric pressure 760 mmHg

expiration - pressure is higher because vl of lungs decreases

until it reaches atmospheric pressure 760 mmHg

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27
Q

What effect do changes in thoracic volume have on intrapulmonary pressure?

A

that determines how much the lungs can expand and collapse during inspiration and expiration, which affects the pressure

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28
Q

What muscles are involved in quiet inspiration? What nerve innervates the diaphragm?

A

diaphragm and external intercostal muscles

phrenic nerve

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29
Q

Which phase of quiet breathing is a passive process?

A

air flowing in and out of the lungs, down the pressure gradient until the atmospheric pressure is 0

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30
Q

What forces are constantly acting to collapse the lungs? Which of these forces is
normally most responsible for quiet exhalation?

A
  • the lungs natural tendency to recoil, because of the elasticity, lungs always assume the smallest size possible
    (most responsible for quiet exhalation)
  • the surface tension of the alveolar fluid - the fluid lining the alveoli attract each other, this produces a surface tension that works to draw alveoli to their smallest dimension.
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31
Q

Identify the three main physical factors that influence pulmonary ventilation.

A

1.) airway resistance - gas flow is inverse to air way resistance

2.) alveolar surface tension - at gas-liquid boundaries, the molecules of the liquids are strongly attracted to each other than to gas molecules, this creates surface tension.

3.) lung compliance - healthy lungs are very stretchy

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32
Q

Determine what your respiratory assessment findings would be in a healthy person? In
a person with a pneumothorax? In a person with atelectasis? In a person who is
choking?

A

Healthy person: you can inspect the thorax to see the there is normal rise and fall without any intercostal retractions; you can palpate tactile fremitus as the patient speaks; you can percuss resonance through the lung fields bilaterally; you will auscultate predominantly vesicular breath sounds
Pneumothorax: you can inspect that the patient is suffering from shortness of breath and chest pain; you can palpate decreased or absent fremitus; you will percuss hyper-resonance; you will auscultate decreased or absent breath sounds
Atelectasis: you will not palpate fremitus; you will percuss dull lung sounds; you will auscultate decreased or absent lung sounds
Choking: cyanosis and lack of rise and fall of thorax; you will not auscultate breath sounds

33
Q

What is the effect of bronchodilation on airway resistance and gas flow? of
bronchoconstriction?

A

dilation would increase gas blow and decrease airway resistance, and vice versa

34
Q

What effect do the following neural and chemical factors have on airway resistance:
sympathetic activation; parasympathetic activation; epinephrine; histamine.

A

Sympathetic activation and epinephrine - bronchodilation (decreases airway resistance and increases gas flow)
Parasympathetic activation and histamine - bronchorestriction (increases airway resistance and decreases gas flow)

35
Q

Explain the relationship between the following: lung compliance, lung elasticity,
alveolar surface tension.

A

1.) airway resistance - gas flow is inverse to air way resistance

2.) alveolar surface tension - at gas-liquid boundaries, the molecules of the liquids are strongly attracted to each other than to gas molecules, this creates surface tension.

3.) lung compliance - healthy lungs are very stretchy , measure of the change in lung vl

36
Q

What is the effect of changes in lung compliance on pulmonary ventilation?

A

favors efficent ventilation, able to inhale more air

37
Q

What is the function of surfactant?

A

a detergent like complex of lipids and proteins produced by type 2 alveolar cells that decreases the cohesiveness of water cells and allows water to interact with and pass through fabric (?)

function: reduce surface tension so less energy is needed to overcome forces and expand the lungs + discourage alveolar collapse

38
Q

Define the following: tidal volume (TV); inspiratory reserve volume (IRV); expiratory
reserve volume (ERV); residual volume (RV); inspiratory capacity (IC); fun

A

tidal volume (TV)- amount of air inspired and ten expired with each breath under resting conditions

Inspiratory reserve volume (IRV)- amount of air that can be FORECFULLY inspired after a normal tidal volume inspiration
(male: 3100 ml, female : 1900 ml)

Expiratory reserve volume (ERV)- Amount of air that can be FORECEFULLY EXPIRED after a normal tidal vol expiration
(male:1200ml, female: 700 ml)

Residual volume (RV)- Amount of air remaining in the lungs after FORECFUL and complete expiration
(male : 1200ml , female: 1100 ml)

inspiratory capacity (IC)- the total amount of air that can be inspired after a normal tidal vol expiration
(TV + IRV)

39
Q

Define forced vital capacity (FVC) and force expiratory volume in 1 second (FEV1).

A

FVC - Amount of air that can be expelled when the subject takes the deepest possible inspiration and forcefully expired as completely and rapidly as possible

FEV1- Measures the amount of vital capacity that is expired during the 1st second of the FVC test (75-80% of the VC)

40
Q

Describe the difference(s) between obstructive and restrictive lung disease. What (if
any) changes in FEV1 and/or FVC do you expect to see in a person with obstructive or
restrictive lung disease?

A

obstructive LD - increased airway resistance
ex: chronic bronchitis
TLC, FRC, and RV increase because the lungs hyper inflate
*FVC extremely less than 80%
*FEV1 is low

restrictive LD - reduced total lung capacity
VC, TLC, RV, FRC decrease because lung expansion is limited
*exhale 80% or more of FVC so FEV1 is high too

41
Q

Define the following: anatomical dead space; alveolar dead space; total dead space.

A

anatomical dead space- some of the inspired air that fills conducting respiratory spaces, but doesnt contribute to the gas exchange in the alveoli. Th volume of that air is this (about 150 ml subtracted from TV which is 500ml)

alveolar dead space- if some alveoli cease to ac in the gas exchange (due to alveolar collapse or obstruction by mucus)its added to the anatomical dead space

total dead space-sum of both dead spaces

42
Q

Define minute respiratory volume (MRV) and alveolar ventilation rate (AVR).

A

minute respiratory volume (MRV)- amount of gas that flows into or out of the respiratory tract in one minute
6L/min in healthy ppl during normal quiet breathing

alveolar ventilation rate (AVR)- calculates the same as MRV, but takes into account the dead space.
AVR = frequency(breaths/minute) x (TV- dead space)

healthy ppl:

AVR = 12 breaths/min x (500 ml - 150 ml)

43
Q

Which provides the best assessment of effective ventilation – MRV or AVR? Explain.

A

AVR provides the best assessment of effective ventilation because it calculates the amount of gas that flows into or out of the respiratory tract in one minute and takes into account the dead space.

AVR increases during deep inspiration (breath depth) but not during shallow breaths because the gas doesnt really reach the exchange sites

44
Q

Explain the law of partial pressures of gases (i.e., Dalton’s Law).

A

Dalton’s law states that the total pressure exerted by a picture of gases is the sum of the pressure exerted independently by each gas in the mixture.

Therefore, the pressure everted by each gas (partial pressure) is directly proportional the percentage of that gas in the mixture
ex: O2 makes up 20.9% of air so PO2 = 0.209 x 760 mmHg (atmospheric pressure) = 159 mmHg

Nitrogen makes up the most air at 78.6%

45
Q

How does the partial pressure of a gas influence its diffusion?

A

each gas in a gas mixture tend to diffuse independently of each other based on the pressure to the diffusing gradient

46
Q

What is Henry’s law? How does this law relate to the process of respiratory gas
exchange?

A

Henry law : when a gas is in contact with a liquid, the gas will dissolve in a liquid proportional to its partial pressure

This is related to respiratory gas exchange because this is how gas is exchanged between the lungs and tissues.

Ex: When PCO2 is higher in the pulmonary capillaries, they’ll diffuse into the alveoli (lungs)

47
Q

Rank the solubility in water (or plasma) of the following gases: oxygen, carbon dioxide,
nitrogen.

A

CO2 - most soluble
O2 - 1/20 soluble
N - half of O2, practically none goes into the solution

48
Q

Rank the pO2 of the following sites: air in the alveoli; arterial blood; venous blood;
interstitial fluid; intracellular fluid.

(HINT: remember that gasses diffuse down their
partial pressure gradients)

A

air in the alveoli - 140 mmHg

venous blood - 100 mmHg

arterial blood: 40 mmHg

intracellular fluid - less than 40 mmHg?

interstitial fluid- 40 mmHg?

49
Q

Rank the pCO2 of the following sites: air in the alveoli; arterial blood; venous blood;
interstitial fluid; intracellular fluid.

(HINT: remember that gasses diffuse down their
partial pressure gradients)

A

intracellular fluid - greater than 45 mmHg

venous blood - 45 mmHg

interstitial fluid -

arterial blood - 40 mmHg

air in the alveoli - 0.3 mmHg

50
Q

Identify the main factors that influence the rate of pulmonary & systemic gas exchange.

A

external respiration (pulmonary gas exchange)

factors that determine the efficiency:
- thickness and surface area of the respiratory membrane
- partial pressure and gas solubility
- ventilation-perfusion coupling

ventilation- the amount of gas reaching the alveoli

perfusion- the blood flow in pulmonary capillaries

*If ventilation goes down and perfusion of the alveoli goes up, that causes PCO2 to go up and O2 to go own. —– pulmonary arteries serving the alveoli constrict to give. abetter match between ventilation and profusion ——– perfusion balances and ventilation goes down

vice versa for ventilation going up and perfusion of alveoli going down

internal respiration (gas exchange in the tissues)
O2 from blood into the mitochondria and CO2 comes out, PCO2 is highest in the mitochondria

51
Q

How is O2 transported in the blood?

A

Two ways:

1.) dissolved in the plasma - (accounts for 1.5-2% of O2 transported)

2.) Carried by Hb (hemoglobin) - accounts for 98.5% of 02 transported

52
Q

Why is oxygen-hemoglobin binding called cooperative binding?

A

oxygen is more likely to bind to a hemoglobin bound to one oxygen than to an unbound hemoglobin

53
Q

How many O2 molecules are bound to Hb that is fully saturated?

Define the term
percent saturation of hemoglobin.

A

when all 4 heme groups are bound to O2

with 1, 2 or 3 O2 are bound, the hemoglobin molecule, it is partially saturated

54
Q

Describe the oxygen-hemoglobin dissociation curve.

A

shows how local PO2 controls oxygen loading and. unloading from hemoglobin

how hemoglobin ensures adequate O2 delivery under various conditions

55
Q

How does an increase in O2-Hb affinity effect O2 unloading in the tissues? a decrease in
affinity?

A

increase makes it difficult to unload O2 in metabolically active tissue, and vice versa for decreasing

56
Q

What effect does each of the following have on O2-Hb affinity: pCO2; body
temperature; pH; 2,3-BPG.

A

all these factors influence Hb saturation by modifying hemoglobins 3D structure, therefore lowering Hb affinity for O2, enhancing 02 loading from the blood

pCO2- increase

body temperature- increase

pH; 2,3 - increase

BPG- reversibly binds with hemoglobin, and its levels rise when 02 levels are chronically low

an increase of these factors leading to a decrease in Hb affinity all indicates a right-shift curve of the oxygen-dissociating curve

57
Q

What direction does the oxygen-hemoglobin dissociation curve shift when the affinity
between Hb and O2 increases? when the affinity decreases?

A

when affinity increase - its a left shift curve
when affinity decreases - its a right shift curve

58
Q

What is the Bohr effect?

A

As cells metabolize glucose and use O2, they release CO2, which increases PCO2 and H+ levels in capillary blood. Both the declining ph (acidosis), increasing PCO2 and breaking Hb O2 bonds leads to this effect

which enhancing oxygen unloading when it is most needed

59
Q

What are the three forms of CO2 transport in the blood?

A

1.) disolved in plasma (7-8%)

2.) binds to Hb and forms HbCO2 (carbaminohemoglobin) in RBCs (25%)

3.) as HCO-3 (biocarbonic ions/carbonic acid) in plasma (70%)

60
Q

In what form is most CO2 transported?

A

as carbonic acid in plasma

61
Q

What reversible reaction is catalyzed by carbonic anhydrase?

A

carbonic anhydrase reversibly catalyzes the conversion of carbon dioxide and water to carbonic acid

62
Q

Is carbonic anhydrase present in the plasma? inside red blood cells?

A

its in RBCs

63
Q

Identify each of the molecules/ions in the following equation:
H2O + CO2  H2CO3  HCO3- + H+

A

when dissolved CO2 diffuses into RBCs, combine with water, forming carbonic acid, but because carbonic acid is so unstable, it dissociates into hydrogen and bicarbonate ions

water + carbon — carbonic acid — bicarbonate ion + hydrogen

64
Q

What happens to the HCO3- formed in red blood cells through the dissociation of
H2CO3?

A

it moves from the RBC into the lungs, where its carried to the lungs. to counteract the rush of the anions, chloride comes in (chloride shift) to balance via facilitated diffusion

65
Q

Explain the chain of reactions that occur as pCO2 (i.e., the amount of CO2) increases
inside red blood cells.

A

?

so bicarbonate ions reenters the RBC (chloride leaves) and binds with hydrogen to form carbonic acid. carbonic anhydrase then split carbonic acid and release CO2 and water.

the CO2 is released from hemoglobin and from solution in plasma and diffuses along the partial pressure gradient from the blood into the alveoli

66
Q

What is the Haldane effect?

A

The amount of CO2 transported in the blood is affected by the degree to which blood is oxygenated. the lower the PO2, the lower Hb saturation with O2, the more CO2 the blood can carry

  • allows for CO2 pickup in systemic capillaries

when CO2 enters the blood stream, it causes the Bohr effect, the dissociation of O2 from hemoglobin causes the Haldane effect CO2 combining with hemoglobin

67
Q

Explain the chemical reactions that occur during gas exchange (O2 and CO2) in both the
pulmonary and systemic capillaries.

A

look at images

68
Q

Name and identify the location of the main respiratory control centers in the brainstem.

A

medulla oblongata separated into two groups =

ventral respiratory group- a network of neurons that extend in the ventral brain stem from the spinal cord to pons-medulla junction

dorsal respiratory group - located dorsally near the root of cranial nerve IX (9)

Pons:

potine respiratory centers - interact with the medullary respiratory centers to smooth the respiratory patterns

69
Q

What is the role of the ventral respiratory group in breathing control

A

contains rhythm generators whose output drives respiration

inspiration center - helps the thorax expands

expiration center - inspiratory muscles relax and lungs recoil

70
Q

What is the role of the dorsal respiratory group in regulating breathing?

A

integrates peripheral sensory input ( input from peripheral stretch and chemoreceptors) and modifies the rhythm generated by the VRG

71
Q

What are the muscles of quiet inspiration?

A

diaphragm

72
Q

What is the general function of the pontine respiratory centers

A

interact with the medullary respiratory centers to smooth the respiratory patterns

73
Q

What chemical factors influence respiration?

A

changing levels of CO2, O2 and H+, and the sensors responding to these changes are central and peripheral chemoreceptors

74
Q

Identify the location of the central and peripheral chemoreceptors.

A

central - brain steam, including the ventrolateral medulla

peripheral - aortic arch and carotid arteries

75
Q

Specifically, what changes are monitored by each of the above (#74) receptors?

A

central chemoreceptors - changes in PCO2

peripheral chemoreceptors - changes in P02

76
Q

What chemical factor exerts the most powerful influence on respiration?

A

CO2

77
Q

Explain the indirect effect that increased arterial pCO2 exerts on the central
chemoreceptors (mediates 70% of the Co2 response)

A

Increased arterial pCO2

to

pCO2 increase, decreases ph in brain ECF

to

central chemoreceptors response to the ph increase in the brain

to

afferent impulses – medullary respiratory centers
efferent impulses — respiratory muscles

to

ventilation (more CO2 exhaled)

and arterial pco2 and ph return to normal

78
Q

Explain why only the peripheral chemoreceptors (and not the central chemoreceptors)
are sensitive to changes in arterial pH.

A

because hydrogen does not cross the blood brain barrier, the increased ventilation ( the amount of gas reaching the alveoli) that occurs due to the falling ph is regulated by the peripheral chemoreceptors

79
Q

Under what circumstances might you see a decrease in pH of arterial blood while
arterial pCO2 and pO2 are normal?

A

accumulation of lactic acid during exercise or fatty acid metabolites in patients with poorly controlled diabetes