Respiratory System Flashcards

1
Q

What is internal respiration

A

Exchange of gas in the lungs and body tissues.

diffusion of oxygen from lung into the blood
and CO2 from blood to lungs

diffusion of oxygen from blood into into the cells
and CO2 from cells to blood

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2
Q

what is External respiration

A

process of inhaling air and transporting oxygen from nose or mouth to the lungs till oxygen is defused in the blood stream. And vice versa, where we expel CO2

this function is controlled by the prephiral system - the autonomic nervous system - because it’s done unconsciously

however we constant control the depth and rate of our breathing

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3
Q

Explain inhilation process

A

1.Air enters mouth or nose
2.Air passes through pharynx (tube between nose and larynx) and then to larynx (voice box)
3.Air passes to Trachea (semi-regid tube built with cartilage rings).
4.Trachea branches into 2 bronchi servicing each lung
5.Particles in the air get caught here the mucus lined walls of bronchi and trachea then slowly back up the mouth
6.Bronchi split into 2 again and again
7.As air passes through, it gets moist and warm
8.Bronchi eventually end at the Avleoli. Its walls are coated with fine layer of moisture
9.Alveoli are small spherical bags grouped in Alveoli sacs.
10.Membrane of the alveoli are thin and surrounded by capillaries
11.The pressure of oxygen in the air helps with the oxygen diffusion into the blood
12.The oxygen molecules entering each alveolus dissolve into liquid and through its members and into the capillaries, into the blood plasma
13.O2 molecules bind to the haemoglobin in the red blood cells
14.oxygenated blood passes to the left side of the heart, which then pumps it out into the body via arteries.

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4
Q

Explain Expiration

A

1.Simultaneously, deoxygenated blood travels to the right side of the heart
2.Pumps it back into the alveoli
3.In the Alveoli sac, CO2 molecules in the blood diffuse across the membrane into the alveoli from where they are expelled from the body via breathing out. Some of this process also happens at the final stages of bronchi

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5
Q

How much oxygen does the brain take

A

(even though our brain makes up 2% of our body weight) our brain consumes 20% of the oxygen we take in

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6
Q

how many alveolis are in normal human

A

300,000 alveolis exist in the body - this makes up 80m2 of gas exchange area

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7
Q

during hard excercise, how fast does blood pass from alveoli to capillaries

A

To keep the body oxyginated during excercise, it take 0.3 seconds for blood to pass from alveoli to capillaries

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8
Q

how many inhilations/exhilations are made per min and what does this equate in heart beats per min

A

15 inhilations & exhilations per min
= 70 heart beats/min

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9
Q

Relationship between Oxygen and Carbon Dioxide

A
  1. Body stores more CO2 than O2 hence why the body needs sufficient levels of O2
  2. CO2 helps body regulate O2
  3. CO2 helps maintain chemical balance in the body
  4. Breathing rate is affected by CO2 but also stress, anxiety, illness or injury
  • O2 saturation levels in the blood is usually held at 98%. It drops below 90% when the Partial Pressure drops to 60mmHG
  • Might seem when take in a lot of oxygen when we exercise but oxygen levels in the blood are held at tight limits
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10
Q

External mechanism to assist the lungs in external respiration

A

Brochi don’t have the ability to support themselves, therefore the lungs cannot inflat themselves. Infact, lungs can collapse if pressure in lungs is lower than that of the chest cavity

therefore, external mechanism is required that relies on:

Pleural cavity
Thorax
Diaphragm
InterCostal muscle

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11
Q

What is pleural cavity

A

The lungs are protected by the pleural membrane

The space between the lungs and the pleural memberane is the pleural cavity

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12
Q

What is thorax

A

Lungs and heart are located in the Thorax (chest cavity)

The thorax also has airtight membrane

the thorax is seprated from lower abdominal cavity by the diaphragm

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13
Q

What is the diaphragm

A

a muscle that separates thorax from abdominal cavity.

it flattens when breathing in, and relaxes into cone shape when breathing out.

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14
Q

Explain what happens when breathing in

A

Breathing in causes the diaphragm to flatten because the volume of ai in the lungs expands.

Here the pressure in the pleural cavity is lower
compared to the pressure in the lungs

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15
Q

What happens when breathing out

A

Breathing out causes the diaphragm to relax and go back to its cone shape.

the volume of air in the lungs reduces.

Here the pressure in the pleural cavity is higher
compared to the pressure in the lungs

the compressed lungs expel CO2

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16
Q

What is the muscle that helps the Diaphragm

A

During intense excercise, the body needs a lot of oxygen and to the support the speed of inhalation and exhilation, the diaphragm needs the

InterCostal Muscle - sits in the ribs and helps expand the ribs to allow the lungs to expand ( more volume) and vice versa

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17
Q

What is volutary respiration

A

When you can consciously control your breathing (holding breath, signing, etc)

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18
Q

Involunatry repiration

A

Occurs in the inenr body (with the brain) and to some degree is automatic

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19
Q

How does Carotid arteries assis in involutary respiration

A

in the coratid artery, there are sensors that monitor the acidity of the blood and the levels of CO2 and O2.

If CO2 are high, these sensors send signals to the brain and the brain sends signals to the Thorax to expand and ‘inhale’ more air

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20
Q

Hyperventiation definition

A

when body is needing to **breath fast and deeply **more oxygen more than the usual
feeling breathlesness even though you are breathing more oxygen

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21
Q

What is happening physiologically during hyperventilation

A

Overbreathing causes excessive flushing out of CO2 from the body.

The carotid artery recognizes that the carbonic acid is reduced and thus sends signals to the nervous system, and this signal constricts the blood vessels …..hence reduced blood flow to the brain

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22
Q

What causes hyperventilation

A

Anxiety & stress

Movements such as: turbulence, vibration, g force, motion sickness

Stroke & brain injury

Voluntary hyperventilation

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23
Q

What are symptoms of hyperventilation

A

dizziness, headache, light headed

Tingly lips, hands and feet
hot and cold flushes
impaired performance
imparied vision
unconsciousness / fainting

24
Q

how to resolve hyperventilation

A

control breathing voluntarily or
breath into a paper bag to re-breath CO2

The more CO2 brought back to the body, the more the oxygen levels are balanced, and blood flow is unrestricted to the brain.

25
Q

what is a panic attack

A

usually caused by stress and anxiety and when the sympathetic nervous system releases adrenaline, hyperventilation can be triggered.

26
Q

Hypoxia definition

A

In high Cabin altitude:
As you fly up in altitude, air pressure and density decrease,:
- the mass of oxygen taken into the lungs decreases
- partial pressure of oxygen decreases
- less oxygen diffuse acrosse the alveoli
- less energy generated for cells and brain

the amount of oxygen available isn’t sufficient to meet the body’s needs (primiarly to meet the brain’s needs)

27
Q

4 types of hypoxia

A

Hypoxic Hypoxia

Aenemic Hypoxia

Stagnant Hypoxia

Histotoxic Hypoxia

28
Q

Hypoxic Hypoxia

A

When body is not getting sufficient oxygen to the lungs themselves (oxygen diffusions at blood level assumed to be working fine)

Due to lung infection, blocked airways, drug overdose

Due to drop in oxygen partial pressure at altitudes esp 10,000 ft AMSL and above where the body struggles to taken in enough oxygen

29
Q

Aenimic Hypoxia

A

When body is not getting sufficient oxygen at blood level

This asssumes there is sufficient oxygen from the environment is coming through to the lungs, but not sufficient oxygen is transported to the blood.

aenimic, heamoglobin difficiencies, Asthma, carbon dioxide poisoning

30
Q

Histotoxic hypoxia

A

caused by poisning in blood stream

  • such in the case of carbon monoxide poisoning
31
Q

Stagnant hypoxia

A

Caused by reduced blood flow to the brain due to clogged arteries & vessels

  • caused by heart conditions
32
Q

explain how carbon monoxide poisoning can happen

A

carbon monoxide is a product of combusion of material using carbon (aviation fuel)

it’s an ordorless and colorless gas

when cold air passes into an exhaust system to be warmed, this process produces carbon monoxide. If the pipes have holes in them, the gas can leak into the vents

when this gas is breathed into the body, it tends to bind 200x more to the haemoglobin than oxygen, therefore the blood carries more CO2 than O2 to the brain.

33
Q

Symptoms of hypoxia

A

Subtle

sneaks up on you

starts with change in personality - feeling euphoric throughout
imparied judgement - feeling like you are right but actually not
impaired decision making, confusion
impaired coordination
dizzy, drowsy, headache
impaired vision - color vision, night, bluriness
cyanosis - blue lips, hands and feet
Tingly hands and feet
slurred speech
loss of memory
irritability
stomach gas
ear discomfort
hyperventilation
unconsciousness/fainting/death

some of these symptoms are more noticeable at 10,000ft +)

34
Q

Other factors that affect the threshold of hypoxia (ie. can reduce time of usefull consciousness)

A

The effects of oxygen depreviation is different from one person to another - deterioration happens at different cabin altitudue for each person..but 10K ft is critical

pressurized cabins if they are depressurized
alcohol, drugs, smoking
stress and anxiety
fatigue or workload
illness/cold
Time in altitude
Excercise

35
Q

What is time of usefull consciousness

A

time left that pilot is consciously aware during hypoxia (ie without supplementary oxygen) - this time reduces as altitude increases:

20,000 ft = 30 min
22,000 ft = 5 - 10 min
25,000 ft = 1 min - 180 sec
30,000 ft - 45 - 90 sec
35,000 ft - 30 - 45 sec
40,000 ft - 12 - 15 sec

36
Q

Solutions to apply during hypoxia

A

reduce altitude to below 10,000 ft

check on each other

oxygen supplementation

oximeter to test level of oxygen in the blood

CO2 detector (visual/audible)

37
Q

how to distinguish hypoxia from hypeventilation

A

Hypoxia symptoms tends to show at 10,000 ft

Hypoxia causes cyanosis (blue lips, hands and feet)

hyperventilation can be a symptoms of hypoxia, not the other way around.

38
Q

Other issues that can be gas related

A

1) eating gassy food as gas can expand and cause abdominal pain - barotrauma

2) air trapped in dental fillings - barotrauma

3) air trapped in sinus - respiratory tract infection/barotrauma

4) decompression sickness due to diving. Should not dive 24 hrs prior to flying or 12 hrs if only dived 10m (30 ft). You many notice symptoms of DCS at 6000 ft altitude

39
Q

Carbon monoxide

A

caused by cigarrette smoke OR product of internal incomplete combustion engines.

gas is vented thrug the exhaust pipe of of a piston engine

40
Q

Piston exhaust gas

A

contains 9% CO

usually engine and exhaust pip are close to the cabin

can be used as a heat source to warm the cabin but if it’s damaged, exhaust gas can enter the cabin

41
Q

eHypoxia causs cyanosis but not in the case of CO poisoning…

A

No cyanosis

Here the skin is flush and rosy

42
Q

Carbon monoxide is cumulative

A

0.5% is removed per 4 hours

meaning if you fly in low CO over time, you can still contaminate your blood

43
Q

if CO is detected in cabin

A

turn off all cabin heating

open all air vents

use 100% oxygen (not mixed air) or used oxygen supplement

land

Prevent: fresh air, regular maintenance

44
Q

why does the body need oxygen frequently

A

because the body can’t store oxygen

45
Q

what is external respiration called

A

ventilation

46
Q

what is a respiratory system

A

respiration brings energy-given O2 to the body so it can absorb it and removed CO2 that it expels

The use of oxygen in each cell and creating energy by using oxidation (oxidizing fuel)

47
Q

function of resporatory system

A

gas exchange between outside environment and circulatory system

immune defence to help fight infection entering from the lung

talking

release of chemicals, proteins, enzymes to control other body systems

48
Q

cellular respiration

A

occurs inside cells where oxygen is used in a biochemical pathways to produce energy

49
Q

Breathing rate

A

Ventilation rate

the autonomic nervous system senses

  • the need for more blood in the body
  • amount of CO2 in the blood

a higher than normal amount of CO2 means a lot of oxygen has been burned and need for more

as a result of high carbon dioxide in the blood, the breathing rate is automatially increased to bring more oxygen into thelungs for the blood stream to absorb

50
Q

capacity of lung

A

can take up to 5 litres of air

at rest, one breath is 1/2 a litre

51
Q

content of the lung

A

there is always some air in the lungs that contains higher concentration of CO2 than the atmoshphere and lower concentration of O2.

also saturated with water vapor

52
Q

Symptoms of CO2 poisoning

A

headache, dizzy,nausea
imparied vision
imparied motor skills, decision making or judgement
imparied memory, change of personality
slow breathing
convulsion
coma, death

53
Q

upper respiratory tract infection

A

when the upper tract like nose, mouth, sinuses are affected due to an infection or a cold, and disable you from equalizing your ear pressure

54
Q

partial pressure

A

when altitude is gained, air thins out with fewer molecules in the same volume but % of compositions doesn’t change

55
Q

Boyl’s , charles, Henry, dalton laws

A

Boyles
if Temp is constant, Pressure decreases then volume increases

Charles,
If pressures is constant, temperature increases, voume increases

Dalton, the total pressure is the sume of its partial pressure

Henry, Decomposition sickness