Respiratory System Flashcards

1
Q

What are the steps of Respiration?

A
  1. Ventilation (moving air into and out of the lungs)
  2. Gas exchange -> air <-> blood
  3. Gas Transport
  4. Gas exchange -> Blood <-> cells
  5. Cellular Respiration (using O2, making CO2)
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2
Q

Components of the respiratory system

A
  1. Nasal Cavity/ Mouth
  2. Pharynx
  3. Larynx
  4. Trachea
  5. Right and Left main bronchus
  6. Right and Left Lungs
    (within lungs, lobar bronchi, bronchioles)
    Diaphragm - contraction expands lungs. Decrease lung pressure, allows air to flow in.
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3
Q

What is the order, and what are the zones?

A

(Conducting Zone) - No gas exchange, just passing air through
Trachea -> Bronchi -> Bronchioles -> Terminal Bronchioles
(Respiratory Zone) - Gas exchange
Respiratory Bronchioles -> Alveolar Ducts -> Alveolar Sacs

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4
Q

Features of the alveoli

A

Ciliated Columnar Epithelium - For cleaning, called the mucocilliary ladder
Alveoli - Air space, simple squamous Epithelium (type 1 cell)
Type 2 cell - Produce surfactant
Capillary Nedothelium
Interstitium - connective tissue

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5
Q

Damage to the alveoli

A

Scar tissue surrounding the large sacks in Emphysema
Normal alveoli looks like big round sacks

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6
Q

Structure of the pleural sac?

A

Totally enclosed around the lung.
Visceral Pleura - adhered to lung surface
Parietal Pleura - Adhered to chest wall and diaphragm
Pleural Cavity - filled with pleural fluid

Purpose is to decrease friction

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7
Q

How does pleural sac help maintain lung expansion

A

Pressure? (see slide)

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8
Q

What is the mechanism of inhalation

A

Diaphragm contracts -> Thorax expands -> Thoracic cavity and parietal pleura -> Pressure of intrapleural fluid more subatmospheric -> Lungs expand (Visceral pleura) -> Pressure of alveoli becomes subatmospheric -> Air flows into alveoli

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9
Q

Mechanism of exhalation

A

Diaphragm stops contracting -> Chest wall recoils back to normal -> Interpleural pressure moves back to normal -> Lungs recoil back to normal -> alveolar pressure goes back to normal -> air flows out of the lungs

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10
Q

What do these respiratory volumes reveal about lung function?

A
  1. Tidal volume - volume moved in quiet respiration
  2. Inspiratory reserve volume - breathing in beyond normal
  3. Expiratory reserve volume - additional volume moved in forced exhalation
    TV + ERV = Forced expiratory volume
  4. Residual Volume - minimum volume of air that fills alveoli and airways
  5. Vital Capacity - Max we can move in and out of our lungs TV + IRV + ERV
  6. Inspiratory capacity - TV + IRV
  7. Functional residual capacity - How much volume after an exhale - ERV + RV
  8. Total lung capacity - max amount of volume in our lungs VC + RV
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11
Q

Lung compliance

A

(see slide)

know the equation

  • The pliability of lung tissue (how well does it stretch, and how well does it recoil)

Increased compliance - decrease recoil, hard to exhale (emphysema)
Decreased compliance - decrease stretchability, hard for lungs to expand, hard to inhale

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12
Q

How is surfactant produced, and how does it increase lung compliance

A

Surfactant - lipids and protein
produced by surfactant
breaks up the adhesion of H20 to cell. allows alveolar inflation
If surfactant isn’t present, causes alveolus to collapse

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13
Q

What influences the partial pressures of O2 and CO2 in the “blood plasma “

A

(see diagram)

  • change of pressure because of residual volume
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14
Q

How quickly does arterial pressure of O2 change as the blood moves through pulmonary capillaries

A

(see diagram)

  • comparing healthy alveolar Pressure vs diseased alveolar pressure
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15
Q

Structures and how they optimize RBC’s ability to carry oxygen throughout the body

A

Hemoglobin - 4 subunit protein, heme group (can take one oxygen)
binding one oxygen facilitates binding the next oxygens
RBC’s are dead at maturity -> 120 days in circulation

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16
Q

How is hemoglobin altered in sickle cell disease, and how does it cause anemia?

A

Sickle-cell hemoglobin vs normal hemoglobin
(know this)

17
Q

Loading and unloading oxygen from the RBC’s

A

(see diagram)

18
Q

What is the effect of the pressure of O2 on hemoglobin saturation

A
19
Q

Body temp and blood pH, how does it affect hemoglobin saturaiton

A

Increase in temperature (active tissue) - Curve shifts to the right. Hb wants to let go of the oxygen.
Decrease in temperature (lung surface) - Hb wants to bind more tightly, curve shifts to the right (max binding at a lower
High acidity (active tissues produce CO2) - Hb lets go of O2 more easily
Low acidity (lungs exhale CO2, low in lungs) - Hb binds O2 more tightly.

20
Q

How do 2,3 diphosphorglycerate, and fetal hemoglobin affect hemoglobin saturation?

A

More DPG - Hb unbinds O2 more easily
No DPG - O2 binds to Hb more tightly
Adult HB - 2 alpha 2 beta Hb
Fetal HB - 2 alpha 2 gamma Hb