respiratory system Flashcards

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1
Q

What is respiration?

A

It refers to all parts of the process that supplies oxygen to body cells and rids the body of carbon dioxide.

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2
Q

The upper respiratory tract

A

This includes the: nasal/ oral passageway, pharynx, glottis, larynx, and trachea.

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3
Q

Nostrils or Mouth?

A

In the nostrils, bones called “turbinates” increase the surface area of air passing. The epithelial lining of the nasal chamber and the turbinate bones are well supplied with capillaries which serve to warm incoming air and increase its relative humidity. It is better to breathe through the nose because air is filtered from tiny hairs called “cilia” and it is also warmed.

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4
Q

Pharynx, glottis, epiglottis

A

P:alimentary canal that connects the mouth and nasal cavity to the larynx and esophagus.
G:the opening of the trachea which conducts air to the lungs.
E:a flap like structure that helps prevent food from entering the trachea thereby protecting the glottis.

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5
Q

The larynx

A

“voice box” – houses the two folded structure of the vocal cords which are held securely in place by cartilaginous material.

When breathing normally, there is a large gap between the two cords. When you prepare to speak, muscles around the larynx contract, bringing the cords closer together. The passage of air through this narrower space causes the cords to vibrate producing a sound. A long cord produces a low sound, while a shorter cord produces a higher sound. At puberty, the vocal cords of males grow quickly producing a “breaking” quality in the voice until the vocal cords finish growing.

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6
Q

Trachea

A

“windpipe”
*Supported by semicircular cartilage rings so there is no collapsing
or interference with the passage of food down the esophagus
(parallel structure carrying food into stomach).

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7
Q

The lower respiratory tract

A

This includes the bronchi, bronchioles and alveoli in the lungs

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8
Q

Bronchi, bronchioles, alveoli

A

Bronchi: Two smaller branches that come off of the trachea and enter
into the lungs (left and right).
They are lined with ciliated mucus membrane.
Bronchioles:
A network of finer tubes that is subdivided from the bronchi
and that also have ciliated mucous membrane. They branch into
the alveoli.
Alveoli:
Grape like cluster of tiny sacs which are always moist.
*The wall of the sac is one cell thick and is adjacent to a network
of tiny capillaries which are the site for the exchange of
oxygen and carbon dioxide.
The bronchioles and alveoli are kept together by elastic
connective tissue.

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9
Q

Mechanics of breathing

A

*Breathing relies on the principle of air flowing from a region
of higher pressure to a region of lower pressure.

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10
Q

Lobes, Pleura, Pleurisy

A

L:Each lung is divided into lobes (3 lobes on right side and 2 lobes on left
side – to accommodate space for the heart)
Pleura:Two layered membrane that protects and lubricates the lungs.
Pleurisy:When the pleura becomes inflamed, a secondary infection can happen
(i.e. pneumonia). It can be painful and require prompt medical attention.

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11
Q

Two muscles used to control air pressure inside your
lungs

A

1) Intercostal muscles (found between ribs)
2) Diaphragm

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12
Q

Air flow

A

Remember that air flows from a region of higher pressure to a region
of lower pressure.

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13
Q

pressure vs Volume In Inhalation

A
  • Air pressure within lungs is lower than air pressure in external environment
  • volume of air in lungs increases
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14
Q

Diaphragm

A

A strong wall of muscle that separates the chest cavity
from the abdominal cavity.
By the diaphragm moving downward, it contracts, and air
enters the lungs (inspiration).
If the diaphragm moves upwards, it relaxes, and air leaves
the lungs (expiration)

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15
Q

Spirometry

A

Is the most common type of pulmonary function or breathing test - this test measures how much air you can breathe in and out of your lungs as well as how easily and fast you can blow the air out of your lungs

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16
Q

Diffusion

A

Movemnt of air with concentration (high to low)

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17
Q

Differences of lung volumes amongst individuals

A

Men have larger
Women and children have smaller
Smoker has smaller vs non smoker
Athlete has more vs non athlete
Elders have smaller vs young adults

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18
Q

Autonomic Nervous System Sympathetic (Refer to picture)

A

Sympathetic
“fight or flight responses”
Increases speed heart rate, saliva flow, and perspiration
Speeds up

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19
Q

Autonomic Nervous System Parasympathetic (Refer to picture)

A

Parasympathetic
Counters the effects caused in moments of stress/stimulus
slows heart rate, dilates blood vessels, and relaxes involuntary smooth muscle fibres
Slows down

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20
Q

The Control of Breathing

A
  • muscles need oxygen and the lack of oxygen will lead to an
    increased breathing rate.

The presence of Carbon Dioxide plays
a main role in controlling the
breathing response.

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21
Q

The faster rate can be triggered by

A

a. breathing from air with a high concentration of carbon dioxide or
b. by a buildup of carbon dioxide within the body itself.

An increase in physical activity increases cellular respiration

22
Q

What happens after more carbon dioxide is produced by the cells (that comes from a faster breathing rate)

A

This carbon dioxide enters the bloodstream. After the
exchange of gases has taken place in the alveoli of the lungs, any carbon
dioxide still present in the blood is carried to the heart and up to the
lower portion of the brain called the “medulla oblongata”.
The “medulla oblongata” controls the rate of breathing.

23
Q

What does the medulla oblongata do when there is an increase of carbon dioxide in the blood

A

the
medulla oblongata sends out nerve impulses to initiate faster
movement of the muscles of the rib cage. At the same time,
other nerve impulses are sent to the muscles controlling the
diaphragm, making it move more rapidly as well.

24
Q

What does the medulla oblongata do under normal conditions

A

Under normal conditions, the firing of nerve impulses from the
medulla oblongata happens regularly, producing a rhythmic
pattern of inhalation and exhalation. The average breathing rate
for adults is between 14-20 breaths per minute. Newborns have
approximately 40 breaths per minute.

25
Q

Chemoreceptors

A

Some of the blood vessels contain chemoreceptors
that respond to oxygen pressure in the blood.

*When the oxygen content of the blood drops below a certain level,
these chemoreceptors send stimuli to the medulla oblongata,
causing it to increase the breathing rate.

26
Q

Volume of Air and Stretch Receptors (Knowing stretch receptors is most important)

A

*The volume of air you breathe in also plays a role in controlling your
breathing rate. If you inhale more deeply than usual (hyperventilate),
the lungs and alveoli expand and stretch.
The stretch receptors in
the walls of the alveoli fire impulses that travel to the medulla
oblongata. The medulla oblongata sends a signal to the respiratory
muscles to stop the inhalation.

27
Q

What do the intercostal muscles do when you inhale

A

they move the rib cage up and out

28
Q

what do the intercostal muscles do when you exhale

A

they move the rib cage down and in

29
Q

Diaphragm when you inhale

A

it contracts and moves down (creating space)

30
Q

Diaphragm when you exhale

A

It relaxes and moves up

31
Q

Respiratory Disease: Laryngitis

A
  • inflammation of larynx because of overuse, irritation, infection
  • typically caused by temporary viral infection

SYMPTOMS: Hoarseness, weak voice/voice loss, sore throat, dry throat/cough, tickling sensation in throat

32
Q

Respiratory Diseases: Emphysema

A
  • caused by smoking, air pollution, chemical fumes
  • abnormal increase in air spaces in tissue, specifically the lungs
  • ALVEOLI –> lose elasticity, grow larger and function less efficiently
  • Blood overloads with CO2
  • mucus plug ups the bronchioles

SYMPTOMS: shortness of breath, wheezing, bluish skin and
a chronic cough that brings up sputum (phlegm/mucus)

33
Q

Respiratory Diseases: Pneumonia

A
  • inflammation of lungs
  • build-up of fluid in alveoli
  • commonly caused by bacteria

SYMPTOMS: fever, chills, cough,
difficulty breathing and rusty phlegm

34
Q

Respiratory Diseases: Bronchitis

A
  • inflammation of the mucous membranes of the bronchial tubes
  • causes a cough that produces sputum (phlegm)
  • due to viral or bacterial infection

SYMPTOMS: runny nose, slight fever and chills, aching muscles/pain, dry painful cough which becomes less distressing when phlegm begins to appear

35
Q

Respiratory Diseases: Chronic Bronchitis

A
  • excessive mucus in bronchi
  • in middle-aged/older person with long smoking history, risk increases with other factors (exposure to dust, toxic fumes)
  • recurring cough that produces thick sputum
  • bronchial walls later thicken and number of mucous glands increase
  • treated with antibiotics and bronchodilators

SYMPTOMS: shortness of breath and wheezing

TO DO:
- drink fluids to thin out bronchial mucus
- use a steam vapor
- stay indoors when periods of high pollution
- avoid cough suppressants + inhaling cold air

36
Q

Respiratory Disease: Hypoxia

A
  • “high altitude sickness”
  • oxygen level in body tissue is too low
  • caused by insufficient oxygen delivery to body tissue, low oxygen content in blood

SYMPTOMS: change in breathing/heart rate, blue skin, confusion

37
Q

Respiratory Disease: Asthma

A
  • long-term
  • airways may suddenly narrow
  • due to allergen, cold air, exercise, or emotional stress
  • need for inhaler/bronchodilator
  • other causes: reaction to food (infancy), caused by allergens inhaled (10-20 y.o.), due to infection of some sort (over 40 y.o.)

SYMPTOMS: wheezing, shortness of breath, chest tightness, and coughing

38
Q

What is OXYHEMOGLOBIN?

A
  • Oxygen attached to hemoglobin
39
Q

Gas EXCHANGE: CO2

A
  • some CO2 dissolves in plasma, some attaches to hemoglobin
  • most CO2 reacts with water in cytoplasm
    –> makes carbonic acid (H2CO3)
    –> Carbonic Anhydrase = enzyme converts carbon dioxide and water into carbonic acid
    –> becomes H+ and HCO3- (bicarbonate) ions, which are later changed back into CO2
  • EXTRA H+ ions in RBC bind to hemoglobin, help remove oxygen
40
Q

Internal Respiration

A

occurs when this oxygenated
blood reaches the body cells.

41
Q

Cellular Respiration

A

the cells use up oxygen and
release carbon dioxide. This ensures that body cells will
always have a lower concentration of oxygen than the blood,

42
Q

Respiration formula

A

C6H12O6 + 6O2 > energy + 6CO2 + 6H2O

43
Q

(carbonic acid) is formed with

A

the help of an enzyme: Carbonic Anhydrase

44
Q

Carbonic Acid

A

H2CO3 = Carbonic Acid

45
Q

(bicarbonate) ions

A

HCO3

46
Q

(bicarbonate) ions (what do they do/what are they for)

A

accumulate in the red blood cells and
diffuse into the plasma. The bicarbonate
ions are changed back into CO2
, a waste product that will be breathed out.

47
Q

Ways of Improving lung volumes
1. Cardiovascular activities

A

Cardiovascular Activities (walking, running, jogging, rowing, swimming,
dancing, skiing, cycling, skating, aerobics etc….)
* Start these exercises in small durations and gradually increase the time
limit.

48
Q

Ways of improving lung volume 2. Breathing Exercises

A

Practice deep breathing techniquesRepeat this process for 20-30 minutes on a regular basis.

49
Q

Ways of improving lung volume 3. Playing wind instruments

A

Playing Wind Instruments: (flute, clarinet, mouth organ,
saxophone, tuba, oboe)

50
Q

Ways of improving lung volume 4. Diet and lifestyle

A

Diet and Lifestyle:
* A diet rich in antioxidants, selenium, vitamin C and E and beta
carotene, whole grains, nuts, wheat germ, vegetable oil, dark
colored fruits and vegetables.