Respiratory System 3 Flashcards

1
Q

What can a single tidal volume range in size from?

A

Residual volume to total lung capacity

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2
Q

What is functional residual capacity?

A

The amount of air in the lungs at the end of a normal (relaxed) expiration

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3
Q

What moves air?

A

A pressure gradient

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4
Q

When does air enter the lungs?

A

Only if alveolar pressure (Pa) is less that atmospheric (barometric) pressure (Pb)

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5
Q

When does alveolar pressure become sub-atmospheric?

A

When thoracic volume increases

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6
Q

When does thoracic volume increase?

A

By the descent of the diaphragm and elevation of the rib cage

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7
Q

What is the bulk rate of flow of air (ie the volume per unit time) of air entering or leaving the lungs proportional to?

A

The difference between atmospheric pressure and alveolar pressure

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8
Q

When does air leave the lungs (exhalation)?

A

If alveolar pressure exceeds atmospheric pressure

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9
Q

When does air enter the lungs (inhalation)?

A

If alveolar pressure is less than atmospheric pressure (provided the glottis is open)

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10
Q

What reduces the rate at which the lungs expand or deflate (ie the rate at which air enters or leaves the lungs)?

A

Any factor that increases resistance to air-flow (R)

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11
Q

What’s the airflow/resistance proportionality equation?

A

Rate of change of volume (bulk flow) = (Pb-Pa)/R

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12
Q

What happens to the highly elastic lungs?

A

They tend to collapse at zero volume which tends to separate the visceral and parietal pleura which reduces intra-pleural pressure (Pip) below atmospheric while simultaneously pulling the ribcage outwards

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13
Q

What is a balance between the forces (collapsing lungs and recoiling ribcage) achieved at?

A

Functional residual capacity (FRC)

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14
Q

What force causes the lungs to have a tendency to collapse and what does it arise from?

A

FL, which arises from the elastic recoil of stretches elastic fibres and the surface tension of wet alveolar cells

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15
Q

What force does the chest wall (rib cage and its musculature) experience that causes it to spring outwards, thereby increasing its volume, and where does it arise from?

A

Fcw, and it arises from stretched tissues in the sterno-costal and costo-vertebral joints

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16
Q

What does the collapsing tendency of the lungs to exactly counteract the expanding tendency of the rib-cage do?

A

Leaves the combined system in an equilibrium position

17
Q

If the pressure in airways is zero, what does this mean?

A

This unique “neutral” position corresponds to FRC

18
Q

What does the negative sign in the force equation?

A

Merely a formal statement that the forces operate in different directions

19
Q

What happens when a penetrating injury of the chest wall creates a connection between the atmospheric and the intrapleural space?

A

The balance of forces which normally occurs in the lungs is destroyed on the affected side

20
Q

What allows the lungs to collapse?

A

The introduction of air between the pleural membranes interrupts the adhesive forces between water molecules

21
Q

What happens when the lung collapses?

A

The chest wall recoils outward (ie assumes a slightly increased volume)- exactly as expected from the sign of Fcw in the above equation (Fcw= -FL)