Respiratory System Flashcards

1
Q

What is the larynx?

A

The voice box containing vocal cords. They’re different in men and women causing the distinguishable difference in pitch. Air passes over vocal cords, playing a large role in speech. Also protects the lower respiratory tract as during swallowing a flap of cartilage called the epiglottis covers the larynx so food goes down the oesophagus not the trachea.

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2
Q

What is the trachea?

A

Muscular tube below the larynx also known as the windpipe. Connects the larynx to bronchi to allow transport of air to the lungs. Cells that line the trachea have cilia that move mucus and trapped dust and microorganisms up towards the throat. Goblet cells produce mucus lining the trachea. Cartilage rings hold the trachea permanently open and the muscular bands between them allow flexibility so it doesn’t kink when the head or neck are moved.

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3
Q

What are the bronchi/bronchioles?

A

Bronchi are tubes branching from the trachea, carrying air from the trachea to smaller bronchioles. Muscle in the walls of these tubes can contract to make tubes smaller, which can be an issue in people w asthma in getting air to lungs. Bronchial walls are made of the same tissue as trachea and cartilage rings are only present in bronchi not bronchioles. Contraction and relaxation of smooth muscle in bronchi regulate speed and volume of air into lungs.

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4
Q

What are alveoli?

A

End of branches of bronchioles. Tiny air chambers which have cells one cell thick where gas exchange occurs. The surface is covered in capillaries. Oxygen diffuses from air into blood and carbon dioxide diffuses from blood into air saves. Elastic tissues allow air sacs to inflate.

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5
Q

What are the pleural membranes?

A

Cover the outside of the lungs, providing lubricating fluid allowing lungs to expand smoothly as we rested in. Pressure in the cavity helps to keep lungs expanded and the fluid prevents friction during breathing.

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6
Q

What is the diaphragm?

A

Large dome underneath ribs with muscles that contract and relax to allow inspiration and exhalation. Forms the division between the thorax and abdomen and keeps abdominal organs in place.

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7
Q

What are the intercostal muscles?

A

Occupy the spaces between ribs and their contraction allows chest expansion for breathing.

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8
Q

What are the lungs?

A

Main organs of the respiratory system transporting oxygen from air into blood and CO2 from blood out.

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9
Q

Describe inspiration.

A
  1. External intercostal muscles contract
  2. Ribs move up and out
  3. Diaphragm flattens
  4. Volume increases
  5. Pressure decreases
  6. Air drawn in
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10
Q

Describe expiration.

A
  1. Intercostal muscles relax
  2. Ribs move down and in
  3. Diaphragm relaxes and returns go domed shape
  4. Volume decreases
  5. Pressure increases
  6. Air forced out
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11
Q

Describe gas exchange at the alveoli.

A

Passive process so no energy needed. Occurs across one cell thick walls of the alveoli. The alveoli have a huge surface area and there are millions of them, and have a moist lining to diffuse gases, to allow gas exchange to be efficient. Surrounded by capillaries so there’s a lot of blood. O2 and CO2 move down concentration gradients across the semipermeable membrane.

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12
Q

What is asthma?

A

A chronic disease where sufferers have repeated attacks of breathing difficulties. During asthma attacks the smooth muscle in bronchi walls contracts so it’s harder for air to pass trough, making the characteristic wheezing noise. Asthma also causes the lining of the bronchi to be inflamed so excess mucus is produced.

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13
Q

Who gets asthma?

A

Most of the sufferers are children, mostly boys under 10, but anyone can get it. Among adults women are most likely to develop it.

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14
Q

What are asthma triggers?

A

External agents such as smoke, pollen, dusts, dust mites, cold air, scents and pollutants. Also internal agents like stress and performing exercise.

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15
Q

What are symptoms of asthma?(Physical effects).

A
Difficulty breathing
Shortness of breath
Wheezing
Coughing, especially at night
Troubled sleep
Symptoms of a severe asthma attack are bluish skin, gasping breath, exhaustion so severe talking is difficult or impossible, confusion, restlessness
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16
Q

What are the intellectual, emotional and social effects of asthma?

A

Intellectual - leave work or school
Emotion - anxiety, stress, depression, fear of asthma attack
Social - difficulty socialising, difficulties playing w children, avoiding smoke is hard in social situations

17
Q

What is the genetic cause of asthma?

A

Studies have suggested childhood onset asthma differs biologically to adult asthma as the gene effecting children doesn’t affect adults. Genetic studies show allergies may develop as a result of defects in the lining of airways in asthma. There are so many gene variations that genetic testing is of no value in predicting asthma. Diathesis stress model.

18
Q

What is the lifestyle cause of asthma?

A

Exercise in cold weather is a trigger so advice is to increase fitness slowly. Good asthma control helps it. Diet may be influencing, including cows milk, eggs, fish and shellfish, yeast products, nuts and some food colourings and preservatives. Smoking can irritate lungs and bring on asthma symptoms.

19
Q

How are pollutants a cause of asthma?

A

The air we breathe in has many particles causing asthma symptoms. Air pollutants like cigarette smoke and car exhaust fumes release gases into atmosphere that can irritate the airways. For people who know air pollutants trigger their asthma they’re advise to be aware of air quality. Ozone can be a problem, especially on hot summer days.

20
Q

How is a chest x-ray and physical examination used to diagnose asthma?

A

Chest x- ray commonly used for those who wheeze to make sure there isn’t another condition causing symptoms like lung infection. Physical examination can be done by the GP to assess the degree of wheezing and exclude other factors like diseases or infection, through listening to the chest.

21
Q

How can peak flow monitoring diagnose asthma?

A

Measures how quickly air can be blown out of the lungs. Peak flow measures will be low for people with asthma exhaust airways become narrow or blocked due to it so air can’t be blown out as well. It is measured in litres per minutes. Peak flow can also measure if medicine is working or if they need emergency care.

22
Q

How can spirometry diagnose asthma?

A

Measures how much and how quickly air moves put. Takes two measurements; the volume of air you breathe out in one second (forced expiratory volume) and total amount of air you breathe out (forced vital capacity). A few breaths may be needed for a consistent reading. Readings compared to see if airways are obstructed.

23
Q

How can steroids treat asthma?

A

Purified corticosteroids can be taken as medicine in large amounts. They are anti inflammatory. Taken in tablet or liquid form and prescribed for asthma too difficult to control otherwise. Prescribed for a short period of time (3-4 days up to 2-3 weeks). Stopped when asthma has got better and inhalers can keep it under control. They make it easier to breathe immediately.

24
Q

What are the negative side effects of steroids?

A

Bloating
Hunger
Stomach irritation

25
Q

How can a reliever inhaler treat asthma?

A

Taken immediately to relieve asthma symptoms. They quickly relax the muscles surrounded narrowed airways allowing them to open wider so breathing is easier. They generally contain salbutamol, a bronchodilator.

26
Q

How can a preventative inhaler treat asthma?

A

Control the swelling and inflammation of the airways, stopping them from being sensitive and reducing the risk of severe attacks. The protective effect builds up over time so they’re taken every day(usually morning and night), even when the individual is well. They don’t give immediate or quick relief but reduce long term inflammation. They usually contain a low dose of corticosteroids.

27
Q

How can antibiotics treat asthma?

A

They don’t test asthma directly but will treat chest infections like pneumonia caused by asthma, reducing the exacerbated asthma symptoms.

28
Q

How can lifestyle changes treat asthma?

A

May need to make adjustments such as diet and exercise. Avoid exercise in the cold and do it in small amounts, and avoid cows milk, eggs, fish and shellfish, yeast products and some artificial preservatives and food colourings. Most people learn their triggers and learn to avoid them.

29
Q

How can medication treat asthma?

A

Steroids
In the inhalers
Theophylline sometimes used alone or alongside inhaled corticosteroids to treat mild persistent asthma.