Respiratory system Flashcards

1
Q

State and describe 5 functions of the respiratory system

A
  1. Olfaction/ smelling
  2. Phonation /speaking, vocal cords
  3. Cleaning warming and humidification of inspired air: dust paricals stick to nasal mucosa
  4. Conduction of air: series of airways allowing airflow to reach the alveoli from the nose or mouth
  5. Gas exchange: exchanges of CO2 and O2 between the alveoli and the pulmonary capillaries
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2
Q

Name and describe the (13) anatomy of the principal organs of the upper respiratory tract

A

Upper respiratory tract: nose.

Nasal bone

Maxilla

Palatine bone

Septum separates the nasal cavity into L and R..

Nasal conchae are 3 folds of tissue on the lateral wall of each fossa.

Meatuses: 3 passageways includes mucosa: consists of olfactory nerve cells and rich lymphatic plexus.

Paranasal sinuses: 4 pairs of sinuses lined with respiratory mucosa

Nasopharynx ciliated pseudostratified columnar epithelium, receives auditory tubes.

Oropharynx: stratified squamous epithelium

Larngopharynx: stratified squamous epithelium

Epiglottis: flap of cartilaginous tissue that guards glottis, directs food and drink to esphagus.

Glottis: vocal cords

Larynx: Intrinsic and extrinsic mucles ; open and close the glottis, forms part of the ariway to the lungs and protects.

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3
Q

Name and describe the anatomy of the principal organs of the lower respiratory tract

A

Trachea: Composition Epithelial layer + submucosa

Lungs: 3 x Lobular in shape separated by fissures, consists of alveolar tissue, bronchioles, bronchi, blood vessel and elastic lung tissue.

Bronchial tree:

Primary bronchi

Secondary bronchi

Tertiary bronchi

Bronchioles

Respiratory bronchioles

Alveolar ducts and sacs

Alveoli -
Type 1 cells; 95% of surface area, sit of gas diffusion

Type 2 cells; 5% of surface area, functions alveolar epithelial repair and surfactant secretion

 Alveolar macrophage; phagocytosis of particles , bacterial and loose RBCs.

Two layers of serous membrane Visceral (on ribs) and parietal (lines rib cage), lubricated with fluid

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4
Q

Relate 3 examples of how the structural features of the respiratory system reflect its function

A
  1. Epithelial tissue in the presence of olfactory mucosa in the upp nasal cavity traps odorants so that the cells can detect them, therefore protect w mucosa from external environment.
  2. The vocal cords are suspended between thyroid and artenoid cartilages production of different sounds.
  3. A smooth sided nasal cavity mean air in the center of cavity passes without touching the sides.
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5
Q

Name the muscles of respiration and describe their roles in breathing

A

Breathing (pulmonary ventilation) flow of air creates a pressure difference between air pressure within the ling and atmospheric pressure.

  1. Diaphram is responsible for pulmonary respiration. Inspiration: diaphram contracts, ↑ thracic volume. Expiration: diaphram relxation returns the muscle to a dome shape ↓ thoracic volume.
  2. Skeletal muscles are responsible for lung sizr changes to create flow.

Inspiration: requires recruitment of skeltal muscle to create a pressure gradient and drive flow.

Expiration is oassing using elastic recoil of lung tissue and rib cage.

Forced inspiration:

Scalenes
Sternocledomastoid
Pectoralis minor
external intercostals

Forced Expiration:

Internal intercostals
Rectis abdominal
Internal and external oblique muscles
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6
Q

Explain how pressure gradients account for flow in and out of the lungs, and explain how these pressure gradients are produced

A

Boyle’s Law: at a constant temperature, pressure inversely proportional to volume.

Charle’s Law: at a given pressure, the volume of a quantity of gas is directly proportional to it’s temp. Air moves ↓ gradient. From ↑ to ↓

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7
Q

Explain how pressure gradients account for flow in and out of the lungs, and explain how these pressure gradients are produced

A

Boyle’s Law: at a constant temperature, pressure inversely proportional to volume.

Charle’s Law: at a given pressure, the volume of a quantity of gas is directly proportional to it’s temp.

Air moves ↓ gradient. From ↑ to ↓.

Inspiration: VRG cause diaphram and external intercostals contraction ↑ volume of the thorax. ↓ in intrapulmonary pressure.

Intrapulmonary pressure is 3mmHg ↓ than atmospheric pressure therefor airflows from the atmosphere into lungs.

Epiration: Diaphram relaxs elastic recoil takes over . ↓ in thorasic volume = ↑ in intrapulmonary pressure.

Intrapulmonary pressure is 4mmHg higher than atmospheric pressure. Air flows from the lungs into the atmosphere.

Forced expiration: VRG recruits the accessory respiratory muscle, causes intra pulmonary pressure to ↑ to as much as +30mm Hh.

Interal intercostal muscles depress the ribs
Contraction of abdominal muscles ↑ intra-abdominal pressure forces upwards ↑ pressure in thorasic cavity
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8
Q

State the sources of resistance to pulmonary airflow and discuss their relevance to respiration

A
  1. Pulmonary compliance - How easy the lungs expand - Opposite of elasticity
  2. Bronchiole diameter - primary control over resistance to airflow bronchoconstriction - triggered by airborne irritants, cold air PNS, histamine. Bronchodilation - SNS nerves, adrenaline.
  3. Alveolar surface tension - Thick film of water needed for gas exchange. Pulmonary surfactant (detergent) which prevents alveolar collapse during expiration, produced by type II alveolar cells
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9
Q

Define anatomical dead space and relate this space to alveolar ventilation

A

Not all inspired air reached the alveoli or undergoes gas exchange.

Anatomical dead space: Air tha tremains in the conducting zone that does not undergo gas exchange

Alveolar dead space: Air that reached the alveoli but does not undergo gas exchange (pathological)

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10
Q

Define clinical measurements of pulmonary volume and capacity

A

Tidal volume: breathing in and out at rest, in one breath

Residual Volume (RV): air remaining in lungs after maximum expiration, this air keeps the alveoli open and cannot be breathed out.

Minute respiratory volume (MRV): V x respiratory rate. maximum voluntary ventilation.

Vital capacity (VC): total amount of air that can be exhaled with effort after maximum inspiration.

Total lung capacity (TLV):maximum amount of air the lungs can hold. Measured with a spirometry.

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11
Q

Explain why matching ventilation and perfusion is important for efficient gas exchange in the lungs.

A

Alveolar ventilation: airflow to the alveoli.

Alveolar perfusion: blood flow to the alveoli

Effciency of gas exchange can be maintained by limited ability to match perfusion to ventilation

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12
Q

State the diagnostic tests used for obstructive and restrictive lung disorders and state typical results found for each

A

Measuring Ventilation (spirometry)

FVC - Forced Vital Capacity; Amount of air expired in a forced expiration after maximal inspiration

FEV - Forced Expiratory Volume in one second: amount of air expired in the first second of a forced expiration

FEV/FVS % - 80% PEF

Peak Expiratory Flow : maximun speed of exhalation

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13
Q

Discuss the regulation of ventilation, including the homeostasis of blood gases and pH, and the primary factors that influence the respiratory control center and thereby control respiration.

A

Breathing requires stimulation from the brain for Skeletal muscle contraction Centralised control of multifple muscles.

Voluntary control - Frontal lobe to the respiratory neurons in spinal cord.; Alters blood concerntrations of CO2 and O2.

Involuntary control from medulla olongata and Pons

Dorsal respiratory group (DRG)
Ventral respiratory group (VRG)
Central chemoreceptors: reacts to changes in the pH of cerebrospinal fluid.
Peripheral chemoreceptors: ↑ breathing rates by responds to concerntration of CO2 O2 and pH in blood.
Irritant receptors: reacts to the presence of irritants Stretch receptors: responds to excessive inflation triggers to stop inspiration
Limbic system and hypothalmus: respiratory effects of pain and emotion
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14
Q

Define partial pressure and discuss its relationship to a gas mixture such as air (Dalton’s Law)

A

Inspired air: at sea level 1 atm of pressure = 760mmHg.

Daltons law → total pressure = the sum of all the partial pressures of gas in a mixture.

Important for predicting the movement of gasses. The pressure of a specific gas in a mixture, moving down their gradient. (gas exchange between blood an alveoli

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15
Q

Contrast the composition of inspired and alveolar air

A

The difference in gas concerntrations result from:

  1. Humidification of the air in the respiratory tract - ↑ the P h20.
  2. Mixing of inspired and residual alveolar air PcO2 and ↓ in P o2
  3. Gas exchange ↑ on PCO2 and ↓ in P02
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16
Q

Define Henry’s Law and discuss how this law affects the gas exchange of O 2 and CO 2 at the lungs

A

Partial pressure difference for gas exchange between air in lungs and blood in capillaries,.

Gases dissolve into the fluid and diffuse down their concerntration gradients.

Amount of gas that dissolves in water is determined by its solubility in water and it’s partial pressure in the air. (Molecular weight and solubility of gases). 02 has a ↑ partial pressure gradient, CO2 has ↑ solubility