Respiratory system chp 23 Flashcards

1
Q

functions of the respiratory system

A
  1. allow for O2 and CO2 exchange between blood and air
  2. speech, vocalization, and smell
  3. helps control pH of body fluids
  4. helps regulate blood pressure (angiotensin II)
  5. promotes flow and lymph and venous blood
  6. filters and dissolves small blood clots
  7. assists in urination, defecation, and childbirth
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2
Q

what are the 2 main divisions of the respiratory system?

A
  1. conducting division
    - nostrils through major bronchioles
    - most of resp. syst.
  2. respiratory division
    - alveoli and gas exchange regions
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3
Q

besides the 2 major divisions, what are the 2 subdivisions?

A
  1. upper respiratory tract
    - (nasal cavity) - nose through larynx
  2. lower respiratory tract
    - trachea through lungs
    - this is where infections such as bronchitis occur
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4
Q

olfactory epithelium

A

detects odor

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5
Q

respiratory epithelium

A

secretes mucus

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6
Q

what are the 3 regions of the pharynx

A
  1. nasopharynx
  2. oropharynx
  3. laryngopharynx
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7
Q

nasopharynx

A

air passage with pharyngeal tonsils

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8
Q

oropharynx

A

common route for food and air (behind the oral cavity)

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9
Q

laryngopharynx

A

extends to the larynx

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10
Q

larynx does what …

A

keep food and drink out of airway

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11
Q

extrinsic muscles….

A

connect the larynx and elevate it during swallowing

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12
Q

intrinsic muscles

A

control vocal chords

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13
Q

respiratory mucosa

A

lines conducting passageway portion
- changes along resp. tract

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14
Q

mucus elevator

A

cilia moves mucus to pharynx

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15
Q

laminate propria

A

areolar tissue underlying respiratory epithelium that provides support

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16
Q

The respiratory defense system does what and what does it include

A

filtration mechanisms that protect gas exchange surfaces
- respiratory mucosa
- mucus elevator
- lamina propria

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17
Q

olfactory and respiratory epithelium are in the

A

nasal cavity/ nose

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18
Q

extrinsic and intrinsic muscles are associated with what structure

A

the larynx

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19
Q

what is asthma

A

the constriction of airways in response to irritation

  • swelling of mucosa (lining of pathway)
    -increased resistance (restricted airflow)
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20
Q

what is chronic bronchitis

A

long term inflammation of bronchial lining
- overproduction of mucus
- “blue bloaters”

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21
Q

what is emphysema

A

the destruction of alveolar surfaces and inadequate O2 + CO2 exchange
- “pink puffers”

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22
Q

what are the 3 factors of resistance to airflow/ of the lungs

A
  1. diameter of bronchioles
  2. pulmonary compliance - lung disease
  3. surface tension - alveoli + distal bronchioles
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23
Q

describe diameter of bronchioles (resistance to airlfow factor) the 2 types and what causes it

A

a. bronchodilation
- epinephrine (sympathetic)
- reduces resistance

b. bronchoconstriction
- histamine, cold air, and irritants (parasympathetic)
- increases resistance

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24
Q

describe surface tension (resistance to airlfow factor)

A

relates to alveoli + distal bronchioles
- surfactant deficiency in premature infants

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25
Q

what does resistance of airflow/lungs mean

A

how much force is required to inflate or deflate them

  • higher resistance = harder it is to force air along the conducting passages
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26
Q

what does lower resistance mean

A

more easily air flows along conducting passages

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27
Q

what is compliances of the lungs

A

indication of how easily the lungs expand

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28
Q

greater compliance means

A

lower the tension in the walls of lungs at a given volume

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29
Q

what increases compliance

A

loss of supporting tissues + destruction of alveoli increase compliance

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30
Q

lower the compliance means

A

greater tension in lung walls at a given volume and less easily air flows along conducting passages

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31
Q

what lowers/reduces compliance

A

arthritis / other skeletal disorders that affect the articulations of ribs or spinal column by reducing the elasticity of the chest wall

  • respiratory distress syndrome (not enough surfactant production leading to alveolar collapse on exhalation
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32
Q

Hypocapnia

A

decreased/low CO2 levels so high pH level

you must decrease respiratory rate to go back to normal; homeostasis is restored

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33
Q

hypercapnia

A

increased / high CO2 levels so low pH levels (acidic) because there is a too much carbonic acid being made

you must increase respiratory rate to go back to normal; homeostasis is restored

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34
Q

what is the primary factor in regulation of breathing rate

A

CO2

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35
Q

hyperventilation

A
  • anxiety leads to this
  • rapid breathing causing blood CO2 levels to drop
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36
Q

respiratory centers receive input from many other sources that affect _____

A

respiratory rhythm

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37
Q

what receptors provide info to respiratory centers?

A

sensory receptors mainly the central and peripheral chemoreceptors

also includes
- stretch and irritant receptors

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38
Q

where are the peripheral chemoreceptors located in

A

aortic arch
+
carotid bodies

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39
Q

what do peripheral chemoreceptors of respiration do?

A

monitor blood gases + pH levels and it sends info about blood chemistry to DRG receptors

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40
Q

how many pairs of respiratory centers in the brainstem responsible respiratory center are there AND where?

A

there are 3 pairs of respiratory centers in the medulla and pons

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41
Q

what are the 3 pairs of respiratory centers in Bainstem (medulla and pons)

A
  1. Ventral respiratory group (VRG)
  2. Dorsal resp. group (DRG)
  3. Pontine resp. group (PRG)
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42
Q

Ventral respiratory group (VRG)

A

primary generator of respiratory rhythm

  • works tg with DRG
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43
Q

Dorsal respiratory group (DRG)

A

receives input and issues output to VRG to modify rhythm + adapts to varying conditions

  • works tg with VRG
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44
Q

Pontine respiratory group (PRG)

A

receives input, issues output to VRG + DRG to modify breathing depth and duration

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45
Q

What transports oxygen in the blood

A

Hemoglobin (Hb)

46
Q

what is hemoglobin saturation

A

percentage of heme units containing bound oxygen

47
Q

what affects saturation

A

partial pressures of oxygen

48
Q

if Hb is exposed to pressure O2 above 60mm HG then it will be ____ saturated

A

90% saturated

49
Q

O2 is bound to ____ions in the center of the heme units of hemoglobin (Hb)

50
Q

How is CO2 generated

A

by aerobic metabolism in tissues

51
Q

3 things CO2 does after it enters the bloodstream

A
  1. converted to carbonic acid molecule (Most CO2 does this)
    or
  2. bound to protein portion of Hb in RBC (93%)
    or
  3. dissolved in plasma (small amnt ~7%)

ALL OF THESE ARE REVERSIBLE

52
Q

percentange of CO2 that diffuses into RBC when P CO2 is 45mmHg

53
Q

Partial pressure of a gas (P) is

A

pressure that specific gas exerts in a mixture of gases

54
Q

Daltons law

A

all partial pressures added Tg = total pressure exerted by gas mixture

55
Q

Henrys law

A

at a given temp, amount of gas in a solution is proportional to its partial pressure

56
Q

does the characteristics of air change as it passes through respiratory system??

A

yes it does

57
Q

partial pressure of O2 in inhaled air (dry)

A

159 (20.9%)

58
Q

partial pressure of O2 in alveolar air (saturated)

A

100 (13.2%)

59
Q

partial pressure of O2 in exhaled air (saturated)

A

116 (15.3%)

60
Q

partial pressure of CO2 in inhaled air (dry)

A

0.3 (0.04%)

61
Q

partial pressure of CO2 in alveolar air (saturated)

62
Q

partial pressure of CO2 in exhaled air (saturated)

63
Q

pulmonary ventilation respiratory rate

A

12-18 breaths per min is normal

64
Q

pulmonary ventilation respiratory minute volume

A

is the volume of air moved each minute

tidal volume x resp. rate

65
Q

what are the factors the affect respiratory minute volume (pulmonary ventilation)

A
  1. respiratory rate
  2. tidal volume
66
Q

Alveolar ventilation

A

the. amount of air reaching the alveoli each minute or the movement of air into + out of the alveolis

breaths per min x (respiratory minute volume)

67
Q

do all of the inhaled air reach the alveolis?

A

nope not all

68
Q

anatomical dead space

A

air that fills the conducting division and cant exchange gases with blood (~150 to 500 mL inhaled)
- never reaches alveoli’s
- some alveolis may be unable to exchange gases

69
Q

physiological dead space is the sum of

A

anatomical dead space + alveolar dead space

70
Q

muscles involved in inspiration (inhaling)

A

external intercostals
diaphragm

71
Q

muscles involved in forced expiration (exhaling)

A

internal intercostals
abdominal muscles (rectus abdomini)

  • the diaphragm relaxes during this
72
Q

tidal volume

A

amount of air inhaled/exhaled with each breath under resting conditions

73
Q

inspiratory reserve volume (IRV)

A

amount of air that can be forcefully inhaled after normal tidal volume inspiration

74
Q

expiratory reserve volume (ERV)

A

amount of air that can be forcefully exhaled after a normal tidal volume expiration

75
Q

residual volume (RV)

A

amount of air remaining in the lungs after a forced expiration

76
Q

total lung capacity (TLC)

A

max. amount of air contained in lungs after max inspiratory effort

77
Q

vital capacity (VC)

A

max amount of air that can be expired after max inspiratory effort

78
Q

TV adult male average and female average

A

500mL for both male + fem.

79
Q

IRV adult male average and female average

A

adult male average - 3100mL

adult female average - 1900mL

80
Q

ERV adult male average and female average

A

adult male average - 1200mL

adult female average - 700mL

81
Q

RV adult male average and female average

A

adult male average - 1200mL

adult female average - 1100mL

82
Q

TLC adult male average and female average

A

adult male average - 6000mL

adult female average - 4200mL

83
Q

VC adult male average and female average

A

adult male average - 4800mL

adult female average -3100mL

84
Q

Sequence of the structures air/oxygen passes through

A

1st there’s airflow through conducting division - nasal cavity then to pharynx - larynx - trachea - main bronchus - bronchiole - terminal bronchiole

then it goes through the resp. division
- resp. bronchioles - alveolar duct - alveolus

85
Q

attachments of vocal cords and

A

attachments on vocal cords are intristic muscles include thyroid and cricoid cartilage , vestibular fold and glottis

86
Q

which attachment plays a big role in controlling sound pitch

A

cricoid cartilage
but all attachments do

87
Q

adduction of vocal cords

A

allows for sound to be produces because vocal folds vibrate tg

faster vibration = higher pitch

88
Q

abduction of vocal cords

A

vocal folds move far away allowing for breathing

89
Q

Right lung

A
  • shorter and wider because the liver takes up more space
  • has 3 lobes (superior, middle,inferior)
  • 2 fissures (oblique and horizontal)
90
Q

Left lung

A

-narrow and larger because of the heart
- 2 lobes (superior and inferior)
- has only the iblique fissure
- has the cardiac notch

91
Q

what is the structure in the lungs in which things go in and out (such as the vessels and bronchis)??

92
Q

what are the two alveolar cells that cover the alveolus

A
  1. squamos alveolar cells
  2. great alveolar cells
93
Q

describe squamos alveolar cells + functions

A

type I pneumocytes
- makes up 95% of alveolar surface area
- its thin which allows for rapid gas exchange

94
Q

describe great alveolar cells + functions

A

type II pneumocytes
- repairs damaged alveolar epithelium
- secretes pulmonary surfactant (soapy texture to prevent the aveolis from closing tg)

95
Q

how big is the alveolus

A

.2-.5mm and it is a tiny pouch covered with 2 cells

96
Q

where is the respiratory membrane?

A

barrier between alveolar air and blood of surrounding capillary
- simple squamos cell and capillaries simple squamos

97
Q

boyles law

A

pressure of a given quantity of gas is inversely proportional to its volume

98
Q

(boyle) as pressure decreases

A

volume increases

99
Q

as pressure increases

A

volume decreases

100
Q

what drive respiration?

A

(mainly atmospheric pressure) and intrapulmonary pressure and its change in lung volume

101
Q

when intrapulmonary falls below atmospheric pressure air flows where?

A

into lungs (inspiration)

102
Q

if intrapulmonary pressure rises above atmospheric pressure, air flows where?

A

out (expiration)

103
Q

if you decrease volume of thoracic cavity then lung pressure ??

104
Q

what happens during inspiration

A
  1. thoracic cavity expands laterally, vertically, + anteriorly
  2. intrapulmonary pressure drops
  3. air flows into lungs
105
Q

what happens during expiration

A
  1. thoracic cavity constricts in all 3 directions
  2. intrapulmonary pressure rises
  3. air flows out of lungs
106
Q

external respiration

A

includes all processes involved in the exchange of O2 and CO2 between the body’s interstital fluids + external environment.
- purpose and function of this is meeting respiratory demands of cells

107
Q

what is internal respiration

A

absorption of O2 + the released of CO2 by tissue cells

108
Q

pulmonary ventilation or breathing

A

involves physical movement of air into + out of the lungs
- primary function is to maintain adequate alveolar ventilation

109
Q

what does Alveolar ventilation prevent?

A

prevents the build up of CO2 in the alveoli + ensures continous supply of O2 that keeps pace with absorption by bloodstream

110
Q

where does gas diffusion occur

A

across the respiratory membrane between alveoli + capillaries. and across capillary walls between blood + other tissues