Respiratory System I Flashcards
There are 4 primary functions of the respiratory system:
1. Exchange of gases between the _____ and the ____
2. ______ regulation of body pH
3. Protection from inhaled ______ and _____ ______
4. ______
- atmosphere, blood
- Homeostatic
- pathogens, irritating substances
- Vocalization
Air exchange occurs by ____ ____ and follows many of the principles that govern the CV system
bulk flow
Air exchange occurs by bulk flow and follows principles:
i. Flow occurs from region of ____pressure to ___ pressure
ii. ______ ____ creates the pressure gradients
iii. Resistance is primarily influenced by _____ of tubes through which air is flowing
i. high, low
ii. Muscular pump
iii. diameter
What is external respiration?
The movement of gases between the environment and the cells within the body.
External respiration requires coordination between the ______ and ______ systems
respiratory, cardiovascular
External respiration is a 4 step process: ?
- Exchange I: atmosphere to lung (ventilation)
- Exchange II: lung to blood
- Transport of gases in the blood
- Exchange III: blood to cells
What are the 3 main structures involved in ventilation and gas exchange?
- Conducting system or airways
- Alveoli
- The bones and muscles of the thorax (chest cavity)
What are the 4 structures considered as the Upper respiratory system?
Nasal cavity
Mouth
Pharynx
Larynx
What are the 2 structures considered as the Lower respiratory system?
Trachea and lungs
The lungs are composed of light spongy tissue whose volume is occupied mostly by ____-filled spaces
air
The _____ lung is slightly larger than ____ due to the _____ ____
right, left, cardiac notch
The ____ lung is divided into 3 lobes, and the ____ lung is divided into 2 lobes
right, left
What are the 3 lobes of the right lung?
Superior, middle, inferior
What are the 2 lobes of the left lung?
Superior, inferior
Each lung is surrounded by a double-walled _____ ___
pleural sac
One layer of the pleural sac is connected to the outside surface of the lungs which is called the _____ ____ and the other to the inside surface of the thoracic cavity _____ ____
visceral pleura, parietal pleura
Pleural fluid in the pleural cavity acts like water between two glass panes, where it is very easy to slide against one another, but very difficult to ?
pull apart
What are the 2 main functions of the pleural sac?
- Created a moist slippery surface
- Holds lungs tight to the thoracic wall
______ connect lungs to the external environment
Airways
Air enters the _____ through the nasal cavity and/or mouth, from there air flows through the _____ (vocal cords) to the _____ (wind pipe)
pharynx, larynx, trachea
The trachea is a semi-flexible tube held open with ?
15-20 cartilage rings
Arrange these in order of “branching of the airways:”
smaller bronchi, bronchioles, trachea, alveoli, primary bronchi
Trachea, primary bronchi, smaller bronchi, bronchioles, alveoli
What 3 components of the airway is considered the “conducting system”?
Trachea, primary bronchi, smaller bronchi
What 2 components of the airway is considered the “exchange surface”?
Bronchioles, alveoli
A major difference between bronchi and bronchioles is that bronchi have _____ (either rings or plates the further down you go) but bronchioles have _____ _____ that selectively controls
cartilage, smooth muscle
The upper _____ and _____ play an important role in conditioning air before it reaches the alveoli
airways, bronchi
What are the 3 important roles of conditioning air before it reaches the alveoli?
Warming air to body temperature
Adding water vapor
Filtering out foreign material
These three processes in conditioning air before reaching the alveoli are more efficient with _____ ______
nose breathing
The nasal cavity has a large surface area, has rich blood supply and nasal hair, the ____ of nasal airway tends to cause particles to embed in ____ in the back of the _____ and slide down to the esophagus
shape, mucus, pharynx
Air is filtered in the _____ and ____
trachea, bronchi
Epithelial cells lining the airways and submucosal glands secrete ____ and ____
saline, mucus
______ move the mucus layer toward the pharynx, removing trapped pathogens and particulate matter
Cilia
Saline is produced by the epithelial cells and overtop of the saline is a layer of mucus produced by ____ _____, the mucus contains _________
goblet cells, immunoglobulins
The epithelial cells contain cilia which push the mucus towards the pharynx, this phenomenon is called the ?
mucocilliary escalator
______ is necessary for mucocillary escalator function
Saline
Without the saline layer, cilia would become ? and ?
embedded in thick mucus, unable to move
Arrange these statements in order of “one model of saline secretion by airway epithelial cells:”
1. Apical anion channels, including CTFR, allow Cl- to enter the lumen
2. NaCl movement from ECF to lumen creates a concentration gradient so water follows into the lumen
3. Na+ goes from ECF to lumen by the paracellular pathway, drawn by the electrochemical gradient
4. NKCC brings Cl- into epithelial cells from ECF
4, 1, 3, 2
Cystic Fibrosis is caused by reduced production of ____. The mucus cannot be cleared properly allowing bacteria to colonize in the airways leading to reoccurring ____ _____. It also affects the _____
saline, lung infections, pancreas
_____ are the site of gas exchange
Alveoli
Alveoli are clustered at the ends of _______
bronchioles
Alveoli are heavily _______ (80-90% alveoli covered) and huge _____ ___ optimal for gas exchange
vascularized, surface area
Type __ alveolar cells: majority (95%) of the cells, very thin, act as the exchange epithelium
I
Type __ alveolar cells: other ~5% of the cells, thicker, specialized and produce a detergent like substance called surfactant
II
? : just in case there are any pathogens left that have avoided filtration already, can neutralize them and prevent damage or destruction done by them
Resident alveolar macrophages
_______ reduces surface tension and prevents the alveoli from collapsing
Surfactant
The pulmonary circulation has ____ flow but ___ pressure
high, low
The pulmonary circulation contains about 0.5 L or ___% of the total blood volume (75ml in capillaries)
10
Low pressure due to low ______ (shorter length circuit, more distensible and larger total cross sectional area of arterioles)
resistance
Low pressure means minimal _____ of fluid out of capillaries but there are lymphatics to remove any fluid that does get filtered and keep the diffusion distance to a minimum
filtration
Respiratory air flow is similar in many aspects to blood flow in the cardiovascular system, mainly the pressure gradients created to cause ____
flow
Normal sea level atmospheric pressure is considered to be ____ mmHg but is usually set to 0 cm H2O or mmHg by respiratory physiologists
760
What is Daltons law?
The total pressure exerted by a mixture of gases is the sum of the pressure exerted by each gas.
Daltons law is also dependent on the ______ of the air
humidity
The pressure exerted by one gas is known as its _____ _____ (interested in PO2 and PCO2 specifically)
partial pressure
What is the formula for Partial Pressure of a Gas?
Patm × % of gas in atmosphere
What is the formula for Partial Pressure of a Gas that takes humidity into account?
Pgas in humid air = (Patm - Ph2o) × % of gas
We are concerned with atmosphere pressure because it is the difference between ______ ______ and the ? that drive airflow
atmospheric pressure, pressure in the lungs
We are also concerned with partial pressures, which is exerted by a single gas, usually oxygen or carbon dioxide specifically, which drives ______
diffusion
To get a true partial pressure, _______ always needs to be considered as true dry air is rare on earth
humidity
Gases move ______ pressure gradients
down
Air moves by ____ flow
bulk
What is the symbol for Alveolar pressure?
Palv
What is the formula for flow?
F = (Palv - Patm) / R
In inspiration, Palv ? Patm?
<
In expiration, Palv ? Patm?
>
What is the formula describing Boyle’s Law?
P1V1 = P2V2
______ law helps explain how a change in lung volume results in a change in lung pressure driving the bulk flow of air
Boyle’s
During ventilation, air flows because of _____ _____
pressure gradients
During inspiration we make the volume of our alveoli _____ resulting in a _____ in pressure below atmospheric pressure resulting in air flow from the atmosphere ____ our alveoli
larger, drop, into
_______ is the bulk flow exchange of air between the atmosphere and the alveoli
Ventilation
A single respiratory cycle consists of a single ______ followed by an ______
inspiration, expiration