Respiratory System II Flashcards

1
Q

internal vs external respiration

A

external: exchange between pulmonary capillaries and alveoli
internal: exchange between systemic capillaries and surrounding cells

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2
Q

factors affecting external respiration

A

lipid solubility of gases
partial pressure gradients
surface area, thickness and structure of the respiratory membrane
airflow perfusion and rate of blood flow

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3
Q

why does lipid solubility of gases effect respiration

A

affects ability to pass through lipid membranes

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4
Q

atmospheric pressure at sea level

A

760 mmHg

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5
Q

what is the combined partial pressure of respiratory gases equivalent to

A

atmospheric pressure
each gas has a partial pressure proportional to its composition of the atmosphere

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6
Q

partial pressure of each gas and how is it calculated

A

proportion of the atmosphere made up of gas * atmospheric pressure (760 mmHg)

O2:
CO2:
N2:
H2O:

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7
Q

what happens to partial pressure of each gas at high altitude
why

A

decreases
atmospheric pressure decreases with altitude
composition of gases stays the same

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8
Q

Henry’s Law

A

amount of gas that dissolves in a liquid depends on partial pressure and solubility of the gas

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9
Q

does O2 or CO2 has greater solubility in water

A

with the same pressure at a given temperature
more CO2 dissolves into liquid

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10
Q

partial pressures in alveoli

A

PO2 = 104 mmHg
PCO2 = 40 mmHg
PH2O = 47 mmHg

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11
Q

humidification of inhaled air

A

air moving along the airways gets humidified, picks up water molecules and increases the pp of water

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12
Q

mixing of old and new air

A

air is not completely expelled from the alveoli at the end of each breath

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13
Q

O2 loading and CO2 unloading

A

O2 diffuses along its pp gradient from the alveolus into the blood

CO2 diffuses along its pp gradient from the blood into the alveolus

until equilibrium is reaches

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14
Q

diffusion barriers at alveoli
what does thicker barrier cause

A

alveolar epithelium
basement membranes
capillary endothelium

thicker barrier -> slower diffusion

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15
Q

diffusion at alveoli only occurs if

A

alveoli are ventilated and perfused

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16
Q

decreased difference in pp
abnormal thickening of barrier
decreased alveolar volume or number
examples

effect of these on diffusion

A

decrease

decreased difference in pp: high altitude
abnormal thickening of barrier: fibrosis, oedema
decreased alveolar volume or number: pneumonia

17
Q

effect of blood flow cessation on gas exchange
example

A

blood flow ceases -> no gas exchange
pulmonary embolism

18
Q

what is the effect of severe exercise in gas exchange at alveoli

A

rate of breathing and blood flow increases
may not be enough time for gas exchange

19
Q

how long does it normally take for PO2 of blood to reach PO2 of alveoli

A

0.25 s
(1/3 of its way along capillary)

20
Q

factors affecting internal respiration

A

surface area in tissues
pp gradients
rate of blood flow
metabolic rate of the tissue

21
Q

why is PO2 of blood entering systemic capillaries lower than alveolar PO2

A

imperfect ventilation perfusion coupling at the lungs

22
Q

PO2 of blood entering systemic capillaries vs alveolar PO2

A

100 mmHg
104 mmHg

23
Q

pulmonary ventilation

A

process of air exchange between lungs and the atmosphere
physiological process involving muscles and volume/pressure changes

24
Q

Boyle’s law

A

in a closed system the pressure that gas molecules exert is related to the volume they occupy

25
Q

inspiration muscles

A

contraction of diaphragm and external intercostal muscles increases the volume and decreases pressure within the thoracic cavity and air flows in

26
Q

movement of external intercostal muscles and diaphragm

A

external intercostal muscles: elevate rib cage; the sternum moves anteriorly
diaphragm: flattens and moves interiorly

27
Q

expiration muscles

A

relaxation of diaphragm and external intercostal muscles decreases the volume and increases pressure within the thoracic cavity and air flows out

28
Q

what accessory muscles are involved in deep inspiration

A

scalene muscles
sternocleidomastoids
forceful contraction of normal respiratory muscles

29
Q

what accessory muscles are involved in deep expiration

A

internal intercostal muscles
external obliques
rectus abdominus
internal obliques
transversus abdominus

30
Q

intrapleural pressure
factors that affect it

A

usually negative to intrapulmonary and atmospheric pressure

surface tension of alveolar fluid
elasticity of the lung
elasticity of thoracic wall

31
Q

pleural fluid

A

acts as a suction to keep lungs inflated

32
Q

intrapleural pressure during inspiration and expiration

A

inspiration: decreases due to thoracic wall moving outwards and increasing volume

expiration: returns to 756 mmHg due to thoracic wall recoiling and decreasing volume

33
Q

why is pleural space usually a potential space

A

intrapleural pressure < atmospheric pressure

34
Q

what can cause pleural space to expand
examples

A

if filled with:
- excess fluid (pleural effusion - fluid leaking from capillaries) (pleural haemothorax - blood leaking from injured vessels)
- excess air (pneumothorax - from puncture)