respiratory system part 2 Flashcards

1
Q

term for when smooth muscle relaxes, making bronchiole diameter larger

A

bronchodilation

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2
Q

term for when smooth contracts, making the bronchiole diameter smaller

A

bronchoconstriction

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3
Q

in bronchoconstriction the flow of air increases or decreased with resistance to airflow being increased by conditions that reduce the diameter of respiratory passageways

A

decreases

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4
Q

according to what law, the resistance to airflow is proportional to diameter of a tube

A

poiseuille’s law

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5
Q

small change in diameter results in what

A

large change in resistance

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6
Q

what does a small change in diameter that results in large change resistance do

A

decrease airflow

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7
Q

what happens to the airway diameters in exercise

A

bronchodilation occurs-> reduces resistance to airflow-> increase in air movement

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8
Q

what happens to the airway diameter in asthma attack

A

inflammatory chemical release -> severe bronchoconstriction

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9
Q

bronchoconstriction decreases what

A

airway diameter

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10
Q

bronchoconstriction decreases airway diameter which increased what

A

resistance to airflow and significantly reduces air movement-> death

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11
Q

what is a medication that counteracts asthma attack effects by promoting smooth muscle relaxation in walls of terminal bronchioles, so air can freely flow

A

albuterol

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12
Q

term for movement of air into and out of lungs

A

pulmonary ventilation

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13
Q

pulmonary ventilation involved what

A

action of the muscles of ventilation and air pressure gradients

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14
Q

what happens with labored pulmonary ventilation

A

more air moves into lungs due to activity of all of the inspiratory muscles which cause it to contract more forcefully than normal pulmonary ventilation, which causes a greater increase in thoracic volume

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15
Q

what happens in forceful contraction=

A

internal intercostals and abdominal muscles

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16
Q

what does forceful contraction produce

A

faster and greater decrease in thoracic volume compared to passive recoil of thorax and lungs

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17
Q

what kind of relationship does pressure and volume have

A

inverse relationship

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18
Q

what is boyles law

A

P=k/V

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19
Q

P=

A

gas pressure

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20
Q

k=

A

constant temperature

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21
Q

V=

A

volume

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22
Q

when we inspire, what happens to air pressure within the thoracic cavity

A

it decreases

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23
Q

when we expire, what happens to air pressure in the thoracic cavity

A

it increases due to volume of thoracic cavity decreasing

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24
Q

during inspiration, what happens to air flow in the lungs

A

air flows into lungs down pressure gradient

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25
Q

during expiration, what happens to air flows

A

air flows out of lungs down pressure gradient

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26
Q

the greater the pressure difference, what happens

A

the faster the flow rate

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27
Q

if pressure difference decreases, what happens to flow rate

A

the flow rate also decreases

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28
Q

muscle contraction ->

A

increase volume
decrease pressure
air flows in

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29
Q

muscle relaxation

A

decrease volume
increase pressure
air flows out

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30
Q

what is the process of measuring volume of air moving in and out of respiratory system

A

spirometry

31
Q

device or tool used to measure pulmoinary volumes

A

spirometer

32
Q

normal, quiet volume of air inspired and expired with each breath

A

tidal volume

33
Q

amount of air inspired forcefully after normal inspiration

A

inspiratory reserve volume

34
Q

amount of air that can be forefully expired after a normal expiration

A

expiratory reserve volume

35
Q

volume of air remaining in respiratory passages and lungs after most forceful expiration

A

residual volume

36
Q

maximal amount you can expire after a maximal inspiration

A

vital capacity

37
Q

sum of VC and residual volume

A

total lung capacity

38
Q

average amount of TV

39
Q

average amount of IRV

40
Q

average amount if ERV

41
Q

average amount of RV

42
Q

average amount of VC

43
Q

average amount of TLC

44
Q

maximum amount of air you can forcibly exhale from lungs after fully inhaling (about 80% of total capacity)

A

forced vital capacity

45
Q

forced out in 1 second, volume of air exhaled in first second under force after maximal inhalation

A

forced expiratory volume

46
Q

% of FVC expired in 1 second

A

FEV1/ FVC ration

47
Q

what are obstructive diseases

A

COPD, emphysema, chronic bronchitis

48
Q

what are restrictive diseases

A

polio, TB, fractured ribs

49
Q

what is MRV

A

measurement of amount of air moved through the respiratory system in 1 minute

50
Q

calculation of MRV

A

MRV= TV x RR

51
Q

what are factors that affect pulmonary ventilation

A

gender age, body size, physical conditioning

disease states

compliance of lung

52
Q

what is an example of a disease state that affects pulmonary ventilation

A

emphysema (alveolar wall degeneration), also less surface area

53
Q

in compliance of lung the ease of expansions decreases when

A

if inelastic fibers are present, collapse of alveoli, airway obstruction, and deformities of thoracic wall

54
Q

if you lose some elasticity what happens

A

greater compliance, easier to expand lungs, but recoil decreases

55
Q

what is lung recoil

A

ease of returning to orginal shape

56
Q

when does lung recoil occur

A

post elasticity or stretch

57
Q

in lung recoil, upon expiration what happens

A

tension on lungs is released and return to orginal, smaller size which compresses alveoli

58
Q

lung recoil also occurs due to

A

elastic recoil and surface tension

59
Q

premature not make enough surfactant=

A

immature lungs

60
Q

what is common in infants, gestation is less then 28 weeks

A

infant respiratory distress syndrome

61
Q

how do you treat women with infant respiratory disease syndrome

A

give cortisol (cross placenta and stimulate surfactant synthesis

62
Q

what is pleural pressure

A

pressure in pleural cavity between parietal and visceral pleura

63
Q

pleural pressure pulls lungs inward or outward

64
Q

what does pleural pressure aid in

A

alveolar expansion

65
Q

separation of pleaurae increases what

A

pleural pressure=pneumothorax

66
Q

what is pneumothorax

A

sudden collapse of lung

67
Q

what are 2 major causes of pneumothroax

A

penetrating trauma
nonpenetrating traume

68
Q

examples of penetrating trauma

A

stabbed
shot
fractured rib

69
Q

examples of nonpenetrating traume

A

blow to chest
medical procedure
diisease
severe spastic cough

70
Q

treatment for pneumothorax

A

chest tube insertion (reexpand lung)
surgery (close opening to cavity)

71
Q

what is tension pneuromthorax

A

pressure in pleural cavity higher than atmospheric pressure

72
Q

large air collectioin in pleural space due to MVA. chest pain, SOB, rapid RR. hypothension and hypoxia are

A

life threatening emergencies

73
Q

what is a triad

A

collapsing lung
shift in mediastinum and rebreathing

73
Q

how do u treat triad

A

need needle decompression