Respiratory system part 2 (Physiology) Flashcards
What is Pulmonary Ventilation?
Breathing
When do gases flow into lungs?
inspiration (inhalation)
When do gases exit lungs?
expiration (exhalation)
What do you call the pressure exerted by air surrounding the body?
Atmospheric Pressure (P atm)
760 mm Hg at sea level = _ atmosphere
1 atmosphere ( 1 atm)
When discussing Respiratory Pressures, their description is always relative to what?
relative to the amount of Atmospheric Pressure
example: P ip is (-4), that means 4 less than P atm
Zero Respiratory Pressure = ___________ ________
Atmospheric Pressure (P atm)
Pressure in the aveoli is referred to as Intrapulmonary Pressure ( P pul ) or _____-_______ ________
Intra-aveolar Pressure
Intrapulmonary Pressure fluctuates with breathing but it will always eventually equalize with ___________ ________
Atmospheric Pressure
Pressure in the Pleural Cavity is known as ____________ ________.
Intrapleural Pressure ( P ip)
Intrapleural Pressure is always a ________ pressure
negative
Intrapleural Pressure is _ mm Hg less then
P atm
4 mm Hg
P ip= -4 mm Hg
The lymphatic system pumps excess fluid out of the pleural cavity to keep fluid levels at a minimum. If this does not occur, fluid will accumulate, which causes positive P ip (intrapleural pressure), which leads to what?
Lung Collapse
Name the 2 inward forces that promote Lung Collapse
2 facts about the lungs that make it easy for it to collapse
- Lung’s natural tendency to recoil
(because of elasticity, lungs always try to assume smallest size) - Surface tension of alveolar fluid
(surface tension pulls on alveoli to try to reduce alveolar size)
Name the 1 outward force that tends to enlarge the lungs
Elasticity of chest wall pulls the thorax outward
Name the type of pressure that keeps lung spaces open and keeps the lungs from collapsing
Transpulmonary Pressure
What is the formula for Transpulmonary Pressure?
P pul- P ip
Intrapulmonary Pressure - Intrapleural Pressure
The Greater the Transpulmonary Pressure => the ______ the lungs will be
larger
What 2 facts (equations) involving P atm, P ip, P pul will cause the lungs to collapse?
P ip = P pul
P ip = P atm
(intrapleural pressure needs to stay 4 mm Hg below atmospheric pressure)
Negative P ip ( intrapleural pressure) must be maintained to keep lungs inflated.
true or false?
true
Give the medical word for air in the pleural cavity
Pneumothorax
define Atelectasis
Collapse of the Lung
partial or complete
Plugged bronchioles would cause the collapse of _______
alveoli
What would cause Pneumothorax? (air in pleural cavity)
A wound in the parietal pleura or a rupture of the visceral pleura (often spontaneous)
When dealing with Pneumothorax, once the damaged pleura heals, what happens to the lung?
lung reinflates
Pulmonary Ventilation (aka Breathing) is a mechanical process that depends on ______ changes in the thoracic cavity.
volume
With Pulmonary Ventilation, volume changes lead to ________ changes, and pressure changes lead to the flow of _____ to equalize pressure
- pressure
* gases
The diaphragm and the external intercostals are involved in the active process of quiet inspiration.
true or false?
true
What action of the diaphragm results in an increase in thoracic volume?
during inspiration, the diaphragm contracts, which causes it to move inferiorly and flatten out
What action of the external intercostals causes the rib cage to lift up and out resulting in an increase in thoracic volume?
external intercostal muscles contracting during inspiration
As the thoracic cavity volume increases (during inspiration), the lungs stretch as they are pulled out with the thoracic cage. Does this cause any changes in intrapulmonary pressure?
yes it causes P pul to drop by 1mm Hg (-1mm Hg)
As the thoracic cavity volume increases (during inspiration), it causes intrapulmonary pressure to drop by 1 mm Hg which then makes a pressure gradient.
true or false?
true
During inspiration, when the volume of the Thoracic Cavity increases, what happens to the intrapleural Pressure ( P ip)?
it lowers to about 6 mm Hg less than P atm (-6 mm Hg)
(it is normally at -4 mm Hg) due to the slight volume increase in the pleural cavity
Forced (deep) inspirations can occur during vigorous exercise or in people with ____
COPD
What “law” pertains to the relationship between pressure and volume of a gas?
(Pressure (P) varies adversely with volume (V)
Boyle’s Law
When you inhale, your diaphragm _________ and your ribs and sternum _______, increasing the volume of the thoracic cavity.
- contracts
* elevate
When pressure in the lungs decreases, air comes rushing in.
true or false?
true
List the two Primary Respiratory Muscles (Inhalation)
- Diaphragm
* External Intercostal muscles
List the 4 Accessory Respiratory Muscles (Inhalation)
hint: start with 3 S’s 1 P
- Sternocleidomastoid muscle
- Scalene muscle
- Serratus anterior muscle
- Pectoralis minor muscle
In which type of breathing is inhalation active (involves muscular contraction) and exhalation passive? Quiet breathing or forced breathing?
Quiet Breathing
Which type of breathing is active with both inhalation and exhalation and utilizes not only the Primary Resp. muscles but also the Accessory Resp. muscles, and involves contraction by the transversus thoracis, internal intercostal, and rectus abdominis muscles?
Forced breathing
Quiet expiration is normally a _______ process
passive
During expiration (exhalation), inspiratory muscles _____, thoracic cavity volume _________, and lungs recoil.
- relax
* decreases
The Thoracic Cavity Volume decreasing (quiet exhalation), causes P pul (intrapulmonary pressure) to increase by _ mm Hg
increases by 1mm Hg (+1 mm Hg)
meaning P pul > P atm
During expiration, the thoracic cavity volume decreases which causes P pul to be increased by 1mm Hg. How will the air flow to cause intrapulmonary pressure and atmospheric pressure to be equal again ( P pul= P atm)?
Air will flow out of the lungs down the pressure gradient until P pul= P atm
Forced expiration uses oblique and transverse abdominal muscles as well as intercostal muscles. Having to utilize all of these muscles indicates that forced expiration is a(n) ______ process.
active
During Expiration, your Rib cage moves ____ and __
down and in
When ________ in the lungs increases, air is pushed out
pressure
During forced exhalation, the abdominal muscles compress the abdomen and push the _________ up
diaphragm
During forced exhalation, which 2 muscles actively depress the ribs?
- transversus thoracis
* internal intercostal muscles
List the 4 abdominal muscles involved in exhalation
- Internal Obliques
- External Obliques
- Transversus Abdominis
- Rectus Abdominis
When Volume increases, ________ decreases
Pressure
When is the Pressure outside of the lungs greater than the Pressure inside of the lungs, during inhalation or exhalation?
inhalation
When is the Pressure inside of the lungs greater than the pressure outside of the lungs, during inhalation or exhalation?
exhalation
Name the 3 Physical Factors that influence Pulmonary Ventilation (breathing)
(they influence the ease of air passage and the amount of energy required for ventilation)
- Airway Resistance
- Alveolar Surface Tension
- Lung Compliance
Which of the 3 physical factors that influence pulmonary ventilation (breathing) has to do with friction and severe constriction or obstruction of bronchioles and can occur during acute asthma attacks and stop ventilation?
Airway resistance
What does Epinephrine do to your bronchioles that reduces air resistance?
dilates them
Airway resistance has to do with the relationship between F, P, and R. What do those letters stand for?
- Air Flow (F)
- Pressure (P)
- Resistance (R)
What is the term for the attraction of liquid molecules to one another at a gas-liquid interface?
(this relates with the #2 physical factor that influences breathing (pulmonary ventilation)
Surface Tension
alveolar surface tension
There is a thin film of water that coats the alveolar walls and it tends to cause the alveoli to shrink to the smallest size and then they could collapse. Which physical factor that influences pulmonary ventilation does this pertain to and why?
Alveolar Surface Tension
Water has a very high surface tension
Name the lipid and protein complex that is produced by type II alveolar cells, that helps reduce surface tension of alveolar fluid and prevents alveolar collapse
Surfactant
What causes infant respiratory distress syndrome?
insufficient amount of surfactant in premature infants
What is Lung Compliance?
the measure of the Lung’s ability to stretch
measure of change in lung volume
Does Higher lung compliance mean it’s easier or harder to expand the lungs?
easier
Name the original clinical tool used to measure a person’s respiratory volumes
Spirometer
Electronic measuring devices are used today
Name the four different types of Respiratory Volumes that are used to access respiratory status. Here are their abbrev. (TV) :
(IRV):
(ERV):
(RV):
- Tidal Volume (TV)
- Inspiratory Reserve Volume (IRV)
- Expiratory Reserve Volume (ERV)
- Residual Volume (RV)
Name the type of Respiratory Volume that gives the amount of air remaining in the lungs after exhalation (keeps the lungs from collapsing between breaths)
Residual Volume (RV)
Name the type of Respiratory Volume that measures the amount of air that moves in and out with each breath while at rest
Tidal Volume (TV)
What is the Inspiratory Reserve Volume and the Expiratory Reserve Volume?
The maximum volume of air that can be inhaled or exhaled forcibly beyond the Tidal Volume (TV)
How do you find the Total Lung Capacity (TLC)?
add all 4 respiratory volume numbers together
TV+IRV+ERV+RV=TLC
What is the formula for Inspiratory Capacity (IC)?
TV+IRV=IC
What is the formula for Functional Residual Capacity (FRC)?
RV+ERV=FRC
What is the formula for finding Vital Capacity (VC)?
TV+IRV+ERV=VC
Respiratory volumes can be combined to calculate respiratory __________
capacities
Anatomical Dead Space does not contribute to gas exchange. What does it consist of?
air that remains in passageways
What do you call the space occupied by nonfunctional alveoli?
Alveolar dead space
How do you find the Total Dead Space?
the sum of anatomical dead space and alveolar dead space
What test can be used to distinguish between Obstructive pulmonary disease and Restrictive disease?
Spirometry
What test is used to diagnose Asthma and COPD?
this test measures how much air you inhale, exhale, and how quickly you exhale
Spirometry
Name the Pulmonary disease thats symptoms are increased airway resistance (ex: bronchitis), and also the TLC, FRC, and RV may increase because of hyperinflation of lungs
Obstructive pulmonary disease
Which pulmonary disease causes reduced TLC (ex: tuberculosis) because the disease compromises lung expansion
(decline in VC, TLC, FRC, RV all decline due to lung expansion being compromised)
Restrictive disease
What occurs between Lungs and Blood as well as Blood and Tissues?
Gas Exchange
What two things does the diffusion of gases occur between during External Respiration?
blood and lungs
What two things does the diffusion of gases occur between during Internal Respiration?
blood and tissues
P atm doe not change if you stay at a constant altitude (sea level), what is the number for P atm?
760 mm Hg
What does 0 mm Hg respiratory pressure really mean?
zero respiratory pressure
760 mm Hg
equal to P atm
P atm = 760 mm Hg = _ atm
1
Give another name from our slides for Intrapulmonary pressure
Intra-alveolar Pressure
If P ip is -4 mm Hg, what exact pressure amount is that?
756 mm Hg
4 less than atmospheric
Forced Inhalation has to do with the amount of air inhaled above the normal intake (the Tidal Volume). What is the amount of air inhaled above the Tidal Volume called?
IRV
Inspiratory Reserve Volume
Other than the relaxing of the diaphragm and the relaxing of the external intercostal muscles, what is the one last thing that plays a part in the (passive) exhalation process?
The elastic recoil of the lungs
How many mL of air move in and out with each breath while at rest?
(also convert it to Liters)
~ 500 mL
0.5 L
What minimizes the cohesive forces of the water molecules lining the inside of the alveoli?
(surface tension, H2O” holding hands “)
surfactant
Does the Thoracic wall completely enclose the lungs?
No
it’s like the fist in the balloon analogy about the pericardial cavity
There is a lot of Resistance in the Conducting Zone and __ resistance in the Respiratory zone.
no
gas exchange is done by diffusion from high concentrate to low
What is Lung Compliance?
the measure of how much “stretch” the lung has
Why does the Intrapleaural Pressure (P ip) decrease by 2 mm Hg during inspiration/inhalation?
when the external intercostal muscles pull up and out, the pulling of the parietal and visceral pleuras of the pleural cavity, causes a slight increase in intrapleural volume which in turn causes a 2 mm Hg decrease in P ip
Can as little as 1 mm Hg difference in pressure cause a pressure gradient between P pul and P atm?
yes
The Diaphragm contracting and relaxing, accounts for what percentage of volume change in the Thoracic Cavity?
75%