Surface Tension and Airway Resistance Flashcards

1
Q

What is surface tension?

A

Force that arises due to favorable water-water interactions and unfavorable air-water interactions

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2
Q

How do alveoli compensate to limit air-H20 interaction?

A

they become smaller

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3
Q

What are 3 effects of increased surface tension?

A

decreased lung compliance
water accumulation in the lungs
collapse of small alveoli

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4
Q

How does surfactant reduce surface tension?

A

Surfactant is a mixture of lipids and proteins with polar and non-polar ends that insert into the water layer to distribute water molecules to diminish air-water interactions

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5
Q

How does an increase in radius affect resistance of airflow?

A

decreases resistance by r^4

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6
Q

What type of airflow does the majority of air have in the airways?

A

transitional flow (between laminar and turbulent flow)

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7
Q

How do chemical factors affect airway resistance?

A

chemical factors affect smooth muscle contraction/relaxation

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8
Q

What are 2 examples of bronchoconstrictors?

A

parasympathetic nervous system (acetylcholine)

histamine (asthma)

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9
Q

What are 3 examples of bronchodilators?

A

sympathetic nervous system (epinephrine, norepi etc)
agonists for beta adrenergic receptors (isoproteronol)
CO2 in bronchioles

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10
Q

What are the effects on lung volume with obstructive diseases?

A

higher lung volumes

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11
Q

What is dynamic airway collapse?

A

airway is open when Paw > Pip

airway is closed when Paw

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12
Q

Why do emphysema patients breathe through pursed lips during exhalation?

A

Trying to increase airway pressure to keep airways open

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13
Q

Since emphysemic sustain higher lung volumes, how do patients compensate during exhalation?

A

They use muscles involved in forced expiration thus leading to a positive pressure within the lung. A downfall of this compensation is that there is airway collapse due to reduced bronchiole wall integrity.

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14
Q

What is the PRIMARY problem of emphysema during quiet respiration?

A

reduced tendency of lungs to deflate

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