the respiratory system Flashcards
respiration has multiple meanings:
cellular respiration (intracellular reaction producing ATP) and external respiration (movement of gases between the environment and body cells)
external respiration involves four processes
- exchange of air between the atmosphere and lungs (ventilation), including inspiration (inhalation) and expiration (exhalation).
- exchange of O2 and CO2 between lungs and blood
- Transport of O2 and CO2
- Exchange of gases between blood and cells
external respiration requires coordination between
the respiratory and cardiovascular systems
the respiratory system includes
- conducting system of airways leading to the lungs
- alveoli and pulmonary capillaries for gas exchange
- bones and muscles of the thorax and abdomen aiding in ventilation
the respiratory system is divided into
upper respiratory tract: mouth, nasal cavity, pharynx and larynx
lower respiratory tract: trachea, primary bronchi, their branches and lungs (thoracic portion)
the thorax is enclosed by the
spine, rib cage, and associated muscles, collectively known as the thoracic cage
the chest wall is composed of
the ribs, and spine, forms the sides and top of the thoracic cage, while the diaphragm forms the floor.
the diaphragm is
a dome shaped sheet of skeletal muscle
two sets of intercostal muscles, internal and external
connect the 12 pairs of ribs
additional muscles, the sternocleidomastoids and the scalenes extend from
the head and neck to the sternum and the first two ribs
the thorax functions as a sealed container with three membranous sacs
the pericardial sac (containing the heart) and two pleural sacs (each surrounding a lung)
the esophagus, thoracic blood vessels and nerves pass
between the pleural sacs.
the lungs are light, spongy organs primarily filled with
air spaces and nearly fill the thoracic cavity, resting on the diaphragm
the bronchi are semi-rigid airways that connect the lungs to the
trachea
each lung is encased in a
double walled pleural sac, with membranes lining the thorax and covering the lung surface
the pleural membranes contain elastic connective tissue and numerous capillaries, held together by a
thin film of pleural fluid
pleural fluid
creates a moist, slippery surface for membrane movement and holds the lungs against the thoracic wall
the fluid bond between pleural membranes keeps the lungs partially
inflated and adhered to the thoracic cage, even at rest
air enter the upper respiratory tract through the mouth and nose, passing into the
pharynx, which serves as a common passageways for foods, liquids, and air
from the pharynx, air flows through the larynx into the trachea
the larynx contains vocal cords that create sound by vibrating as air moves past them.
the trachea is a
semi-flexible tube supported by 15 to 20 C shaped cartilage rings and extends into the thorax, where it branches into a pair of primary bronchi, one for each lung
within the lungs, the bronchi branch repeatedly into
smaller bronchi, which are also semirigid tubes supported by cartilage
the smallest bronchi branch into bronchioles which are
small collapsible passageways with walls of smooth muscle. these continue to branch until they from respiratory bronchioles, transitioning ot the exchange epithelium of the lung
the diameter of the airways decrease from the trachea to the bronchioles, but the number of airways increase geometrically, resulting in an
increased total cross sectional area with each division
the total cross sectional area is the lowest in the upper respiratory tract and greatest in the
bronchioles, similar to the increase in cross sectional area from the aorta to the capillaries in the circulatory system
the velocity of air flow is inversely proportional to the total cross-sectional area of the airways,
meaning it is the greatest in the upper airways and slowest in the terminal bronchioles
the upper airways and bronchi condition air it reaches the alveoli by
warming it to body temperature (37°C), adding water vapor to achieve 100% humidity, and filtering out of foreign material
breathing through the nose is more effective at warming and moistening air than
breathing through the moth, which can cause chest discomfort in cold weather
air filtration occurs in the trachea and bronchi, which are lined with
ciliated epithelium. The cilia are bathed in watery saline layer produced by epithelial cells
the saline layer is created when Cl- is secreted into the lumen by
apical anion channels, drawing Na+ into the lumen through the paracellular pathway, creating an osmotic gradient that pulls water into the airways
the CFTR channel, an anion channel on the apical surface of the epithelium is crucial for this process
malfunction of this CFTR channel causes cystic fibrosis
the mucociliary escalator is a mechanism where a sticky mucus layer traps
inhaled particles larger than 2 macrometers, and cilia move the mucus toward the pharynx
mucus contains immunoglobulins that disable
pathogens and can be expectorated or swallowed with stomach acid and enzymes destroying remaining microorganisms
a watery saline layer beneath the mucus is essential for the
mucociliary escalator’s function
in cystic fibrosis, inadequate ion secretion reduces fluid movement, trapping
cilia in thick mucus, preventing clearance and leading to recurrent lung infections
alveoli
are air filled sacs at the ends of terminal bronchioles, primarily responsible for gas exchange with the blood
alveoli are composed of a
single layer of epithelium, with two types of epithelial cells: type I and type II
type 1 alveolar cells cover about
95% of the alveolar surface area and are very thin to facilitate rapid gas diffusion
type II alveolar cells are
smaller, thicker, and produce surfactant, which helps the lungs expand during breathing and minimizes fluid in the alveoli by transporting solutes and water out
alveoli walls lack muscle fibers to avoid obstructing
gas exchange, but connective tissue with elastin and collagen fibers provides elastic recoil
the extensive network of capillaries around the alveoli highlights
the close relationship between the respiratory and cardiovascular systems, with blood vessels occupying 80%-90% of the space between alveoli for efficient gas exchange
the pulmonary circulation starts with the
pulmonary trunk, which carries low oxygen blood from the right ventricle and splits into two pulmonary arteries, each going to a lung
oxygenated blood returns from the lungs to the
left atrium via the pulmonary veins
pulmonary circulation hold about 0.5 liters of blood,
or 10% of the total blood volume, with 75mL in the capillaries where gas exchange occurs
the lungs receive the entire cardiac output of the right ventricle, which is 5L/min, resulting
in a higher blood flow rate through the lungs compared to other tissues
despite the high flow rate, pulmonary blood pressure is low
averaging 25/8 mmHg compared to systemic pressure of 120/80 mmHg
the right ventricle pumps with less force due to the
low resistance in pulmonary circulation, which is attributed to the shorter length of pulmonary vessels, their distensibility and large cross sectional area of pulmonary arterioles
net hydrostatic pressure in pulmonary capillaries is
low, minimizing fluid filtration into the interstitial space
the lymphatic system effectively removes
filtered fluid, keeping lung interstitial fluid volume minimal
the short distance between the alveolar air space and the capillary endothelium allows
for rapid gas diffusion
respiratory air flow and blood flow are similar because both involve
the movement of fluid, but differ as blood is non-compressible liquid and air is a compressible gas
gas laws govern the behavior of gases in air, which is crucial fro the exchange of
air between the atmosphere and the alveoli
blood pressure and environmental air pressure are reported in millimeters of mercury
respiratory physiologists may also use centimeters of water or kiloPascals for gas pressures
conversion factors:
1 mmHg = 1.36cm H2O
760 mmHg = 101.325 kPa
at sea level, normal atmospheric pressure is 760mmHg but it is often
designated as 0 mmHg to simplify comparisons of pressure differences during ventilation, regardless of attitude
the atmosphere is a mixture of
gases and water vapor
dalton’s law states that
the total pressure of a gas mixture is the sum of the pressures of the individual gases
in dry air, at 760 mmHg, 78% of the pressure is due to
N2 and 21% is due to O2
the partial pressure of a gas (Pgas) is
the pressure exerted by that gas in a mixture
partial pressure is determined by
the gas’s relative abundance and is independent of molecular size of mass
water vapor in the air affect the partial pressures of other gases by
diluting their contribution to the total pressure
air flow occurs due to
pressure gradients, moving from areas of higher pressure to areas of lower pressure
in ventilation, air moves between the external environment and the lungs down pressure gradients created by
thoracic movements during breathing
diffusion of gases occurs down concentration (partial pressure) gradients, with oxygen moving from areas of
higher partial pressure (PO2) to areas of lower partial pressure
this diffusion is crucial for the exchange of oxygen and carbon dioxide between
alveoli and blood and from blood to cells
gas pressure in a sealed container is due to
collisions of gas molecules with the container walls and each other
reducing the container size increases
collision frequency and pressure
boyle’s law describes the inverse relationship between
pressure and volume: P1V1=P2V2
in the respiratory system, changes in chest cavity volume during ventilation create
pressure gradients that drive airflow
increased chest volume lowers alveolar pressure causing
air to flow into the lungs
decreased chest volume raises alveolar pressure causing
air to flow out of the lungs
air movement in the respiratory system is
bulk flow, involving the entire gas mixture
a single respiratory cycle includes
one inspiration (inhalation) followed by one expiration (exhalation)
pulmonary function is assessed by measuring
the volume of air moved during quiet and maximum effort breathing