The Respiratory System - Function & Control Flashcards

1
Q

What is the overall function of the respiratory system?

A

Exchange of O2 & CO2 between env & cells of body

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2
Q

What are the 4 major functions of the respiratory system?

A

-Pulmonary ventilation – inflow & outflow of air between atm & alveoli
-Diffusion of O2 & CO2 between alveoli & blood
-Transport of O2 & CO2 in the blood & body fluids (body cells need O2 for making ATP - cellular resp -need for tissues to function)
-Regulation of ventilation

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3
Q

What are the components of the upper respiratory system?

A

-Nose/nostrils
-Mouth
-Pharynx
-Larynx (voice box)

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4
Q

What are the components of the lower respiratory system?

A

-Larynx (below vocal folds)
-Trachea
-Bronchi
-Lungs

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5
Q

What occurs in the conducting zone (nose –> terminal bronchioles) - focus on nasal region most?

A

1 = Air is filtered, warmed (to 37oc) & humidified/moistened –> this conditioning of inspired air = for gas exchange to occur later

2 = Nose - filters, traps, clears particles bigger than 10um e.g., bact, pollen, viruses, dust - ps settle or caught on hairs & sticky mucus in nasal passages, trachea & bronchi
-Nasal resistance (due to hairs in nose & mucus) - inc w/ viral infections & inc airflow (e.g., exercise)
-Nasal secretions (1st line of defence) = immunoglobulins, inflamm cells, IFNs

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6
Q

Where does the 2nd line of defence come from (if 1st = mucus)?

A

Cilia - lining upper airways

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7
Q

What is the mucus ciliary escalator?

A

-Self-clearing mechanism of airways in resp system
-Removes inhaled particles e.g., pathogens before reach delicate lung tissue

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8
Q

Process of mucus ciliary escalator (MCE)?

A

-Mucus secreted by ep (goblet) cells & glands
-Cilia propel/sweep mucus towards trachea - rate = 1cm/min
-Pathogens are stuck in this mucus or caught in cilia
-WBCs in MCE - on airway surfaces & alveoli - phagocytose pathogens that may have entered resp system

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9
Q

What affect does smoking have on MCE?

A

Damages cilia lining airways - so mucus not expelled up = why get smoker’s cough

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10
Q

Lobes of lungs?

A

-Right = 3 = sup, middle, inf
-Left = 2 = sup, inf

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11
Q

How are lungs ventilated with air?

A

Air moves down tree like airways - which conduct air between atm & alveoli

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12
Q

Order of dividing trachea –> bronchi –> bronchioles –> alveoli?

A
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13
Q

What happens to surface area as get further down respiratory system?

A

SA increases - alveoli = huge SA for diffusion (gas exchange)

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14
Q

What makes up the respiratory zone, & what happens here?

A

Respiratory bronchioles –> alveoli - gas exchange occurs here

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15
Q

Pleura & pleural cavity structure?

A

-Parietal pleura = adheres to diaphragm and lining thoracic cavity (chest wall)
-Visceral pleura adheres to lungs
-Pleural cavity = small amount of fluid between pleurae (V & P)
-Pleural fluid = assists in breathing movements (creates surface tension) & acts as lubricant between pleural layers (prevents friction when move over each other)

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16
Q

What does gas exchange occur across?

A

Blood-air barrier (down a pressure gradient - high PO2 –> low PO2 - grad across resp system)

17
Q

What are alveoli, what are they the site of, what do they arise from, what do they branch into?

A

-Basic functional units of lungs = acinus (clusters of alveoli)
-Site of gas exchange
-Come from single respiratory bronchioles
-Stem of bunch branches further = roughly 100 alveolar ducts (connect respiratory bronchioles to alveolar sacs)

18
Q

What surrounds alveoli?

A

Capillary beds - to help facilitate gas exchange

19
Q

Histology of alveoli walls - cell types & their roles?

A

-Type 1 pneumocytes cells = ep cells that gives structural support to alveoli
-Type 2 pneumocyte cells = secrete surfactant —> stops alveoli collapsing in

20
Q

What is the epithelium of alveoli, & why?

A

Simple squamous epithelium (type 1 pneumocytes cells) –> as is thin - short pathway for diffusion
-Type 1 = perimeter barrier between alveoli & blood capillary

21
Q

Role of surfactant (secreted by type 2 pneumocyte cells)?

A

-Surfactant = forms lipid rich film covering alveolar surface - reduces surface tension of alveolar fluid @ air/liquid interface
—> prevents alveoli from collapsing inwards
-Made of = phospholipids & lipoproteins

22
Q

How is respiration controlled & what is this an example of?

A

-Central chemoreceptors
-Peripheral chemoreceptors
-Lung receptors
–> via -ve control mechanism to control blood gas tensions
-Chemorecs sense gas tension values

23
Q

What are chemoreceptors?

A

Specialised tissue - respond to changes in chemical composition of blood/or other fluids

24
Q

Where are central chemoreceptors found & what do they detect?

A

-In medulla oblongata (CNS)​
-Detects changes in pH linked to PCO2 in cerebrospinal fluid i.e., pH

25
Q

Explain how pH is governed by CO2 in cerebrospinal fluid (CSF)?

A

pH of CSF​
Regulated pCO2 : [HCO3–]​
–> because CO2 + H20 = H2CO3 splits into: H+ + HCO3- (lowers pH)​
HCO3- = acidic – lowers pH​
As blood-brain barrier = permeable to CO2 but not to H+ or HCO3- –> so H+ & HCO3- cannot diffuse

26
Q

What is the blood-brain barrier permeable to & impermeable to?

A

-Permeable to = CO2 (diffuses readily - to activate central chemoreceptors)
-Impermeable to = H+ & HCO3-

27
Q

Explain how central chemoreceptors respond to high PCO2?

A

-PCO2 increase in CSF (as blood-brain barrier = permeable to CO2 – diffuses readily) = pH decreases​
-Activates central chemoreceptors​
-Release of neurotransmitters – sent to respiratory centres to inc rate & depth of ventilation (as chemoreceptors directly synapse with respiratory centres) - i.e., inc ventilation​
-More CO2 exhaled, so pCO2 decreases – returns to optimal level

28
Q

Where are peripheral chemoreceptors & what do they detect?

A

-In aortic bodies on aortic arch & carotid bodies of common carotid arteries (where common carotid artery bifurcates)​
-Detects changes in pH, PO2 & PCO2 (so respond to dec in PO2 & inc in H+ & inc PCO2 in arterial blood)
–> MAINLY DETECT DEC IN PO2!!!

29
Q

Explain how peripheral chemoreceptors respond to low O2?

A

-Low PO2 of arterial blood (hypoxia)​
-Detected by ​peripheral chemoreceptors
-Afferent impulses sent along glossopharyngeal & vagus nerves - to medulla oblongata & the pons in brainstem = to stimulate respiratory centre​
-Inc rate & depth of ventilation - i.e., inc ventilation​
-Peripheral chemorecs = close to barrow rec in aortic arch (detect BP) - set respiratory pace

30
Q

What is hypoxia?

A

Low PO2 in blood

31
Q

Why is pH important?

A

Important in metabolic acidosis

32
Q

Outline how a glomus cell responds.

A

-Ca2+ closed (inactive)
-K+ channels open
-K+ into cell = depolarisation
-Causes Ca2+ channels to open = Ca2+ enters cell
-Causes release of neurotransmitters (exocytosis)
-Neurotransmitters signal to sensory neurones = to inc ventilation

33
Q

When are glomus cells activated?

A

-Decreased PO2
-Increased PCO2 OR pH