The work of breathing Flashcards

1
Q

What is atm in reality and regarded as

A

Reality is 110kPA
We regard it as 0 when looking at movement of air in
+ out of lungs

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2
Q

Boyles law uses what kind of system

A

Closed system assuming that temp and amount of Gas molecules are kept constant

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3
Q

Inhalation

A
  • Lung volume is increasing
  • Pressure inside the lungs is
    decreasing
  • Pressure outside the lung is now
    greater than inside, so air
    rushes in
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4
Q

Exhalation

A
  • Lung volume is decreasing
  • Pressure inside the lungs is
    increasing
  • Pressure outside the lung is now
    lower than inside, so air rushes
    out
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5
Q

Two forces that need to be overcome to breathe

A
  • Stiffness of the lungs
  • Resistance of the airways to the lungs
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6
Q

Stiffness of the lungs

A
  • Lungs must expand to take in air
  • How compliant are the lungs?
  • Surface tension holds lungs in place
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7
Q

Resistance of the airways to the lungs

A
  • Need to move the air from outside to the
    alveoli
  • How much resistance is the respiratory tract
    putting on the movement of air?
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8
Q

What is a low compliance lung

A

Lots of elastic tissue = less stretch

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9
Q

What is lung compliance?

A

The amount of E/P needed to inflate lungs by a certain volume

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10
Q

Key characteristic of pulmonary fibrosis

A

The deposition of fibrotic tissue on the walls of the alveoli
- Needs more P to take the same amount of air as a normal person hence easier to take quick shallow breaths

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11
Q

What is surface tension?

A

tendency of a fluid surface to occupy the
smallest possible surface area

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12
Q

How is there surface tension in the lungs?

A

Fluid lines the walls of the alveoli and due to cohesion forces between the fluid molecules, it cause the alveoli to collapse

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13
Q

How can ST be overcome

A

Surfactant i.e phospholipids

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14
Q

What is phospholipids made by

A

Alveolar T2 pneumocytes

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15
Q

What does the surfactant in the lungs do?

A

-Forms a thin film on the surface of the alveolar cells
- Reduces cohesive forces between
fluid molecules lining alveoli and hence prevents the lungs from collapsing
- Easier to increase lung size i.e.
increased compliance

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16
Q

Why do premature infants have an increased risk of RDS

A

They do not produce surfactant

17
Q

Where are the T2 pneumocytes found?

A

These large cells are found in between the smaller T1 epithelial alveolar cells

18
Q

What causes mechanical resistance for the air as it moves through the airways

A

Friction exerted by the rapid branching of the alveoli from the 1st bronchii

19
Q

Resistance to air flow in the lung system is through…

A

The bronchial radius

20
Q

Where does most of the air resistance occur?

A

1st 6 generations of branching and mostly in the broncii

21
Q

What is tidal volume?

A

Volume of air moved in and out during normal quiet breath

22
Q

Inspiratory reserve volume (IRV)

A

Extra volume that can be inhaled over and above the tidal
volume

23
Q

Expiratory reserve volume (ERV)

A

Extra volume that can be exhaled voluntarily after completion
of a normal, quiet respiratory cycle

24
Q

Residual volume

A

Volume remaining in lungs after maximal exhalation

25
Q

Minimal volume

A

Volume remaining in lungs if they collapsed

26
Q

Vital capacity

A

Inspiratory reserve + Expiratory reserve + Tidal volume
Volume of air that can be moved in and out of your lungs

27
Q

Total lung capacity

A

Vital capacity + Residual volume
Total volume in lungs when it is filled to max

28
Q

Inspiratory capacity

A

Inspiratory reserve + Tidal volume
Total volume of air that can be inspired from rest

29
Q

Functional residual capacity

A

Expiratory reserve + Residual volume
Volume remaining in lungs after normal exhalation

30
Q

Forced expiratory volume in one second FEV1

A

How much of the forced vital capacity (FVC) comes out in first
second

31
Q

FEV1/FVC ratio

A

 Normal ~ 80%
 < 0.70 indicates airways obstruction = increased airway resistance

32
Q

Difference between obstructive and restrictive

A

Restrictive: the lung capacity is reduced but the lung is patent so wont necessarily have reduced FEV

Obstructive has dramatically reduced FEV due to obstruction in the airways