Unit 3 Pulmonary physiology Flashcards

(41 cards)

1
Q

What sets basic drive in brain stem

A

Respiratory neurons

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2
Q

What is ventilation of alveoli couples with

A

Perfusion of pulmonary capillaries

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3
Q

Where in the brain stem are respiratory centers located

A

Dorsal and Ventral medulla (pneumotaxis, Apneustic)

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4
Q

What influences the respiratory centers

A

Higher brain centers
Peripheral mechanoreceptors
Peripheral + Central chemoreceptors

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5
Q

What are the muscles of Inspiration

A
Diaphragm
External intercostals
SCM
ant + post sup Serratus
Scaleni
Levator costarum
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6
Q

What are the muscles of Expiration

A

Abdominals
Internal intercostals
post Inf serratus
Transverse thoracis

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7
Q

What is the job of muscles of inspiration

A

Increase thoracic cage volume

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8
Q

What keeps the lung inflated

A

Pleural pressure

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9
Q

What is pleural pressure

A

Neg pressure between parietal and visceral pleura

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10
Q

Alveolar pressure is _____ during inspiration

A

Subatmospheric

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11
Q

Alveolar pressure is _____ during expiration

A

Supra-atmospheric

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12
Q

What is used to measure the recoil tendency of the lung

A

Transpulmonary pressure

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13
Q

What is Transpulmonary pressure

A

Difference between alveolar P and Pleural P

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14
Q

When is Transpulmonary pressure at its highest

A

at the end of inspiration

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15
Q

What is the relation between Pleural pressure and lung volume at the onset of inspiration

A

Pleural pressure changes faster than lung volume

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16
Q

What is the measure of the lungs ability to stretch and expand

A

Compliance of the lung

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17
Q

What effect does the thoracic cage have on lung compliance

A

Reduces compliance by 1/2 at the end of a normal expiration

18
Q

When is lung compliance greatly reduced

A

at high or low lung volumes

19
Q

What accounts for most of the work done in breathing

A

Lung compliance

20
Q

How much energy is required for ventilation

A

3-5% of total body energy

21
Q

What is the name given for normal breathing

22
Q

What is Hyperpnea

A

increased depth of breathing

23
Q

What type of breathing is associated with an increase in metabolic demand

24
Q

What is Hyperventilation

A

Increased Rate, no change in depth of breathing

25
What is Hypoventilation
Decrease rate, no change in depth of breathing
26
What is Tachypnea
Increase Frequency of respiratory rate
27
What is Apnea
Absense of breathing
28
What is Dyspnea
Difficult or labored breathin
29
What is Orthopnea
Dyspnea when sitting, relieved when upright
30
What is Orthopnea an indicator for
Congestive heart failure, Asthma, Lung failure
31
What keeps lungs against the chest well and prevents it from collapsing
Negative pleural pressure (suction)
32
What are the forces acting on the lungs that make it want to collapse
Surface tension | Elastic fibers
33
What happens when the pleural space communicates with the atmosphere
The lungs will collapse
34
What can cause a lung to collapse
Puncture wound Erosion of VIsceral pleura Blocked airway = blood takes away all the trapped air
35
What provides lubrication between lung and pleura
Pleural fluid
36
What type of fluid is pleural fluid
Transudate
37
If there is excess pleural fluid, How is it removed
It is removed through lymphatics
38
What is pleural effusion
Collection of fluid in the pleural space (edema of pleural cavity
39
What causes pleural effusion
Blocked lymph drainage Cardiac failure Reduced Colloid pressure Infection/inflammation
40
What is the job of surfactant
Reduce surface tension forces by forming a layer between fluid on alveoli and air
41
What produces Surfactant
Type II alveolar epithelial cells