Ventilation and Airflow Flashcards

1
Q

What is the difference between internal and external respiration?

A
  • INTERNAL - Energy production as ATP
  • EXTERNAL - Receiving oxygen from atmosphere, removal of CO2
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2
Q

What are the 4 stages of external respiration?

A
  • VENTILATION (INHALATION OF OXYGEN, EXHALATION OF CO2)
  • ALVEOLAR GAS EXCHANGE
  • GAS TRANSPORT BETWEEN LUNG AND TISSUES
  • GAS EXCHANGE BETWEEN BLOOD AND TISSUES
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3
Q

What does Boyle’s Law state?

A
  • Pressure inversely proportional to volume
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4
Q

What would occur if the volume of a container containing gaseous particles, is reduced?

A
  • Greater collision of particles with vessel wall
  • Greater pressure
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5
Q

Describe how Boyle’s Law is applied in ventilation.

A
  • When lungs relaxed, alveolar pressure = atmospheric pressure
  • During inspiration, lung volume increases. Pressure decreases
  • Alveolar pressure > atmospheric pressure. Air moves down pressure gradient
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6
Q

What occurs when the intercostal muscles and diaphragm contract?

A
  • INTERCOSTAL - lifting of ribcage. Expansion of thoracic cavity
  • DIAPHRAGM - lower portion of thoracic cavity pulled down
  • Increased thoracic cavity volume - causes increase in lung volume (lungs adhered to inner thoracic wall). Pressure decreases.
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7
Q

Describe expiration.

A
  • Passive process
  • Relaxation of intercostal and diaphragm muscles
  • Increased alveolar pressure. Expulsion of air
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8
Q

Describe the following ventilation volumes:
- TIDAL VOLUME
- INSPIRATORY RESERVE VOLUME
- EXPIRATORY VOLUME VOLUME
- RESIDUAL VOLUME

A
  • Volume of air entering with each breath
  • Extra volume that can be inspired/expired above tidal volume
  • Air remaining in lungs following maximal exhalation - prevents lung collapse
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9
Q

The alveolar linings are covered in water. What problems can this cause and what is the main mechanism that prevents these problems?

A
  • During expiration, as alveoli relax, polar water molecules attracted to one another
  • Can cause alveolar collapse
  • Prevented by surfactant from type II pneumocytes
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9
Q

Define the following lung capacities:
- INSPIRATORY CAPACITY
- FUNCTIONAL RESIDUAL CAPACITY
- VITAL CAPACITY
- TOTAL LUNG CAPACITY

A
  • Tidal volume + IRV
  • ERV + RV - Volume remaining after normal expiration
  • IRV + TV + ERV - Maximal exhalation following maximal inhalation
  • Sum of all volumes.
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10
Q

How does surfactant work?

A

Reduces surface tension of water
- Prevents alveolar collapse

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11
Q

Describe neonatal respiratory distress syndrome.

A
  • Reduced or no surfactant production in neonates
  • More prone to alveolar collapse
  • Provided with artificial surfactant
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12
Q

What factors is airflow directly and inversely proportional to?

A
  • DIRECTLY - Pressure gradient and airway radius(clinically most important)
  • INVERSELY - Viscosity and airway length
  • REVERSE for resistance to airflow (i.e airway length directly proportional/radius inversely pproportional)
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13
Q

Outline Poiseuille’s Law.

A

𝑅= 8𝐿𝜂/(𝜋𝑟^4 )

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14
Q

What is the effect of the beta-2 receptors on the smooth muscle of airway bronchioles?

A

BRONCHIOLE DILATION
- Smooth muscle relaxation
- Clinical target for drugs such as salbutamol

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15
Q

Is human airway smooth muscle sympathetically innervated?

A

No
- Respond to circulating catecholamines from adrenal glands

16
Q

What is the biggest determinant of bronchial smooth muscle tone and how does it work?

A

PARASYMPATHETIC INNERVATION (via the vagus nerve)
- ACh binds to M3 receptor
- Smooth muscle contraction
- Bronchiole constriction

17
Q

What happens to resistance to airflow down the bronchial tree and how?

A

DECREASES
- Diameter of airway generations decrease
- Increase in total cross sectional area

18
Q

Describe the elements of the bronchial tree.

A
  • CONDUCTING ZONE - AREAS 0 to 16. Trachea to terminal bronchioles
  • RESPIRATORY ZONE - Areas 17 to 23. Respiratory bronchioles to alveolar sacs.