Week 1 L1 Flashcards

1
Q

What are the functions of the respiratory system?

A
  1. Transfer gases between air and the blood
  2. Regulation of the PH of the body
  3. Defense from inhaled pathogens
  4. vocalization
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the structures of the respiratory system?

A

Nasal cavity
Mouth
Larynx (sound)
Pharynx
vocal cords
Esophagus
Trachea
Bronchus
Bronchiole
Alveoli
Diaphragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Inspiration muscles

A

Sternocleiodo-mastoids
Scalenes
External intercostals lift ribs up and out
diaphragm lowers

all muscles active at breathing at rest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Muscles of expiration

A

Internal intercostals
Abdominal muscles

inactive when at rest
active when excersise
passive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a Pleural sac?

A

Its a membrane that enclose the lungs it made of liquid so that lung doesnt rub against ribs but also keeps it from sticking to lungs.
has negative pressure and sucks lungs in.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What happens to the air as it goes through the airway?

A
  1. warms to 37C
  2. Humidifies 100%
  3. Filtered (by nose and cilia)

It is impostant because it gets the air ready for alveoli and they are very small and fragile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How Cilia that line the airway filters the air?

A

Goblet cells secret mucus and the cilia from the epithilial cells transport the trapped particles on mucus towards pharynx.
eventually goes to esophagus and killed in stomach acid.
1.filtering action of the nose
2.Mucous and action of cilia lining the airways
3.antiboodies secreted into respiratory sufaces
4.Macrophages in respiratory tract and alveoli

Immune cells secret antibodies and disable pathogens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Bifurcation in airway

A

1st birunfication-> R and L Main Bronchi
2nd-4th birunfication-> Lobar Bronchi (Have cartillege to maintain shape)
5th-11th birunfication-> Segmental Bronchi
12th-16th birunfication-> terminal bronchioles (Have bronchiolar muscles so can change shape)

All conduct airways and NO GAS EXCHNAGE
CONSTITUTE AN ANATOMI

Functions to distrubute air to large surface ares of alveoli and LOWER AIR VELOSITY so more time to echange gases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What the region of gas exchange called and explain:

A

Called Primary Lobule
300 mill alveoli each 300mm diameter
Cross sectional area= huge 180cm2
air velocity =0
17-19-> a little of alveoli respiratory bronchioles
20-> alveolar ducts
21-23->alveolar sac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The Alveoli and their cells

A

Type 1 alveolar cells (large surface area)
Type 2 alveolar cells (produce surfactants to keep alveolar cells contact)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What type of gas exchange ahppens in alveoles?

A

Passive diffusion
(surfactat keeps it open)alveolar epithilium + fused basement membranes + edothilium =1.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Blood Transportation to and from the lungs

A
  1. High flow (10% of blood volume )
  2. Low presure (25/8) (normal=120/8)

right atrium (from lungs)->Heart (right ventricle) -> pulmonary trunk -> pulmonar artery (go to lungs) -> pulmenary artioles ->CAPILLARIES ->pulmonary venules -> pulmonary veins (gather blood from lungs) -> heart left atrium -> left ventricle -> aorta -> rest of body

function of lungs required right side of the heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pulmonary congestion in heart failure

A

Lungs become anemic
in heart failure pulmonary conjuestion can happen meaning because cardiac output of the left side drops right side become harder (hypertrophic) and at some point plasma goes in lungs and lungs get fluid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How do we measure lung function

A

Spirometer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Lung volumes

A

1.Vt= tidal volume 3-3.5 (normal quiet breathing)
2.IRV = Inspiratory reserve volume (beath in as much as you can )
3.ERV = Expiratory reserve volume (breath out as mcuh as you can)
4.RV= Residual volume (always present anatomical deadspace 1.5)
5.IC = Inspiratory capacity (Vt+IRV 3-6)
6.FRC = functional residual capacity = ERV+RV
7.VC= Vital capacity = (ERV+Vt+IRV or IC+ERV) (excersise 6-1.5)
8.TLC = Total lung capacity (everything )

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Obstructive lung disease

A

Asthma
RV is more
VC becomes less

17
Q

Inspiratory restrictive lung disease

A

pulmonary fibrosis -less compliant lung
low TLC
low IRV

18
Q

Expiratory restrictive lung disease

A

obesity
organ push diaphrasgm up
ERV low (when person laying down)
TLC lower

19
Q

Forced expiratory volume and vital capacity

A

One big breath in and out during a time
FEV=Volume of air forcefully exhaled in 1st second
FVC= volume of air forcefully exhaled
FEV=3.6
FVC=4.5
FEV/FVC=80%

20
Q

FEV and FVC in obstructive lung disease like asthma

A

Normal = FEV=4 FVC=5 =80%
Obstructive = FEV=1.3 FVC=3.1 =42%
low FEV= problem with air escaping at high velocity
low FVC= problem with air escaping at all points
IMPROVED BY BRONCHODILATORS

21
Q

FEV and FVC in restrictive lung disase fibrosis

A

low FEV= 2.8 lung damage
Low FVC=3.1 low complaiance =90%