week 4: pulmonary response to exercise Flashcards

1
Q

four key components of external respiration

A

air moves from atmosphere to lungs
gas exchange between lung and blood
O2 and CO2 transported in blood
gas exchange: systemic tissue and blood

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2
Q

internal resp

A

O2 utilised in mitochondria to generate ATP to enable muscular contraction

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3
Q

external resp=

A

internal resp

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4
Q

upper airway function

A

warms air
moistens and filters air as it passes through the mouth and naval passages

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5
Q

lower airway tract function

A

air passes through trachea
traves to a lung via a bronchi
passes through many bronchioles to alveoli

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6
Q

where does gas exchange take place

A

alveoli

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7
Q

can divide respiratory tract into

A

conducting zone
respiratory zone

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8
Q

conducting zone airways

A

trachea
bronchi
bronchioles
terminal bronchioles

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9
Q

respiratory zone airways

A

respiratory bronchioles
alveolar ducts
alveolar sacs

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10
Q

respiratory muscles divided into

A

inspiratory
expiatory

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11
Q

primary muscle of inspiration

A

diaphragm- highly oxidative domed shape muscle

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12
Q

what does the diaphragm seperate

A

thoracic cavity from abdominal cavity

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13
Q

accessory inspiratory muscles

A

scalenes
pectoralis minor
sternocleidomastoid

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14
Q

other primary inspiratory muscles

A

intercoastal muscles

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15
Q

at rest muscles of expiration

A

no muscular contraction
as it is driven by elastic recoil of thoracic wall

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16
Q

as ventilation rate increases,

A

expiratory muscles are recruited

abdominal wall muscles:
rectus abdominus
internal abdominal oblique
transverse abdominis
external abdominal oblique

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17
Q

pulmonary ventilation

A

mechanical process that allows the flow of air between the atmosphere and the lungs and occurs due to differences in pressure

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18
Q

at rest

A

pressure outside the lungs and pressure inside lung equal- no flow of air form atmoshphere to air or vise versa

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19
Q

inhalation pressure changes

A

diaphragm contracts- pulling downwards, increasing vol of chest
intercoastal muscle contract- expanding ribcage
pressure inside chest lowered

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20
Q

when air pressure in chest is lowered

A

air moves from atmosphere into chest

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21
Q

Boyle’s law

A

pressure and volume of a gas have an inverse relationship

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22
Q

exhalation pressure changes

A

intercostal muscles relax-ribcage drops inwards and downwards
diaphragm relaxes - moves back upwards
decrease vol in chest

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23
Q

decrease in alveoli vol and increase in alveoli pressure

A

air moves from lung to atmophere

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24
Q

difference between capacities and volumes

A

capacities are the summation of volumes

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25
tidal volume
amount of air that moves in or out of lungs with each respiratory cycle normal breathing sat at rest
26
inspiratory reserve volume - IRV
the extra volume of air that can be inspired with maximal effort after reaching the end of a normal, quiet inspiration
27
expiratory reserve volume- ERV
the extra volume of air that can be expired with maximum effort beyond the level reached by a normal quiet expiration
28
why can we not completely empty lungs
to maintain pressure and avoid lobes of lungs collapsing
29
residual volume
amount left in lungs after complete expiration
30
inspiratory capacity
normal tidal vol + inspiratory reserve vol
31
functional residual capacity
expiratory reserve vol + residual col
32
vital capacity
maximum amount of air we can expire after maximum inspiration (important for lung function)
33
total lung capacity
all volumes and capacitys
34
predicted lung vols and capacities based on
sex age stature
35
can predict
forced via capacity in litres - FVC forced expiratory volume in the first second in litres per second- FEV1
36
stature measurment
stature in meters
37
minute ventilation- VE
refers to the total amount of air that flows into or out of the lungs per minute tidal vol x breaths per min
38
average respiratory rate at rest
12 breaths per min
39
average tidal vol
500ml per breath
40
average VE
6L per minute
41
why is it important to differentiate between minute and alveoli ventilation
only a proportion of air that is breathed in participates in gas exchange- remaining air fills trachea, bronchi and bronchioles (dead space)
42
respiratory responses to exercise
1. ensures arterial PO2 is well maintained for exercising muscles 2. eliminates metabolic and non-metabolic C02 ( in order to maintain arterial PCO2) 3. assist with maintaining acid-base balance of blood
43
what does gas diffuse down
its partial pressure grad from high to low
44
pp of O2 in atmosphere at sea lelvel
160mmHg
45
partial pressure of CO2 in atmosphere at sea level
0.3mmHg
46
partial pressure of gasses in lung
PAO2: 100mmHg PACO2: 40mmHg
47
sig decrease P02 sig increase pCO2 why
never completly empty lung (residual vol) gas from atmosphere mixes with residual volume
48
interstitial fluid surrounding capillaries
lower because cells are respiring to consume oxygen cells produce carbon dioxide depends on metbailic activity in cell
49
in the pulmonary capillaries
02 diffuses from alveolar air to blood in pulmonary capillaries binds to haemoglobin
50
systemic capillaries
dissociation of oxygen from haemoglobin oxygen diffuses from blood into tissue
51
haemoglobin- oxygen dissociation curve shifts to the right when
decreased affinity of oxygen and haemoglobin hgiher PO2 required to acheive any given level of saturation
52
rightward shift indicates
oxygen unloaded more easily makes it more available to metabolically active tissue
53
decrease in pH and increase in body temp facilitates
unloading of oxygen from Hb into working muscle
54
how is metabolic CO2 produced
oxidative breakdown of macronutrients for ATP production
55
why does metabolic CO2 need to be removed by the respiratory system during exercise
to maintain PCO2
56
CO2 action at systemic capillaries
CO2 produced in tissues diffuses in red blood cells
57
what does an increased PCO2 in red blood cells cause
majority of carbon dioxide molecules converted to bicarbonate some bind to Hb some dissolve in blood
58
bicarbonate action
transported out of rbc into plasma H+ ions buffered by binding to haemoglobin
59
CO2 movement at lungs
CO2 diffuses from blood (pulmonary vein) to alveolar air decreases PCO2 in blood
60
what happens as PCO2 of red blood cells decreases
-bicarbonate enters rbc -H+ ions released form haemoglobin -H+ and bicarbonate converted to CO2 -diffuses into alveoli expired from lung
61
what is respiratory system controlled by
autonomic nervous system
62
respiratory control centre includes
medulla oblongata pons in brain-breathing control cnetres
63
what type of feedback loop is ventilation
negative
64
central chemoreceptors
located in medulla detect change in PCO2
65
CHEMORECEPTORS
highly specialised cells responsible for acquiring information about chemical environment convey info to neurons (control centre)
66
peripheral chemoreceptors
located in carotid and aortic bodies detect change in PO2 PCO2 and H+
67
when chemoreceptors feed back to brainstem and respiratory centers
feed forward to breathing muscles to increase/ decrease rate and force of contraction according to metabolic demand increase/ decrease alveolar ventilation rate changes blood pH, PaCO2, PaO2 then detected by chemoreceptors again (loop)
68
exercise hypernoea
increase rate and depth of breathing in response to exercise intensity
69
two ways to increase minute ventilation
increase tidal vol increase breathing freq
70