Week 5 - Respiratory system Flashcards

1
Q

Respiratory system - functions

A

Process that provides body cells w/ OXYGEN & removes waste product CO2: PULMONARY VENTILATION (air in and out), GAS EXCHANGE (gas betw: lungs & blood), GAS TRANSPORT, TISSUE & GAS EXCHANGE (gas betw: blood & tissues) → serve to maintain homeostasis:

  • speech & sound productions
  • neurons for sense of smell
  • pressure change, thoracic assist w/ flow of venous blood
  • maintaining acid-base balance
  • synthesize an enzyme involved w/ prod. of ANGIOTENSIN → MAINTAINS BP
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2
Q

respiratory system - classification

A

Upper: passageways from nasal cavity to larynx
Lower: trachea to respiratory tract’s terminal structures (LUNGS + ALVEOLI)
Conducting zone: air is filtered, warmed & moistened inc, structures from nose cavity to bronchioles
Respiratory zone: where gas exchange occurs: contain alveoli

The structure of the epithelium changes along the respiratory tract from quite rough to withstand abrasion to delicate & simple where gas exc occurs

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3
Q

Alveoli

A

TYPE I: 90% of cells in alveolar wall, very thin → allows for RAPID diffusion of gases → huge surface area; inc gas exc efficiency
TYPE II: 10% of the cells - synthesis of SURFACTANT → reduces surface tensions on alveoli
ALVEOLAR MACROPHAGES: mobile phagocutes derived from bone marrow; clean up & digest derbris that made its way into alveolus

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4
Q

Alveoli - surface tension

A

Creates surface tension at gas water boundary. greatest when alveoli are at smallest diametre during expiration

  • SURFACTANT produced by type II, is a component of a liquid film coating cells of the alveolusl opposes surface tensions collapsing force →like a detergent
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5
Q

Lungs & pleura

A
  • each lung is found within a PLEURAL CAVITY
  • PARIETAL PLEURA: outer layer of serous membrane; fused to ribcage, diaphragm
  • at hilum parietal pleura turns over on itself to create inner layer of membrane →VISCERAL PLEURA
  • visceral layer is continuous w/ surface of lungs
  • pleural membrane secrete a thin layer of SEROUS FLUID of 10 called PLEURAL FLUID → lubricates lungs
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6
Q

pulmonary ventilation

A
  1. BETWEEN BREATHS: lung pressure is equal to atm press. causes= no movement of air betw lungs & atmosphere
  2. INSPIRATION : DIAPHRAGM & INTERCOSTALS CONTRACT: inc lung vol = dec. lung pressure: pressure lower than atmos press → cause air to enter lungs
  3. EXPIRATION: DIAPHRAGM & INTERCOSTALS RELAX: dec. lung vol = dec,.lung press. pressure higher than atm press. causes air to leave lungs
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7
Q

inspiration

A
  • volume changes rely on skeletal muscle of thoracic cavity called INSPIRATORY MUSCLES: diaphragm & intercostals
  • as thoracic cavity expands →pulls of parietal pleura → pulls on visceral pleura →pulls lungs outward → inc.volume
  • inflation aided by warming of inhaled air.
  • 500ml of air flows w/ a quiet breath
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8
Q

expiration

A
  • normal expiration is mostly passive
  • RECOIL: of elastic tissues and diaphragm relaxation together dec, lung vol & raise INTERPULMONARY PRESSURE above atmospheric pressure → air flows out
  • accessory muscles, intercostals & abdominal muscles →forceful
  • HEIMLICH MANEUVER: delivering abdominal thrusts that push up diaphragm → for people choking
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9
Q

pulmonary ventilation - pressures

A
  • ATM PRESS: generated by pull of gravity on air around us, at sealevel atm press is 760 mmHg
  • INTRAPULMONARY PRESS: air pressure within ALVEOLI rises and falls w/ inspiration & expiration always equalise w/ atmospheric pressure @ equilibrium
  • INTRAPLEURAL PRESS: pressure in pleural cavity; also rises & falls w/ in & expiration; NEVER equalises w/ atm press.
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10
Q

pulmonary volume

A
  • measuring volumes of air a person exchanges w/ each breath
  • SPIROMETRE: produces a graph that records normal & forced in &exhilation
  • TIDAL VOL (VT) amount of air in or expired during normal quiet ventilation (500ml)
  • INSPIRATORY RESERVE VOL. (IRV): VOL OF AIR THAT CAN BE FORCIBLY INSPIRED AFTER NORMALirv (2100-3300Ml)
  • expirature reserve
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11
Q

pulmonary capacity

A

Two or more pulmonary volumes can be combined to calculate four pulmonary capacities

  • INSPIRATORY: TV +IRV
  • FUNCTIONAL RISIDUAL VOL: ERV+RV → after tidal
  • VITAL CAPACITY: TV+IRV+ ERV
  • TOTAL LUNG CAPACITY (TLC): IRV+ TV+ ERv+ RV
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12
Q

minute ventilation

A
  • VT x repiratory rate at rest (500x12-6/L/min), Max: 125 to 170L/min

Alveolar ventilation < minute ventilation
- some air never reaches alveoli
(VT - anatomic dead space) x respiratory rate
- (500-150) x 12 = 4200 mL/min or 4.2 L/min

FORCED EXPIRATORY VOL (FEV)

  • % of vital capacity exhaled/ time
  • healthy adult - 75 to 85% 1sec
  • diagnostic tool
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13
Q

daltons law

A

LAW OF PARTIAL PRESSURE
- each gas in a mixture exerts its own pressure, called PARTIAL PRESSURE (Pgas), total press. of a gas mixture is sum of PP of all component gas

PN2+PO2+PCO2+Pothers = atm press.

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14
Q

henry’s law

A

Degree to which a gas dissolves in a liquid is proportional to both its partial press. & solubility in liquid explains behaviour of gases in air that come into contact w/ water in body

  • NITROGEN: high Pgas solubility-low →little in blood plasma
  • OXYGEN: low Pgas more solubule water than N
  • CARBON DIOXIDE: lowest Pgas soluble in water (20x than O2)
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15
Q

gas exchange - pulmonary

A
  • diffusion of gases betw. alveoli & blood in pulmonary capillaries
  • O2 diffuses from alveoli to blood
  • CO2 simultaneously diffuses in the opp. direction
  • pulmonary gas exc. driven by pressure gradients
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16
Q

gas transport - oxygen

A

conc in arterial blood: 20ml of O2 in 100mil of bood when leaving alveolar capillaries

  • 98.5% bound to haemoglobin
  • 1.5% dissolved

haemoglobin saturation depends on Pgas of O2 in lungs & tissues. tightness (Affinity) w/ which Hb binds to O2

17
Q

gas transport - carbon dioxide

A

Waste product, transported back into lungs in blood; dissolves in plasma, bound to Hb , as bicarbonate ions
- 7-10% of total CO2 dissolved in blood plasma
20% bound to Hb
70% as bicarbonate → important to blood pH homeostasis

  • carries -ve charge counteracted by chloride shift REVERSE REACTION IN CAPILLARIES
  • carbonic acid reformed in erythrocyte from H2CO2 into H2O& CO2
  • CO2 is free to diffuse out of pulmonary capillary into alveoli along pressure gradient.
18
Q

Factors changing affinity of Hb for oxygen by altering shape

A
  • inc. TEMPERATURE decreases Hb’s affinity for O2
  • BOHR EFFECT: when acidity & PCO2 inc → Hb binds oxygen less strongly so more oxygen is unloaded
  • BPG (2,3-BISPHOSPHOGLYCERATE) made by erythrocytes as a side reaction of glycolysis →erythrocydes produce greater amounts of BPG when Hb is less saturated w/ O2
19
Q

breathing control

A
  • Neurons in MEDULLA OBLONGATA & PONS control unconcious breathing → repiratory rhythmicity centres in medulla
  • central & peripheral chemoreceptors = specialised cells detect & monitor Co2 leves, H+ & O2 in body
  • coluntary conc. produced by cerebral motor cortex
20
Q

chemoreceptors

A

CENTRAL CHEMORECEPTORS - initiate a feedback loop cycle by detecting changes in CO2 & H+ conc by monitoring H+ levels in CSF

ALTERATIONS OF ARTERIAL PCO2 - most powerful stimulus that induces a classic negative FB loop recponses from the CC

  • HIGH PCO2 or H+ conc trigger HYPERVENTILATION, lowers CO2 & H+ →restoring homeostasis
  • LOW PCO2 & H+ conc. trigger HYPOVENTILATIONL inc CO2 & H+ →restoring homeostasis