Wk1: Pulmonary Structure and Function Flashcards

1
Q

What is the definition of pulmonary ventilation?

A

the process of moving and exchanging ambient air with air in the lungs.

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2
Q

What do the lungs do?

A

provide a gas exchange surface that separates blood from the surrounding alveolar gaseous environment. §

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3
Q

What is external respiration?

A
  • VC02 to clear metabolically produced CO2, C02 from buffering acids and maintenance of arterial pH.
  • V02 to provide O2 for transport by blood and utilisation by tissues (generate ATP).
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4
Q

What is internal respiration?

A
  • O2 consumption by tissues for ATP production in mitochondria
  • CO2 production from breakdown of carbon chains e.e. in the TCA cycle
  • blood vessels to cells in tissues
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5
Q

What is the respiratory function?

A
  • alveolarise the blood
  • take up O2 from the alveolar gas into pulmonary capillary blood
  • reduce amount of CO2 from blood by moving it into the alveoli

other functions:

  • filter unwanted material from circulation
  • water and heat loss
  • metabolism
  • acid base balance
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6
Q

What do the pores of kohn do?

A
  • within the alveolus they evenly disperse surfactant over the respiratory membranes to reduce surface tension for easier inflation. They allow for interchange between adjacent alveoli.
  • this allows indirect ventilation of damaged or blocked alveoli from lung disease.
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7
Q

What happens to CO2 and O2 in the alveoli/blood each minute at rest?

A
  • 250ml of O2 leave the alveoli to blood

- 200ml of CO2 diffuses from the blood to the alveoli

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8
Q

What happens to CO2 and O2 in the alveoli/blood when endurance athletes exercise intensely?

A
  • 10x this quantity of O2 and CO2 transfers across the membrane.
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9
Q

What is the definition of ventilation?

A

mechanical process of moving gas in and out of the lungs

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10
Q

What are the two parts ventilation is subdivided into?

A

Conducting zone for transport of gas between atmosphere and alveoli (anatomical dead space; ~150 ml) - includes trachea and terminal bronchioles

Respiratory zone is the alveolated region where gas exchange occurs (also includes the transitional zone) - includes bronchioles, alveolar ducts and alveoli

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11
Q

Outline the conducting zone

A
  • 1-16
  • trachea and terminal bronchioles
  • no alveoli (anatomical deadspace)
  • transports gas between atmosphere and alveoli
  • other functions: air transport, humidification, warming, particle filtration, vocalisation, immunoglobulin secretion.
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12
Q

Outline the respiratory zone

A
  • zones 17-23
  • bronchioles, alveolar ducts, alveoli
  • site of GE
  • occupies 2.5 to 3L and constitutes the biggest portion of lung volume
  • functions: encompass surfactant production (in alveolar endothelium), molecule activation and inactivation (in capillary endothelium), blood clotting regulation and endocrine function.
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13
Q

What is the relationship between lung CSA and air movement?

A
  • shows the relationship between airway generation (forward velocity) and total cross sectional area of the conducting passages of various lung segments.
  • airway cross section increases considerably (and velocity shows) as air moves through the conducting zone to the terminal bronchioles.
  • at this stage diffusion provides the primary means of gas movement and distribution.
  • in the alveoli, gas pressure rapidly equilibrates on each side of the alveolar capillary membrane.
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14
Q

What is Fick’s Law?

A
  • Ficks law of diffusion governs the diffusion of a gas across a fluid membrane
  • this law states that a gas diffuses through a sheet of a tissue at a rate:
    1) directly proportional to: the tissue area, a diffusion constant and the pressure differential of the gas on each side of the membrane.
    2) inversely proportional to: the tissue thickness
  • the diffusion constant (D) relates to the gas solubility (S) and inversely to the square root of the molecular weight (MV) of the gas.
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15
Q

What does P, Q, V and F stand for? (primary symbols)

A
P = pressure or partial pressure
Q = volume of blood
V = volume of gas
F = fractional concentration
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16
Q

What does A, B, E, I, T stand for? (gas phase)

A
  • A = alveolar
  • B = barometric
  • E = expired
  • I = inspired
  • T = tidal
17
Q

What does a, c, v stand for? (blood phase)?

A
  • a = arterial
  • c = capillary
    v = venous
18
Q

What is the definition of total ventilation (VE)?

A

the total amount of air that flows out of the respiratory system in a minute?

19
Q

What is the total ventilation equation?

A

VE = tidal volume (VT) x respiratory rate (fr)

20
Q

What is the physiological dead space volume (VD)?

A
  • includes the conducting zone and any other lung volume that does not undergo gas exchange.
21
Q

What is the equation for alveolar ventilation (VA)?

A
VA = VE - (VD x fr)
VA = 6000 - (150 X 12)
VA = 4200 ml/min
VA = 4.2 L/min
22
Q

what do these symbols stand for:

VA 
VD 
VT 
VE  
fr
A
VA = alveolar ventilation
VD = dead space volume
VT = tidal volume
VE = total Ventilation 
fr = respiratory rate
23
Q

What is tachypnoea?

A

rapid, shallow breathing

24
Q

What is the definition of alveolar ventilation (VA)?

A
  • the amount of fresh inspired air available for gas exchange..

because:

  • All CO2 comes from alveolar gas
  • (Essentially) no CO2 in inspired air, and therefore
  • (Essentially) no CO2 in the deadspace
25
Q

The volume of CO2 expired per unit time (VCO2)

A

VCO2 = VA x FACO2

VA = VCO2 / FACO2 -> VCO2/PCO2 x k

26
Q

at a given level of CO2 output….

A

VA is low - hypoventilation - PaCO2 will rise

VA is high - hyperventilation - PaCO2 will fall

27
Q

What is the definition of hyperventilation?

A
  • breathing more than required to clear metabolically produced CO2, i.e. PaCO2 falls
28
Q

What is the definition of hypoventilation?

A

-breathing less than required to clear metabolically produced CO2. i.e. CO2 rises.

29
Q

During moderate exercise PaCO2 is normally well maintained, suggesting VA…

A

very closely matches VCO2.

30
Q

What is the definition of hyperpnoea?

A
  • the appropriate increase in ventilation in response to exercise.