Ben has emphysema
Which of the statements about emphysema is correct?
3.emphysema damages alveoli
4.smoking cigarettes is not linked to emphysema
(1 mark)
state one way in which the structure of the alveolus is adapted for its role in gaseous exchange
(1 mark)
-thin walls
-wall only 1 cell thick
-inner surface is moist
-large surface area
describe how gases are exchanged between a capillary and an alveolus as blood flows in the capillary
(3 marks)
-diffusion occurs
-the blood in the capillaries has a high concentration of carbon dioxide
-air in alveolus has a lower concentration of carbon dioxide than blood
-a diffusion concentration gradient is created
-blood at capillaries has a low concentration of oxygen
identify a respiratory malfunction
-emphysema
-asthma
-cystic fibrosis
aerobic respiration
glucose + oxygen —-> carbon dioxide + water
compare this reaction with the one that takes place during anaerobic respiration
similarities:
-glucose is used
-ATP is produced
differences:
-anaerobic respiration produces lactic acid
-anaerobic respiration does not produce carbon dioxide or water
-anaerobic does not need oxygen
-anaerobic produces less ATP
Match the descriptions to the structure
BRONCHUS INTERCOSTAL DIAPHRAGM
PLEURAL TRACHEA BRONCHIOLE
(3 marks)
choose one and put it in the table
ASTHMA CYSTIC FIBROSIS EMPHYSEMA
identify which parts of the respiratory system carry out the following function
evaluate the possible methods and treatments available for emphysema
treatment:
-inhalers/bronchodilators widen the airways to make breathing easier
-oxygen therapy
-chest drain
-stop smoking
-corticosteroid drugs
-aims to stabilize the condition and prevent complications
tests:
-lung function test
-x-rays
-CT scans
explain how breathing takes place
breathing in:
-nervous messages are sent to the diaphragm and intercostal muscles
-intercostal muscles (between the ribs) contract, raising the rib cage upwards and outwards
-diaphragm muscle contracts, moving in a downward direction
-pleural membranes are attached to lungs inside of the rib cage and diaphragm, therefore movement of the lungs is brought about
-air is brought into the lungs because of resultant pressure and volume changes
breathing out:
-nervous impulse stops and diaphragm and intercostal muscles relax
-rib cage swings down and in due to gravity
-diaphragm returns to its dome shaped position
-pressure/volume changes pushes the air out of the lungs
-diaphragm can put additional pressure on lungs to increase emptying of oxygen
The organ of the body which adds oxygen to the blood is the lungs.
Describe how this happens.
-gas exchange occurs in the alveoli
-air entering the alveolus has
relatively high oxygen concentration
-oxygen dissolves in thin moist layer
-diffuses quickly across wall of
alveolus (thin) and into capillary
(from pulmonary artery
-movement due to diffusion gradient
-oxygen attaches to haemoglobin in
RBC
-blood leaving the lungs in the pulmonary vein has high oxygen and low carbon dioxide levels
micky is a 13 year old boy with cystic fibrosis
Analyse the treatment and care Micky needs to support him in managing his condition.
treatment/care needs
-individual care plans : specific advice e.g. on puberty
-regular appointments with health care practitioners
-medications to reduce mucus production/thickness
-enzyme pills
-exercise plan
-antibiotics
-physiotherapy
analysis:
-needs will change with age and severity of his condition
-treatment and prevention of lung problems
-susceptible to lung infections such as flu
-exercise supports health but must be monitored due to breathing issues
ben has been advised of possible treatments for emphysema, including:
-using an inhaler
-going to a rehabilitation programme
-having surgery
evaluate 2 possible treatments for emphysema
(8 marks)
inhalers:
+ widen and relax airways
+easy to use
+use regularly
+work immediately
-only use 4x a day
-take higher dose than required
-need to be able to breathe in sufficiently to get the medication
rehabilitation programme:
+improve emotional well-being
+education about the condition
+meet others
+managed exercise programme
+dietary advice
-need to attend clinic/hospital- transport is required
surgery:
+removing damaged part of lung- improve function of the healthy part
+remove air pockets making it easier to breathe
-not suitable for many
-major operation involves risks
-post operative care
-shortage of donors
-can leave scarring
-donor organs can reject
which process allows oxygen to pass through the alveoli walls?
-assimilation
-absorption
-diffusion
-inspiration
diffusion
evaluate the lifestyle changes and care needed to help an individual manage emphysema
-give up smoking (slow progress of the disease)
-avoid air pollution (improve breathing)
-home help (remain at home) (lose independence)
identify one possible cause for each of these malfunctions
asthma:
emphysema:
asthma:
-genetic
-narrowing of airways. muscles in bronchioles constrict
-walls of bronchioles become inflamed
- production of mucus
-allergen triggers
emphysema:
-smoking
-dust
-air trapping
-occupational hazards