Respiratory Flashcards

(53 cards)

1
Q

Primary Functions of the Resp system

A
  1. Exchange of gases between the atmosphere and blood
  2. Homeostatic regulation of body pH
  3. Protection from inhaled pathogens and irritating
    substances
  4. Vocalization
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2
Q

External resp processes

A

Exchange

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3
Q

Components of the resp system

A
  1. The bones and muscles of the thorax (Chest Cavity) 2. Conducting system or airways
  2. Alveoli
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4
Q

what composes the chest cavity?

A
Bones –
• Spine(T1-12) • 12Ribs
• Sternum
Muscles –
• Intercostalmuscles
• Diaphragm
Lining –
• 3 membranous sacs
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5
Q

purpose of pleural fluid

A
  1. Creates moist slippery surface

2. Holds lungs tight to thoracic wall

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6
Q

lobes of the right lung

A

superior, middle, and inferior

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7
Q

lobes of the left lung

A

superior lobe, inferior lobe

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8
Q

upper resp system

A

pharynx, vocal cords, esophagus, nasal cavity, rongue, larynx, and trachea

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9
Q

low resp system

A

lungs, bronchi, and diaphragm

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10
Q

role of the upper airway and bronchi?

A
  1. Warming air to body temperature
  2. Adding water vapor
  3. Filtering out foreign material
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11
Q

air flow

A

air enters via pharynx (nasal cavity/mouth); then flows through larynx (vocal chords) then trachea (wind pipe)

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12
Q

how does filtering occur in trachea and bronchi?

A

• Epithelial cells produce saline
Goblet cells produce mucus (forms layer overtop of the saline)
• Mucus contains immunoglobulins
Mucocilliary Escalator = Cilia pushes mucus towards pharynx

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13
Q

what cystic fibrosis?

A

mutation lol
decreased saline production, decreased mucus clearance–>increased bacteria colonisation of airways; increased occurence of lung infections

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14
Q

alveoli structure

A

type 1 alveoli cell for gas exchange (95% gas SA); endothelial cell of capillary; type II alveola cell (surfactant cell); limited ISF; alveolar macrophage

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15
Q

how does air enter the lungs?

A

pass through the nasal cavity, then the nasopharynx, oropharynx, and laryngopharynz OR the oral cavity, then the oropharynx, then laryngopharynx; then into the trachea and lungs

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16
Q

what causes cystic fibrosis?

A

mutation in the CFTR channel so that chloride cannot enter the saline in the lumen of the lung; water cannot passively diffuse with the Cl to create the saline; mucus then remains thick and cannot be moved up the mucocillary escalator so the filtering method is lost–> increased incidence in lung infection–>scar tissue build up–> tough for gas exchange–> can’t breathe

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17
Q

what is low pressure due to in the lungs?

A

shorter circuit, increased distensibility, and increase in CSA

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18
Q

why is it important to have low pressure in the capillaries?

A

if it was high–>fluid would be pushed out–>do not want this; for any filtering methods the lymphatic system takes over

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19
Q

like in the cardio system, there must be a drop in pressure for air to flow in the respiratory system

A

ya

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20
Q

mmHg to cm H2O

A

1 mm Hg = 1.36 cm H2O

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21
Q

mm Hg to kPa

A

760 mm Hg = 101.325 kPa

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22
Q

Normal sea level Patm is considered to be 760 mmHg but is usually set to 0 cm H2O by respiratory physiologists

23
Q

what is dalton’s law

A

the total pressure exerted by a mixture of gases is the sum of the pressure exerted by each gas

24
Q

the partial pressure of a gas is dependent on humidity (water vapour) in the air

25
eq'n for partial pressure in dry air
Pgas = Patm x % gas in the air
26
eq'n of Pgas in humid air
(Patm-Ph2o)x % of gas in atmosphere
27
eq'n for bulk flow of air
F = (Palv-Patm)/R; F = flow, R= resistance
28
what is Boyle's law?
P1V1=P2V2
29
why is boyle's law important in resipration?
helps explain how a change in lung volume results in a change in lung pressure driving the bulk flow of air; when alveoli relaxes during inhalation and V increases, alveolar pressure decreases --> air wants to enter lung; when it contracts during exhalation, V decreases and P goes up, so air wants to leave alv
30
what is TV?
tidal volume, 500 mL; amount of air moved during a normal, quiet respiration
31
what is total pulmonary ventilation?
TV X frequency of breaths = L/min
32
what is inspiratory reserve volume?
IRV; additional air that could still be inspired after quiet inspiration
33
what is ERV?
the volume of air that s0ll remains within the lungs that can be expired is known as the 3. Expiratory reserve volume
34
function of RV?
1. Prevents airway collapse, after a collapse it takes an unusually large pressure to re-inflate it (Poiseuille's law) 2. It allows continuous exchange of gases.
35
what are the four capacities looked at?
Total lung capacity, functional residual capacity, inspiratory capacity, vital capacity
36
what is FEV1?
forced expiratory volume in 1 s; normally FEV1 in a healthy individual is 80% of vital capacity
37
what is the major muscle for respiration?
diaphragm
38
how does the diaphragm work in respiration?
contracts and flattens-->pulls lung (and attached alveoli down); increases volume, decreases pressure--> air moves in
39
what is Sternocleidomastoids
muscle that lift the sternum outward, contributing the water pump handle effect during forced respiration
40
what are the muscles of forced inspiration?
1. Sternocleidomastoids; 2.Neck and back muscles; 3.Upper respiratory tract muscles
41
how do neck and back muscles function in forced inspiration?
elevate pectoral girdle increasing thoracic volume and extend back
42
how do upper resp tract muscles function in forced inspiration?
decreased airway resistance
43
muscles involved in forced expiration?
1.Abdominal muscles 2.Internal intercostals and triangularis sterni 3.Neck and back muscles
44
what is total lung capacity, and volume?
the sum of all 4 volumes; approx 5800 mL
45
what is functional residual capacity, what volumes compose it, volume?
the capacity of air remaining in the lungs aTer quiet expira0on, the sum of ERV and RV, ~2300 mL
46
what is inspirational capacity, what volumes compose it, and volume?
the sum of IRV and TV represen0ng the maximal amount of air that one can inspire at the end of quiet respiration; ~3500 mL
47
what is vital capacity, what volumes compose it, and volume?
the sum of IRV, TV, and ERV represen0ng the maximal achievable 0dal volume. Clinician performs FEV1 during VC; ~4600 mL
48
other than the diaphragm, what plays a role in passive inspiration?
external intercostals, scalenes
49
how do ext intercost play a role in passive inspiration?
create a bucket handle and water pump handle motion; contraction of the EI muscles cause sternum to move up, along with ribs which move up and out
50
how do abdominal muscles functions in forced expiration?
push thoracic cavity up more than normal—>exhale more air
51
how do internal intercostals function in forced expiration?
moves inwards on inner ribs, closer together—>compression
52
how does the triangular sterni function in forced expiration?
compresses sternum-->decreases volume of lungs
53
compartments of the pleura, and their functions?
visceral pleura, attached directly to the lungs; intrapleural fluid, inner fluid that lubricates the lungs; parietal pleura, attached to ribcage and diphragm for coordinated movement of ribs/diphragm and lungs