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Question Answer
measuring lung function  compare's subject to normal range; identify diseases  
compliance  measure of the ease with which the lungs & thorax expand  
levels of compliance  expressed in LITERS (volume of air) per centimeter of water (pressure)  
what is normal compliance?  0.13L/cm H2O- for every 1 cm H2O change in alveolar pressure, the volume changes by 0.13L  
the greater the compliance  the easier it is for a change in pressure to cause EXPANSION of lungs & thorax  
Example of greater compliance  emphysema destroys elastic lung tissue; therefore, lungs expand (nothing to bring them back like an overstretched rubber band) and higher than-normal compliance  
lower-than normal compliance (example)  pulmonary fibrosis - (non-elastic fibers in lung) so that lungs cannot expand  
list of conditions that DECREASE compliance  pulmonary fibrosis - respiratory distress syndrome and pulmonary edema (both collapse alveoli) airway obstructions such as ashtma, bronchitis and lung cancer & deformities of thoracic wall such as scoliosis & khyphosis (wall cannot expand)  
pulmonary volumes are measured by  spirometry - process of measruing volumes of air that move in & out of respiratory system  
tidal volume (TV)  air inspired or expired with each breath  
inspiratory reserve volume (IRV)  amount of air forcefully inspired (after quiet inspiration)  
expiratory reserve volume (ERV)  volume of air forcefully expired (after a normal expiration)  
Residual volume (RV)  volume of air remaining in the lungs after forceful expiration  
Vital capacity (VC)  greatest extreme in air volume between inspiration & expiration  
pulmonary capacities  sum of two or more pulmonary volumes  
Inspiratory capacity  Tidal Volume TV plus Inspiratory reserve volume (IRV) - amount of air that a person can inspire maximally (after normal breath)  
Functional residual cpacity  Expiratory reserve volume plus resideula volume, which is amount of air remaining in the lungs at the end of normal respiration  
Vital capacity  IRV plus TV plu ERV  
Total lung capacity  TLC - normal 6000-7500 mL  
FEV - forced expiratory vital capacity  subject inspires maximally & then exhales maximally into a spirometer - as quickly as possible  
FEV one  amount of air expired during the first second of the FEV test  
minute volume  amount of air moved into & out of respiratory system each minute  
minute volume is calculated  respiratory rate times TV tidal volume - normal about 12-18 breaths per minute  
Average minute volume calculation  TV usually equals 500 mL times 12 breaths per minute or about 6 L/min  
does minute ventialtion measure the amount of air available for gas exchange?  no, because some parts of lungs don't actually exchange gas - only the alveoli & alvolar ducts & respiratory bronchioles  
dead space  where gas exchange does NOT take place--  
anatomic dead space  nasal cavity, pharynx, larynx, trachea, bonchi bronchioles & terminal bronchioles  
physiologic dead space  all of the anatomic dead space PLUS any alveoli where gas exchange is not normal  
conditions which increase physiologic dead space  lung cancer, strep throat, emplysema (which degenerate alveolar walls)  
dalton's law of partial pressure  in a mixture of gas, the "partial pressure" of each gas is added to make 100%; add nitrogen, oxygen, carbon dioxide to get total pressure  
what adds to partial pressure?  water vapor pressure  
what effect does water vapor pressure have on lungers?  affect pressure of total gases & absorption in body--remember that air is humidified in nasal conchae-  
partial pressure are affected by  1. humidified air 2. oxygen diffusing from alveoli into blood along with carbon dioxide diffusing from pulmonary capillaries into alveoli and then - air within alveoli is only partially replaced with atmospheric air during respiration  
Henry's law (effecting lungs)  concentration of dissolved gas = partial pressure of each gas times the solubility coefficient  
Henry's law in liquids  gases move from areas of higher to areas of lower partial pressure  
solubility coefficient  physical characteristic of each gas-whcih cannot be altered  
henry's law - decompression sickness "the bends"  increased depth means increased pressure; nitrogen bubles come out of blood if pressure changes too quickly  
hyperbaric oxygenation  increase pressure to force more oxygen into the blood  
how is diffusion of bases, ventilatio & pulmonary blood flow affected  respiratory membrane thickness, change in surface area, or diffusion coefficient of gas  
respiratory membran thickness  increased in diseases tuberculosis, pneumonia, advanced silicosis - also plumonary edema casuded by failure of left side of heart causes increase in thicckness of respiratory membrane  
surface area of lungs  normally 70m2-however, emphysema (destroys alveolar walls) lung cancer or tuberculosis decrease surface area  
diffusion coeficient of gas  "diffusion coefficient" of oxygen is rate "one" and of carbon dioxide is "20" therefore carbon dioxide diffuses through respiratory membran 20 times more readily than oxgen does  
when respiratory membrane becomes damaged  capacity to move oxygen into blood is impaired- causes oxygen deprivation  
relationship between ventilation & pulmonary capillary blood flow  2 ways to disrupt-ventilation exceeds blood (in heart attack) or ventilation not great enough to oxygenat blood (asthma)  
anatomic shunt  normal for some deoxygenated blood to mix with oxygenated blood in lungs  
physologic shunt  blood from anatomic shunt & any blood NOT oxygenated in pulmonary capillaries (for instance if there is a blocked bronciole)  
gravity affects regional blood flow  pressure at lung base is greater; therefore more blood flows at base  
regional blood flow increases  with exercise - more blood at apex & greater gas exchange  
smoking  decreases lung capacity-smokers have less gas exchange  
carbonic anhydrase  buffering system in blood - carbon dioxide & water are changed w/enzyme into carbonic acid  
bohr effect  as pH of blood declines, oxygen is released for use in tissues;  
during exercise, your temperature goes up  this also decreases tendency of oxygen to bind to hemoglobin; therefore it is released where needed  
effects of 2,3-bisphosphglercerate BPG  BPG binds to hemoglobin & increases its ability to release oxygen  
fetal hemoglobin  fetus is able to absorb more oxygen from mother - 50% greater in fetal hemoglobin  
double Bohr effect  in fetal hemoglobin, this means that baby gets maximum oxygen  
medullary respiratory center  consists of dorsal respiratory group & ventral respiratory group  
dorsal respiratory group  stimulate the inspiration  
ventral respiratory  stimulate experiration  
pontine (pneumotaxic)  pons is involved in switching between expiration & inspiration  
modification of ventilation - 7 factors  1. change in ways you breathe 2. emotions 3. chemoreceptors 4. exercise 5 pain 6. sneeze-cough reflex 7. increase in body temperature  
herring-breuer reflex   in infants, prevents overinflation of lungs & regulates basic breathing - 2. in adults, important when tidal volume is high during exercise.  
where does the lining of the respiratory tract change?  In oropharynx - where food also must pass--the epithelium is stratified squamous epithelium (like oral cavity)  
what is lining of nasal cavity and superior portion of pharynx?  pseudo stratified ciliated columnar epihtelium  
what is lining of lower respiratory system?  pseudo stratified ciliated columnar epithelium  
what is lining in smaller bronchioles?  cuboidal epithelium with scattered cilia  
what is lining of alveoli?  very delicate simple squamous epithelium  
lamina propria  underlying layer of tissue of a mucous membrane  
hard palate is made up of what bones  maxillary and palatine bones  
soft palate marks the end of the  nasopharynx  
what bones form bridge of nose?  nasal bones plus extensions of the frontal (forms small attachment) and maxillary bones  
nasal septum  the anterior is cartilage and the posterior is the vomer bone and the perpendicular plate of the ethmoid bone  
external nares  external opening of the nose  
internal nares  choanae - openings into the pharynx  
what two special bones constitute the bony part of the nasal septum?  vomer bone and the perpendicular plate of the ethmoid bone  
paranasal sinuses (4)  named for bones they are located in; frontal, maxiallary, sphenoidal & ethmoid  
what is ethmoid sinus also called?  the ethmoid labyrinth (near eyes)  
what supports the nsal concahe?  part of ethmoid bone  
where is crista galli? what is on either side of crista galli?  olfactory fossa  
what forms the floor of the olfactory fossa?  the cribiform plate of the ethmoid bone  
conjunctivitis  inflammation of thin membrane covering eye -also called "pink eye"  
sinusitis  inflammation of mucou membrane of any sinus, especially paranasal sinuses  
rhinitis  inflammation of the nasal mucous membrane  
two major bones that make up hard palate  maxillary and palatine bones  
function of soft palate & uvula  prevents swallowed material from entering the nasal cavity & nasopharynx  
palatine process of maxillary bone  anterior portion of hard palate  
palatine bones  posterior portion  
nasal conchae are connected to  ethmoid bone -  
nasal chonchae consist of  "turbinates" and "meatus" tunnels  
purpose of turbinates  clean air, warm air, & humidifying incoming air  
tonsils in nasopharynx and oropharynx   
swallowing  opening & closing of glottis involves rotational movement of arytenoid cartilages that move vocal folds; epiglottis is bent over glottis; bolus glides over it  
eustachian tube opening  in nasopharynx-below pharyngeal tonsil  
cartilaginous rings -how many in trachea? what is distinctive feature?  15-20 C-shaped rings - with cartilage onANTERIOR wall-posterior wall has NO CARTILAGE  
what is in the space on the trachea where there is no cartilage?  trachealis muscle - causes coughing reflex?  
what is posterior to the trachea?  the esophagus - trachea can move to allow large bolus to pass  
tissue lining trachea  dense regular connective tissue with pseudo stratified ciliated epithelium  
remember - what is TISSUE  dense regular connective tissue  
Re-absorptionand filtration of proximal & distal tubule