Respiratory System

 
 

 
 

 
 

 
 
 
 
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Five functions of respiratory system1)Gas exchange for cellular respiration 2)Sound production 3)assistance in abdominal compression during micturition, defecation, and parturition 4)route for water and heat loss 5)coughing and sneezing out inhaled foreign matter
Internal respirationprocess by which gases are exchanged between the blood and the cells
External respirationgas exchange between the air in the alveoli and blood
Cellular respirationcells use )2 for metabolism and give off CO2 as a waste product
Bronchial treetrachea>right and left primary bronchi>secondary bronchi>tertiary bronchi>bronchioles>terminal bronchioles>alveolar ducts>alveolar sacs
Pulmonary alveolialveolar sacs are formed of many microscopic pulmonary alveoli
How many pulmonary alveoli are there300 million with 6 times the surface area of the body
Type II alveolar cells secrete what and for whatsecrete surfactant to lower the surface tension inside the alveolus
What remove dust particles and other debris from the pulmonary alveolus?alveolar macrophages
External intercostals muscleselevate during inspiration
Internal intercostals musclescontract during expiration
Hypoxiaa deprivation of O2 in tissues and organs
Eupneanormal breathing
Dyspneadifficult or labored breathing
Apneatemporary cessation of respiration that may follow hyperventilation
Cheyne-strokesperiods of dyspnea followed by periods of apnea (leads to death if not stopped)
Respiration rate12-15 times per minute
O2 consumption250 ml O2 per minute at rest
Bronchoconstrictiondecreased radius, and increased resistance to flow. Allergy induced spasm of the airways-maybe from histamine release or from parasympathetic stimulation
Bronchodilationincreased radius, and decreased resistance to airflow. Sympathetic stimulation controlled through epinephrine and norepinephrine
Asthmaa disease characterized by recurrent attacks of dyspnea. Often an allergic response to plants, animals, or food products resulting in contraction of the bronchial muscles
Pneumoniaacute infection and inflammation of the lungs with exudation (accumulation of fluid)
Chronic bronchitisa long term inflammatory condition of the lower respiratory airways, generally triggered by frequent exposure to irritating cigarette smoke, polluted air, or allergens.
Emphysemacollapse of the smaller airways and a breakdown of alveolar walls. Caused by excessive release of destruction enzymes such as trypsin from alveolar macrophages as a defense mechanism in response to chronic exposure to inhaled cigarette smoke or other irr
TVtidal volume-volume of air moved into or out of the lungs during normal breathing 400-500ml
IRVInspiratory reserve volume-max volume beyond the tidal volume that can be inspired in one deep breath- 3000ml
ERVexpiratory reserve volume-max volume beyond the tidal volume that can be forcefully exhaled following a normal expiration- 1100 ml
RVresidual volume-air that remains in the lungs follwing a forceful expiration- 1200 ml
MRVminute respiratory volume-volume of air moved in normal ventilation in one minute- 6000ml/min
AVValveolar ventilation volume-volume of air that actually ventilates the alveoli. A portion of inspired iar does not take part in gas exchange b/c it fills the air passageways (dead air). Dead air makes up about 30% of the tidal volume
How much of the tidal volume does dead air contribute30%
TLCtotal lung coapacity-sum of the four lung volumes TV+ERV+IRV+RV=TLV=5700ml
VCvital capacity- total amount of air that can be exchanged by the lungs- sum of the TV+IRV+ERV=4600 ml
Spirogramrecord of pulmonary volumes and capacities
6 Layers of the respiratory membrane1)surfactant 2)thin layer of fluid-water 3)alveolar epithelium 4)interstitial space 5)capillary basement membrane 6)capillary endothelium
surfactantphospholipid protein decreases the surface tenstion of the fluids lining the alveoli and respiratory passages (Hyaline membrane disease or Respiratory distress syndrome)
Four factors affecting gaseous diffusion across the respiratory membrane1)thickness of the respiratory membrane 2)surface area of the membrane 3)diffusion coefficient of each gas 4)pressure difference across the membrane
Changes in the thickness of the respiratory membraneedema in the lungs (left heart failure), pneumonia (edema in membrane and fluid in the lungs)
Changes in surface area of the membraneemphysema-decrease in overall surface area
Changes in diffusion coefficient of each gasO2 has a coefficient value of 1 (it’s the standard), CO2 has a coefficient of 20 (20 times more soluble than water)
Changes in pressure difference across the membranePressure in Alveolus (O2=104, CO2=40) in capillary (O2=40 and goes to 104, CO2=45 and goes to 40)
Composition of atmospheric AirN2=78.6, O2=20.8, CO2=0.04, H2O=0.5
Composition of Alveolar airN2=74.9, O2=13.6, CO2=5.3, H2O=6.2
Composition of expired airN2=74, O2=15.7, CO2=3.6, H2O=6.2
Percent of O2 dissolved in blood1-3%
Percent of O2 carried by hemoglobin97-99%
What determines whether oxygen is bound or released from hemoglobin?partial pressure of O2
PO2 of O2 in atmospheric air21% of 760 mmHg=160mmHg
Alveolar PO2 and PCO2PO2=104mmHg, PCO2=40mmHg at sea level
Grams of Hb per 100 ml of blood15 grams
Ml of O2 per 1 gram of Hb1.34ml
Ml of O2 per 100 ml of blood20ml
Arterial blood is how saturated with O297%
Venous blood is how saturated with O275%
During exercise how saturated is arterial blood with O297%
During exercise how saturated is venous blood with O225%
the most important factor determing the % Hb saturation of O2 is what?PO2 of the blood
factors affecting the O2-Hb dissociation curvepH, PCO2, temperature, and 2,3-DPG
bohr effectthe O2-Hg dissociation curve shifting to the right from increased acidity, PCO2, temp, or 2,3-DPG
three major ways CO2 is transporteddissolved in blood (7-8%), carried by Hg forming carbaminohemoglobin(23-25%), as bicorbonate ion (65-70%)
two types of respiration controlneural and chemical
basic rhythm of repiration is controlled by whatmedullary respiratory center in the brain stem
two subgroups in medullary respiratory centerdorsal and ventral
two other repiratory control centers in the ponsapneustic and pneumotaxic
dorsal respiratory group consits mainly of whatinspiratory neurons whose descending fibers stimulate inspiratory muscles. Serves as the major rhythm regulators
the ventral respiratory group containsboth inspiratory and expiratory neurons, which are inactive during quiet breathing, but become active during periods in whcih demands on ventailation are increased
pneumotaxic center functionssends impulses to the dorsal neurons that help "switch off" the inspiratory neurons, thereby limiting hte duration of inspiration
apneustic center functionprevents the inpiratory neurons from being switched off, thus providing an extra boost to the inspiratory drive
herring-breuer reflextriggered to prevent overinflation of the lungs. Stretch receptors in the lungs are activated by the stretching of the lungs at large tidal volumes
two types of receptors in chemical control of respirationperipheral and central
peripheral chemoreceptorslocated in the carotid bodies of the aortic bodies and are stimulated by decreased PO2 and increased H+ concentrations
central chemoreceptorslocated in the medulla and respond to changes in brain extracellular fluid levels of PCO2. Increased PCO2 stimulates respiration.