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Resp. Disorders pt 1

patho exam 2

QuestionAnswer
Structural ways to divide the respiratory tract upper and lower respiratory tract
functional ways to divide the respiratory tract conducting and respiratory zone
upper respiratory tract from nose to trachea
lower respiratory tract from trachea to alveoli
conducting zone nose to terminal bronchioles
respiratory zone respiratory bronchioles and alveoli
Where does gas exchange occur? in the lungs
Where does air come in and out of? nasal and oral cavity
What is the beginning of the lower respiratory tract? trachea
What is the function of the mucus lining of the respiratory tract? filtrate air
What can happen when particles catch on the mucus lining of the trachea? it can form infection
What lines the conducting portion of respiratory system? respiratory mucosa
Why does the respiratory system get so much infection? because of the respiratory mucosa
What does the respiratory system consist of? an epithelial layer, an areolar layer called the lamina propria
Lamina propria supports the respiratory epithelium
What does the lamina propria in the respiratory system contain? mucous glands that secrete onto epithelial surface
What does the lamina propria in the conducting portion of lower respiratory system contain? smooth muscle cells that encircle lumen of bronchioles
How do smooth muscle cells allow air to better penetrate lungs? by relaxing and contracting
What do paranasal sinuses all connect to? nasal cavity
sinusitis sinus fills with fluid and becomes inflammed
laryngopharynx division between esophagus and trachea
nasal cavity allows for humidification and filtration of air
oral cavity not as many entrances and not as narrow as nasal cavity, more tendency to bring an infection
what is cartilage replaced by in bronchioles? smooth muscle
What does smooth muscle allow for in bronchioles? better opening for air into lungs
How many generations do bronchi divide for after entering the lungs? 20
What allows for gas exchange? respiratory bronchioles and alveoli
How much air is exchanged in the terminal and respiratory bronchioles? a very small amount
Where does most of the gas exchange occur? alveolus
Why does most of the gas exchange occur in the alveolus? there are many capillaries and they form a thin membrane that allows exchange of O2 and CO2
Inspiration sequence of events inspiratory muscles contract, thoracic cavity volume increases, lungs are stretched, intrapulmonary volume increases, intrapulmonary pressure drops (to -1mmHg), air flows into lungs until intrapulmonary pressure is 0
How does the diaphragm move during contraction? inferiorly
Expiration sequence of events inspiratory muscles relax, thoracic cavity volume decreases, elastic lungs recoil passively, intrapulmonary volume decreases, intrapulmonary pressure rises (to +1mmHg), air flows out of lungs down its pressure gradient until intrapulmonary pressure is 0
What does contraction of inspiratory muscles cause? intrapulmonary pressure to decrease
When the volume of the chest increases what happens to the pressure inside? decreases
inspiratory reserve volume 3100mL- amount of air you can inhale
tidal volume 500mL- amount of air in and out
expiratory reserve volume 1200mL- amount of air released
residual volume 1200mL- amount of air remaining in lungs
inspiratory capacity 3600mL
functional residual capacity 2400mL
vital capacity 4800mL- amount of air inhaled and exhaled
total lung capacity 6000mL- max air inside lungs
minute volume tidal volume times respiratory rate
to calculate alveolar ventilation dead space volume is subtracted from tidal volumes (subtract 150mL)
Lung disorders infections (upper or lower), obstructive lung diseases, restrictive lung diseases, vascular disorders, intrapulmonary disorders (IRDS, ARDS)
obstructive lung diseases block the flow of air into or out of the lungs
restrictive lung diseases the normal expansion of lungs is limited
primary viral infection examples influenza or common cold virus
What is the most common cause of infection? influenza
What is the primary viral infection induced by? virus
What happens when the virus attaches to respiratory mucosa? invades tissues causing necrosis, inflammation, and swelling
What does necrosis activate? the inflammation process
What happens after necrosis, inflammation, and swelling during a viral infection? congestion, obstructive airways
Virus spreads along continuous mucosa invading what? ears, sinuses, bronchi and lungs
What is it called when virus invades ears? Otitis media- inflammation of ears
What is it called when virus invades sinuses? sinusitis
What is it called when virus invades the bronchi and lungs? pneumonia
What happens when bacteria penetrate the damaged mucous membranes? secondary bacterial infection
What can a secondary bacterial infection be treated with? antibiotic
Upper respiratory tract infection acute infection of nose, paranasal sinuses, pharynx, larynx, trachea, or bronchi; range from mild to life-threatening
What does it mean if exudate has color in it? immunologic cells are in it
Why is there a high prevalence of upper respiratory tract infections? large numbers of viruses, ease of transmission, incomplete immunity developed after viral infection, ability of some viruses to mutate
Who is at increased risk for upper respiratory tract infection? very young, very old, immunosuppressed individuals, those with chronic diseases
transmission of upper respiratory tract infection social contact
Upper respiratory tract infection pathogenesis usually viral (initial), primary or secondary bacterial infections
Upper respiratory tract infections clinical manifestations vary depending on location and severity of the infection, and age of the patient, cough and change in mucus are common, rhinorrhea, fever, sore throat, myalgia, malaise
rhinorrhea a profuse, watery discharge from nose
upper respiratory tract infection treatment comfort measures (resting hydration), medications (antibiotics- secondary)
Created by: camrynfoster
 

 



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