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Resp.System ch.22
the Respiratory System
| Question | Answer |
|---|---|
| some functions for the Respiratory system are: | -it provides extensive area for gas exchange -it moves air to and from respiratory surfaces -protects respiratory surfaces from dessication temperature changes, other environmental changes |
| What defends itself and other tissues from pathogens and permits communication through sound production (sing, speak..)? | the Respiratory System |
| 4 processes of Respiratory System | 1. ventilation-breathing air in and out 2. external respiration 3. transport of gases 4. internal respiration |
| ventilation | breathing (get air in and out) |
| External Respiration | conversion of deoxygenated blood to oxygenated (gas exchange between blood and alveoli) |
| Transport of gases | movement to and from lungs and body |
| Internal respiration | conversion of oxygenated blood to deoxygenated blood (exchange between blood and tissues cells) |
| parts of the system that air merely passes through (no exchange) | conducting zone |
| locations where gas is exchanged | respiratory zone |
| a non respiratory air movement | Valsalva's Maneuver |
| alveolar-capillary membrane cells | 1. squamous pulmonary apithelium (type 1 cells) 2. capillary endothelium 3.thin basal lamina 4. cuboidal type II 5. alveolar macrophages |
| thin basal lamina | epithelial basement membrane=fused |
| cuboidal type II | interspersed among type 1 cells (also called septal cells) *produce surfactant -reduces surface tension of H2O -keeps alveoli from collapsing -problem with many premee babies lacks production of surfactant |
| alveolar macrophages | dust cells; defends against inhaled dust, bacteria, fungi etc. swept up passively by ciliary action in upper regions->to pharynx(swallowed) |
| what keeps lungs from collapsing? | intrapulmonary pressure intrapleural pressure |
| intrapulmonary pressure | within the aveoli; equalizes with atmosphere |
| intrapleural pressure | within the pleural cavity; always negative(lower) relative to intrapulmonary |
| why would the lungs naturally collapse? | because lungs tend to recoil; surface tension of aveoli |
| what does the naturally elasticity of the chest wall do? | pulls out lungs |
| what does pleural fluid do? | it holds visceral and parietal pleura tightly together transpulmonary pressure-pressure difference between the 2 |
| the pressure on a gas varies inversely with the volume of its container (explains ventilation;air in and out) *gases flow from areas of higher to lower pressure | Boyle's Law |
| mechanism of inspiration: | increase lung volume=decrease of pressure |
| -active process | involving muscle contraction |
| parts of mechanism inspiration( air goes in) | 1. contraction of respiratory muscles 2. diaphragm(contracted) 3. ribs pull upward ,sternum pushes forward |
| contraction of respiratory muscles | diaphragm and external intercostals |
| diaphragm (contracted) | flattens out/ lowers increases cavity diameter vertically |
| ribs pull upward toward; sternum pushes forward | increase anterior to posterior diameter increase volume in lung cavity, decrease pressure (inside=758 mmHg) (atmospheric=760 mmHg) |
| expiration mechanism= passive | relax muscles that were contracted decrease thoracic cavity volume=increase pressure (763 mmHg) air goes out |
| how can generally passive (expiration) be active? | if forceful; contract internal intercostals and abdominals |
| physical forces that affect ventilation | 1. respiratory passage resistance 2. lung compliance and elasticity 3. alveolar tension forces |
| Respiratory Passage Resistance | friction encountered in passageways -smaller passages=greater resistance |
| Lung Compliance and elasticity | destensibility (stretch and recoil) depends partly on flexibility of thoracic cage and lungs |
| alveolar tension forces | surfactant prevents collapse |
| Non respiratory air movements | 1. sneezing 2. coughing 3. hiccuping 4. yawning 5. crying 6. laughing 7. Valsalva's Maneuver |
| Dalton's law of partial pressures | the pressure exerted by each gas in a mixture of gases is directly proportional to its percentage in the total gas mixture. -each gas has its own pressure,independent of others in mixture |
| total atmospheric pressure | 760 mmHg |
| percentage of gases in air | N2-78.6% O2-20.9% CO2-0.04% H2O-up to 5% |
| what happens at high altitudes? | the total atmospheric pressure is lower but the % of O2 in the air is the same= lower pressure of O2 |
| Henry's Law | gases in a mixture will dissolve in liquids they come in contact with, in proportion to their partial pressures. |
| The greater the concentration of a particular gas in the gas phase..what happens? | the more that gas will dissolve (go into solution) in the liquid |
| Not all gases are equally soluble; solubility of gases is tied to temperature | true |
| The soluability of gases _______ with increase temperature (solubility) | decreases |
| The solubility of gases ________ with increase partial pressure | increases |
| CO2 is about 20x more soluble than which gas? | O2 |
| 3 factors that influence movement of O2 and CO2 across respiratory membrane: | 1. partial pressure gradients and gas solubilities 2. physical characteristics (thickness/surface are of the membrane) 3. ventilation- perfusion coupling (matching blood flow to O2 levels) |
| External Respiration | exchange of O2 and CO2 between aveoli of lungs and the blood capillaries (conversion of deoxygenated blood to oxygenated blood) |
| pulmonary blood (deoxygenated blood) | increase of PCO2 > PO2 |
| pulmonary air (oxygenated blood) | PO2 > PCO2 |
| PO2 in pulmonary blood (deoxygenated) | 40 mmHg |
| PO2 in alveolar air ( in lungs) | 104 mmHg |
| in external respiration steep partial pressure gradient | O2 from alveoli (140) -> into blood (40) |
| in external respiration equilibrium is reached in about | 0.25 sec |
| in external respiration CO2 diffuses into the opposite direction from blood into.. | the alveoli |
| in external respiration PCO2 in pulmonary is about 45 mmHg blood(deox) | true |
| in external respiration PCO2 in ______ is about 40 mmHg | alveolar air |
| in external respiration the gradient is much less steep than O2, but the is reached at around what time? | the same time; ie gas movement is equal |
| Internal Respiration | conversion of oxygenated blood to deoxygenated blood HHb+O2 -> <- HbO2 + H+ association/dissociation of O2 and Hb |
| in internal respiration each heme group can bind how many molecules of O2? | 1 molecule of O2 |
| in internal respiration there are 4 molecules of O2 per how many Hb molecules? | per 1 Hb molecule |
| O2 transport | on Hb= 98.5% dissolved in plasma= 1.5% |
| O2 interactions with Hb in partial pressure of O2: | -high PO2= Hb has a strong affinity for O2 |
| O2 interactions with Hb in temperature | increase temperature, decreases Hb's affinity for O2 |
| O2 interactions with Hb in pH | decrease pH weakens the bond between Hb and O2 (Bohr effect) -due to the carbonic acid and lactic acid production |
| O2 interactions with Hb in high partial pressure CO2 | weakens affinity of Hb for O2 |
| O2 interactions with Hb; BPG | intermediate metabolic of rbc's(anaerobic) binds to Hb, forcing O2 off increase levels of BPG and decrease Hb's affinity for O2 |
| What do these hormones do? Testosterone GH thyroxine epinephrine norepinephrine | increase metabolic rate of rbc's increase BPG (weakens Hb's affinity to O2 |
| high PO2 | strengthens |
| High PCO2 | weakens |
| low pH | weakens |
| what is nitric oxide | a vasodilator; associated with endothelium of pulmonary vessel |
| hemoglobin | a vasoconstrictor (NO scavenger) facilitates O2 loading in lungs |
| Inadequate delivery of O2 to tissues | 1. anemic hypoxia 2. ischemic hypoxia 3. histotoxic hypoxia 4. hypoxic hypoxia |
| anemic hypoxia | low iron; low rbc's decrease ability to deliver O2 |
| ischemic hypoxia | blood circulation is impaired or blocked e.g congestive heart failure |
| histotoxic hypoxia | cellular poison; body cells are unable to use O2 but it is delivered |
| hypoxic hypoxia | reduction in O2 delivery to tissues because of lowered arterial PO2 (carbon monoxide poisoning) |
| three methods of CO2 transport | 1. dissolved in plasma (7-10%) 2. bound to Hb (on globin portion, not heme group) 20-30% 3. as bicarbonate ion in plasma (60-70%) |
| in plasma CO2 transport will happen how? | all by itself but slow -no enzyme- |
| in rbc's CO2 transport will happen how? | 1000x faster carbonic anhydrase |
| in CO2 transport what do free H+ do? | doesn't drop pH too much under resting conditions because they bind to the Hb (HHb)-the Hb acts as a buffer(chemical system picks up hydrogen ions) |
| in CO2 transport (bicarbonate ion)..? | diffuse out of rbc's (into plasma) to the lungs |
| in CO2 transport Cl- moves into..? | rbc's to balance loss of (-) ions= chloride shift |
| in CO2 transport alveoli must free CO2 from its? | bicarbonate housing |
| in CO2 transport CO2 diffuse out of plasma and into what? | into alveoli |
| in CO2 transport H+ leaves Hb and HCO3 reenters rbc's; what happens to the Cl- ? | the Cl- leave again making it the chloride shift |
| in CO2 transport HCO3 join H+ and becomes? | carbonic acid (H2CO3) |
| in CO2 transport carbonic acid (H2CO3) is split by | carbonic anhydrase-> CO2 and H2O |
| in CO2 transport after the split by carbonic anhydrase what happens? | CO2 diffuses into alveoli and is exhaled |
| Haldane Effect | lower PO2 means that more CO2 can be carried in the blood: -more CO2 can join Hb -more bicarbonate ions can be formed |
| Bohr effect | lowered pH weakens the Hb- O2 bond |
| Medulla | (2 respiratory areas) in respiratory rhythmically center a) inspiratory area b) expiratory area |
| inspiratory area | sends impulses to inspiratory muscles |
| expiratory area | quiescent under normal conditions; only kicks in under forceful condition |
| Pons a) pneumotoxic area b) apneustic area | a) sends impulses that inhibit inspiration (prevents overfilling; hering-breur reflex) b)stimulates inspiration |
| hypothalamus | irregular breathing that can't be controlled crying laughing cold pain fear |
| cortex | Irregular breathing that can be controlled swimming diving speaking singing |
| Serious Respiratory Disorders | 1. COPD 2. asthma 3. TB (tuberculosis) 4. Lung cancer |
| COPD | Chronic obstructive pulmonary diseases a. emphysema b. chronic bronchitis both highly associated with smoking |
| Asthma | active inflammation of airways followed by bronchospasm |
| TB (tuberculosis) | infectious bacterial disease; slow growing; treated by antibiotics; causes many deaths in HIV- infected persons; when symptomatic quite communicable |
| Lung Cancer | 90% associated with smoking; low care rate (~7%); metastasizes rapidly and aggressively |