respiratory system Flashcards

1
Q

Pulmonary ventilation

A

volume of air going into lungs from environment via mouth & nose

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2
Q

External Respiration

A

exchange of O2 and CO2 b/w lungs and blood

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3
Q

Internal Respiration

A

exchange of O2 and CO2 b/w blood and cells

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4
Q

Two structures of pulmonary system

A
  1. Conductive Zone: nose, mouth, nasal cavity, trachea, pharynx, bronchioles
    • air transport - “anatomical dead space”
    • warms/humidifies air and filters air using ciliated mucosal membranes
  2. Respiratory Zone: respiratory bronchioles, alveolar ducts, alveolar sacs, alveoli
    • does not always function- “physiological dead space”
    • gas exchange
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5
Q

What are the basic mechanics involved in breathing and how does Boyle’s Law work to aid breathing?

A
  1. pressure gradient
  2. resistance
    Boyle’s Law: if temperature is constant then volume and pressure are inversely related
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6
Q

What are the major inspiratory and expiratory muscles at rest? During heavy exercise?

A

major muscles @ rest:
inspiratory: diaphragm, external intercostals, posterior serrate, scalenes
expiratory: passive - diaphragm relaxes & elastic return of lungs
major muscles during exercise:
inspiratory: same as resting but with faster contractions
expiratory: rectus abdominis, transperce abdominal, internal intercostals

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7
Q

Describe the pulmonary circulation and bronchial circulation

A

pulmonary circulation: external respiratory, parallels divisions of conductive zone and capillary blood matches lung structure
- R ventricle to pulmonary A to lungs to pulmonary V to L atrium
bronchial circulation: small systemic arteries
- aorta to lungs to pulmonary V to L atrium

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8
Q

What are the dynamic lung volumes?

A

FEV1: forced expiratory volume in 1 sec (80% of VC)
FEV3: forced expiratory volume in 3 sec (all of VC)
MVV: maximal ventilatory volume (maximal air exchange in 15-20 secs)

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9
Q

How does Dalton’s Law influence partial pressures of oxygen at different altitudes, i.e., sea level vs Pikes Peak?

A

There is the same amount of oxygen but at different barometric pressures
Sea Level: PO2 = 760mmHg x 0.2093 = 159 mmHg
PO2: lungs(104mmHg ) – blood(95mmHg) – cells(40mmHg)
Pikes Peak: PO2 = 440mmHg x 0.0293 = 99mmHg
PO2: lungs(40mmHg) – blood(40mmHg) – cells(45mmHg)

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10
Q

What are the two major respiratory centers located in the medulla oblongata and how do they function?

A

Inspiratory: most important center; rhythmical on/off depolarization of phrenic nerve
Expiratory: maintains inspiratory muscle tone and activates expiratory muscles during exercise

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11
Q

What are the other two respiratory centers located in the Pons and how do they function?

A

Apneustic: constantly stimulates inspiratory center unless inhibited by pneumotaxic center
Pneumotaxic: constantly inhibits inspiratory center and sometimes the apneustic center

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12
Q

Define and describe ATPS, BTPS, and STPD.

A

ATPS: ambient temp, pressure, saturated
BTPS: body temp, pressure, saturated
STPD: standard temp (0C) pressure (760mmHg) dry (0% humidity)

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13
Q

Discuss the five factors affecting control of pulmonary ventilation.

A
  1. Hypothalamus: involuntary action of SNS shock/pain inhibits & strong emotions stimulate
  2. Cerebral Cortex: provides a direct connection b/w motor cortex & respiratory muscles allowing for some voluntary action
  3. Systemic Receptors: in conduction zone of lungs resulting in reflex coughing/sneezes; deep/fast breathing inhibits apneustic and inspiratory centers
  4. Mechanoreceptors: proprioceptors in muscles & joints with no role at rest and only minor role during exercise
  5. Chemoreceptors: respond to chemical substance changes
    • central: in medulla responds to increased PCO2 and acidity
    • peripheral: in carotid A and aorta responds to increased PO2, K+ ions, acidity, and decreased PCO2 and pH
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14
Q

Discuss the four factors affecting diffusion across the alveolar-capillary membrane

A
  1. Solubility Coefficients (Henry’s Law): a mix of gases diffuses into a liquid in proportion to partial pressure & solubility coefficients until reaching equilibrium
  2. Diffusion Gradients: the larger the gradient, the faster the diffusion (excluding CO2)
  3. Membrane Thickness: increases in thickness reduces diffusion
  4. Alveolar Surface Area: decreases in surface area will decrease gas exchange
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15
Q

Discuss the different ways in which O2 can be transported and how to calculate oxygen content of arterial blood

A
  1. dissolved in plasma (1-3%)
  2. binds to heme portion of hemeoglobin (98%)

CaO2 = (SaO2 x Hb x binding constant) + (PaO2 x solubility coefficient)

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16
Q

Discuss the different ways in which CO2 can be transported

A
  1. dissolved in plasma (5-10%)
  2. binds to globin portion of hemoglobin (20%)
  3. transported as bicarbonate - chloride shift (70%)
17
Q

discuss factors that can cause a right shift in the oxyhemoglobin curve

A
  1. increased PCO2
  2. increased H+ ions/ decreased pH
  3. increase 2.3 DPG
  4. Increased temp