46 & 47: Respiratory Muscles & Breathing Cycle Flashcards Preview

CPR Test 2 > 46 & 47: Respiratory Muscles & Breathing Cycle > Flashcards

Flashcards in 46 & 47: Respiratory Muscles & Breathing Cycle Deck (27)
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1
Q

Muscles of Inspiration

A

Scalene
Sternomastoid
External Intercostals

Diaphragm contracts

2
Q

Muscles of Expiration

A

Rectus Abdominis
Internal Intercostals
Obliques
Transversus Abdominis

Diaphragm relaxes

Bucket Handle

muscles pull ribcage downwards and inwards, increasing IP pressure, squeezing air out of lungs

3
Q

Diaphragm

A

main muscle responsible for driving ventilation during tidal breathing

contraction and shortening pull it flatter

increase the volume inside the thoracic cavity

4
Q

Pleural Membrane

A

visceral pleural:
is physically attached to the lung surface

parietal pleural:
membrane is attached to the wall of the thorax and diaphragm

5
Q

Pressure Equation

A

Force/Area

increasing area (volume) decreases pressure

6
Q

Combined Gas Laws

A

P1V1/T1 = P2V2/T2

increase temperature = increase in volume

7
Q

Boyle’s Law

A

P1V1 = P2V2

closed system: pressure falls as volume expands

open system: airflow inward until pressure inside = P(ATM)

8
Q

Intrapleural pressure (PIP)

A

pressure inside pleural space

9
Q

Alveolar pressure (PA)

A

pressure inside alveolus

10
Q

Transmural pressure (PTM)

A

any pressure gradient across a wall

11
Q

Transpulmonary pressure (PTP)

A

lung elastic recoil pressure

transmural pressure across the alveolar wall (PA-PIP)

12
Q

Pressure Changes during Breathing

A

Pleural pressure falls (from -5 to -8)

Transpulmonary pressure gradient increases
(PTP = PA – PIP)

alveolar expansion

Alveolar pressure falls (from 0 to -1)

13
Q

How long does inspiration take?

A

2 seconds

14
Q

How long does expiration take?

A

3 seconds

longer than inspiration b/c of increased airway resistance, pressure gradient larger

15
Q

Lung Compliance

A

Pressure Volume Relationship

C = ΔV(l)/ ΔP(tp)

C = 1/E

16
Q

Hysteresis

A

the pressure/volume relationship differs depending on inflation or deflation

17
Q

What forces are needed to overcome in lung compliance?

A

Airway resistance
Frictional forces
Inertia of air + tissues
Elasticity of lung

18
Q

What happens if lungs are filled with saline so there is no surface tension?

A

hysteresis is not apparent

19
Q

Surface Tension

A

Intermolecular forces of attraction

Molecules at surface are only attracted from below and with each other

the surface of liquid acts as an elastic sheet

Force per unit length/ energy per unit area

20
Q

LaPlace’s Law

A

P = (n)T / r

T surface tension, r radius

↑ radius ↓P
↓ radius ↑P

21
Q

Surface Tension and Alveoli

A

Small alveoli develop a large pressure

Large alveoli develop a smaller pressure

air from smaller to larger alveoli

small alveoli collapse and large alveoli to fill

22
Q

Surfactant

A

lipoprotein rich in phospholipid

secreted by type II cells

reduces surface tension by increasing lung compliance

alveoli shrink, surfactant conc. increases, surface tension decreases

23
Q

Surfactant Constituents

A

90% Phospholipids:(phosphatidylcholine; DPPC)

10% Proteins:
SPA, SPB, SPC, SPD

24
Q

Surfactant and Surface Area

A

Smaller surface area, surfactant closely packed, surface tension is less

Larger surface area, surfactant spread out, surface tension is more

25
Q

Lung High Compliance

A

Walls of lung thinner

Higher surfactant

Large volume change; lung inflates easily and has little elastic recoil

air trapped inside must use extra force to get it out

Emphysema
COPD

26
Q

Lung Low Compliance

A

Walls of lung thicker

lung inflates with difficulty due to large elastic recoil

Low surfactant, labored breathing

Pulmonary fibrosis
Respiratory distress syndrome

27
Q

FRC

A

Functional Residual Capacity

Volume of the lung at rest between breaths

lung volume at which the inwardly directed lung recoil is exactly
balanced by the outwardly directed chest wall recoil

the volume of the lung when there is no active muscle input