ch. 21 Flashcards

1
Q

Role of Respiratory system

A

-provide O2 and remove CO2 which are produced during cellular respiration (the burning or oxidation of glucose to produce ATP).

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2
Q

Conducting zone vs. respiratory zone

A

Respiratory- actual site of gas exchange
- composed of the respiratory bronchioles, alveolar ducts, and alveoli (all microscopic structures)

Conducting- includes all other respiratory passageways, which provide fairly rigid conduits for all air to reach gas exchange sites.
-organs cleanse, humidify, and warm incoming air(so air reaching lungs has fewer irritants)

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3
Q

Nose and nasal cavity

A

-nose consists of external nose and nasal cavity which is internal;
-floor of the cavity is the hard and soft palate. -Hairs in nasal vestibule, presence of mucous and serous glands, secretion of lysozyme and mucus, cleanse and humidify the air.
-Role of cilia.
Presence of an abundant blood supply: warming the air.
-Posterior nasal apertures open to the pharynx.

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4
Q

Pharynx

description, function?

A
  • passageway connecting nasal cavity to larynx and oral cavity to esophagus.
  • passageway for air and food
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5
Q

3 subdivisions of Pharynx and their locations

A
  • Nasopharynx(region posterior to the nasal cavity,from internal choanae to soft palate)
  • oropharynx (region posterior to root of tongue)
  • laryngopharynx ( region posterior to behind larynx, from epiglottis to cricoid cartilage)
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6
Q

nasopharynx

A

air only in this region, soft palate and uvula closing off the nasopharynx when swallowing, floor is hard palate and part of soft palate, adenoids (pharyngeal tonsil)

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7
Q

oropharynx

A

palatine and lingual tonsils, air /food possible

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8
Q

laryngopharynx

A

air/food possible..

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9
Q

Larynx “voice box” (Description)

A
  • made of 9 cartilages

- 3 main ones to know- thyroid, cricoid, epiglottis

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10
Q

functions of epiglottis when swallowing

A
  • larynz is pulled to superiorly and the epiglottis tips to cover laryngeal inlet (this keeps food out of lower respiratory passages)
  • “guardian of the airways”
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11
Q

voice..

A

-Voice production by the lower set of (true) vocal cords (vocal folds). Exhaled air passes through the glottis and causes the vocal cords to vibrate. Tense, thin, shorter cords vibrate faster and produce higher sounds

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12
Q

Anatomy/functions of Trachea “windpipe”

-tracheal cartilage

A
  • pseudostratified ciliated epithelium
  • C shaped cartilage rings with trachealis muscle at the posterior where the esophagus is(allows it to bulge into the trachea during swallowing.)
  • Contraction of trachealis muscle increases pressure of a cough.
  • Carina, sensitive area.
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13
Q

Bronchial tree

A

Right and left main (primary) bronchi, lobar (secondary) bronchi, segmental (tertiary) bronchi→bronchioles, terminal bronchioles (last conducting zone passageway). Cartilage replaced by smooth muscle.

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14
Q

start of respiratory zone:

A

respiratory bronchioles → alveolar ducts→ alveoli. Alveolar sac =bunch of “grapes,” each alveolus is a “grape.”

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15
Q

respiratory membrane

A

simple squamous epithelium of alveolus (type I cell) + fused basement membranes + simple squamous epithelium of capillary.

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16
Q

Type II cells and surfactant (Role?)

A

-role in reducing surface tension so alveoli can expand easier

17
Q

Infant respiratory distress syndrome

A

-breathing disorder more common in premature babies
-develops within first 24 hours of birth
-cause is lack of surfactant in the lungs. (Surfactant is a liquid that coats the inside of the lungs.)
-The substance coats the insides of the air sacs in the lungs. This helps keep the lungs open so breathing can occur after birth.
Without enough surfactant, the lungs will likely collapse when the infant exhales (breathes out).

18
Q

Alveolar macrophages (dust cells)

A
  • they are a significant feature of the alveoli

- Crawl freely along the internal alveolar surfaces

19
Q

Lungs and pleural coverings

A
  • Root
  • apex
  • base
  • lobes: 3 and 2, each lobe getting a lobar bronchus
  • bronchopulmonary segments, usually 10 and 8, each getting a segmental bronchus.
  • Parietal pleura on the thoracic wall and diaphragm
  • visceral pleura on the lung surface.
20
Q

pleural fluid in pleural cavity?

A

-results in the lungs clinging to the thorax walls.

21
Q

Mechanics of breathing

A

**Gases move along pressure gradients

22
Q

Inspiration

A

To get air in the lungs, decrease the pressure in the lungs

23
Q

Boyle’s Law: pressure of a gas varies inversely with volume. To decrease the pressure, increase the volume.

A

p1v1=p2v2 where p is pressure of gas and V is its volume

24
Q

role of the diaphragm and the external intercostals in quiet inspiration

A
  • diaphragm descends about 1 cm

- they both contract

25
Q

Use of sternocleidomastoid in forced inspiration

A

-flexes the neck, raises the sternum and assists in forced inspiration. Acting alone, tilts head to its own side and rotates it so the face is turned towards the opposite side.

26
Q

Expiration

A

-Quiet expiration is due to elastic recoil. -Forced expiration aided by abdominals.

27
Q

Respiratory volumes—

A

-Spirometer- to measure various volumes.

28
Q

TV (definition & approximate normal values)

A

(tidal volume)–amount of air moving into and out of the lungs
-about 500 ml

29
Q

IRV “ “

A

(inspiratory reserve volume)- amount of air that can be inspired forcibly beyond tidal volume
-2100-3200 ml

30
Q

ERV “ “

A

(expiratory reserve volume)- amount of air that can be evacuated from the lungs after a tidal expiration.
-1000-1200 ml

31
Q

VC “ “

A

(vital capacity)- total amount of exchangeable air.

-the sum of TV,IRV and ERV (4800 in healthy young males)

32
Q

Obstructive disease vs. restrictive disease

FVC (forced vital capacity)
FEV (forced expiratory capacity)

FVC is low for restrictive disease and FEV1 is low in obstructive disease.

A

obstructive- increased airway resistance(exhale way less than 80% of FVC or more within 1 second)
restrictive- involves reduction in total lung capacity( able to exhale 80% or more of FVC in 1 second)

-normal healthy lungs-can exhale about 80% of FVC in 1 second.