lecture 1 (respiratory) Flashcards

(26 cards)

1
Q

what is respiration?

A
  • cellular = production of energy within cell
  • breathing
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2
Q

what structures make up the respiratory system?

A
  • vocal chords
  • oesophagus
  • pharynx
  • lungs
  • bronchus
  • diaphragm
  • nasal cavity
  • tongue
  • larynx
  • trachea
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3
Q

what occurs to the air in the upper respiratory system?

A
  • warmed to preserve body temperature
  • humidified to ensure exchanged tissue doesnt dry
  • filtered to remove viruses, bacteria etc.
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4
Q

what is the movement pathway of air?

A

branching airways -> trachea -> bronchi -> 2nd bronchi -> bronchiole -> alveoli

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5
Q

how many divisions are there between the trachea and alveoli?

A
  • 24
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6
Q

what are the 2 cell types of alveoli?

A
  • type 1 = larger, thin, enable gas exchange
  • type 2 = thicker, release surfactant
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7
Q

what allows efficient gas exchange in the alveoli?

A
  • membranes of capillaries and alveoli is almost fused
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8
Q

what does the connective tissue between the alveoli allow?

A
  • lungs to recoil when stretched
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9
Q

what is bronchiectasis?

A
  • enlarged bronchi
  • enlargement of airways
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10
Q

how does bronchiectasis occur?

A
  • chronic superlative diseases of the lung (chronic infection)
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11
Q

what are the characteristics of bronchiectasis?

A
  • blockage of airways
  • obstructed airways
  • area flow to parts of lung restricted
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12
Q

how does air get into lungs?

A
  • based off boyles law
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13
Q

what is boyles law?

A
  • if sealed and compressed then pressure increases
  • increased volume = decreased pressure
  • decreased volume = increased pressure
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14
Q

how does changes in lung volume cause air flow?

A
  • lungs expand so volume increases and pressure decreases
  • pressure in lung falls below atmospheric pressure
  • air flows in (inspiration)
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15
Q

what are the lungs contained within?

A
  • plueral sac
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16
Q

what do the lungs adhere to?

A
  • thoracic wall by cohesive forces of pleural membranes
17
Q

what causes the thoracic cage to move during inspiration?

A
  • external intercostals
  • diaphragm
  • stemocledomastoids
  • scalenes
18
Q

what causes the thoracic cage to move during expiration?

A
  • internal intercostals
  • abdominal muscles
19
Q

what causes the change in thoracic volume?

A
  • diaphragm flattens and lowers
  • muscles of rib cage moving in and out
20
Q

what occurs when the diaphragm contracts?

A
  • thoracic volume increases
21
Q

what occurs when the diaphragm relaxes?

A
  • thoracic volume decreases
22
Q

how is lung function measured?

A
  • water spirometer
  • FEV1 (forced expiratory volume in 1 second)
  • FEV1 correlated with maximum voluntary ventilation (MVV)
23
Q

what occurs to volume time curve with obstruct spirometry?

A
  • FEV1 decreases
24
Q

what is forced vital capacity (FVC)?

A
  • maximal volume of air exhaled with maximally forced effort from a maximal inspiration
25
what occurs to FEV1 with age?
- decreases with natural ageing - lung function also declines
26
how does FEV1 change with cystic fibrosis treatment?
- improves FEV1 - decreases GI symptoms