Lecture 12 Respiratory System Flashcards

(56 cards)

1
Q

2 types of respiration and meaning

A
  • external = lungs and respiratory system

- internal = aerobic respiration

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2
Q

2 aspects of external respiration

A
  • ventilation = movement of air in and out of lungs

- gas exchange = transfer of gasses between blood and air

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3
Q

flow of air through respiratory structures

A
  • mouth and nose –> trachea –> bronchus –> right and left bronchus –> terminal bronchioles –> respiratory bronchioles –> alveolar sacs –> alveoli
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4
Q

lining of upper airways vs lower airways

A

upper airways: psueudostratified ciliated columnar epithelium that moves mucus which catches debir
- lower airways = squamous endothelial cells good for gas diffusion

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5
Q

alveolar cells type 1 vs type 2

A
  • type 1 lines alveoli

- type 2 produces surfactant

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6
Q

respiratory / pulmonary membrane and 3 parts

A
  • fused membrane, connective tissue
  • alveolar type 1 cells
  • endothelial cells lining the capillaries
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7
Q

ARDS - causes, treatment, and effects

A
  • acute respiratory diseases syndrome
  • inflammation and excess fluid in lungs –> reduced surface area for gas exchange
  • respiratory membrane is damaged by inflammation
  • increased O2 in lung will not help since gas exchange will not occur
  • also caused by drowning and sepsis
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8
Q

2 zones of respiratory system and description

A
  • conducting zone aka dead zone, no gas exchange

- respiratory zone, lower airways, gas exchange occurs

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9
Q

describe intrapleural space and structures

A
  • parietal pleura connected to thoracic cavity
  • visceral pleura attached to lungs
  • serous fluid in between creates hydrogen bonds that attaches the 2 pleura
  • intrapleural space is not a real space but can be filled with water/air/pus/blood
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10
Q

pneumothrax, hemothorax, and thoracic empyema

A
  • pneumothorax = air
  • hemothorax = blood
  • thoracic empyema = pus
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11
Q

negative interpleural pressure

A

pressure in interpleural space is always negative to keep lungs from collapsing

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12
Q

negative vs positive pressure in lungs - when generated

A
  • negative pressure during inhalation, air comes in

- positive pressure during exhalation, air leaves

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13
Q

inhalation - changes in volume and pressure

A

diaphragm contracts and moves down, volume increases, pressure decreases, air enters

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14
Q

exhalation - changes in volume and pressure

A

diaphragm relaxes and moves up, volume decrease, pressure increases, air moves out

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15
Q

transmural pressure aka transpulmonary pressure

A
  • always positive
  • think of as force that pulls lungs out and keeps them from collapsing
  • intrapulmonary pressure - interpleural pressure
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16
Q

compliance, how measured

A
  • how easily lungs can expand

- change in volume / change in pressure

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17
Q

elasticity and cause

A
  • caused by elastin fibers in stroma (connective tissue surrounding alveoli)
  • ability of lungs to recoil
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18
Q

surface tension effect and cause

A
  • caused by fluid produced by alveolar cells type 1

- pulls alveoli in towards collapsing due to hydrogen bonds of the fluid

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19
Q

surfactant cause and effect

A
  • produced by alveolar type 2 cells

- breaks up the hydrogen bonds of the fluid and keeps alveoli from collapsing

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20
Q

factors favoring elasticity

A
  • elastin

- surface tension

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21
Q

factors favoring compliance

A
  • surfactant

- intrapleural pressure

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22
Q

RDS cause and treatment

A
  • respiratory distress syndrome
  • in premes because surfactants are not created
    until the last few weeks of gestation
  • CPAP = continuous positive airway pressure to keep lungs open
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23
Q

muscles in normal breathing

A
  • diaphragm doing 70% of work

- parasternal and external intercostal muscle to expand chest out

24
Q

forced inhalation accessory muscles

A
  • sternocleidomastoid
  • pectoralis minor
  • scalene
25
forced exhalation muscles used
- internal intercostal muscle | - abdominal muscle
26
spirometry
method for measuring pulmonary functioning
27
tidal volume
volume inhaled/exhaled during normal breathing, very small, 300-500mL
28
inspiratory reserve volume
- volume of air inhaled during forced inhalation - 3L - does not include tidal volume
29
expiratory reserve volume
- max volume of air exhaled during forced exhalation - 1L - does not include tidal volume
30
forced vital capacity FVC
IRV + ERV + TV | - max air in lungs - min air ini lungs during forced inhalation and exhalation
31
total lung capacity
- max volume of air in lungs | - includes 1L of residual volume
32
FEV1
- max amount of air exhaled during forced exhalation
33
functional residual capacity
- ERV + residual volume | - volume in lungs after normal exhalation
34
inspiratory capacity
- max amount of air that can be inhaled after normal expiration
35
residual volume
1L | - volume of air always in lungs
36
FEV1 test, reading, metrics and results
- read right to left - calculated as a percentage with normal = 80% - FEV1/FVC is a useful metric
37
apnea
lack of breathing | - think sleep apnea
38
dyspnea
labored breathing
39
eupnea
normal breathing
40
hyperventilation - CO2 levels and 2 characterizations
low CO2 levels - tachypnea - fast breathing - hyperpnea = deep breathing
41
tachypnea
fast breathing
42
hyperpnea
deep breathing
43
kussmal breathing - cause and characterization
- due to diabetic ketoacidosis | - both tachypnea and hyperpnea
44
hypoventilation - CO2 levels
- high Co2 levels | - slow and shallow breathing
45
normal breathing rate
10-12 breaths / minute
46
atelectasis
collapse of lungs
47
obstructive disorders - exhalation/inhalation harder, main symptoms, 2 main examples, effect on FEV, FVC, and FEV/FVC ratio
- exhalation harder since there is a lot of inflammation and constriction and lungs must constrict during exhalation - COPD and asthma - normal FVC but low FEV< thus low FEV/FVC ratio - inflammation, bronchioconstriction, airwasy narrowed, collapsed, or obstructed
48
restrictive disorders - effect on FEV, FVC, and FEV/FVC ration, main example
- harder to inhale, like typing a belt around your chest - low FVC and normal FEV = high FEV/FVC ration - pulmonary fibrosis
49
asthma - 2 class of drugs - main symptom and is exhalation/inhalation harder - type of disorder - cause
- wheezing during exhalation - obstructive, exhalation is harder - inflammation often due to allergies = atopic asthma and airway hyperresponsiveness - bronchiodilators = inhibitory, beta 2 receptor agonists - corticosteroids that are antiinflammatory
50
emphysema - type of disorder - effect on lungs and how its leads to inhalation/exhalation harder
- obstructive, exhalation harder - caused by smoking - inflammation and alveoli destruction --> larger alveoli. - based on laplace law: less surface tension and less pressure makes it harder to exhale
51
COPD - type of disorder - main effects - 2 related disorders
- emphysema and chronic bronchitis | - alveolar destructions, inflammation, narrowing of airways
52
cor pulmonale
- COPED --> blood vessels in lungs have more resistance --> pulmonary hypertension --> right heart hypertrophy --> right ventricular failure
53
bronchitis and emphysema - ways to remember
- bronchitis = blue bolus, blue because low O2, barrel chested because hard to exhale - emphysema = pink pucker, pursed lips and hunched over to make exhalation easier, pin because well oxygenated
54
pulmonary fibrosis - effects - type of disorder - 3 types / causes
- more collage in stroma of lungs, less compliant - harder to inhale, restrictive - asbestosis, silicosis, anthracosis
55
law of laplace - pressure, surface tension, and radius
- increase surface tension = increased pressure | - smaller radius = increased pressure
56
law of laplace and size of alveoli
- larger alveoli (due to emphysema) have lower pressure making it harder to exhale