Lecture 5: Respiration Flashcards

(29 cards)

1
Q

What is Respiration?

A

The process of exchanging gases:
ventilation
external respiration
transport of gases
internal respiration
cellular respiration

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2
Q

what are the two divisions of the respiratory system

A

Upper Respiratory tract: filters, warms and humidified air
nose
nasal cavity
sinuses
pharynx

Lower Respiratory tract:
Larynx
Trachea
Bronchial Tree
Lungs

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3
Q

The Nose and Nasal cavity

A

The hollow space behind the hard palate and cribiform plates

Separated by the nasal septum

lined with mucous membrane (with pseudostratified ciliated epithelium)

air is warmed, moistened and filtered

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4
Q

Paranasal Sinuses

A

The sinuses are air filled spaces in the maxillary, frontal, ethmoid and sphenoid bones of the skull

Mucous membrane lining is continuous with the lining of the nasal cavity

The sinuses reduce the weight of the skull and serve as voice resonant chambers

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5
Q

Pharynx

A

The pharynx is posterior to the oral cavity and between the nasal cavity and the larynx:

NasoPHARYNX
OroPHARYNX
LaryngoPHARYNX

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6
Q

Larynx

A

Larynx is an enlargement in the airway superior to the trachea and inferior pharynx

It is composed of a framework of muscles and cartilages bound by elastic tissue

Larynx is made up of:

Three single cartilages:- Thyroid, cricoid and Epiglottic
Three paired cartilages:- Arytenoid, Corniculate and Cuneiform

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7
Q

What happens during swallowing in regards to the Larynx

A

The Larynx will elevate causing the epiglottis to move down and form a lid over the glottis, closing it off

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8
Q

The glottis

A

The glottis consists of a pair of folds of mucous membrane called:
true vocal cords (vocal folds)

space between them is called rima glottidis

THE VOCAL FOLDS ARE THE PRINCIPLE STRUCTURE OF VOICE PRODUCTION

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9
Q

Voice Production…

A

1) Laryngeal muscles attach to both the rigid cartilages and the vocal folds

2) Contracting and relaxing the muscles varies tension in the vocal cords

3) Air passing through the larynx vibrates the folds and produce sound - phonation, by setting up sound waves in the pharynx, nose and mouth

4) THE VARIATION IN THE PITCH OF THE SOUND IS RELATED TO THE DIAMETER, LENTGH AND TENSION IN THE VOCAL FOLDS

5) The greater the pressure of air, the louder the sound produces by the vibrating vocal folds

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10
Q

In a patient with Laryngitis what can we see:

A

Edema/ swelling
hoarseness of voice

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11
Q

Trachea

A

The Trachea is a flexible cylindrical tube

As it extends downward anterior to the oesophagus and into the thoracic cavity, it splits into the right and left primary bronchi

Left side has 3 lobes
Right side has 2 lobes

Lines with ciliated mucous membrane

wall has C shaped rings of hyaline cartilage to keep the trachea open

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12
Q

Bronchial Tree

A

bronchial tree consists of branches airways leading from the trachea to the microscopic air sacs in the lungs

Esch primary bronchus leads from the treachea to enter a lung

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13
Q

airway branching

A

conducting zone: where air is passed through
Respiratory zone : where rerspiration occurs

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14
Q

Development

A

develops from ventral aspect of Anferior Foregut Endoderm

1)Embryonic- rudimentary lungs, formation of major airways and pleura

2) Pseudoglandular - bronchia tree

3) Canalicular - Dista; airways, branching complete, first air blood barrier, appearance of surfactant, detectable acini

4) Saccular - expansion of air spaces

5)Alveolar - Alveolarization, Microvascular maturation

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15
Q

structure of the alveoli

A

As the bronchi continue to branch, they become narrower:
The amount of cartilage decreases until it disappears in the bronchioles
The smooth muscle becomes more prominent, then begins to diminish from bronchioles to alveoli

These respiratory tubes become thinner and thinner and the cell layers thin AND change until the alveoli are reached
- Alveolar wall is composed of simple squamous epithelium

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16
Q

Gas Exchange

A

The alveoli are the sites of the vital process of gas exchange between the air and the blood

Two Types of cells
type 1: Simple squamous epithelium
Type 2: Special cells that secrete surfactant

Gas exchange between alveolar air and the blood occurs through the respiratory membrane

alevolar wall - simple squamous epithelium
blood capillary wall - simple swuamous epithelium

Basement membrane - between alveolus and capillary

gas diffuses from areas of high partial pressure to areas of low partial pressures

17
Q

Oxygen Transport

A

98% of oxygen is transported by the protein hemoglobin in the form of oxyhemoglobin

and

2% is dissolved in the blood plasma

factors which increase the release of o2 from hemaglobin are#:
decrease inPO2
Increase inpco2
increase in acidity
increase in temperature

When O2 is released it moves from blood into tissues
- about 75% of the o2 remains bound to hemaglobin in the venous blood ensuring safe co2 levels and thereby pH

18
Q

Carbon Dioxide Transport

A

Blood flowing through the capillaries gains co2 because the tissues have a high pco2

The co2 is transported to the lungs in one of three forms

as co2 dissolved in plasma
as part of a compound with hemaglobin
as part of a bicarbonate ion - most is transported this way

19
Q

Lungs

A

The right and left lungs are soft, spongy, cone shaped organs in the thoracic cavity separated by mediastinum

The right lung has three lobes and the left has three lobes

surrounded by Pleura:
Visceral
Parietal

20
Q

Breathing Mechanisms

A

Breathing or ventilation is the movement of air from outside of the body into the bronchial tree and the alveoli

The actions responsible for these air movements are inspiration ( inhalation) and expiration (exhalation)

21
Q

Pleural Fluid

A

Lubricating fluid secreted by the membranes

This reduces friction between the membranes, allowing them to slide easily over one another during breathing

Pleural fluid also causes the two membranes to adhere to one another
- a phenomenon called surface tension

Separates pleural cavities surround the left and right lungs

22
Q

Boyles law

A

The volume of a gas varies inversely with its pressure

23
Q

Muscles of Respiration

A

External intercostal
Sternocleidomastoid
Diaphragm

24
Q

Respiratory cycle

A

One sequence of inspiration and expiration

25
Inspiration
air moves from high pressure to low pressure When respiratory muscles are at rest, atmospheric pressure and alveolar pressure are equal Intra-alveolar pressure decreases to about 758mm Hg as the thoracic cavity enlarged due to diaphragm downward mov3ment atmospheric pressure then forces air into the air ways DIAPHRAGM CONTRACTS, CAUSING IT TO FLATTEN- ACCOUNTS FOR 75% OF AIR MOVEMENT DURING NORMAL BREATHING INNERVATED BY THE PHRENIC NERVE intercostal muscles contracting elevate the ribs and sternum and this increases the anterior- posterior diameter of the thorax
26
Expiration
Normal resting expiration comes from: Elastic recoil of lung surface tension in the alveoli Forced Expiration is due to: Internal Intercostal Abdominal Muscles
27
Respiratory volumes
By taking a very deep breath you inhale more air, additional inhaled air is called the INSPIRATORY RESERVE VOLUME (IRV) The volume of one breath is called the TIDAL VOLUME (VT) If you exhale forcefully, the extra volume is called the EXPIRATORY RESERVE VOLUME (ERV) - after the expiratory reserve volume is exhaled the air remaining in the lungs is called the RESIDUAL VOLUME
28
Factors affecting Respiration
Receptors involved include mechanoreceptors and central peripheral chemoreceptors - partial pressure of oxygen partial pressue of carbon dioxide degree of stretch of lung tissue emotional state level of physical activity
29
Control of breathing
Normal breathing is a rhythmic, involuntary act that continues when a person is unconcious Respiratory muscles can also be controlled voluntarily Groups of neurons in the brainstem comprise the repsiraory areas that control breathing Respiratory areas also adjust the rate and depth of breathing: medullary respiratory center Pontine respiratory group