Lecture 9 - Respiratory System Flashcards

1
Q

What is VO2 max

A

The maximum rate in which oxygen can be consumed,
transported and utilised by the respiratory, cardiovascular and
muscular systems

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2
Q

What is external respiration

A

the process of
drawing oxygen into the
body and expelling
carbon dioxide back into
the environment

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3
Q

What are the components in the respiratory system

A

Sphenoidal sinus
Frontal sinus
Nasal cavity + nose
Pharynx
Larynx
Trachea
Bronchi
Bronchioles
Alveoli
Lungs
Diaphragm

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4
Q

What laws is the process of ventilation dependant on

A

Boyle’s law
Fick’s 1st law of diffusion

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5
Q

What is Boyle’s law

A

As volume increases, pressure decreases
As volume decreases, pressure increases

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6
Q

What is Fick’s 1st law of diffusion

A

Gas goes from area of
a high concentration to
regions of a low
concentration; at a
magnitude that is
proportional to the
concentration gradient

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7
Q

What are the inspiratory muscles

A

diaphragm and external
intercostals

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8
Q

What are the expiratory muscles at rest

A

None - it is a passive process

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9
Q

What are the expiratory muscles during high demand (exercise, altitude, illness)

A

transversus abdominis,
internal and external obliques, rectus abdominis, internal intercostals and the triangularis sterni

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10
Q

What is the volume during inspiration and expiration

A

~3000 mL ins
~2000 mL exp

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11
Q

How will ambient air be drawn into the lungs

A

Ventilation
(oxygen will be drawn into the respiratory zone of the lungs by conc gradients)

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12
Q

What is the difference in mmHg between ambient air and alveolar pO2 and why

A

55-60
Humidification of gases in the lungs
CO2 mixing in alveolar air

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13
Q

What does the pulmonary artery do

A

the only
artery to carry deoxygenated
blood

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14
Q

What do pulmonary veins do

A

Conversely,
these veins carry oxygenated
blood

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15
Q

What do pulmonary capillaries do

A

Contain both oxygenated and
deoxygenated blood

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16
Q

What is perfusion

A

the transport of molecules to target tissues

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17
Q

How are capillaries in the lungs adapted to their function

A

One endothelial layer thick (0.0006 mm)

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18
Q

What is partial pressure

A

In a mixture of gases, the partial pressure is
pressure exerted by each individual gas

19
Q

What is Henry’s law

A

The concentration of dissolved
gas equals the partial pressure
of the gas multiplied by its
solubility

20
Q

What are the trends for the partial pressure of gas

A

Nitrogen > O2 > CO
mmHg
PN2 597.4
PO2 158.8
PCO2 0.3
Pother 3.5
Total 760.0 mmHg
Barometric Pressure
[at sea level]

21
Q

What is the solubilities of gases in the air

A

O2 > CO2 > Nitrogen

22
Q

What is a spirometer used for

A

Lung function

23
Q

What are the steps for spirometry

A

1) Ask the patient to take
3-5 normal breaths;
2) After this, they rapidly
inhale as quickly and
deeply as possible;
3) As soon as they reach
peak inspiration, they
blow out for as hard
and long as possible
(or, for at least 6-
seconds)

24
Q

What is Tidal Volume (Vt)

A

the amount of air that moves in or out of the
lungs with each respiratory cycle

25
What are normal values for Vt
Males: ~500 mL Females: ~400 mL
26
What are normal values for breathing frequency (f)
12-20 breathes/min
27
How is ventilation (Ve) calculated
Vt x f (mL/min or L/min)
28
What is Inspiratory Reserve Volume (IRV)
the amount of air that can be inhaled, above that of the normal VT
29
What is the Expiratory Reserve Volume (ERV)
the amount of air that can be expired, below that of the normal VT.
30
What is the residual volume
the volume of air that remains in the lungs after a forced, maximal exhalation
31
Why is there a residual volume of air present in the lungs
A RV means that there is always enough air in the lungs, for alveoli to participate in gas exchange. A healthy person cannot empty their lungs during a maximal ventilation
32
What is inspiratory capacity (IC)
maximal volume of air that can be inspired following a normal passive expiration
33
What is functional residual capacity (FRC)
volume of air in the lungs following a normal passive expiration
34
What is the Forced Vital capacity (FVC)
the total volume of air that can be expired following a maximal inspiration
35
What is the total lung capacity (TLC)
the total volume of air in the lungs following a maximal inhalation
36
What is a capacity
the maximal volumes of air in the lung parenchyma (functional tissue) during a specific point in the respiratory cycle
37
What is forced expiratory volume over 1-second (FEV1)
the amount of air that can be expired within the 1st second of a maximally forced expiration, following a maximal inhalation
38
At rest, what is ventilation controlled by
The brainstem (pons and Medulla Oblongata) Pneumotaxic center Apneustic center
39
What are chemoreceptors
detect changes in O2 or CO2, which feeds back to the back to the respiratory centers in the brain
40
What do peripheral chemoreceptors do (carotid and aortic)
Emergency detection for low O2; Carotid receptors provide rapid response; pH / CO2 detection system
41
What do central chemoreceptors do (extracellular portion of the brain)
Slower response but more of a "steady state" control
42
What happens to tidal volume, breathing frequency and minute ventilation during exercise
Tv - increase ~225% f - increase ~237% Ve - Increase ~653%
43
Why does altitude cause ventilation limitation
Altitude results in a reduced ambient, alveolar and arterial partial pressure of O2, which results in ↓ bioavailability for cells Hypoxic environment lead to vasoconstriction within the lung’s microvasculature results in ↑ alveolar fluid content (leaking from blood)