Lecture Exam 2 Flashcards
(132 cards)
What are the main functions of the respiratory system?
Gas exchange
Vocalization
Olfaction
Acid-base balance
ACE conversion / BP
Pressure Gradient establishment
Name the structures/pathway in order from the mouth/nose to the lungs
nose, pharynx, larynx, trachea, bronchi, bronchioles, alveoli

What does the conducting division of the respiratory system consist of?
(Structure and function)
Those passages that serve only for airflow, essentially from the nostrils through the major bronchioles
-
Upper respiratory tract
- Structure:
- Mouth, pharynx, epiglottis
- Function:
- Airflow
- Warm, cleanse, and humidify air
- Olfaction
- Structure:
-
Lower respiratory tract
- Structure:
- Glottis, larynx, trachea, bronchi
- Function:
- Airflow and cleansing
- “Mucous elevator”
- Vocalization
- Structure:
What are the respiratory division structures consist of and what are their functions?
-
Bronchioles
- smooth muscle
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Alveoli
- Site of gas exchange
- Cellular specialization
- Squamous (Type 1) Cells = ~95% of cell
- Diffusion
- Great (Type 2) cells = ~5% of cell
- Repair and surfactant production
- Wandering macrophages
- Squamous (Type 1) Cells = ~95% of cell
- Respiratory membrane
- Squamous (Type 1) cell
- Basement membrane
- Capillary endothelial cell

Explain the details of the respiratory membrane
Include:
- Squamous alveolar cell
- Shared basement membrane
- Capillary endothelial cell

What are the inspiratory and expiratory muscles?
Inspiratory muscles:
- Diaphragm
- External intercostals
Expiratory muscles:
- Internal intercostals
- Abdominal muscles
Name and describe the neural control centers for the respiratory control and what they impact
Control of skeletal muscles
-
Medulla
- Ventral Respiratory Group (VRG)
- Active in bursts during quiet breathing
- Control activity of phrenic and intercostal nerve
- primary generator of respiratory rhythm
- Ventral Respiratory Group (VRG)
-
Dorsal Respiratory Group (DRG)
- Receives sensory input
- Modifies activity of the VRG
- Breathing is adapted to varying conditions
-
PONS
- Pontine respiratory group (PRG)
- Modifies activity of VRG and DRG
- Receives input from high brain centers
- eg. hypothalamus, limbic system, and cerebral cortex
- Adapts to sleeping, exercise, vocalization and emotional response changes
- Pontine respiratory group (PRG)
- Neural Output

Explain the types of stimuli and sensors (Who controls the control centers?)
-
Central Chemoreceptors
- Medulla oblongata - brainstem neurons
- respond to changes in pH of cerebrospinal fluid
- “Stimulating” stimuli:
- Increase CO2 (hypercapnia) or decrease pH of CSF
- Medulla oblongata - brainstem neurons
-
Peripheral Chemoreceptors
- Carotid and aortic bodies
- respond to O2 and CO2 content of the blood and pH
- Stimulating stimuli:
- Decrease PO2, Increase CO2, or Decrease pH in blood
- Carotid and aortic bodies
-
Stretch Receptors
- Found in smooth muscle of the bronchi and bronchioles and in the visceral pleura
- Respond to inflation of lungs and signal the DrG by way of vagus nerves
- Hering-Breuer reflexes (excessive inflation triggers this reflex)
- Inflation reflex
- Deflation reflex
- Prevent damage due to overexpansion or collapse
- Found in smooth muscle of the bronchi and bronchioles and in the visceral pleura
-
Irritant Receptors
- Detection of irritating chemicals / gases
- Trachea receptors trigger coughing
- Nose and pharynx receptors trigger sneezing
- Detection of irritating chemicals / gases
-
Voluntary Control
- Required for vocalization and swimming
- Neural bypass of respiratory centers under control of cerebral cortex

What is the fluid flow directly proportional to?
F = delta P / R
Where:
F = flow
Delta P = change in pressure
R = resistance
What is the pressure that drives respiration, explain
atmospheric (barometric) pressure
the weight of the air above us
Explain Boyle’s law
at constant temperature, the pressure of a given quantity of gas is inversely proportional to its volume
P1V1 = P2V2
Explain how the pressure difference in the lungs and chest cavity are impacted during the respiration cycle

Explain the breathing mechanistic gas physics, ie. ideal gas law
PV = nRT
(Boyle’s law)
P = pressure
V = volume
n = # of gas molecules
R = gas constant
T = temperature
Pressure and volume are inversely proportional
Air moves from high to low pressure
Explain the respiratory pressure changes during the respiration cycle
-
Atmospheric Pressure
- Air pushing down
- 760 mm Hg (at sea level)
- Since it doesn’t change, set to zero
-
Intrapulmonary Pressure
- Internal pressure in the lungs (in alveoli)
- Changes due to lung volume
- Normally -1 to +1 (relative to Patm)
- -1 = greater volume in lung
- +1 = lower volume in lung
- Normally -1 to +1 (relative to Patm)
-
Respiratory Cycle
- Inspiration
- Increase in lung volume = decreased intrapulmonary pressure
- Air flows in
- Inspiration
-
Intrapleural pressure
- Pressure in pleural space
- A ‘sucking’ force!
- Based on elastic pull inwards vs. adhesion outwards
- Varies during respiratory cycle
What are the factors that enhance pressure in the lungs?
Volume changes, most substantial effect
Adhesion of lung to pleural wall
Elasticity of the lungs and chest wall
Explain the factors enhancing resistance in the lungs
-
Airway diameter
-
Bronchoconstriction
- Histamine, PSNS
- for people with allergic response, this is how it is treated
- Histamine, PSNS
-
Bronchodialation
- Epinephrine, SNS
- beta 2 agonists
- in puffers for people with asthma
-
Bronchoconstriction
-
Pulmonary compliance
- Surfactant decreases surface tension
- very easy to fill up under normal circumstances, but as you get older the elasticity decreases
- Prevents collapse
- amphiphilic molecules that disrupts and prevents collapse
- Surfactant decreases surface tension
Explain alveolar ventilation, like breaths per minute for a normal adult and for a child
Adult normal = 12 / min
Children = 18 - 20 / min
Explain how to calculate the respiratory minute volume (VE)
Respiratory minute volume (VE) = F x Vt
where: F = breaths per minute, Vt = title volume
Normally 12 breaths/min x 500 ml/breath = 6 L/min
Variable by delta F or delta Vt
Up to 200 L/min
If your VE = 6.0 L/min, how many breaths per minute are you taking?
- cannot answer because you do not have the title volume (Vt)
Explain the alveolar ventilation (VA) and how to calculate it
Volume of ‘fresh’ air getting to alveoli
-
Automic dead space (VD)
- Air ‘left’ in conducting zone
- Only one way in and out, so the air mixes and that wish why you must subtract out the dead space when calculating the alveolarventilation
- ~150 ml per breath
- Air ‘left’ in conducting zone
-
VA = f ( Vt - Vd)
- VA = alveolar ventilation
- Vt = title volume
- VD = Automic dead space
- ex: VA = 12 bpm x (500 ml - 150 ml) = 4.2 L/min
- only about 2/3 of the air we breath is fresh
What are the anatomical dead space implications?
- If VE stays constant (6.0 L/min), but F goes down, what happens to VA
- how many breaths before VA = 0 L/min when VE = 6.0 L/min
- If F goes up and VE is held constant, VA would also go up
- Any amount of breaths over 40, is just replacing dead space air, that is why people pass out when you have panic attacks
Explain the spirometry trend and components
-
Tidal Volume
- Volume of air during normal (quiet) breathing cycle (eupnea)
- ~500 ml
-
Inspiratory Reserve Volume
- Volume that can be inspired (over tidal) with maximum effort
- Hyperpnea
- 1500 - 500 ml
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Expiratory Reserve Volume
- Volume that can be expelled (after tidal) with maximum effort
- 500 - 1000 ml
- Volume that can be expelled (after tidal) with maximum effort
-
Residual Volume
- Volume of air that remains in the lung, even after maximum exhalation
- Not normally measurable
- 900 - 1200 ml
- Due to surfactant, intrapleural pressure
- Volume of air that remains in the lung, even after maximum exhalation
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Minimal volume (after collapse)
- 30 - 120 ml

Explain how each of the following are determined and if you can measure them
- Total Lung Capacity
- Inspiratory Capacity (IC)
- Vital Capacity (VC)
- Functional Residual Capacity
VT = Tital Volume
IRV = Inspiratory Reserve Volume
ERV = Expiratory Reserve Volume
Vres = Residual Volume
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Total Lung Capacity = VT + IRV + ERV + Vres
- No, cannot measure Vres
-
Inspiratory Capacity (IC) = VT + IRV
- Yes, can measure
-
Vital Capacity (VC) = VT + IRV + ERV
- Yes, can measure
-
Functional Residual Capacity = ERV + Vres
- No, cannot measure Vres
Explain an overview of gas exchange?
-
Gas diffuses down its own concentration gradient
- usually talk in partial pressure gradient
- The structure of the respiratory memebrane is well adapted for the exchange of O2 and CO2
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Hemoglobin carries both O2 and CO2
- Must have an affinity to oxygen but also needs to be able to dump it off
Explain the physics behind gas movement

























































