Part 2 Flashcards

(41 cards)

1
Q

The central nervous system control what

How do the CNS do that

What did the Vegas nerve supply

A

Involuntary involuntary respiration

Through pons in the medulla

The Vegas nerve supplies the pharynx, larynx respiratory airway and lungs

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2
Q

What are the brainstem 🧠 chemoreceptor sensitive to

What are the chemo receptors in the aorta 🫀 in the carotid arteries sensitive to

A

They are sensitive to changes in CO2 and hydrogen ions in the cerebral spinal fluid

Are sensitive to oxygen levels in the blood

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3
Q

The Signal of changing level of hydrogen ion CO2 and oxygen triggers what

A

Respiratory center to send signals through the spinal cord in the spinal nerve to the peripheral nervous system

And phrenic and intercostal nerves

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4
Q

The intercoastal nerves controls what

A

The diaphragm and respiratory muscles

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5
Q

What happens to CO2 level in the cerebrospinal spinal fluid becomes too high or the PH drops

A

The central receptors in the brain stem signals the nerve to initiate faster respiratory to “blow off ” excess CO2

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6
Q

What gives the primary signal for respiration

A

CO2

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7
Q

When arterial blood oxygen level are below normal what happens to the respiratory center in the aorta in the carotid artery’s What do they signal

A

Signals the nerves nerves to cause the lung 🫁 to inflate more fully making the person breathe 🧘‍♀️ more deeply and faster

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8
Q

When CO2 levels are constantly hi this example of what type of patient

A

COPD

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9
Q

When CO2 levels are constantly high What does the body do

What does research so when you give a COPD patient more oxygen what changes in their body

A

The body becomes a custom to high CO2 levels in the respiratory drives is triggered by receptors for low arterial O2 instead of high levels of CO2

Vascular, ventilation, and perfusion changes

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10
Q

I should you give oxygen to a patient that has COPD

A

Oxygen must be given and titrated to maintain a pulse ox them in maintain reading of 82 to 92%

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11
Q

How many milliliters of air moves in and out of the lungs with each breath

A

500 mL

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12
Q

Occurs by the movement of the diaphragm and intercostal muscles in the chest wall

A

Inhalation and exhalation

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13
Q

What occur in inhalation and exhalation

A

Occurs by the movement of the diaphragm and intercostal muscles in the chest wall

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14
Q

What is the primary respiratory muscle

A

The diaphragm

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15
Q

I dome shape muscle beneath the lungs that helps with breathing

A

Diaphragm

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16
Q

When the diaphragm contracts what happens

A

It moves downward

The other chest muscle contracts pulling the rib cage up ⬆️ and out expanding the lungs 🫁 and creating an area of negative pressure

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17
Q

What happens when the diaphragm relaxes

A

The rib cage move back to its normal position

  • the lungs 🫁 return to resting position
  • causing air to be possibly push out an explanation
18
Q

If damage to the spinal cord occurs above the level where the PHRENIC nerve branches off to control the diaphragm what happens

A

Voluntary respiration ceases

19
Q

If the muscles of the diaphragm and chest (intercostal) Are paralyze what occurs

A

Apnea- absence of breathing

20
Q

The thoracic cage is composed of what

What is the function of the thoracic cage

A

Thoracic vertebrae
the sternum
And the rib

Let’s respiratory muscles function correctly

21
Q

If any bones of the thorax or chest wall or injured or fractured what does it affect

22
Q

Elasticity of the lungs or how easily the lungs inflate ?

What happens when it decreases?

How do COPD and aging altar this?

A

Compliance

The lungs are more difficult to inflate

Artist compliance because of damage in the Alveoli

23
Q

Weakness of the respiratory muscles, such as occurs with neuromuscular diseases, can also cause what

A

decrease respiratory ability

24
Q

Inwards curvature in collapse

25
Kyphosis of the spine constrictor thoracic Cavity and restricts the cavity at the lung To do what
Expand fully
26
Are tiny sac covered with permeable membrane that come into contact with the pulmonary arterioles and Venules
Alveoli 🍇
27
Oxygen passes into the ____and CO2 passes from the _____ into the
Arterial blood 🩸 Venous blood 🩸 Alveoli 🍇for exhalation 🥱😮‍💨
28
Secreted by cell in the alveoli 🍇 What did it decrease and why? What does it facilitates And what does it prevent And when it to low
Surfactant It decreases surface tension on the Aleveolare wall (Why) so that diffusion of oxygen and carbon dioxide can take place 1. alveoli 🍇 cannot properly expand 2. O2 and carbon dioxide cannot cross the membrane adequately
29
When interstitial Edema occurs in the long what happens to though alveolar membrane And what happens if the fluid filled the alveoli
The alveolar membrane it’s thickened and gases ⛽️ cannot diffuse across the membrane easily Gases cannot this diffuse across the membrane
30
Edema in the lungs occurs with
Infection like- pneumonia | Disorders like- congestive heart failure
31
What percentage attaches to the heme portion of the hemoglobin molecule carried and erythrocytes and forms oxyhemoglobin
97%
32
The plasma also transports a portion of each gas And that percentage it dissolved where
3% oxygen is dissolved in the plasma
33
Cellular waste product
CO2
34
CO2 cellular waste product combines with water forming what
Carbonic acid
35
After of the cellular waste product combines with water formingcarbonic acid what happens next So after____Is formed it makes what
Disassociation. Uncombining Hydrogen ions and bicarbonate ions
36
What % is transported in the blood 🩸 as bicarbonate ion
77% of CO2
37
What % combine w/ hemoglobin and is carried to lung 🫁
23%
38
Inside the lung 🫁 process reverse 🔄 so What happened with the CO2 and it is exhaled 😮‍💨🥱 or inhaled
The bicarbonate ions combine w hydrogen to make carbonic acid which then ➡️dissociate into water 💦 and CO2 The CO2 diffuses across alveolar membrane and is exhaled
39
The movement of air from the external environment to the gas exchange unit of the lung and back to the environment Done mechanical ventilator (MOVEMENT OF GASES INTO AND OUT OF THE LUNG 🫁 )
Ventilation
40
How is the the lung to acquire oxygen measured
By pulse oximetry
41
The amount of CO2 present in exhaled breath What are the other names for it
End-tidal CO2. Etco2 or Carpnogtaphy