Part III Flashcards

(39 cards)

1
Q

What is the pathway of the airways of the lung?

A

trachea, bronchi, bronchioles, respiratory bronchioles, alveolar bronchioles, alveolar ducts, alveolar sacs, alveoli

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2
Q

How many alveoli are there?

A

300 million

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3
Q

What is dead space?

A

an area where gas exchange cannot occur

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4
Q

How much anatomical dead space is there?

A

150 mL worth

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5
Q

What constitutes anatomical dead space?

A

mouth, trachea, bronchi, bronchioles

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6
Q

What is physiological dead space?

A

anatomical dead space plus non-functional alveoli

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7
Q

How is dead space calculated?

A

using pure O2 inspiration and measuring nitrogen in expelled air

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8
Q

How much alveolar volume is there in the lung?

A

2150mL

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9
Q

How do you calculate alveolar volume?

A

functional residual volume minus dead space

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10
Q

Where is most of the functional residual volume located in the lung after normal expiration?

A

alveoli

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11
Q

There is a ___ turnover of the ___ in the alveoli.

A

slow, FRC

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12
Q

How many breaths does it take to completely turn over the FRC?

A

6-7 breaths

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13
Q

How do you determine the rate of alveolar ventilation?

A

volume of alveoli = respiratory rate (tital volume - dead space)

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14
Q

What are the different ways the airways are controlled by the autonomic system?

A

efferent neural control, NANC, afferent nerve control, rapidly adapting receptors, high densities of C fibers

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15
Q

What are the specific categories of efferent control?

A

sympathetic and parasympathetic

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16
Q

In sympathetics in efferent control, what causes dilation?

A

beta receptors

17
Q

How do beta receptors cause dilation?

A

primarily by an indirect effect via circulating epinephrine

secondarily from sparse innervation (weak)

18
Q

For parasympathetics, ____ receptors cause ____

A

muscarinic, constriction

19
Q

What does NANC stand for?

A

non-adrenergic, non-cholinergic

20
Q

What does the inhibitory effect of NANC do?

A

release of VIP and NO that causes vasodilation

21
Q

What does stimulation of NANC do?

A

causes bronchoconstriction, mucous secretion, vascular hyperpermeability, cause, vasodilation, “neurogenic inflammation”

22
Q

What is the afferent nerve control of the lungs?

A

it isslow adapting recepors assocated with proximal airways and stretch receptors involved in reflex control of breathing and cough reflex

23
Q

What are rapidly adapting receptors of the lungs sensitive to?

A

mechanical stimulation, protons, low chloride solutions, histamine, cigarette smoke, ozone, serotonin, PGF2 alpha

24
Q

Some of the sensitivities for rapidly adapting receptors of the lung are secondary to what?

A

mechanical stimulation

25
What are C fibers?
high density of fibers in the lungs
26
What do C fibers contain?
neuropeptides (substance P, neurokinin A, calcitonin gene related peptide)
27
What are C fibers selectively stimulated by?
capsasin
28
What are other things that are activated by C fibers?
bradykinin, protons, hyperosmole solutions, cigarette smoke
29
What constricts the airways?
histamine binding to H1 receptors and prostaglandin F series
30
What dilates the airways?
histamine binding to H2 receptors and prostaglandin E series
31
What is the airway mediated by when environmental pollution is inhaled?
it is mediated by the parasympathetic reflex and local constrictor responses
32
What is the normal HCO3 level for the body?
24mEq/L
33
What does metabolic acidosis do?
(
34
What does metabolic alkalosis do?
(>24mEq/L) decreases ventilation
35
What HCO3 regulated by?
kidneys
36
What is the normal levels of CO2?
40mmHg
37
What does respiratory acidosis do?
(>40mmHg) increases ventilation
38
What does respiratory alkalosis do?
(
39
What is CO2 regulated by?
lungs