Physiology of Breathing 2 Flashcards

(36 cards)

1
Q

Main function of the lungs

A

Gas exchange

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2
Q

Other funtcions of the lungs aside from gas exchange

A

Heat exchange, Blood Gas Homeostasis, Phonation, Defense, Bioactive substrate metabolism

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3
Q

What will holding one’s breath do to blood gas pH?

A

Acidify

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4
Q

Rapid breaths will have what effect on blood gas pH?

A

Alkalinize

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5
Q

What controls breathing

A

Medulla Oblongata

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6
Q

Lung surface area

A

100-160m^2

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7
Q

How much of the cardiac output does the lungs receive?

A

> 95%

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8
Q

What do the lungs do to the peptides bradykinin and angiotensin?

A

Deactivate bradykinin and convert angiotensin I to angiotensin II

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9
Q

Non-respiratory functions of the lung

A

act on serotonin and norepinephrine, deactivate bradykinin, convert angiotensin I to II, remove prostaglandin residues from arachidonic acid

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10
Q

Boyle’s Law

A

P1V1 =P2V2; Temp is constant

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11
Q

T or F: During inspiration, pleural pressure is positive.

A

False. Pleural pressure is negative during inspiration. No pressure = more “freedom” to expand

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12
Q

Alveolar pressure is also known as ________?

A

Intrapulmonary pressure

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13
Q

T or F: The intrapleural pressure is of a more negative value than the atmospheric pressure during normal tidal breathing

A

True

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14
Q

What is the transpulmonary pressure?

A

Pressure difference between alveolar and intrapleural pressure

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15
Q

Importance of the transpulmonary pressure

A

It is the main force which stretches the lung and prevents its total collapse. It also determines the magnitude and direction of lung expansion

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16
Q

At resting position, the alveolar pressure (intrapulmonary pressure) is _______ to atmospheric pressure

17
Q

Normal value for lung compliance

18
Q

Determinants of Lung Compliance (CRS)

A

Lung (elastic properties and surfactant)

Chest wall elasticity

19
Q

Given that “compliance” is more of a measure of how “giving” a space is, wrt a given pressure change, what does this predict?

A

Extent of volume change

20
Q

A stiff, non-compliant lung will require a (greater/lesser) pressure exchange for each breath?

21
Q

What accounts for hysteresis seen in a lung inflated with air?

22
Q

What does the surfactant do?

A

Work to decrease surface tension, increasing compliance; protecting alveoli at risk of being destroyed due to surface tension

23
Q

According to whose law do smaller alveoli experience higher pressure than larger alveoli?

A

Laplace’s law: P=2T/r; C\As illustrated by the cohesive force of surface molecules (causing surface tension) of a bubble will exert an inward force creating pressure inside. Therefore, the smaller the bubble, the more pressure inside

24
Q

Source of surfactant

A

Type 2 Pneumocyte

25
Main phospholipid of surfactant
Dipalmitoyl phosphatidyl choline (DPPC)
26
When the alveolar surface and large and the surfactant molecule is spread apart (as in inspiration), surfactant surface tension is less/more?
Less
27
When a lung is being inflated from a low lung volume, is the surfactant acting a lot to reduce surface tension?
No. Much of it is in the water layer and NOT at the surface. There is no need to reduce surface tension
28
When is surfactant effect at its greatest?
When the molecules are completely covering the lining surface (when alveoli are small or when the lung deflates)
29
What are other functions of surfactants?
Expansion of lungs at birth, protects patency of airways, prevents movement of fluid to the alveolus, helps prevent pulmonary edema
30
Two types of work when breathing
Elastic- work on inspiration to stretch lung | Resistive- work on inspiration to bring airflow into the lung against resistance and to move the tissues
31
Elastic work: slow breathing ::
Resistive work: quick and shallow breaths
32
When a higher tidal vol but slower RR, or a lower tidal vol, and faster RR occur
Minute ventilation
33
High RR and flow = (Elastic/Resistive work)
High Resistive Work
34
Low RR, High tidal vol = (Elastic/Resistive work)
High Elastic Work
35
Abnormal pathology INSIDE airways manifest as wheezing during (inspi./expi)?
Expi
36
Abnormal pathology in EXTRATHORACIC conditions will manifest as a wheeze during (inspi/expi)?
Inspi