Pulmonary System Flashcards

1
Q

Function of the pulmonary system

A
  • supply oxygen & eliminate carbon dioxide from the body through ventilation & respiration
  • enzymatic reactions for blood pressure
  • acid base balance
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2
Q

What is included in the upper respiratory system

A
  • nose
  • nasal cavity
  • oral cavity
  • pharynx
  • larynx
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3
Q

What is included in the lower respiratory system

A
  • trachea
  • bronchial tree (lungs)
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4
Q

Anatomy of the lungs

A
  • right lung has 3 lobes and is larger
  • left lung has 2 lobes
  • there is a inner visceral pleura and an outer parietal pleura creating a pleural cavity which contains pleural fluid
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5
Q

Describe the anatomy of the airway

A
  • starts in the trachea, goes into bronchi, then bronchioles, and finally alveolar ducts
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6
Q

Describe ventilation

A
  • passive process for the lungs - changes in atmospheric pressures
  • inspiration: size of thoracic cavity increases due to the diaphragm contraction & descending, pressure in thorax decreases
  • expiration: size of thoracic cavity decreases due to diaphragm relaxing & ascending, pressure in thorax increases
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7
Q

Describe external respiration

A
  • gas exchange at alveolar capillary between atmosphere & pulmonary capillaries
  • inhalation from environment
  • diffuses through pulmonary capillary wall
  • travels blood plasma into RBC & occupies hemoglobin
  • left side of heart to system
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8
Q

escribe internal respiration

A
  • gas exchange at the tissue capillary level
  • arterial blood reaches the tissues
  • oxygen moves from hemoglobin out of RBC, through capillary, cell membrane to mitochondria of tissue
  • producing carbon dioxide as by product of metabolism, enters into hemoglobin
  • venous system takes over back to pulmonary artery & capillary to atmosphere
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9
Q

Define quit inspiration

A
  • resting or sitting quietly, 70% diaphragm, external intercostals prime movers
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10
Q

Define deep inspiration

A
  • actions of quiet increase, increase in effort, increase action of muscles that pull ribs up
  • Sternocleidomastoid, scalenes, pec major, levator costarum, & serratus posterior superior
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11
Q

Define forced inspiration

A
  • state of hard work, increase O2 demand, muscles of shoulder stabilization/elevation engage
  • diaphragm, external intercostals, sternocleidomastoid, scalenes, pec major, elevator costarum, serratus posterior superior, elevator scapulae, upper traps, rhomboids, & pec minor
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12
Q

Define quiet expiration

A
  • passive action, relaxation of diaphragm & gravity
  • relaxation of diaphragm & external intercostals, recoil of thoracic wall, lungs, & bronchi, gravity
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13
Q

Define forced expiration

A
  • engage muscles, pull down ribs & compress abdomen, force diaphragm upward
  • internal intercostals, external & internal obliques, transverse abdominus, quadratus lumborum, & serratus posterior inferior
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14
Q

Describe renin angiotensin system (RAS)

A
  • regulates BP by regulating volume of fluids & vascular resistance
  • renin is released by the kidneys into the blood stream, binds to angiotensinogen which is released by the liver and activates it into angiotensin I
  • lung capillaries - ACE convert angiotensin I to angiotensin II
  • angiotensin II - vasoconstrictive peptide, blood vessels to narrow = increased BP
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15
Q

Maintenance of pH

A
  • scale is 0 is acidic - 7.0 is neutral - 14.0 is basic/alkaline
  • normal pH is 7.4; <7.35 = acidic; >7.45 = basic/alkaline
  • acids form H+ ions
  • bases combine with H+ ions
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16
Q

Describe the acid-base balance in the body

A
  • CO2 is slightly acidic, release regulates by decreasing acidity
  • kidneys also assist by releasing acids & bases into blood
17
Q

How do you measure the acid-base balance

A
  • respiratory - PCO2 (partial pressure of CO2)
  • metabolic - HCO3 (bicarbonate)
18
Q

Describe metabolic acidosis

A
  • too much acid production due to failure of kidneys
  • results inability to rid excess acid or results from loss of HCO3
  • low pH from metabolic acidosis increases respiration (>20/min), fatigue, confusion, sepsis, & ketoacidosis
19
Q

Describe flow rates

A
  • measure volume of air moved in a period of time
  • exhaled gas volume divided by time required to exhale volume
20
Q

What are flow rates used for

A
  • to determine ease of gas movement
  • state of airways
  • elasticity of lung tissue
21
Q

Lung volumes, capacities, flow rates, & mechanics can depend on

A
  • size & configuration of thorax
  • age
  • disease
  • height
  • gender
22
Q

Functional requirements for the pulmonary system

A
  • adequate & unaltered hemoglobin
  • diffusion capacity of lungs
  • pulmonary surfactant & alveoli
  • chest cavity mobility
  • atmospheric conditions
23
Q

Autonomic control requirements for the pulmonary system

A
  • midbrain
  • nerve conduction
  • muscle contraction
  • elastic lung tissue
  • no airflow obstruction
24
Q

Pulmonary risk factors for COPD (chronic obstructive pulmonary disease)

A
  • cigarette smoking
  • air pollution, second hand smoke, dust, fumes, & chemical irritants
  • genetics, overweight & insulin resistance
  • over the age of 40
25
Q

Indicators of pulmonary dysfunction

A
  • cough
  • dyspnea
  • chest pain
  • cyanosis
  • clubbing
  • altered breathing patterns
  • musculoskeletal pain that increases with respiratory movement
  • shortness of breath with rest or exertion
  • oxygen saturation below 90%
  • can not elicit palpation tenderness
  • pain doesn’t change with postural changes or increases in supine
  • ROM doesn’t reproduce symptoms