RESPIRATORY 14 Flashcards

(28 cards)

1
Q

What kind of disorders and disease affect the respiratory system?

A

Complex

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2
Q

Respiratory?

Unique functions

A

1) Autonomic physiological function

2) Many behaviors and animals anatomies are build to optimize breathing

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3
Q

Respiratory system

List 4 essential parts

A

1) Respiratory muscles
2) Lung enclosure and pleura
3) Airways
4) Alveoli

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4
Q

Define Cellular respiration

A

Intracellular reaction of oxygen with organic molecules to produce CO2 water and energy in form of ATP

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5
Q

Define external respiration

A

Interchange of gases between environment and the body’s cell

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6
Q

Functions of the respiratory system:

A

1) Gas exchange between air and cell
2) Regulation
3) Defence from inhaled pathogens/foreign
4) Vocalization

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7
Q

1) The airways include:

A

Pharynx, mouth and nasal cavity

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8
Q

2) List 4 airways functions:

A

1) Warm air to 37 degrees
2) Humidify air to 100%
3) Filter particles (through nose and respiratory cilia
4) Vocalization

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9
Q

Endotracheal

A

Endotracheal means through the trachea. It is a term that described a breathing tube is inserted through the windpipe

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10
Q

Clinical focus: Endotracheal tube in mechanically-ventilated patients

1) When artificially ventilated?
2) Consequences
3) Solution

A

1) The upper airways are bypassed and air is cold and dry
2) Lower airways losing heat and water and secretions would thicken
- Secretions (mucus) may accumulate and block airways
3) Heated tube and 100% humidity in inspired gas

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11
Q

Name conducting airways

A

1) Cartilage to maintain shape

2) Bronchiolar muscles

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12
Q

What controls filtering action in the airways?

A

Cilia which moved mucus to the pharynx

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13
Q

What is Fibrosis and how is it caused?

A

The thickening and scarring of connective tissue, usually as a result of injury

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14
Q

Clinical focus: Cystic fibrosis

1) Definition?

A

A genetic disease that causes thick, sticky mucus to build up in the lungs and digestive tract

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15
Q

2) Symptoms:

A

1) Delayed growth in newborns, failure to gain weight
2) No bowel movements in the first 2 days after birth
3) Salty tasting skin
4) Coughing and increased mucus in lungs
5) Nasal congestion
6) Pneumonia

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16
Q

3) Major pathological features

A

1) Defective chloride ion transport across epithelial cell membrane
2) Lower chloride and sodium levels into the airways lumen which reduce water secretion in the airways

17
Q

4) Mechanisms:

A

Defective cystic fibrosis transmembrane regulator (CFTR) protein caused by a genetically mutated gene

18
Q

Name three regions for gas exchange

A

1) Respiratory bronchioles
2) Alveolar ducts
3) Alveolar sac

19
Q

Alveoli sac

A

The site of gas exchange

20
Q

Alveolar cells:

1) Type I alveolar cells
2) Type II alveolar cells
3) Alveolar macrophage

A

1) Gas exchanger
2) Synthesize and secrete surfactant
3) Remove foreign particles

21
Q

Gas exchange in the alveolar

A

Passive diffusion

22
Q

What is surface tension?

A

Molecules of water are attracted together by hydrogen bonds

23
Q

What is the difference

1) Alveoli without surfactant
2) Alveoli with surfactant

A

1) Surface tension pulls molecules inward

20 Surfactant compensated for surface tension

24
Q

Clinical focus: Infant respiratory distress syndrome (IRDS)
Definiton?
Symptoms?

A

IRDS is a syndrome in premature infants caused bu developmental insufficiency to surfactant production and structural immaturity of the lungs

25
2) Symptoms:
1) Cyanosis 2) Grunting and nasal flaring 3) Apnea, rapid breathing, shallow breathing, and shortness of breath and grunting
26
3) Major pathological features
Surfactant deficient lung characterized by collapsed air-spaces alternating with hyper-expanded areas
27
Causes
1) Genetic problem with the production of surfactant associated proteins 2) IRDS affects about 1% of newborn infants and is the leading cause of death in preterm infants
28
Treatments
1) Oxygen is given with small continuous position airway pressure 2) Artificial or natural surfactants is administered through the endotracheal tube