Respiratory system Flashcards

(27 cards)

1
Q

What is the role of the conducting zone, and what does it constitute of

A

Filtering and warming the air
Nose, pharynx, larynx, traches, bronchus

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2
Q

What is the respiration zone

A

Lungs, site of gas exchange

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3
Q

What is the structure and function of the nose

A

External = cartilage for structure ad support
Internal = lined with mucosal membrane
Filter air: mucus from goblet cells and cilia. Air warmed by capillaries
Detect olfactory stimuli: sensory neurons
Speech: nasal cavity and airflow

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4
Q

What is the function of the pharynx

A

Passageway for air and food
Resonating chamber for speech sounds
Tonsils involved in immune response

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5
Q

What is the function of the larynx

A

Responsible for speech control, houses the epiglottis. Epiglottis closes over traches when eating to allow passage of food down esophagus

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6
Q

Tidal volume

A

The volume of air that passes in and out of lungs during a normal breath

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7
Q

Inspiratory reserve volume

A

Extra volume of air that can be inspired beyond a normal inspiration

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8
Q

Inspiratory capacity

A

Amount of air that can be inspired after a normal quiet exhalation (TV+IRV)

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9
Q

Functional residual capacity

A

Air remaining in lungs after a normal passive exhalation

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10
Q

Expiratory reserve volume

A

The extra volume of air that can be expired with maximum effort beyond a normal expiration

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11
Q

Vital capacity

A

The max volume of air that can be moved in and out of the lungs

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12
Q

What controls respiration (2)

A

Cortical influences - voluntary control from the motor cortex
Chemoreceptors - monitor CO2, O2, PH in blood and cerebrospinal fluid. Send signals to respiratory centers in brain to adjust breathing to maintain homeostasis

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13
Q

How do cortical influences control respiration

A

Voluntary control from the motor cortex within the cerebral cortex. Can be overridden by involuntary stimulus e.g. chemoreceptor stimulus or hypothalamus stress response. This happens to facilitate the fight or flight response

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14
Q

How do chemoreceptors control respiration

A

Detect changes to chemical composition of blood. Most CO2 is converted to carbonic acid and bicarbonate = alkaline, so pH is used to detect CO2 levels. Central and peripheral chemoreceptors send signal to medulla. Medulla sends signal to respiratory muscles to alter breathing rate.

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15
Q

COPD symptoms

A

Shortness of breath
Persistent cough
Phlegm/sputum
Wheezing

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16
Q

What causes COPD

A

Inhalation of toxic matter damages lung tissue e.g. smoking. Damage causes inflammatory response which causes release of plasma and immune cells into bronchi

17
Q

How do we measure COPD inflammation

A

FEV/FVC is less than <70% is indicative of COPD

18
Q

What causes long expiration time COPD

A

Chemoreceptors inform to take next breath before lungs have recovered from previous breath. This causes hyperinflation of lungs during rest and exercise. Impedes respiratory and cardiac muscle functioning.

Hypoxia, inflammation, and loss of capillaries in emphysema causes remodelling. Pulmonary vascular remodelling can cause pulmonary hypertension.

19
Q

What is emphysema

A

Structural change seen in COPD. Caused by smoking, pollutants, or inherited factors. Damage to alveoli. Blockage may develop leading to trapped air in lungs. Fewer functional alveoli = less oxygen in bloodstream.

20
Q

What is COPD

A

An umbrella term for progressive lung diseases. Includes emphysema and chronic bronchitis

21
Q

What is the pathology of COPD

A

Destruction of airway > emphysema

Obstruction of airway > immune response > remodelling, enlarged glandular tissue, inflammatory response

22
Q

Construction vs obstruction COPD

A

Obstruction = narrowing and blockage of airways
Destruction = irreversible damage and loss of lung tissue - emphysema

23
Q

How does the immune response maintain a sterile lung environment

A

Innate immune cells clear debris from lower respiratory tract to lymphatic system
Inhalation of toxic particles cleared by sputum and mucus membrane apparatus - cleared to lymphatics
Tight junctions between epithelial cells keep foreign materials on lung surface

24
Q

How does the innate immune system increase plasma cells at site of damage

A

Exposure to toxic matter triggers an inflammatory response > chemokines and cytokines invade tissue > cytokines activate monocytes, basophils, t-lymphocytes > macrophages, NKC, dendritic cells, CD-4, CD-8, and B-cells infiltrate > dendritic cells activate adaptive immune response

25
How do DCs help in response to COPD
Dendritic cells get activated by PAMPs > DC present antigens to t-cells > stimulates B-cells
26
What is chronic bronchitis
Cough and sputum for 3 months in 2 consecutive years. cause by toxins, inflammation, tissue remodelling
27
What is tissue remodelling
Mucus and inflammation can cause collagen formation in bronchioles. Severely restricts them > COPD