respiratory system part 2 Flashcards

1
Q

Pulmonary ventilation consists of two phases

A

Inspiration: gases flow into the lungs
Expiration: gases exit the lungs

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2
Q

Atmospheric pressure (Patm)

A

Pressure exerted by the air surrounding the body

760 mm Hg at sea level

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3
Q

Respiratory pressures

A

Negative respiratory pressure is less than Patm (inhale)
Positive respiratory pressure is greater than Patm (exhale)
Zero respiratory pressure = Patm

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4
Q

Intrapulmonary (intra-alveolar) pressure (Ppul)

A

Pressure in the alveoli

Fluctuates with breathing

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5
Q

Intrapleural pressure (Pip)

A

Pressure in the pleural cavity
Fluctuates with breathing
Always a negative pressure

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6
Q

negative Intrapleural pressure is caused by

A

opposing forces

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7
Q

what inward forces promote lung collapse

A

Elastic recoil of lungs decreases lung size

Surface tension of alveolar fluid reduces alveolar size

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8
Q

what outward force tends to enlarge the lungs

A

Elasticity of the chest wall pulls the thorax outward

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9
Q

transpulmonary pressure

A

intrapulmonary pressure minus intrapleural pressure
Keeps the airways open
The greater the transpulmonary pressure, the larger the lungs

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10
Q

If Pip = Ppul

A

lungs collapse

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11
Q

Atelectasis

A

lung collapse

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12
Q

Atelectasis is die to

A

Plugged bronchioles leads to collapse of alveoli

Wound that admits air or excess fluid into pleural cavity

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13
Q

Pulmonary Ventilation

A

inspiration and expiration

volume changes result in pressure changes which result in gas flow to equalize the pressure

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14
Q

Boyle’s Law

A

The relationship between the pressure and volume of a gas - Pressure (P) varies inversely with volume (V): P1V1 = P2V2
Increased V = Decreased P
decreased V = increased P

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15
Q

Inspiration process

A

An active process
Inspiratory muscles contract (diaphragm & external intercostals)
Thoracic volume increases
Intrapulmonary pressure drops (to neg 1 mm Hg)
Lungs are stretched and intrapulmonary volume increases
Air flows into the lungs, down its pressure gradient, until Ppul = Patm

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16
Q

Expiration process

A

Quiet expiration is normally a passive process
Inspiratory muscles relax
Thoracic cavity volume decreases
Elastic lungs recoil
Ppul rises (to +1 mm Hg)
Air flows out of the lungs down its pressure gradient until Ppul = 0
and intrapulmonary volume decreases

17
Q

forced expiration is an

A

active process, uses abdominal and internal intercostal muscles

18
Q

positive pressure and negative pressure results in

A

positive presure exhale, negative pressure inhale

19
Q

three factors that hinder air passage and pulmonary ventilation

A

Airway resistance
Alveolar surface tension
Lung compliance

20
Q

change in pressure is the

A

change in P is the pressure gradient between the atmosphere and the alveoli (2 mm Hg or less during normal quiet breathing)
Increase the change in pressure = increase the rate of flow

21
Q

The relationship between flow (F), pressure (P), and resistance (R) is:

A

force= change in pressure divided by resistance

22
Q

what is the relationship between gas flow and resistance

A

Gas flow changes inversely with resistance (ie. less resistance produces more flow)

23
Q

Resistance is usually insignificant because

A

Large airway diameters in the first part of the conducting zone
Progressive branching of airways as they get smaller, increasing the total cross-sectional area
Resistance disappears at the terminal bronchioles where diffusion drives gas movement

24
Q

what bronchi size has least resistance

A

medium bronchi size due to fastest and largest drop in diameter

25
what does epinephrine due for resistance
Epinephrine dilates bronchioles and reduces air resistance
26
Surface tension
Attracts liquid molecules to one another at a gas-liquid interface Resists any force that tends to increase the surface area of the liquid
27
Surfactant
produced by type II alveolar cells | Reduces surface tension of alveolar fluid and discourages alveolar collapse
28
Lung Compliance
A measure of the change in lung volume that occurs with a given change in transpulmonary pressure
29
Lung Compliance is normally high due to
Distensibility of the lung tissue | Alveolar surface tension
30
Lung Compliance diminished by
Nonelastic scar tissue (fibrosis) Reduced production of surfactant Decreased flexibility of the thoracic cage
31
homeostatic imbalances that reduce Lung Compliance
Deformities of thorax Ossification of the costal cartilage Paralysis of intercostal muscles