The Lungs & Respiration (Lec 3) Flashcards

1
Q

Respiratory Structure

A
  1. Trachea
  2. Bronchi
  3. Bronchioles
  4. Terminal Bronchioles
  5. Respiratory Bronchioles
  6. Alveolar Ducts
  7. Alveolar Sacs
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2
Q

Conduction Zone

A

Consists of everything from the trachea to the terminal bronchioles. Function: to transfer air from the outside environment to the alveoli for gas exchange.

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3
Q

Respiratory Zone

A

Major function is gas exchange. Occurs in the alveoli

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4
Q

Airway Resistance

A

Airflow= (P1-P2)/Resistance

P1-P2 is the pressure difference between 2 ends of an airway

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5
Q

Pulmonary Ventilation

A

Definition: Movement of gas into and out of the lungs
• V (with the dot) = volume per unit time (1 min)
• V (dot) = VT x f

Adding subscripts to V (dot): T (Tidal), D (Dead Space), A (Alveolar), I (Inspired), E (Expired)

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6
Q

Anatomical Dead Space

A

Space occupied by the volume of air not participating in gaseous exchange.
• Dead space = VD

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7
Q

Alveolar Ventilation

A

Air that reaches the respiratory zone (VA)

• Therefore V = VA + VD

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8
Q

Respiration Subdivisions

A
  1. Pulmonary respiration: refers to ventilation (breathing) and exchange of gases (O2 and CO2) in the lungs.
  2. Cellular respiration: relates to O2 utilisation and CO2 production by the cellular tissues.
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9
Q

Tension/Partial Pressure

A

Tension Definition = Partial Pressure (the pressure of a specific gas in mixture of gasses)

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10
Q

Diffusion

A

Random movement of molecules from a high to low area of concentration

The diffusion of gases is dependant upon:

  1. The partial pressure gradient.
  2. Inversely proportional to the membrane thickness
  3. The solubility of gases

Occurs rapidly in the lungs d/t

  1. Large SA
  2. Short diffusion distance
  3. O2 and CO2 tensions in blood leaving the lung is almost in complete equilibrium with O2 and CO2 tension in the lung.
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11
Q

The Respiratory Cycle: Inhalation

A

Occurs due to the pressure in the lungs being reduced below atmospheric pressure (Boyle’s Law). At rest the diaphragm performs most of the work (75%) for inspiration

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12
Q

The Respiratory Cycle: Exhalation

A

Expiration =Boyles’ law in reverse. During rest or normal quiet breathing, elastic properties of the lungs and chest wall tend to return to an equilibrium position without necessity for the diaphragm to receive stimulus for relaxation.
– Responsible for 25% of air movement at rest

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13
Q

Factors Affecting Pulmonary Ventilation

A

Surface tension of alveolar fluid:
– Surface tension must be overcome to expand the lungs during inhalation. Surfactant reduces the surface tension so the lungs don’t collapse at the end of exhalation

Compliance of the lungs:
– How much effort is required to stretch the lungs and chest wall. High compliance = easy

Airway resistance:
– Diameter of the airway (regulated by smooth muscle)
– Walls of bronchioles expand and contract like the lungs

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14
Q

Dalton’s Law

A

“The total pressure of a gas mixture is equal to the sum of the partial pressures”

• Ptotal = P1 + P2 + P3 + . . .

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15
Q

Fick’s Law of Diffusion

A

“The rate of gas transfer is proportional to the tissue area, the diffusion coefficient of the gas and the difference in the partial pressure of the gas on the two sides of the tissue and inversely proportional to the thickness”

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16
Q

Henry’s Law

A

“The quantity of a gas that will dissolve in a liquid is proportional to the partial pressure of the gas when temperature remains constant”

17
Q

Internal Respiration

A

Exchange of gases between blood and tissue (not lungs).
• Involves aerobic and anaerobic metabolism and the provision of O2 for energy production in the muscle cell and the removal of CO2, hydrogen and water.

18
Q

Gas Transport: Oxygen

A

– ~0.3ml of O2 is dissolved in 100ml plasma

– 98% (97-99%) O2 is bound to Hb

19
Q

Gas Transport: Carbon Dioxide

A
  • 9 – 10% of CO2 is transported dissolved in plasma.
  • ~20% combines with Hb, forming carbamino-hemoglobin
  • Approx. 70% of CO2 is transported in blood as a hydrogen ion and a bicarbonate ion (plasma bicarbonate) that is catalyzed by Carbonic Anhydrase
20
Q

Blood O2 Capacity

A

O2 carrying capacity of blood
= [Hb (g/dL)] x HbO2 capacity (mlO2/g Hb) x %SpO2
= [Hb] x 1.34 x %SpO2

21
Q

SpO2

A

Percent saturation of Hb

22
Q

Arteriovenous Oxygen Difference

A

VO2 = Q x a-vO2