The Respiratory System (Part 1): Structure and Function Flashcards

1
Q

Why Do We Breathe?

A
  • Respiratory system creates an interface between the environment and the tissues (via the blood) for gas exchange
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2
Q

Key Definitions

A

1) Ventilation: movement of air into and out of lungs
(i.e., breathing)

2) Physiological respiration: diffusion of gases across
plasma membranes; two types:
- External (pulmonary) respiration: gas exchange between air in lungs and blood (includes ventilation)
- Internal (systemic) respiration: gas exchange between the blood and body cells

3) Cellular respiration: chemical reactions that break down glucose to produce ATP for use as energy

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3
Q

Non-respiratory Functions

A

Functions in addition to ventilation and respiration:
1) Olfaction: Smell occurs when airborne molecules are drawn into nasal cavity
2) Phonation: Movement of air past vocal folds makes sound and speech
3) Protection: Against microorganisms by preventing entry and removing them from respiratory surfaces (mucus layer, cough, sneeze)
4) Production of chemical mediators: ACE, an enzyme involved in blood pressure regulation
5) Acid-base balance (+ renal system): Blood pH is altered by changing blood carbon dioxide levels

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4
Q

Anatomy of the Respiratory System

A

1) Nose
2) Nasal cavity
3) Pharynx
4) Larynx
5) Trachea
6) Bronchus
7) Bronchiole
8) Alveoli

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5
Q

Nasal Cavity and Pharynx

A

Nasal cavity:
- Air passageway
- Cleans, warms and
humidifies inspired air
- Contains olfactory
epithelium for sense of
smell (not shown)
- Resonating chambers
for speech (alongside
paranasal sinuses)

Pharynx:
- Common opening for
respiratory and digestive systems

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6
Q

Larynx

A

1) Passes air from the throat to the lungs.

2) Produces sound using vocal cords.

3) Protects the airway by preventing food from entering the trachea during swallowing

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7
Q

Vocal Folds

A

1) Produce sound by vibrating as air passes through.

2) Control airflow by opening during breathing and closing during swallowing or speech.

3) Protect the airway by preventing food or liquids from entering the trachea.

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8
Q

Trachea

A

1) Carries air between the larynx and lungs.

2) Filters air using mucus and cilia to trap dust and germs.

3) Keeps airway open with its strong, flexible structure.

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9
Q

Beating Cilia

A

1) Move mucus upward toward the throat.

2) Clear dust, germs, and debris from the airways.

3) Protect lungs by keeping them clean

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10
Q

Mucus Flakes and Cilia

A

1) Mucus flakes trap dust, germs, and other particles.

2) Cilia beat rhythmically to move the mucus up and out of the airways.

3) Together, they clean and protect the respiratory system

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11
Q

Tracheobronchial Tree

A

1) Carries air from the trachea into the lungs.

2) Branches into bronchi and bronchioles to reach all parts of the lungs.

3) Distributes and filters air, helping with efficient gas exchange

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12
Q

Bronchioles and Alveoli

A

Bronchioles:
1) Carry air from the bronchi to the alveoli.

2) Control airflow with smooth muscles that can widen or narrow.

3) Help distribute air evenly in the lungs.

Alveoli:
1) Tiny air sacs where gas exchange happens.

2) Oxygen enters the blood, and carbon dioxide leaves.

3) Surrounded by capillaries for efficient gas exchange

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13
Q

Inter-alveolar and Inter-bronchiolar Connections

A

Inter-Alveolar Connections:
1) Link adjacent alveoli to allow airflow between them.

2) Help equalize pressure and improve gas exchange.

Inter-Bronchiolar Connections:
1) Connect bronchioles to improve airflow distribution.

2) Provide backup pathways for air if one is blocked.

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14
Q

Alveolus and the Respiratory Membrane

A

Alveolus:
1) Tiny air sac where gas exchange occurs.

2) Oxygen enters the blood, and carbon dioxide is removed.

Respiratory Membrane:
1) Thin barrier between alveolus and capillary.

2) Facilitates gas exchange by allowing oxygen and carbon dioxide to pass easily

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15
Q

Alveolar Structure

A

1) Type I cells – incredibly thin (like fried eggs) – cover ~95% of alveolar surface –
involved in gas exchange

2) Type II cells – greater numbers than Type I cells, but only cover ~5% of alveolar surface – produce surfactant (reduces surface tension on alveoli, preventing them from collapse)

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16
Q

Thoracic Cavity and Respiratory Muscles

A
  • Thoracic cavity is the space enclosed by the thoracic wall and the diaphragm
  • Respiratory muscles change volume of thoracic cavity during ventilation
17
Q

Thoracic Skeleton

A

1) Consists of ribs, sternum, and thoracic vertebrae.

2) Protects vital organs like the heart and lungs.

3) Supports breathing by aiding in the expansion and contraction of the chest.

18
Q

Ribs

A
  • True ribs (7)
  • False (3)
  • Floating (2)
19
Q

Effect of Rib and Sternum Movement on Thoracic Volume

A
  • Rib movement: During inhalation, ribs move up and out, increasing thoracic volume; during exhalation, they move down and in, decreasing volume.
  • Sternum movement: The sternum moves forward and upward during inhalation, further expanding thoracic volume, and downward during exhalation, reducing volume
20
Q

Diaphragm

A
  • Thoracic volume is increased by diaphragm contraction (lowers dome)
  • A muscular sheet that separates the thoracic cavity from the abdominal cavity.
  • Plays a key role in breathing: during inhalation, it contracts and moves down, increasing thoracic volume; during exhalation, it relaxes and moves up, decreasing thoracic volume.
  • This movement helps draw air into the lungs and push air out during breathing.
21
Q

Intercostal Muscles

A
  • Located between the ribs, these muscles help with breathing.
  • The external intercostals contract during inhalation, lifting the ribs and expanding the chest.
  • The internal intercostals contract during exhalation, pulling the ribs downward to reduce chest volume.
22
Q

Accessory Inspiratory Muscles

A
  • Pectoralis major:
    1) A large chest muscle that can assist in forced inhalation.

2) When the arms are fixed, it lifts the ribcage to expand the thoracic cavity

  • Pectoralis minor:
    1) Located underneath the pectoralis major, it elevates the ribs during deep inhalation, aiding in expanding the chest
  • Sternocleidomastoid:
    1) A neck muscle that helps with forced inhalation.

2) When contracted, it lifts the sternum and clavicle, increasing thoracic volume

  • Scalenes:
    1) A group of muscles in the neck that assist in elevating the first two ribs during deep inhalation, increasing thoracic cavity space
23
Q

Mechanisms of Inspiration and Expiration

A

Quiet inspiration:
- Diaphragm

Deep inspiration:
- Diaphragm, external
intercostals, parasternal
intercostals

Deepest inspiration:
- Scalenes, sternocleidomastoids, serratus anterior, pectoralis major and minor
- Potentially others

Quiet expiration (passive):
- Elastic recoil of lungs
- Relaxation of diaphragm

Forced expiration:
- Abdominals
- Internal intercostals
- Potentially others

24
Q

Lungs

A
  • Primary organs of
    respiratory system
  • Right lung: 3 lobes
    separated by fissures
  • Left lung: 2 lobes and
    an indentation called
    the cardiac notch
  • Mediastinum: central
    region, contains
    contents of thoracic
    cavity except for lungs
25
Pleural Cavity
Pleural sac forms a double membrane surrounding each lung: - Visceral pleura - Parietal pleura Filled with pleural fluid: - Reduces friction from movement - Fixes lung to thoracic wall without any physical attachments (i.e., via surface tension)
26
Lung and Chest Wall Relationships
- Pleural fluid in pleural cavity/space analogous to a thin film of water between two sheets of glass (the parietal and visceral pleurae) - The glass sheets can easily slide over each other, but it is difficult to separate them (surface tension) - Elastic properties of lung and chest wall determine their combined volume - At relaxation volume (functional residual capacity, FRC), the inward pull of the lung is balanced by the outward spring of the chest wall - As a result, the intra-pleural pressure (pressure within pleural cavity) is sub-atmospheric (−5 cmH2O)
27
Effect of Diaphragm Contraction on Thoracic Volume
Ventilation occurs because of bulk flow: - Pressure difference between intrapulmonary pressure and atmospheric pressure - Inspiration occurs when volume of lung increases - Expiration occurs when volume of lung decreases - Movement of the chest wall resulting in lung volume changes occurs due to contraction of respiratory muscles
28
Relationship Between Pressure Gradients and Ventilation
Boyles law: - The pressure of a gas is inversely proportional to its volume (at a constant temp) - If the thoracic volume changes, the alveolar pressure (PA) must change and air will flow
29
Intra-alveolar Pressure Changes During Inspiration and Expiration (Summary)
Mechanisms of ventilation: 1) Barometric air pressure = air pressure outside body 2) Intra-alveolar pressure = air pressure in alveoli Ventilation during quiet rest: 1) Alveolar pressure equals atmospheric pressure; no air movement 2) Alveolar pressure less than atmospheric; due to increase in thoracic volume, air moves into lungs 3) Alveolar pressure again equals atmospheric; at the end of inspiration; no air movement 4) Alveolar pressure greater than atmospheric; due to decrease in thoracic volume, air moves out of lungs
30
Elastic Properties of the Lung
- Relationship between the change in pressure and change in volume is called compliance (ΔV / ΔP) - At lung volumes around relaxation volume (e.g. 3 L) the lung is very compliant (stretchy) – steep slope - But at high lung volumes the lung becomes more stiff – slope flattens
31
Resistance to Airflow
- Resistance to airflow is inversely proportional to radius - So, 50% decrease in airway radius will increase resistance to flow by 16-fold (resulting in a 16-fold decrease in airflow)!
32
Changes in Airway Diameter
- Bronchi and bronchioles are capable of changing their diameter Bronchodilation = smooth muscle relaxes: - Decreased resistance to airflow Bronchoconstriction = smooth muscle contracts: - Increased resistance to airflow - Asthma attack - inflammatory reaction causes severe bronchoconstriction
33
Respiratory Mechanics: (Summary)
Work of breathing is increased by: - Decreasing lung (and/or chest wall) compliance - ∆V / ∆P - Influenced by: 1) Lung volume 2) (Surface tension/surfactant) 3) (Disease) - Increasing airflow resistance - ∆P / V - Influenced by: 1) Airways diameter/obstruction etc
34
Static Measures of Lung Function
- Spirometry: measures volumes of air that move into and out of respiratory system. Uses a spirometer Lung volumes: 1) Tidal volume: amount of air inspired or expired with each breath. At rest: ~500ml 2) Inspiratory reserve volume: amount that can be inspired forcefully after inspiration of the tidal volume (~3000ml at rest) 3) Expiratory reserve volume: amount that can be forcefully expired after expiration of the tidal volume (~1100ml at rest) 4) Residual volume: volume still remaining in respiratory passages and lungs after most forceful expiration (~1200ml) Lung capacities: sum of two or more lung volumes: 1) Inspiratory capacity: tidal volume plus inspiratory reserve volume 2) Functional residual capacity: expiratory reserve volume plus residual volume 3) Vital capacity: sum of inspiratory reserve volume, tidal volume and expiratory reserve volume 4) Total lung capacity: sum of inspiratory and expiratory reserve volumes plus tidal volume and residual volume
35
Factors Affecting Lung Function
- Body size - Sex - Disease - Age - Fitness
36
Pulmonary Ventilation
Minute ventilation (L/min): - Gas entering and leaving the lungs - Tidal vol. (L) x Respiratory frequency (breaths/min) Alveolar ventilation (L/min): - Gas entering and leaving the alveoli - Tidal vol. (L) - Dead space (L) x Respiratory frequency (breaths/min)
37
Key terms
Ventilation: Movement of air into and out of the lungs Cellular Respiration: Process of generating ATP, either with oxygen (aerobic) or without oxygen (anaerobic). Minute Ventilation (VE): Volume of air expired per minute. Respiratory Frequency (fR): Rate of breathing per minute. Alveolar Ventilation (VA): Volume of air reaching the respiratory zone per minute. Anatomical Dead Space: Airway areas incapable of gas exchange. Alveolar Dead Space: Airway areas that should exchange gas but cannot (e.g., poorly perfused alveoli). Physiological Dead Space: Total of anatomical and alveolar dead space. Hypoventilation: Inadequate ventilation (unable to meet metabolic demand, increased PCO2, acidosis). Hyperventilation: Excessive ventilation (reduces PCO2, alkalosis). Hyperpnoea: Increased depth of breathing to meet metabolic demand. Hypopnoea: Decreased depth of breathing, inadequate to meet metabolic demand. Apnoea: Cessation of breathing (no air movement). Dyspnoea: Breathing discomfort (subjective experience). Bradypnoea: Abnormally low breathing frequency. Tachypnoea: Abnormally high breathing frequency.