UNIT 3 - Respiratory Flashcards

(87 cards)

1
Q

What is included in the upper respiratory system? (6)

A

Nose
nasal cavity
nasal sinuses
pharynx
larynx
trachea

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2
Q

What is included in the lower respiratory tract? (3)

A

Bronchi
Bronchioles
Lungs

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3
Q

What is the major function of the respiratory system? What are four additional functions?

A

Major - Supply oxygen to body and remove CO2

Phonation
Assist w/ body temp control
regulation of acid-base balance
sense of smell

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4
Q

Name and describe the three levels that respiration occurs in the body?

A

External - Physical act of getting oxygen IN and CO2 OUT of the body
Internal - Exchange of oxygen and CO2 b/w the blood and cell
Cellular Respiration - Production of ATP by the cell

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5
Q

What are dilated nostrils a sign of in animals?

A

The animal is struggling getting enough oxygen for its metabolic needs

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6
Q

Describe the nose and its features

A

Lined w/ hair to filter lger air-borne particles
Skin surrounding nostril is continuous with the muzzle
Opened by muscles for air movement
Supported by nasal cartilages

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7
Q

Describe the function of the nose

A

To warm, humidify and filter air before it reahes the lungs

Highly vascular - easy to cause significant hemorrhage
Sneezing + coughing from inflammation + debris irritating the sensitive mucosa and expels harmful substances

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8
Q

Describe the Nasal Cavity

A

Its separated from the mouth by the hard and soft palates

Has Nasal conchae/turbinates which protect against noxious gasses + trap particles. Blood vessels help warm inspired air, has a layer of mucus

Naso-lacrimal ducts - drain excess tears from eyes to nasal cavity
Median Nasal Septum - Separates nasal cavity to R and L halves

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9
Q

What is the nasal meatus? Describe where the ventral nasal meatus is located and what it does

A

Pathways b/w conchae/turbinates

Ventral Nasal Meatus runs dorsal to the hard palate.
A route for passing a stomach tube - directed medially and ventrally they vent meatus to nasopharynx
Very vascular - if not manipulated gently = bleeding

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10
Q

Describe the paranasal sinuses. What are the four sinuses?

A

Maxillary, frontal, sphenoid, and palatine sinuses

Bilaterally symmetrical, mucous membrane lined and air-filled
reduces weight of skull
Infection prone

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11
Q

Describe the Pharynx

A

A common passageway that connects the oral cavity w/ the esophagus = Oropharynx
Connects nasal cavity w/ larynx = Nasopharynx

Passage way for food + air

Openings int pharynx are: the mouth, 2 caudal nares, 2 eustachian tubes, esophagus and larynx

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12
Q

Describe the 3 major divisions of the pharynx? What do they do?

A

Nasopharynx - Part of respiratory channel
Floor formed by soft palate, openings of auditory tubes (connect middle ear to nasopharynx + equalize pressure on both sides of ear drum)
OROPHARYNX - Part of digestive tract
Laryngopharynx - common to both digestive + respiratory passageways
Inspired air passe thru nasal cavity and enters caudal nares (passes thru pharynx to larnyx)

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13
Q

What is the order of processes of intaking food and swallowing. Describe it and how swallowing works

A

Food enters mouth, passes thru pharynx into esophagus by contractions of pharyngeal muscles - larynx closed by epiglottis

Swallowing - breathing stops, glottis opening is covered, material moved to rear of pharynx, open esophagus, move material dorsally into esophagus. Swallow. Once swallowed, larnyx uncovered breathing resumes.

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14
Q

What happens if swallowing malfunctions?

A

Aspiration and subsequent pneumonia

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15
Q

Describe the larynx

A

The voice box

Mucosa-lined, cartilaginous tube joining the pharynx at the trachea

Supported by hyoid apparatus
very delicate

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16
Q

Describe the functions of the larynx

A

 Directs air to the trachea
 Prevents the aspiration of ingesta
 Houses the vocal organs
 Made of segments of cartilage connected to
each other and surrounded by muscles

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17
Q

What are the major cartilages of the larynx

A

Epiglottis
Arytenoid cartilages (paired)
thyroid cartilage (adam’s apple)
Cricoid cartilage

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18
Q

Describe what the epiglotis is

A

A leaf-shaped and located rostrally which projects forward from the ventral portion of the larynx. The tip is usually tucked up dorsal to the caudal rim of the soft palate when the animal is breathing.

The epiglottis pulls back to cover the larynx (the glottis) to prevent swallowed material entering larynx

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19
Q

Describe the arytenoid cartilages

A

They attach the vocal folds to form the boundaries of the glottis (opening into larynx)

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20
Q

Describe the thyroid cartilage

A

Articulates w/ the hyoid apparatus
attaches muscles associated w/ swallowing and phonation

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21
Q

Describe the cricoid cartilage

A

Connects the thyroid cartilage to the trachea
maintains shape of larynx so air can pass through

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22
Q

Describe the vocal folds

A

The laryngeal cavity contains vocal folds that runf front arytenoid cartilages to interior floor of thyroid cartilage

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23
Q

How is voice produced?

A

When vocal cords relax and tighten, as air passes over them it causes them to vibrate

The pitch can be changed from low pitchThe pitch can be changed from a low pitch
(relaxed vocal cords – open glottis) to a high
pitch (tightened vocal cords – closed glottis)

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24
Q

What are the 3 main functions of the larynx?

A
  1. Voice production
  2. Prevention of aspiration of foreign bodies - thru epiglottis and muscle contractions pull larynx forward and fold epiglottis back over opening
  3. Control of airflow to and from lungs - adjusts size of glottis w/ vocal folds + closing glottis w/ epiglottis
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25
Describe the trachea
A short white tube extending from larynx to thorax which divides into 2 main brocnhi at the tracheal bifurcation (or carina). Occurs @ lvl of heart Composed of C-shaped hyaline cartilage with C opening dorsal. - Prevents trachea collapse on inspiration, can change trachea size lined w/ pseudostratified ciliated mucosa
26
Describe the lower respiratory tract, where does it start?
Stars w/ bronchi and ends with alveoli Includes all air passages in b/w All lower RT are in the lungs
27
What is the bronchial tree?
The lower RT forms a tree as bronchi divide to bronchioles and branch smaller to become alveolar ducts which terminate in alveolar sacs. These sacs look like a bunch of grapes
28
What is bronchodilatation? Bronchoconstruction?
Bronchodilation (relaxtion of smooth muscle in bronchial tree) during increased O2 demand and Bronchoconstriction during rest. (Can also get constriction w/ lung irritants)
29
What are heaves in horses?
A chronic allergic condition usually to dust and fungal spores in hay
30
Describe alveoli. What do they do? What are they?
Multiple alveoli make up alveolar saces. A site for gas exchange. They are tiny, thin walled sacs surrounded by a capillary network
31
What is alveoli surfactant?
Surfactant reduct stickiness (surface tension) or alveolar walls: assist in expansion during breath and helps prevent complete lung collapse important in premature babies as surfactant often not properly formed and contributes to non-viability of premature animals
32
Describe the lungs and its function
To exchange oxygen for CO2 in blood Each lung is cone-shaped w/ base at diaphragm and apex close to thoracic inlet. Lateral side of lungs contact with thoracic wall (except cardiac notch where in contact w/ heart)
33
Describe the lung lobes
All animals will have L cranial + Caudal lobe (L cranial lobe subdivided. Caudal lob = L middle lobe) R cranial, middle and caudal lobe Accessory lob
34
What parts of lung lobes do horses have?
L and R lobs + accessory lobe
35
Draw a picture of the lung lobes or list them out below. What are their names and identification?
RIGHT LEFT Cranial Cranial-cranial Middle Cranial-caudal Caudal Caudal Accessory
36
What is the hilus? Where is it locates?
Each lung has small well defined area on medial side called the hilus where air, blood, lymph and nerves enter/leave the lung Only area of lung that is fastened in place
37
What is the basis of a standard necropsy test to see if a newborn was born dead or alive
 Cut a piece of lung and place it in some water:  If lung sinks - no air ever entered the lungs and the animal was born dead  If lung floats - air has entered the lungs so newborn was born alive
38
What are the boundaries of the Thorax?
 Dorsally: the thoracic vertebrae  Laterally: the ribs  Ventrally: the sternum  Caudally: the diaphragm  Cranially: 1st pair of ribs, 1st thoracic vertebrae and cranial part of sternum (manubrium)- thoracic inlet
39
What are the contents in the thorax?
the lungs, heart, large blood vessels, nerves, trachea, esophagus, lymphatic vessels and lymph nodes
40
What is pleura? What does it do and what does it line?
- Thin membrane that covers organ structures  Parietal pleura – lines the thoracic cavity  Visceral pleura – covers the thoracic organs B/w pleura is a sm amount of lubricating fluid to prevent friction (ex. during breathing)
41
What is negative intrathoracic pressure?
- A partial vacuum within the thorax that keeps the lungs against the thoracic wall - When the lung expands, it expands lung volume for air to enter - Lungs are passive - thorax + diaphragm actively expand and increase lung volume - Helps pull blood into the atria of the heart
42
What is pneumothorax?
When air leaks into the space b/w the lung and thoracic wall. The neg. intrathoracic pressure is compromised Can also be from fluid like blood and pus If its severe, body can't expand lungs and may cause lung collapse and dead.
43
Describe inspiration
Drawing air into lungs = inhalation Power is provided by diaphragm and EXT intercostal muscles - Diaphragm is dome-shaped, it contracts and FLATTENS on inspiration - normal resting (abdominal) respiration
44
Where are the external intercostal ribs found? How do they help with inspiration?
Found b/w ribs Pull ribs up and forward to expand thoracic cavity May be assisted by shoulder, neck and chest muscles - stretching limb forwards during running helps expands chest, landing compresses the chest
45
Describe expiration
Moving air out of lungs - exhalation relaxing of diaphragm assisted by gravity + elasticity of lung tissue and thoracic wall - Normal expiration uses less effort than inspiration and is an ALMOST passive process
46
What is forced expiration? Where are the Internal intercostal muscles found?
Forced expiration is powered by INT intercostal and abdominal muscles Int costal muscles found b/w ribs DEEP to the externals they pull ribs causally and rotate to decrease thoracic volume Abdominal muscles contract to push the organs against diaphragm to restore dome shape and decrease thoracic volume
47
What are the four types of breathing?
 Dyspnea - increased respiratory activity and effort - difficult breathing  Apnea - absence or cessation of breathing  Hyperpnea/Hyperventilation - increase in rate or depth of breathing or both  Tachypnea/Polypnea - shallow rapid breath
48
What is the definition of tidal volume and Minute volume?
 Tidal Volume: the volume of air exchanged during ONE BREATH  Varies depending on the needs of the animal – exercising vs rest  Minute volume: the volume of air exchanged during ONE MINUTE of breathing  Equals the tidal volume X number of breaths per minute
49
What is the definition of residual volume, vital capacity. What is the formula for total lung capacity?
 Residual volume: the volume of air remaining in the lungs after maximum expiration  Will never be completely empty!!  Vital Capacity: the maximum amount of air that can be expired after a maximal inspiration  Total Lung Capacity: Vital capacity + Residual Volume
50
How does exchange of gases in alveoli work?
Blood that enters lung caps have high conc. of Co2 and low conc. of O2 O2 and Co2 diffuse thru caps and alveolar walls DOWN their conc gradients. This results in a moment of CO2 from BLOOD INTO ALVEOLI and O2 from the air in the ALVEOLI TO BLOOD
51
How is the concentration gradient maintained by alveoli?
It is maintained by the constant flow of O2 depleted blood into the caps and breathing to refresh air in alveoli Almost all the hemoglobin in blood becomes saturated with O2 during this process - even blood returning to lungs has residual oxygen bound to hemoglobin
52
How can the exchange rate be affected in alveolar gas exchange?
If the distance the gas must cover increased EX interstitial fluid in the lung can severely impact the amount of O2 absorbed
53
What factors can decrease Hgb ability to bind O2?
Increased temp reduced pH Increaed Co2 - helps O2 to dissociate from Hgb in the places where it's needed most - the tissues
54
What happens if part of the lung collapses or has an airway obstruction?
O2 lvls in alveoli decreased and body responds with local hypoxic vasoconstriction which decreased the blood circulating thru parts of the lung that aren't allowed good gas exchange
55
What is the problem with generalized hypoxia?
It creates overall vasoconstriction in the lungs leads to increase of vascular resistance results in pulmon hypertension causes R heart to work harder to pump against resistance possible R heart failure + peripheral edema (high mountain disease in cattle
56
What is partial pressure of gases? Explain how it works
The total pressure of a mixture of gases is the sum of pressures of each individual gas Each individual gas has its own pressure that is PART of the total atmospheric presser = partial pressure. EX when partial pressure of O2 is higher in the air than blood, O2 will move into blood (down the conc gradient)
57
Describe what control of breathing is. What two types are there?
Muscles involved in breather are voluntary control the process is typically involuntary control 1. Mechanical control - sets limit on normal inspire + expire 2. Chemical control -Monitor Co2, pH and O2 in blood
58
What is the respiratory center in the brainstem? What is it in charge of?
Medula oblongata and pons Has different control centers for inspiration, expiration and breath holding. all are subconscious can be overridden by conscious control
59
What is the medullary rhythmicity area responsible for?
Setting the rate Works thru inspiratory area (expiration is passive result of inspiratory effort ending) has automatic rhythmic signal for inspiration this signal travels down phrenic nerve to diaphgran thru intercostal nerves to ext intercostal muscles expiratory area is usually activated during forced expiration
60
Explain what mechanical control in breathing is
It sets limits on normal inspire + expire works thru stretch receptor in lung receptors feed back to respiratory center, which signals muscles of inspire and expire
61
Describe how Chemical control in control of breathing works
Chemoreceptors monitor Co2, pH, O2 in blood Loc. in brain, carotic artery and aorta signals respiratory center if any imbalances
62
Which is more important, a rise in Co2, or a decrease of O2 concentration? Explain why
Rise of CO2 conc. more important than decrease into O2 conc in terms of stimulating breathing CO2 + pH are linked so if CO2 is high, pH goes down and blood = acidic by increasing RR the body can blow off excess CO2 and bring pH back to normal
63
What are oxygen sensors?
They signal to increase rate of mild hypoxia With severe hypoxia the neurons may become to depressed to signal, may lead to respiratory failure
64
What is a cough in terminology?
protective reflex stimulated by irritation in the trachea or bronchi  Requires pressure against a closed glottis, then sudden release  Can be productive or non-productive – treated very differently!!
65
What is a sneeze in terminology?
protective reflex stimulated by irritation in the nasal passages
66
What is a yawn in terminology?
slow deep breath stimulated by decrease in O2 levels in blood, by boredom, drowsiness, fatigue, or anxiety
67
What is a sigh in terminology?
deeper than normal breath that may be stimulated by decrease in O2 levels in the blood  Can be beneficial to give an occasional ‘sigh’ breath to anesthetized animals
68
What is hiccups in terminology?
spasmodic contraction of the diaphragm with a sudden closure of the glottis – usually temporary and harmless
69
What is panting in terminology?
mechanism to dissipate heat –increased respiratory rate with decreased tidal volume  Primarily moves air through the upper airways to exchange heat.
70
What is physiological dead space in terminology?
 The part of the respiratory system where there is no gas exchange.  Important during anesthesia. If a long endotracheal tube is placed with a long piece protruding, physiological dead space increases and reduces gas exchange.
71
Explain what dive reflex is in aquatic animals?
a reflex among aquatic, air-breathing animals that helps them remain submerged for long periods of time  Upon partial entry of water into air passages, the body responds by changes in heart rate, cessation of breathing, and shunting blood from less essential tissues  Though to be associated with survival of young children who have falling into cold water
72
Describe what a empysema is in terminology?
destruction of alveolar membranes leads to larger lung chambers and decreased surface area available for gas exchange
73
Describe what atelectasis is in terminology?
Collaspe of alveoli - results from airway obstruction or lact of surfactant
74
Explain what haemoptysis is in terminology?
Coughing up blood
75
What are two abnormal respiratory sounds?
 Stridor: high-pitched, indicates upper air way obstruction.  Stertor: low-pitched, a sign of flaccid tissue vibrating in the airway. Sounds like snoring.
76
What is sinusitis?
Inflammation + congestion of the paranasal sinuses Can become so severe it obstructs drainage may require surgical intervention trephinate to drain
77
Explain what tonsilitis is
Common in canine, rare in cat occurs as primary disease in sm breeds like toy poodles may over secondary to mouth, pharynx or nasal passage infections chronic tonsillitis may occur in brachycephalic dogs alongside elongation and hypertrophy of soft palate + chronic pharyngitis
78
Explain what dorsal displacement of the soft palate
During bigorous exericise, soft palate rises, epiglottis falls below it, reduces diameter of nasopharynx, interferes w/ exercise
79
Explain what de-barking is. Laryngospasm and laryngeal edema
 "DE-BARKING" - severing or suturing down the vocal folds  LARYNGOSPASM  Be careful not to irritate the area when intubating  LARYNGEAL EDEMA - from irritants, trauma from endotracheal intubation, surgery, and excessive panting in brachycephalic and obese dogs
80
What is laryngeal hemiplegia?
Commin in horses - known as roarers paralysis of recurrent laryngeal nerve (usually left) from injury or genetics vocal fold obstructs the lumen and vibrate t o cause noises when exercising (roaring) Can be fixed by surgical treatment - laryngeal tie-back or laryngeal ventriculectomy
81
Explain upper respiratory tract infections
affects nasal passages, pharynx, larynx and trachea a nuisance or life threatening can be a productive cough - good ex. cats with cat flu, or dog with kennel cough
82
What are heaves?
Recurrent airway obstruction Chronic allergic disease of horse characterized by laubored respire, chronic cough, lack of stamina more common in stabled animals than those in pasture 9-12 affected years respiratory distress due to dyspnea, secondary to narrowing of airways during expire progressive and pathological changes to lungs irreveresible
83
What is pneumothorax?
Free air in chest result from hole in chest wall or punctured lung can be self-miniting and the air absorbed if lg volumes of air enter pleural cavity, lung collaspe
84
Explain pleural effusion
A normal accumulaton of fluid in pleural space reduces ability of lung to inflate. lung lobes float in pleural fluid several causes: fluid can accumulate from heart failure, hemorrhage, lymph vessel leakae, pus, cancer
85
Explain what a pulmonary edema is?
Abnormal accumulation of flud in airways and alveoli associated w circulatory disorders like L vent failure, anaphylactic shock or severe allergies auscultation of heart may have fluid noises
86
Explain what pneumonia is
Inflammation of the lung ususally for INFECTIONS (bacterial or viral) use pneumonitis for NON-INFECTIOUS inflammation More serious than bronchitis mucus + fluids accumulate and plug sections of lung, decrease gas exchange
87
What is a diaphragmatic hernia?
Result from trauma (H.B.C's in particular) also congenital Depends on size of opening whether stomach contents have entered chest Can be life threatening if not dealt with considerable volume of stomach viscer may pass through a the small tear from neg pressure in thorax