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53 Cards in this Set

  • Front
  • Back

cardiovascular system

-works with respiratory system with one goal, to supply O2 and eliminate CO2


-provides for gas exchange


-failure would result in disruption of homeostasis and rapid death of cells from oxygen starvation and build up of waste

respiratory system

-works with respiratory system with one goal, to supply O2 and eliminate CO2


-provides transportation for gases



-failure would result in disruption of homeostasis and rapid death of cells from oxygen starvation and build up of waste

respiration

exchange of gases between the atmosphere, blood, and cells

three steps of repiration

-Pulmonary Ventilation: 'breathing', inspiration and expiration, air going into lungs


-External (pulmonary) respiration: gas exchange between lungs and blood, inside lungs


-transport of respiratory gases: O2 and CO2 transported between tissues and lungs


-Internal (tissue) respiration: gas exchange between blood an tissue cells; RBCs deliver O2 and pick up CO2 in cap beds; cells use O2 and produce CO2 during cellular respiration

anatomical parts of the respiratory system

-upper and lower respiratory tracts


-divided by the end of the pharynx


-infections: upper respiratory tract is above the vocal cords and the lower respiratory tract is below the vocal cords


-lower respiratory tract infections become more serious, harder to get to

anatomy of the respiratory system

-nose


-pharynx: throat


-larynx: voice box


-trachea: windpipe


-bronchi: airways, resemble upside down tree


-lungs

two parts of the respiratory ststyem

-conducting system: series of cavities and tubes including the nose, pharynx, larynx, trachea, bronchi, bronchiole, and terminal broncioles that conduct air into the lungs


-respiratory portion: area where gas exchange occurs including respiratory bronchioles, alveolar ducts, alveolar sacs, and alvioli

Pharynx

anatomy: nasopharynx(uppermost portion), orophharynx( middle portion), laryngopharynx(lowest portion)



physiology: common passageway for air and food, resonating chamber for speech production

larynx

-'voice box'


-passageway that connects pharynx and trachea


contains thyroid cartilage, epiglottis, and cricoid cartilage


-produces sound and regulates type of sound expelled

parts of the larynx

-thyroid cartilage: 'Adams Apple', largest portion


-cricoid cartilage: connects larynx to trachea


-epiglottis: 'valve', prevents food from entering larynx, separates digestive and respiratory systems, failure results in choking

voice production

-happens in the larynx


-vocal folds (true vocal cords) produce sound


-taunt vocal folds= high pitches


-relaxed vocal folds= low pitches


-thicker and longer in males, less flexible= lower pitch due to low vibrations

speech and whispering

-speech: modified sound by the larynx


-requires pharynx, mouth, nasal cavity, and sinuses to resonate and modify the sound


-tongue and lips form words


-pitch is controlled by tension on vocal folds

laryngitis

inflammation of the larynx that is usually caused by respiratory infection or irritants



-cancer of the larynx is almost exclusively found in smokers

trachea

-'windpipe'


-extends from the larynx to the primary bronchi


-composed of smooth muscle and C-shaped rings of hyaline cartilage and is lined with pseudo stratified ciliated columnar epithelium


-cartilage rings keep airway open


-cilia sweep debris away from the lungs and back to the throat to be swallowed

bronchi

-trachea divides into right and left pulmonary bronchi


-bronchial tree consists of the (trachea, primary bronchi, secondary bronchi, tertiary bronchi), (bronchioles, and terminal bronchioles)


-bronchi contain rings of cartilage


-bronchioles contain smooth muscle

lungs

-paired organs in the thoracic cavity


-enclosed and connected by the pleura membranes


-parietal pleura: outer layer, attached to thoracic cavity


-visceral pleura: inner layer, covers lungs themselves


-pleural cavity: small potential space between the pleurea that contains a lubricating fluid secreted by the membranes

anatomy of the lungs

- each lung has base and apex


-left lung has cardiac notch


-right lung is thicker, broader and shorter


-L lung: 3 lobes R lung: 2 lobes


-lobes separated by fissures

breakdown of bronchi

terminal bronchiole > respiratory bronchiole > alveolar duct > alveolar sac > alveoli


alveoli

-thin, bubble like structures surrounded by capillaries


-part of external rerspiration in gas exchange


-thin walls, one layer SSE


-total surface area equal to 1/2 - 2/3 of a tennis court


-surrounded by capillaries for gas exchange


-smooth muscle controls airway resistance

type I alveolar cells

-simple squamous cells where gas exchange occurs

type II alveolar cells

-free surface has microvilli (projections of cytoplasm, don't move, increase surface area)


-secrete alveolar fluid containing surfactant


-surfactant: compound that lowers surface tension, lungs would collapse without it

alveolar macrophages

-'dust cells'


-wandering macrophages that remove dust


-only in lungs


-patrol alveolar walls


-part of type II alveolar cells


alveolar cell example

pulmonary ventilation

-'breathing'


-air moves into lungs when pressure inside lungs is less than atmospheric pressure (inspiration)


-air moves out of lungs when pressure inside lungs greater than atmospheric pressure


-atmospheric pressure: 1atm or 760mm Hg (mercury)


-air pressure and lung pressure can never be the same

Boyle's Law

-states that the volume of a gas varies inversely with pressure, assuming that temp is constant


-volume decreases= pressure increases


-inversely proportional


-diaphragm, pleura and thoracic cavity create closed container of chest cavity


-at rest, volume decreased


-during inspiration, volume increased

muscles used in inspiration

-diaphragm (dome shaped muscles, inferior wall of thoracic cavity, flattens when contracted to expand thoracic cavity, important for physical exertion and speech/singing)



-external intercostals (pull ribs upward, push sternum forward, expand thoracic cavity)

muscles used for expiration

-internal intercostals (pull ribs downward, pull sternum inward, compress thoracic cavity)



-abdominals (compress abdominal and thoracic cavities)

compliance

-ease with which lungs and chest wall expand depends upon elasticity of lungs and surface tension



-diseases that reduce compliance: tuberculosis, pulmonary edema, paralysis

composition of air

-air: 21% O2, 79% N2, 0.04% CO2


-alveolar air: 14% O2, 79% N2, 5.2% CO2


-expired air: 16% O2, 79% N2, 4.5% CO2

hemoglobin

-Hb


-iron containing protein


- two polypeptid alpha chains, two ß chains, plus four iron containing heme groups


-globin: protein portion


-heme: pigment, can combine with a molecule of oxgen


-250 million in each erythrocyte

blood gas transport

gas exchange

-diffusion based on concentration gradient


-CO2 dissolves easier then O2

oxygen transport

-100ml of oxygenated blood= 1.5% of the O2 dissolved in plasma


-98.5% of O2 carried with Hb in RBCs as oxyhemglobin (HbO2)


-25% CO2 transported in hemoglobin


-CO2 in blood caused O2 to split from hemoglobin


-binding of O2 causes release of CO2 from blood

hypoxic hypoxia

-low O2 due to low oxygen in lungs


-low O2 saturation


-caused by low O2 in atmosphere (altitude, smoke inhalation) or suffocation

anemic hypoxia

-low O2 due to low numbers of RBCs


-low O2 content


-caused by any anemia, other hemolytic diseases, cancers and cancer treatments, malnutrition


-leads to hemolysis of RBCs (breakdown and rupturing of RBCs so they release their contents)

stagnant (ischemic) hypoxia

-low O2 due to reduced blood flow


-low O2 delivery


-caused by heart failure, blood clot or other embolus (object in bloodstream that lodges itself in a vessel)

histotoxic hypoxia

-tissues cannot use O2, usually due to presence of a toxin or poison


-caused by cyanide (cigarettes, chemicals), carbon monoxide (cigarettes, fires, automobile exhaust) or botulinin toxin

CO2 transport

-carried in three forms


1. dissolved CO2: 7% of total, located in plasma but not as H+/HCO3


2. carbaminohemoglobin: 23% of total, binds to the non-heme portion of hemoglobin


3. bicarbonate ions: 70% of total, vital to survival, an important acid-base buffer

carbonic anhydrase

enzyme that increases the formation rate of bicarbonate (HCO3-) which is an important blood buffer

equilibrium reaction equation

-CO2 + H2O <> H2CO3- <> HCO3- + H+


-an excess of either one will shift the results in the other direction


-excess CO2 = increased H+ production (increased blood acidity)


-less CO2 -= decreased H+ production (decreased blood acidtiy or increased blood alkalinity)

carbon monoxide poisoning

-CO from car exhaust and tobacco smoke


-binds to Hb heme group more successfully than O2, takes over binding sites


-poisoning


-treated by administering pure O2


-colorless, odorless

exercise and the respiratory system

-respiratory system works with cardiovascular system to make appropriate adjustments for different exercise intensities and durations


-blood flow increase with lower O2 and higher CO2 = increase in amount passing through lungs (pulmonary perfusion)


-matched by increased ventilation as more pulmonary capillaries open


regulation of respiratory response center

-chemoreceptors


-limbic system: anticipation of activity or emotional anxiety


- increase temperature = increase RR


-pain: sudden, severe pain inhibits breathing


-irritation of air passages: mechanical/ chemical irritation, cessation followed by coughing

smoking and respiratory efficiency

-smokers are usually easily winded with moderate exercise


-nicotine constricts terminal bronchioles


-CO in smoke binds to hemoglobin


-irritants in smoke cause increased mucus secretion and inhibit cilia movements


-in time it destroys elastic fibersi n lungs and leads to emphysema (trapping of air in alveoli and reduced gas exchange)


-tobacco tar contains carcinogens which may induce cancers

aging and the respiratory system

-respiratory tissues and chest wall becomes more rigid


-vital capacity decreases to 35% by age 70


-decrease in macrophage activity


-diminished ciliary action


-decrease in blood levels of O2


-result in age-related susceptibility to pneumonia and bronchitis

pneumothorax

-pleural cavities are sealed and not opened to outside


-injuries to chest wall that let air enter the in the intrapleural space cause pneumothorax (punctured lung) and collapsed lung on the same side of the injury


- plura allows lungs to maintain pressure

asthma

-spasms of smooth muscle in bronchial tubes


-partial or complete closure of air passageways


-inflammation


-inflated alveoli


-excess mucus production to cleanse airways


- common trigger factor is allergies


other triggers: emotional upset, aspirin, exercise, breathing in cold air, cigarette smoke

pulmonary edema

-'lungs' 'fluid'


-abnormal accumulation of interstitial fluid in the interstitial spaces and alveoli of the lungs


may be pulmonary of cardiac in origin

Chronic Obstructive Pulmonary Disease

-COPD


-respiratory disorder characterized by chronic and recurrent obstruction of airflow which increases airway resistance


-principle types: emphysema and chronic bronchitis

bronchitis

-inflammation of the bronchial tubes


-main symptom is productive( raising mucus and sputum) cough

bronchogenic carcinoma

-lung cancer


-bronchial epithelial cells are replaced by cancer cells after constant irritation has disrupted the normal growth, division and function of the epithelial cells


-airways often blocked and metastasis(development of secondary malignant growth) is very common


-most commonly associated with smoking

pneumonia

-acute infection of the alveoli


-most common cause in the pneumococcal bacteria but other microbes may be involved


=treatments: antibiotics, oxygen therapy, bronchodilators, and chest physiotherapy

Tuberculosis

-TB


-inflammation of pleurae and lungs due to the production of the organism Myobacterium tuberculosis


-communicable


-destroys lung tissues, leaving nonfunctional fibrous tissue behind