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41 Cards in this Set
- Front
- Back
ventilation
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inspiration and expiration
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Inspiration - contract - outside muscle - inc thoracic cap
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air is taken in - Diaphragm contract (pull together -- pull away from cage flatten - expansion) and external intercostal muscle contract lift up the cage pull away from diaphragm
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expiration - passive - inside muscle and wall
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passive recoil but can be contracted to push extra air during expiration by internal intercostals - abdominal-wall muscles
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Expiratory Reverse volume (ERV)
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1200 - 700 mL of air can be forcefully EXpired
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Force vital capacity FVC
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amt of air that can be EXPELLED (when deepest inhale and forcefully exhale - rapidly)
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Tidal volume - TV
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500 ml of inspired and expired at quiet breathing
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Inspiratory Reverse volume - IRV
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3100 - 1900 mL of air can be forcefully INspired
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residual volume diagnostic
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1200- 1100 mL amt of air remaining after FOrcefully expriration -------- obstruct - restrict the vol === lower
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Force Expiratory Volume in 1 second - VC
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Amt of vital cap that is Expired during the 1st second of FVC test (75%-85% of VC)
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Vital Capacity
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4800 - 3100 mL -- Max amt of air can be inspired and expired wt max effort -- VC = TV + IRV + ERV
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Total lung capacity -- everything 3 r
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6000 - 4200 mL -- amt air in lung after max inspiratory effort -- TLC = TV + IRV + ERV + RV
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Ventilation is measured as
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frequency of breathing x tidal volume
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Beginning of inspiration ..
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thoracic capacity volume increase
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Beginning of expiration
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pressure of the thoracic capicity increases
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Minute ventilation calc
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= TV (ml/breath) x BPM (breath/ min)
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Obstructive disease affect - FEV
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airflow ----- small airway radius --- asthma -- bronchi-tis ------- reduce For Exp Cap in 1 sec
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Restrictive disease affects
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volumes -- capacities
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Inhaler for Asthma attack
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reduce airway resistance
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FEV1
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amt VC in the 1st sec ---- 70-85% of VC (longer have more) -- reduce in asthma
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FVC -------------------- TLC ------------- TV
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total amt of air OUT after force inhale and force exhale ----------------------- everything --------------------- quiet breathing
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Emphysema Breathing --- FVC- ERV and FEV1 decrease --- Residue Vol increases
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loss elastic recoil in lung tissue (wall alveoli) nhao~ ---- inc resistance ------------- less recoil --- have to force EXhale -- expires slowly
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Acute Asthma Attack Breathing -- TV - ERV - IRV - FVC - FEV ----- RV increases and the rest are decreased -- TLC same
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bronchiole muscle spasms and constrict ------- reduces diameter ----- clogged wt mucus ---- increase resistance -- both inspired and expired
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Acute Asthma Attack Breathing causing
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inflammatioin by allergen -- extreme temp --- exercise --- air way reduce but recoil is the same -------- treatment inhaler ---- beta 2 agonist or ACh antagonist ---> relax muscle ORRRRRRRRRRRRRRRRR corticosteriod --- anti-inflammation
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Breathing during exercise
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moderate aerobic exercise --> breathing rate inc but less than tidal volume increase ... Heavy exercise --> breath rate - TV increase Max
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Volume
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TLV > FVitCap > FExV > IRV > ERV > RV > TV
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With an inhaler --- volume that are not return to normal ---- RV ----- IRV - FVC - FEV
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IRV (contrict cant get in) -- RV (can't get out)----- FVC (can't get in enough) - FEV (cant get in enough)
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ERV = 1400
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TLC - RV -IRV - TV = 6000 - 1200 - 2900 - 500
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FVC = 5000
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IRV + TV + ERV = 3000 + 500 + 1500
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largest VOl in normal - I is more than ERV
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IRV
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RV is increased in _____
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both emphysema and asthmatic
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Surfactant tension (dipalitoy-phosphatidyl-choline---------- phosphatidyl gelcerol -------- palmitic acid)
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uniform molecule arrangement create a tension in the surface prevent objects from coming in
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Pneumothorax
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a space between the lung and
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Ate-lecta-sis
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lung collapse when there is no pressure in the intrapleural space
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Surface tension resists any force ________
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increase the surface area of the boundary ------- no more room for anything to get in
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Surface tension acts to ____________
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decrease the size of alveoli within the lung (wo surfactannt surface tension will hold the alveoli to the wall too tide can't recoil)
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surfactant reduces
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the force to INflate the lung ( film inside the lung hold alveoli to the wall) -- surfactant help the alveoli recoil
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Before an INspiration -- P of intrapleural cavity ______________than the P within the alveoli (760 * 756)
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less
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respiratory condition of pneumothorax refer to ------
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any opening that equalize the intrapleural P wt the atm
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best way to reinflate collapsed lung ____
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pump air out of intrapleural space -- make negative pressure
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adding surfactant make
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increase airflow -- premature infant has no surfactant
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Pneumo thorax is followed by
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atelectasis
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