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41 Cards in this Set

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