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29 Cards in this Set

  • Front
  • Back
describe negative pressure breathing
movement of air into the lungs as a result of intra-pulmonic pressure being less than atmospheric press
value for intra-alveolar pressure on beginning of inspiration
-1cm water, or 1025cm water
3 types of negative pressure breathing
-normal breathing
-iron lung
-cuirass/breastplate/chest respirator
describe positive pressure breathing
movement of air into lungs as a result of increasing ambient pressure above the intra-pulmonic pressure
examples of positive pressure breathing
-positive pressure MV
-mouth to mouth
-scuba diving
boyle's law
pressure and volume are inversely proportional, with temp being constant
increase one, decrease the other
VxP=k
Charle's law
pressure constant, volume and temp are directly related
Gay Lussac's law
volume constant, temp and pressure are directly related
inspiration and expiration is d/t a pressure gradient resulting from what?
changes in lung volume
movement of air out of lungs d/t increased intra-pulmonic pressure secondary to decreased lung volume
expiration
For expiration, what happens first?
decreased volume, which leads to increased intrapulmonic pressure
passive expiration requires what?
no muscular activity to be achieved
when do you see passive expiration
rest, mild/moderate physical activity
factor responsible for decreasing lung volume which ultimately leads to expiration is ?
inward recoil of lungs
2 contributing factors to lung recoil
-recoil of stretched elastic tissue
-recoil d/t surface tension phenomenon
most important contributing factor to lung recoil
surface tension phenomenon
explain recoil d/t surface tension phenomenon
during passive exhalation, mm's of inspiration relax gradually, makes it a smooth process
-expiration is twice as long as inspiration
the term alveolar elastic recoil includes what?
both recoil of stretched elastic tissue and recoil d/t surface tension phenomenon
active expiration requires what?
muscular activity
active expiration is utilized when?
heavy physical activity, COPD, coughing , valsava, singing
overall fxn of mm's of expiration
decrease volume of thorax that decreases lung volume and causes increased IPP
3 specific fxn of mm's of expiration
-accelerate exhalation process
-increase RR
-help increase volume of air exhaled
2 types of mm's of expiration
abdominal mm's (most important)
internal intercostals
list abdominal mm's
external oblique
internal oblique
transverse abdominis
rectus abdominis
origin/insertion of rectus abdominis
origin:symphysis pubis
insertion: lower ribs
functions of contraction of abdominal mm's
-pulls down thorax (lower rib cage) which decreases transverse and AP dimension
-increases intra-abdominal pressure, pushing up on undersurface of diaphragm which decreases vertical dimension
what can immoblize/anchor/fix the lower thorax?
abdominal mm's, making lower portion of thorax less moveable than upper portion
contraction of internal intercostal mm's causes?
pulling down on rib above which decrease transverse and AP dimensions of thorax, and lungs
-also gives rigidity to the soft tissue in the ICS's
how can you determine the strength of the expiratory mm's?
valsava maneuver