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75 Cards in this Set

  • Front
  • Back
What is the primary function of the respiratory system?
gas exchange between air and circulating blood
• lungs - provide gas exchange "interface" between air & blood → supply body with O₂ and dispose of CO₂
What is the secondary function of the respiratory system?
acid-case balance (by regulating CO₂ in the blood)
The respiratory system consists of ___ and ___ zones
conducting and respiratory zones
conducting zone
from nasal cavity to terminal bronchioles "dead space"
• maintenance of open airway
• humidity
• adjust temperature
• cleanse
respiratory zone
respiratory bronchioles and alveoli
• site of gas exchange
respiratory muscles
diaphragm and other muscle that promote ventilation
ANS regulates smooth muscle to control _____ diameter
ANS regulates smooth muscle to control bronchiole diameter
• controls airflow & resistance in lungs
bronchodilation
controlled by SNS → reduces resistance
bronchoconstriction
controlled by PNS and histamine release (allergies) → increases resistance
What is alveoli?
air-filled pockets within lungs where gas exchange takes place
• ~300 million alveoli
• account for most of lung's volume
• provide tremendous surface area for gas exchange
Alveoli are patrolled by _____ _____ (dust cells) - phagocytize microbes
alveolar macrophages
What are Type 1 cells?
thin, delicate endothelial cells
What are Type 2 cells?
produce surfactant (oily secretion - coats epithelium & reduce surface tension)
Surface tension
caused by attraction of H₂O molecules to each other (collapses alveoli) (premature babies - immature Type 2 cells = little/no surfactant)
Pulmonary capillaries
exchange CO₂ and O₂ with alveoli
• capillaries surround alveoli
Respiratory Membrane
thin membrane of alveoli where gas exchange takes place (air-blood interface)
What are the three layers that gases must diffuse across?
1. Type 1 alveolar cells
2. Fused basal laminae between alveolar and endothelial cells
3. Endothelial cells of capillary
Blood supply to the lungs: pulmonary circuit
purpose is gas exchange (also nourishes respiratory membrane)

pulmonary arteries → pulmonary capillaries → pulmonary veins
Blood supply to the lungs: systemic circuit
purpose is to nourish lung tissue

Bronchial arteries → Bronchial capillaries → Pulmonary veins
Each lung is located within a double-layers _____ membrane
serous
Visceral pleura
lines outer lung surface
Parietal pleura
lines inner surface of thoracic wall
Thoracic wall:
• floor - diaphragm
• circumference - ribs & intercostals
The right and left pleural cavities are separated by the _____
mediastinum
Each pleural cavity holds a long and lungs function ____
independently
pleural cavity
holds serous fluid that reduces friction as lungs inflate/deflate
What are the two principles affecting air movement?
atmospheric pressure and Boyle's Law
Atmospheric Pressure
(Patm) ~ weight of the Earth's atmosphere (on our bodies and everything around us)

• affects air movement into and out of our lungs

• our lungs have their own pressure that varies between above and below atmospheric pressure as we breathe
Respiratory Pressure
is describe relative to Patm

• Negative respiratory pressure is pressure < Patm
• Positive respiratory pressure is pressure > Patm
Boyle's Law
defines the relationship between gas pressure and volume

↓ V of container:
• each molecule travels same distance within a time period
• hit wall more frequently
• molecules exert more pressure on container
• = ↑ P
Respiratory cycle
1 inspiration (inhalation) + 1 expiration (exhalation)

causes volume changes in thoracic cavity (with expansion or contraction of diaphragm or rib cage) that create changes in pressure
Mechanics of Breathing
based on pressure differences (△P) between air in lungs and atmosphere during on Respiratory Cycle
What is the normal atmosphere pressure?
1 atm at sea level = 760 mm Hg
intra-alveolar pressure (Palv)
pressure of the lungs (within alveoli)
• measured relative to atmosphere pressure
During relaxed breathing ....
inhalation = −1 mm Hg inside lungs
exhalation = +1 mm Hg inside lungs
At rest ("Quiet" inspiration/expiration) the most important muscles are:
diaphragm and external intracostal muscles of the ribs
accessory respiratory muscles →
activated only when respiration increases significantly ("forced" inspiration/exhalation)
Quiet inspiration
diaphragm and external intercostal muscles (inspiratory muscles) contract and the rib cages rises
Quiet expiration
inspiratory muscles relax and the rib cage descends due to gravity
What are some physical properties of the lungs?
elasticity, compliance, and airway resistance
What is elasticity?
stretching force
• inward recoil force of lungs due to elastic tissue and surface tension of fluid lining alveoli
What is compliance?
ease of expansion
• increase compliance → easier to expand lungs → decrease work of breathing
What is airway resistance?
depends of diameter of lungs
Respiratory system adapts to changing oxygen demands by varying:
• number of breaths per minute (respiratory rate) (
respiratory rate
number of breaths per minute
average = 12 breaths per minute
tidal volume
volume of air moved per breath (Vt)
average = 500 mL per breath
Respiratory Minute Volume
(VE) - amount of air moved per minute calculated by:
Anatomical Dead Space
volume of air that doesn't reach alveoli (air remaining in conducting passages - trachea, mouth, etc)
Alveolar Dead Space
if alveoli cease in gas exchange (e.g. damage or lined with mucus)
Total Dead Space
(Vd) = Anatomical Dead Space + Alveolar Dead Space
Alveolar Ventilation (VA)
amount of air reaching alveoli each minute
Calculated as:
Measurements of airflow: Respiratory volumes

TV
TV = volume of one breath
Measurements of airflow: Respiratory volumes

IRV
IRV = volume inhaled with maximum effort in excess of tidal volume
Measurements of airflow: Respiratory volumes

ERV
ERV = volume exhaled with max. effort in excess of tidal volume
Measurements of airflow: Respiratory volumes

RV
RV = volume remaining in lungs after max. expiration (keeps alveoli inflated)
Measurements of airflow: Respiratory capacities

VC
VC = volume exhaled with maximum effort after maximum inspiration
Measurements of airflow: Respiratory capacities

IC
IC = volume of air inhaled after normal tidal expiration
Functional residual capacity
Functional residual capacity = volume in lungs after normal tidal expiration
Total lung capacity
Total lung capacity = maximum volume lungs can contain
VC =
ERV + TV + IRV
IC =
TV + IRV
Functional residual capacity =
ERV + RV
Total lung capacity =
VC + RV
Pulmonary function tests
used to asses one's respiratory status (compared with "normal" values)
spirometer
instrument used to measure different volumes of breathed air (water is displaced by the breathed air, and the volume can be recorded)

Helpful in distinguishing obstructive or restrictive disorders
Obstructive disorder
difficult to get air out of the lungs (expiration)
• emphysema, bronchitis, and asthma
Restrictive disorder
difficult to get air into the lungs (inhalation)
• mascular diseases, chest wall deformities
Gas exchange occurs between air in ____ & ____
alveoli & blood → across respiratory membrane
Gases are exchange by diffusion in response to a ____ ____
concentration gradient
To understand how gases are exchanged between air in alveoli & blood you will need to consider:
1. Partial pressure of gases (Dalton's Law)
2. Diffusion of molecules between gas & a liquid (Henry's Law)
Dalton's Law of Partial Pressure (PP)
• Total pressure (of gas mixture) = sum of individual gas pressures... called the partial pressures
• The partial pressure of each gas is directly proportional to its percentages in the mixture

Partial pressure (PO₂, PCO₂ is the driving force for diffusion of gases
• Gases diffuse from high to low pressure (down their own concentration gradient)

Composition of Air:
Nitrogen ~ 78.6%
Water vapor ~ 0.5%
Oxygen ~ 20.9%
Carbon dioxide ~0.04%

Atmospheric Pressure = 760 mm Hg

Each gas above contributes to the total pressure → in proportion to its number of molecules (or its partial pressure)

All partial pressure of molecules in air together add up to 760 mm Hg (atm pressure)
If you have a container with 4 gases:
50% CO₂
25% O₂
12.5% N₂
12.5% CH₄

Total pressure in the container at: 800 mm Hg

According to Dalton's Gas Law; what is the partial pressure of CO₂, O₂?
CO₂ = 400 mm Hg
O₂ = 200 mm Hg
N₂ = 100 mm Hg
CH₄ = 100 mm Hg
Henry's Law of Dissolves Gases
• When the mixture of gases is in contact with a liquid, each gas will dissolve in the liquid in proportion to its partial pressure
• The greater the concentration of a particular gas → the faster it will go into solution
• At equilibrium - partial pressure in 2 phases (gas & liquid) are equal
Forced Exhalation includes respiratory accessory muscles such as:
internal intercostals and abdominal muscles
Force Inhalation includes accessory accessory respiratory muscles such as:
Sternocleidomastoid & scalenes and Pectoralis minor and serratus anterior