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47 Cards in this Set

  • Front
  • Back

Boyle's Law

A change in volume leads to a change in pressure - if you increase the volume, pressure decreases.

Inspiration occurs when...

alveolar pressure is less than atmospheric pressure - air will flow into the lungs due to the pressure gradient established.

Thoracic Cavity boundaries

Superiorly - root of neck


Inferiorly - Diaphragm


Anteriorly - Sternum


Posteriorly - Vertebrae


Lateraly - Ribs/Intercostal muscles

Thoracic Joints - Anterior

Sternocostal


Costochondral


Interchondral

Sternocostal joints

sternum - cartilage


synovial except for 1st rib which is fibrocartilaginous.

Costochondral joints

rib - cartilage


cartilagenous

Interchondral joints

cartilage - cartilage


synovial

Thoracic joints - Posterior

Costovertebral


Costotransverse



Articulation between thoracic vertebrae and ribs.


Bilateral facets


Synovial joints

Contents of the Thoracic Cavity

Heart, Lungs and major vessels


Muscles of respiration

Diaphragm, intercostal muscles, accessory muscles

Diaphragm


Primary respiratory muscle


Lower boundrary of the thoracic cavity


Skeletal muscle


Innovated by the phrenic nerve


Contacts in inspiration (flattens) - concentric contraction - increases thoracic cavity length

Intercostal muscles

Secondary respiratory muscles


two layers of muscles between the ribs


External + Internal intercostalsExtern

External Intercostals

inspiration - elevate ribs therefore expanding the thoracic cavity laterally.


direction of muscle fibres inferior and medial - hands in pockets


Internal Intercostals

Used in forced expiration - decrase volume of thoracic cavity by pulling in laterally


direction of muscle fibres inferior and lateral

Accessory Muscles

-muscles attatched to thoracic cage eg abdominals, accessory muscles


-used during forced expiration or inspiration

Thoracic Cavity movement - Pleura

Serous membranes line body cavities and secrete serous fluid


Within the thoracic cavity, serous membranes are called pleura.


Visceral pleura - covers lungs


Parietal pleura - lines thorax and mediastinum
Attatched to thoracic wall - fixed - meaning as thoracic wall movement occurs, so does lungs movement

At the end of expiration...

Atmospheric pressure (Pb) = avleolar pressure (Pa)


Therefore there is no air movement

Expiration

A passive process as the respiratory muscles relax.


Elastin in the lungs helps with recoil

Average volume of oxygen inspired per min

250mL

Average volume of carbon dioxide expired per min

200mL

Functions of the respiratory system

-Provide oxygen


-Eliminate carbon dioxide


-Filters,warms and humidifies the air we breathe


-Communication


-Sense of smell


-Regulate pH of the blood (in assoc. with kidneys)


- Defend against microbes


-Production of chemical mediators


-Trapping and dissolving blood clots


-Temperature regulation

Percentages of gases in the air

Oxygen - 20.93%


Carbon dioxide - 0.03%


Nitrogen - 79.04%

Intrapleural pressure

negative in regards to atmospheric pressure


is changed by muscles acting on the thoracic wall which causes the lung volume to change.

Upper respiratory tract consists of...

Nose and nasal cavity


-Paranasal sinuses


Pharynx


Larynx

External part of the nose

External nares (nostrils)


Paired nasal cartlages - lateral and alar (thicker)


Septal cartilage - down midline


Cartilage important for patent, unobstructed airway

Nasal septum

Formed by hyaline cartilage (anterior) and bone (posterior)

Roof of nasal cavity formed by...

Ethmoid and sphenoid bones

Floor of nasal cavity formed by...

Hard (anterior) and soft (posterior) palates

Turbinates/Chochae

Three mucous covered projections on the lateral wall of the nasal cavity


-superior, middle, and inferior


Swirl the incoming air creating a turbulent flow which makes larger particles stick to the mucous.


Sensory nerve endings can be triggered ina sneeze reflex.

Forms in which oxygen is carried in the blood

Dissolved, combined with Hb

Dissolved oxygen

Arterial blood with PO2 -100mmHg contains only 3 ml dissolved O2/Litre

Combined with Hb

O2 forms an easily reversible combination with Hb to give oxyhaemoglobin.


Binding depends on PO2 - dissociation curve - saturation

O2 saturation in arterial blood

PaO2 = 100mmHg


SaO2 - 97%

O2 saturation in venous blood

PvO2 = 40mmHg


SvO2 - 75%

What is P50

P50 is the PO2 at which Hb is 50% saturated - 25mmHg

O2 capacity is

the amount of O2 carried when Hb is 100% saturated

Normal blood has about ...... g Hb/Litre

150

One gram of Hb can combine with ....... ml O2

1.34

Normal O2 capacity

200mL/litre of blood

O2 content =

O2 capacity * saturation (+dissolved)

Arterial-venous O2 difference

a-v difference of -50ml O2


CO=5L/min


Therefore total O2 extracted by tissues at rest is 250ml/min

Leftward shift

more loading of O2 in the lungs


increased O2 affinity, decreased P50R


Rightward shift

more unloading of O2 to the tissues


decreased O2 affinity, increased P50

Shifts caused by change in

temperature, PCO2, [H+], BPG

Bohr effect

Right and left shifts in saturation curves.

Rightward shift caused by

incrase in PCO2, [H+], temperature and 2,3 BPG


Occurs when exercising

2,3 BPG/DPG

-is a by-product of glycolysis


-increases with intense exercise training,altitude,due to severe lung diseases or anemia


-helps deliver O2 to tissues, increases PO2 unloading