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62 Cards in this Set

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  • Back
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Organs of Respiratory System

Nose


Pharynx


Larynx


Trachea


Bronchi


Lungs

Purpose of Conchae

^ SA. & air turbulence w'in nasal cavity

Three regions of Pharynx

Nasopharynx


Oropharynx


Laryngopharynx

Larynx

Plays role in speech


Made of 8 rigid hyalin cartilages and epiglottis

Trachea

Connects larynx w. Bronchi


Lined w. Ciliated mucosa

Tracheostomy

Incision in trachea below cricoid cartilage if larynx is obstructed

Intubation

Passing a tube from mouth/nose through larynx & trachea

Left lung

Two lobes

Right lung

3 lobes

Covering of lungs

Visceral Pleura


Parietal Pleura

Visceral Pleura

Covers and is attached to the outside of lung surface

Parietal pleura

Lines internal walls of thoracic cavity

Respiratory tree division

Trachea


Primary bronchi


2ndry bronchi


3tiary bronchi


Bronchioli


Terminal bronchioli


ALL BUT THE SMALLEST BRANCHES HAVE REINFORCED CARTILAGE

Bronchodilation

Via adrenaline

Bronchoconstriction

Via histamine and acetylcholine

Structure of alveoli

Alveolar duct, " " sac, alveolus

Type 1 alveolar cells

Simple squamous cells where gas exchange occurs

Type 2 alveolar cells (septal cells)

Free surface has microvilli


Secrete alveolar fluid containing surfactant

Alveolar dust cells

Wandering macrophages remove debris

Events of Respiration

Pulmonary ventilation


External respiration


Internal respiration

Pulmonary ventilation

Moving air in & out of the lungs

External respiration

Gas exchange b'ween alveoli and pulmonary deoxygenated blood


02 moves into blood

Internal Respiration

Gas exchange b'ween arterial/capillary (oxygenated) blood and cells of the body

Mechanics of Breathing

Inspiration


Expiration

Inspiration

Flow of air into lung


Diaphragm and external intercostal muscles contract


Size of thoracic cavity increases


External air pulled into the lungs due to an increase in intrapulmonary vol.

Expiration

Air leaving lung


(Quiet) largely a passive process which depends on natural ling elasticity


As muscles relax, air is pushed out of lungs


Intrapleural pressure

Normal pressure w'in pleural space.


Always negative


Difference in lung and pleural space pressures, keep lungs from collapsing

Nonrespiratory movements

Can be caused by reflexes or voluntary actions

E.g. cough/sneeze


Laughing


Yawn

Eupnea

Normal quiet breathing

Apnea

Temporary cessation of breathing

Dyspnea

Difficult or laboured breathing

Tachypnea

Rapid breathing

Diaphragmatic breathing

Descent of diaphragm causes stomach to bulge during inapiration

Costal breathing

Just rib activity involved

Coughing

Deep inspiration


Closure of rima glottidis


Strong expiration blasts air out to clear respiratory passages

Hiccuping

Spasmodic contraction of diaphragm


Quick closure of rima glottidis prod. sharp inspiratory sound

Residual volume

1200ml

Expiratory reserve volume

1200ml

Tidal volume

500ml

Inspiratory reserve volume

3100ml

Inspiratory capacity

Inspiratory reserve vol. + tidal vol.

Functional residual capacity

Expiratory reserve vol. + residual vol.

Vital capacity

Inspiratory + Func. Resid. Capacity

Total lung capacity

6000 ml

Normal breathing

Moves ~ 500mL of air in breath

Factors that affect respiratory capacity

A person's size


Sex


Age


Physical cond.

Bronchial sounds

Prod. By air rushing through trachea and bronchi

Vesicular breathing sounds

Soft sounds of air filling alveoli

Neural reg. Of respiration

- Activity of respiratory muscles is transmitted to the brain by the phrenic and intercostal nerves


- Neural centres that control rate and depth are loc. In medulla


- Pons appears to smooth out respiratory rate

Hypernia

Increased resp. Rate

Role of resp. Centre

(MEDULLA + PONS)


3 groups of neurons


- medullary rhythmicity


- pneumotaxic


- apneustic centers

Medullary Rhythmicity Area

- Ctrls basic rythm of respiration


- Inspiration for 2 sec, exp for 3


- Autorhythmic cells active for 2 secs then inactive


- Exp. neurons inactive during most quiet breathing only active during H vent. rates

Pneumotaxic area

Constant inhibitory impulses to inspiratory area


Neurons trying to turn off inspiration before lungs too expanded

Apneustic Area

Stimulatory signals to insp. area to prolong inspiration


If pneumotaxic area is sick.

Factors influencing respiratory rate/depth

Physical factors


Volition (conscious ctrl)


Emotional factors


Chem. Factors

Physical factors

^ BT


Exercise


Talking


Coughing

Chemical factors

CO2


- ^ CO2 = ^ Resp.


- Directly affects med. Obl.



O2


- changes in c (O2) detected by chemoreceptors in aortic/carotid bodies


- ""

Adult resps. Normal

12-18 resp/min

Chronic Obstructive Pulmonary Disease (COPD)

Exemplified by chronic bronchitis


Dyspnea becomes more severe


Coughing/freq. Pulmonary inf.


Pt. Hypoxic, has respiratory acidosis


Will ultimately dev. resp. failure.

Emphysema

Alveoli enlarge as adj. chambers break through


Chronic inflamm. promotes lung fibrosis


Airways collapse during exp.


Pt. Use large amounts of energy to exhale


Overinflation of lungs leads to permanently exp. Barrel chest

Chronic Bronchitis

Mucosa of lower resp. passages becomes severely inflamed.


Mucus prod. ^


Pooled mucus impairs vent. & gas exchange


Risk of lung inf. ^

Ageing effects on breathing

Elasticity of lungs ⬇


Vital capacity ⬇


Blood 02 ⬇


More risk of resp. Tract inf.