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31 Cards in this Set

  • Front
  • Back
Conducting Zone
-Air passageway, 150ml of dead space
-Increase air temperature to body temperature, humidify air
Alveoli
Type 1 cells -make up wall
Ty[e 2 cells - secrete surfactant
Alveolar macrophages
Transpulmonary Pressure
Palv - Pip = 4 mmHg
Boyles Law
Pressure is inversely related to volume.
-Increase in volume , decrease in pressure
Inspiration - Palv decreases, drives air into lungs
Expiration - Palv increases, drives air out
Inspiration
-External intercostals contracts, diaphragm cotnracts, allowing chest wall to expands
Expiration
-External intercostal relax, internal intercostal contract
-diaphragm relaxes
-Chest wall and lungs contracts
Lung compliance
-Ease of which they can be stretched
-More elastic and greater tension = less compliant
Surface Tension
-Thin layer of fluid lines alveoli, due to interactions between water,
-Surface tension, force for alveoli to collapse
Overcome by surfactant-Increase lung compliance, making inspiration easier
Sympathetic Control of Bronichol
-Relaxation of smooth muscle, bronchodilation
Parasympathetic Control of Bronchiole
-Contraction of smooth muscle, results in bronchoconstriction
Hormonal control of Bronchiole
Epinephrine, relaxation of smooth muscle, bronchodilation
Intrinsic Control of Bronchiole
Histamine and CO2 = bronchodilation
Forced Vital Capacity (FVC)
-Maximum volume inhaled followed by exhale as fast as possible
-Low FVC indicates restrictive pulmonary disease
Normal = 80%
Minute Ventilation
Total volume of air entering and leaving respiratory system each minute
= Vt x RR
Normal Vt = 500 ml
Alveolar Ventilation
Volume of air reaching the gas exchange areas per minute
Normal = 4200
Gas Composition of Air
79% Nitrogen
21% Oxygen
Pn2 = 600 mm
Po2 = 160 mm
Diffusion of Gases
-Diffuse down pressure gradients,
At pulmonary artery:
Po2 = 40
PCo2 = 46
In Lung
Po2 = 160
Co2 = 0
Hyperpnea
Increased ventilation due to increased demand, minimal change in PO2 and PCO2
Hypventilation
Ventilation does not meet demandes
-PO2 - decreases
-PCO2 - increases
Hyperventilation
Ventilation exceed demands
-PO2 - increases
-PCO2 - decreases
Oxygen Transport
-Transported by Hemoglobin
-Not very soluble in plasma, onlt 3/200 ml in plasma
- Hb =deoxyhemoglobin
-Hb x O2 = oxyhemoglobin
-Can bind up to 4
Normal 12 -17gm/dl heme levels
-100% saturated in arteriol blood and 75% in venous blood
Oxygen Affinity
-Higher affinity, shift left, with more loading of oxygen
-Lower infinity, shifts right, less loading of oxygen and easier to unload
Temperature Effects
Low temp = increased affinity
High temp = lower affinity
pH effects
Increased pH, increased affinity
Decreased pH, decreased affinity
Effect of CO2
-Reacts with hemoglobin to form carbinohemoglobin, results in lower affinity for oxygen
-Increases oxygen unloading
2-3-DPG = diphoshoglycerate
-Produced in RBC under conditions of low oxygen such as anemia
-Deceases affinity of hemoglobin to oxygen, increasing unloading
CO2 transport
Converted to bicarbonate by erythrocytes (RBC) then transported to plasma (86-90%)
-Carbonic Anydrase converts CO2 w/ water to bicarbonate and hydrogen ions
Neural Control of Breathing
-Motor neurons
-Generation of breathing rhythm by brainstem
-phrenic nerve control diaphragm
Chemorecptors
Located pripherally in carotid bodies and in medulla oblongata that respond to blood pH
Acidosis and Alkalosis
Blood pH below 7.35 results in CNS depression
Blood pH over 7.45 results in CNS over excitation
Buffer
Hemoglobin and bicarbonate ions act as buffer and regulate normal pH around 7.5
-Repiratory regulates CO2
-Kidney regulates bicarbonate