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110 Cards in this Set

  • Front
  • Back

What type of respiration refers to the exchange of gases between the tissues and blood?

Internal Respiration

What type of respiration refers to the exchange of gases between the aveoli's and blood?

External Respiration

What is the process of obtaining 02 and elimates C02?

Respiration

True or False: Ventilation is another word for breathing.

True

What is the purose of surfactant?

Decrease surface tension


Allow alveoli to stay open


Gas exchange


Lubrication

What type of cells are flat and single layered?

Type I alveoli cells

What type of cells secrete surfactant?

Type II alveoli Cells

What is surfactant composed of?

Lipids

What is given to neonates with NRDS?

Artificial surfactant

What does NRDS stand for?

Newborn Respiratory Distress Syndrome

Where is the respiratory zone does no gas exchange occur?

Terminal Bronchioles

What is another word for the conducting zone?

Dead zone

What is the name of the layer that touches the lung?

Visceral Pleura

What is the number that measures atmospheric pressure?

760 mm Hg

What are the names of the three pressures needed for breathing?

-Atmospheric Pressure


-Intrapulmonary Pressure


-Intrapleural Pressure

Where is the Intrapulmonary pressure located?

In the alveoli

Where is the intrapleural pressure located?

in the pleural sac

What happens to pressure as the altitude increases?

Pressure decreases

What happenes to the air flow if the intrapulmonary pressure falls below 760?

Air flows into the lungs

What happens to the air flow if the intrapulmonary pressure goes higher than 760?

Air flows out of lungs

What type of pressure is considered to be a negative pressure?

Intrapleural Pressure

What type of pressure gradient does the intrapleural pressure produce?

Transmural

What does transmural mean?

across wall

What is the job of the transmural pressure gradient?

keep lungs close to the thoracic wall

Is the intrapleural pressure greater than or less than the atmospheric pressure? By how much?

Less than; 3-6 mm Hg

What happens during pneumothorax?

Hole in chest =>Transmural pressure becomes 0 ==>lung collapes

What happens to the lung volume and pressure during inhalation?

Volume goes up ==>Pressure goes down

What is another word for inhale?

Inspiration

What is Boyle's Law?

Pressure = 1/volume


(inversely proportional)

Which muscles contract during inhalation?

Diaphragm and external intercostals

What is another work for exhale?

Expiration

How does air flow during breathing?

Passively from high to low

How do we calculate air flow?

Flow = Pressure/Resistance

Which system stimulates bronchioconstriction?

Parasympathetic Nervous System

Which system stimulates bronchiodialation?

Systemic Nervous System and Epinepherine

What is the volume capacity for Tidal Volume?

500 mL

Which has a greater volume inspiratory reserve volume or expiratory reserve volume?

Inspiratory Reserve Volume

True or False: During exercise, expiratory and inspiratory reserves increase in volume.

False; decrease

What is the lung volume capacity?

5-6L (5,000-6,000 mL)

Name two types of ventilation.

Pulmonary & Alveolar

How do we calculate Pulmonary Ventilation?

Tidal Volume (ml/min) X Respiratory Rate (RR)

If I want to increase ventilation, what will I need to increase?

Tidal volume and Respiratory Rate

How do you calculate Alveolar Ventilation?

(Tidal Volume - Dead Space) X Respiratory Rate

How much volume is exchanged through alveolar ventilation?

4.2 L/min

If the transpulmonary pressure equals zero,


a. a pnemothorax has proaby occurred


b. the lungs cannot inflate


c. elastic recoil causes lungs to collapse


d. all of these apply

d. all of these apply

The maximum amount of air that can be expired after a maximum inspiration is


a. the tidal volume


b. the forced expiratory volumes


c. the vital capacity


d. the maximum expiratory flow rate

c. the vital capacity

If a person with normal lung function were to hyperventilate for several seconds, there would be a significant


a. increase in the arterial P02


b. decrease in the arterial PC02


c. Increase in the arterial percent oxyhemoglobin saturation


d. decrease in the arterial pH

b. decrease in the arterial PC02

Most of the C02 in the blood is carried in the form of


a. dissolved C02


b. carbaminohemoglobin


c. bicarbonate


d. carboxyhemoglobin

c. bicarbonate

The bicarbonate concentration of the blood would be decreased during


a. metabolic acidosis


b. respiratory acidosis


c. metabolic alkalosis


d. respiratory alkalosis

a. metabolic acidosis

Where is the rhythmicity center located?

In the Medulla Oblongata

Breathing is affected by chemoreceptors sensitive to what?

Pc02


P02


pH



Where are the central chemoreceptors located?

medulla oblongata

At what volume do the tidal volumes inhibit inspiration by strech receptors in the lungs?

1 L or more

What is hemoglobin composed of?

2 alpha polypeptides


2 beta polypeptides


4 heme groups

What is hemoglobin called when iron is in its reduced form and not attached to oxygen?

deoxyhemoglobin

What is another term used to desribe deoxyhemoglobin?

Reduced hemoglobin

What is hemoglobin called when iron is in its reduced form and attached to oxygen?

Oxyhemoglobin

What is the henoglobin called when iron is attached to carbon monoxide?

Carboxyhemoglobin

What is the hemoglobin called when iron is in an oxidized state and unable to transport any gas?

methemoglobin

What type of reaction does deoxyhemoglin combine with oxygen in the lungs?

Loading reaction

What type of reation does deoxyhemoglobin break its bonds in the tissue cappilaries?

Unloading Reaction

What is a graph of percent of oxyhemoglobin saturations at different values of P0?

Oxyhemoglobin Dissociation Curve

At rest, the difference between arterial and venous oxyhemoglobin saturations indicates about how much percent of the oxyhemoglobin unloads its oxygen into the tissues?

22%

During exercise, what happens to the venous P02 and percet of oxyhemoglobin saturation?

Decreased

During exercise, what do decreased levels of P02 and percent of oxyhemoglobin saturation indicate?

High percentage of oxyhemoglobin has unloaded its oxygen into the tissues?

What influences the affinity of hemoglobin for oxygen?

the pH and temperature of blood

What decreases the affinity of blood?

fall in pH

What increases the affinity of blood?

rise in pH

Who discovered affect pH has on the affinity of blood?

Bohr

A rise in temperature increases or decrease the affinty of blood?

decreases

What happens when the blood affinty decreases?

-Oxyhemoglobin dissociation curve is shfted to the right


-Indicates greater unloading percentage of oxygen in the tissues

What is the organic molecule called that also decreases the affinity of hemoglobin?

2,3-diphosphoglyceric acid

What type of hemoglobin cannot bind to 2,3-DPG?

Fetal hemoglobin

What do striated nuscles contain?

Myoglobin

All of the followng can bond wih hemoglobin except:


a. HCO3-


b. O2-


c. H+


d. CO2+


e. NO

a. HCO3-

Nitrogen makes up what percentage of the air?

78%

Oxygen makes up what percentage of the air?

21%

Every gas has a partial pressure of how much?

760 mm Hg

What is the partial pressure of 02 in the aveoli?

105 mmHg

What is the partial pressure of C02 in the alveoli?

40 mmHg

What is the partial pressure of 02 in the pulmonary artery?

40 mm Hg

What is the partial pressure of C02 in the pulmonary artery?

46 mmHg

What is the partial pressure of 02 in the pulmonary vein?

100 mm Hg

What is the partial pressure of C02 in the pulmonary vein?

40 mm Hg

Why do gasses diffuse?

reach equilibrium

Does emphysema increase or decrease surface area for diffusions?

Decrease

If ventilation is low and heart rate is high, what happens?

pulmonary arterioles vasonconstrict

How does an increase in altitude affect the atmospheric pressure?

Decrease

How much 02 is transported and dissolved in blood?

1.5%

All oxygen that is nt dissolved in blood is carried by what?

hemoglobin

How manu subunits does hemoglobin contain?

4

How many hemes do myoglobin have?

1

What is another word for HHgB?

reduced hemoglobin

What is Hgb + 02 called?

oxyhemoglobin

How much 02 is in 100mL of plasma?

0.3 mL

How much 02 is in 100mL of whole blood?

20 mL

T or F: The 02 bound to Hgb cotributes to the P02 of blood

False

How many 02 are needed to completely saturate hemoglobin?

4

What part of the dissociation curve does unloading of 02 occur?

Steep portion

HgB is almost completely staurated at what pressure?

60 mmHg

Based on the Bohr effect, if PC02 increases, pH decreases, or temperature increases, what will happen?

Shift to the RIGHT to DECREASE Hgb saturation and INCREASE 02 unloading

Based on the Bohr effect, if PC02 decreases, pH increases, or temperature decreases, what will happen?

Shift to the LEFT to INCREASE Hgb saturation and DECREASE 02 unloading

How much of C02 is dissolved in blood during the transport of CO2 in blood?

7%

How much C02 binds to Hgb to make cabaminohemoglobin?

20%

72% of C02 is converted into what during the transport of Co2 in blood?

bicarbonate ions

C02 + H20 <-->H2C03 <-->H+ + HC03-


What enzyme is used in this reaction?

Carbonic anhydrase

What do chemorecpetors measure?

-Aterial PC02


-Arterial P02


-Arterial pH

An increase of just how much pressure will increase respiratory rate?

5 mmHg

What is it is called when the arterial PC02 increases?

hypercapnia

What is it called when the arterial PC02 decreases?

hypocapnia