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50 Cards in this Set

  • Front
  • Back
Where does internal respiration occur
what reactions occur there
cells
oxidative phosphorylation from coupling of glycolysis and citric-acid cycle
Where does external respiration occur
between atmosphere and body tissues (AKA Lungs)
*also between blood and body tissues
what anatomical areas are included in the upper airways
nasal cavity, oral cavity, pharynx
What anatomical areas make up the respiratory tract
larynx, conducting zone, respiratory zone
What shape is the structure of cartilage in the trachea
the bronchi
C in Trachea
O in bronchi
What controls the diameter of the bronchioles?
Smooth muscle, not cartilage
How many orders of branching are there between tertiary bronchi
20-23
what role does the alveoli serve?
site of gas exchange
What is the surface area of our alveoli
tennis court
how would you describe the blood supply of the alveoli
rich supply forming sheet over alveoli
What type of cell makes up the wall of the alveoli
Type I
What cells secrete surfactant
Type II
These cells are part of the reticular endothelial system and perform immune functions in the lungs
alveolar macrophages
What anatomical structures make up the chest wall
what is it's function
rib cage, sternum, thoracic vertebrae,
Muscles= intercostals and diaphragm
function is to protect lungs
A saclike structure surrounding each lung
pleura
the area between the visceral and parietal layers of the that is a possible location for disease.
potential space
How much fluid is typically in the potential space?
~15 mL
What type of muscles are the respiratory muscles?
Are they voluntarily controlled?
skeletal muscle typically under voluntary control
what nerve controls the diaphragm
phrenic nerve
which nerve specifically controls inspriation
expiration
in which muscles
inspiration=external intercostal nerve external ICs
expiration=internal interc nerve - internal ICs
Where are chemo receptors located
carotids, aortic arch, atria, and the brain
what do the peripheral chemoreceptors detect
O2 and pH
What do the central chemoreceptors detect
pH only
Where do the afferent neurons of the peripheral chemoreceptors lead take info back to
medullary respiratory control center
specialized cell in direct contact with ARTERIAL blood
peripheral chemoreceptors
what are the functions of the conducting zone
air passageway
increase air temp
increase humidity
list the structures of the respiratory zone
respiratory bronchioles
alveolar ducts
aveoli
alveolar sacs
periodic breathing clusters during hypoxia often a result of a mismatch between chemoreceptor stimuli and neural response
cheyne stokes
list the muscles of inspiration
diaphragm and external intercostals
list the muscles of expiration
abs, internal intercostals
is expiration active or passive
inspiration
ex- generally passive (recoil of lungs)
in-active
a spinal injury where may impact breathing
C3-C5, where the phrenic nerve leaves the spine
the accessory muscles of breathing
sternocleidomastoid and scalenes
external intercostals add power to exhale
where are your central chemo receptors
medulla oblongata
what do the central chemoreceptors monitor, what do they not
respond to H+, not O2
what is the difference between chemoreceptors and lung receptors
chemo monitor chemical levels
lung receptors monitor
inflammation of the parenchymal structures of the lung including the aveoli and bronchioles
pneumonia
list the three types of classification for pneumonia
type of agent (typical or atypical)
distribution (lobar or broncho)
setting (community vs hospital)
what is the difference between typical and atypical infections
typical is bacterial
atypical is viral and mycoplasma
a pneumonia causing inflammation and exudate into the air filled spaces of the alveoli, perulet sputum, and leukocytosis
bacterial pneumonia
most common cause of pneumonia
S. pneumoniae
types of virus that cause pneumonia
influenza, respiratory syncytial virus, adenovirus, and parainfluenza virus
which is more common in hospital aquired pneumonias, bacteria or viruses
what are the common pathogens
bacteria
P. aeruginosa, S. aureus, Enterobacter, Klebsiella, E.Coli, and Serratia
which of these groups would not be considered immunocompromised?
bone marrow/organ transplant recipient, solid organ cancer, pt on corticosteroids, pt with CHF
CHF, the rest are
defects in humoral immunity lend themselves to ______ infection
defects in cellular immunity predispose people to ______ infection
bacterial
viruses and fungi
a pneumonia that arises suddenly (fluminant) can be assumed to be _____ in nature as opposed to one with a more insideous onset
bacterial
pt complains of sudden onset of malaise, severe shaking and chills, fever. Early on cough elicited watery sputum, breath sounds are limited with fine crackles. Now sputum is rusty colored and there is sharp pain with movement. What do you suspect
S. pneumonia
pneumonia contracted from the environment through droplets in aerosolized form. Abrupt onset of symptoms including malaise, weakness, fever, and dry cough. Confusion and diarrhea are also present.
legionnaire disease
most common form of atypical pneumonia
Mycoplasma pneumonia
What sets atypical pneumonia infections apart from bacterial or viral infections
patchy involvement of the lung mostly confined to alveolar septum, lack of lung consolidation, and only moderate sputum and elveated WBC