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27 Cards in this Set

  • Front
  • Back

Functions of Respiratory System

Extensive gas exchange surface area b/w air and circulating blood


Filters, warms and humidifies air


Moves air to and from exchange surfaces of lungs


Protects respiratory surfaces from outside environment


Speech


Aids in pH regulation

CO2 is

By product of cellular metabolism


CO2 + Plasma > Carbonic Acid > H+ & HCO3- ion


Tissues also release H+

gas exchange

Occurs across respiratory membranes


(alveolar wall + capillary wall)


Gases diffuse from high to low concentration


Boyle's Law

Pressure is inversely related to volume


Inspiration: Diaphragm and intercostal muscles contract>Volume increases>Pressure Decreases>Air Moves into lungs


Expiration: Muscles relax>Volume decreases>Pressure increases>Air moves out

Pulmonary Ventilation relies on

Gas travelling from high to low pressure

Quiet Breathing

Eupnea-Active inhalation, passive exhalation


Diapragmatic


Costal

Forced breathing

Hypernea-Active inhalation & exhalation


Assisted by accessory muscles (scalenes)


Max levels during exhaustion

Varying O2 demands lead to changes in

Respiratory rate: Breaths per minute

Tidal Volume: volume of air per breath



Tidal Volume

Air moved in single breath


500ml

Inspiratory Reserve Volume

Air forcibly taken in above Tidal Volume


3000ml

Expiratory Reserve Volume

Air forcibly pushed out past Tidal Volume


1000ml

Residual Volume

Air that remains in lungs


500ml

Vital Capacity

Maximum amount of air moved through lungs


TV+IRV+ERV


4500ml

FVC

Forced Vital Capacity


Amount of air moved when forcibly exhale


FEV1: Forced Expiratory Volume, air forced out 1 second

If FVC is < predicted

Restricted pulmonary disease


(tuberculosis, fibrosis, myasthenia gravis)

Obstructive Pulmonary Disease

FEV1/FVCx100


if less than 80%


(Emphysema,chronic obstructive pulmonary disease, asthma, bronchitis, lung cancer,pulmonary edema, decreased left heart output, or lung infections)

Alveoli

Microscopic membranous air sacs


Simple squamous epithelial tissue


Functional unit of lungs


Site of gas exchange b/w respiratory and circulatory systems: diffusion


Surfactant reduces surface tension, prevents alveoli collapse

As temp increases, what happens to the binding affinity of hemoglobin

Decreases


(skeletal muscle)

Bohr Effect

Effect of pH on hemoglobin-saturation curve due to CO2

Excess CO2 = excess H+


CO2 + H2O > H2CO3 > H+ + HCO3-


(with help of carbonic anhydrase)

As pH decreases, what happens to binding affinity of hemoglobin

Decreases


(Skeletal Muscle-drop O2, pick up CO2)


(pH increases: lungs-drop off CO2, pick up O2)

CO2 in bloodstream

70%is transported as carbonic acid (H2CO3) Which dissociates into H+ and bicarbonate (HCO3-)


Chloride ion shift


23%is bound to amino groups of globular proteins in Hb molecule


Forming carbaminohemoglobin


7% is transported as CO2 dissolved in plasma

Regulation

Medulla oblongata: inspiration and expiration


Pons: ventilation


Rhythmic breathing: network of spontaneous neurons


Ventilation subject to modulation by chemoreceptor-linked reflexes and by higher brain centers

5 sensory modifiers

Baroreceptors in aortic or carotid sinuses blood pressure


Chemoreceptors are sensitive to PCO2, PO2, or pH of blood or cerebrospinalfluid


Stretch receptors respond to changes in lung volume


Irritating physical or chemical stimuli in nasal cavity, larynx, or bronchial tree


Other sensations including pain, changes in body temperature, abnormal visceral sensations

Baroreceptor reflexes

Baroreceptor stimulation


Affects blood pressure and respiratory centers


Blood pressure falls=Respiration increases


Blood pressure increases=Respiration decreases

Chemoreceptors adapt over time

Excessive stimulation can occur-lead to a higher set point for CO2


Chronic Obstructive Pulmonary Disease


Be careful when you giveCOPD patients O2 because CO2 doesn’t accumulate so they don’t breath