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78 Cards in this Set

  • Front
  • Back

Principle Function of Respiratory System

The exchange of respiratory gases (O2 and CO2)

Functions of Respiratory System

1. Exchange gases between body (blood) and environment (atmosphere)


2. Protection from inhaled pathogens and particles


3. Vocalization (provides sound)


4. Water and heat loss/exchange


5. Regulation of body fluid pH (more CO2 changes pH balance)


6. Protects Respiratory surface from dehydration (keeps moist with mucous)



Exchange of gases (4) processes

1. Pulmonary VENTILATION: moving air in/out of respiratory tract


2. EXTERNAL RESPIRATION: moving gases between the alveoli and pulmonary capillaries


3. GAS TRANSPORT: how gases are transported through the vasculature


4. INTERNAL RESPIRATION: moving gases between the blood and peripheral tissues

Pulmonary Ventilation

Moving air in/out of lungs and respiratory tract

External Respiration

moving gases between the alveoli and pulmonary capillaries




(gas exchange between lungs and blood)

Gas Transport

How gases are transported through the vasculature




(Transport of gases through the blood)

Internal Respiration

moving gases between the blood and peripheral tissues




(gas exchange between the blood and cells)

Categorize by Anatomical Position

Upper: Nose, Nasal Cavity, Pharynx,




[LARYNX]




Lower: Trachea, Bronchii, Bronchioles, Alveoli

Categorize by Physiological Function

Conducting pathway: Nose, Nasal Cavity, Pharynx, Larynx, Trachea, Bronchi




Respiratory pathway: Respiratory Bronchioles, Alveolar ducts, Alveoli

Histology of the Respiratory System

Respiratory tract (except Pharynx, Bronchioles, and Alveoli): Pseudostratified ciliated columnar epithelial mucosa




Pharynx: Stratified Non-keratonized squamous

Mucous produced by respiratory mucosa function

moistens and warms air


Filters particulates (traps dusts, bacteria, etc.)

Function of Cilia

Sweeps these particulates up towards the pharynx where it is swallowed and moved to stomach for digestion.




Mucous Elevator




Overexposure to foreign substance=overproduction of mucous (e.g. viral cold)

UPPER RESPIRATORY SYSTEM

Nose/Nasal Cavity


Pharynx

Nose / Nasal Cavity

Nose is the primary entry for air into the respiratory tract.

Nose/Nasal Cavity Anatomy

External nares (nostrils)


Nasal Vestibule


Olfactory region


Nasal Conchea/turbinates


Palate


Internal nares (posterior nasal aperture)


Paranasal Sinuses

External Nares / Nostrils

paired openings for air entry


separated by a nasal septum




(posterior is bone: ethmoid/vomer)


(anterior is cartilage: hyaline)

Nasal Vestibule

Epithelium lined with vibrissae (long hairs) to trap large particles/insects

Olfactory region

Superior surface of nasal cavity


Lined by olfactory epithelium

Olfactory Epithelium

Epithelium helps dissolve odor-causing molecules detected by olfactory neurons that protrude through cribriform plate of ethmoid

Nasal Conchae / Turbinates

superior, middle, and inferior conchae:


force the air to flow in a turbulent way, helping to moisten and warm the air, enhancing contact with mucosa.

Palate

Separates oral and nasal cavities


Hard palate


Soft palate (posterior) marks the boundary between the nasopharynx and rest of pharynx



Hard Palate

Formed from the maxillary and palatine bones

Internal nares / Posterior nasal aperture

air exits the nasal cavity via the internal nares and enters the pharynx

Paranasal sinuses

Hollow, air-filled structures in the


ethmoid, frontal, sphenoid and maxillary bones




Connect to the nasal cavity through small canals (ostia)




Lined by pseudostratified mucus epithelium

Pharynx

Region where the nasal cavity, oral cavity, and throat come together.




Shared between respiratory and digestive systems




Extends from internal nares to trachea/esophagus openings

Pharynx ANATOMY

(NasoOroLaryngo)




Nasopharynx


Oropharynx


Laryngopharynx

Nasopharynx

Superior portion of pharynx


Extends from internal nares to posterior margin of soft palate




Openings in the sides lead to middle ear via auditory tube




Pharyngeal tonsil located in posterior wall

Oropharynx

Extends from the soft palate to the base of the tongue at the hyoid.




Tongue (extends into oral cavity)


& Uvula (cone-like soft tissue projection from soft palate)

Uvula

Cone-like soft tissue projection from soft palate




Contributes to human vocalization




Helps block the internal nares during swallowing (prevents nasal regurgitation)




Palatine tonsils on either side of uvula

Laryngopharynx

Narrow portion of the pharynx between oropharynx and esophagus entrance

LOWER RESPIRATORY SYSTEM

Larynx


Trachea


Bronchii


Lungs


Alveoli

Larynx

Inspired (inhaled) air leaves the pharynx by passing through the glottis


Complex structure that involves cartilages, ligaments, and several muscles




F(x): Ensures air moves down trachea and food moves down esophagus


Helps with swallowing and production of vocalizations

Larynx Cartilage

Thyroid Cartilage


Cricoid Cartilage


Epiglottis

Thyroid Cartilage

Comprised of hyaline cartilage


Shield formed on anterior and lateral walls of the larynx.


Anterior surface often prominent (Adam's Apple)


Inferior margin articulates with cricoid cartilage


Superior margin articulates with epiglottis & smaller cartilages

Cricoid Cartilage

ring of hyaline cartilage inferior to thyroid cartilage connected by cricothyroid ligament




protects entrance to the trachea




Ligaments on inferior edge connect it to first tracheal cartilage

Cricothyroid Ligament

Connects cricoid cartilage to thyroid cartilage

Epligottis

Made of Elastic cartilage


Projects above the glottis, connected to thyroid cartilage and hyoid bone.


Elevation of larynx/hyoid bone causes epiglottis to fold back over glottis


Prevents aspiration of food/liquids into the trachea

Vocal Chords

Delicate, elastic vocal folds (true vocal chords) lie in the glottis medial to inelastic vestibular folds (false vocal chords).

Vestibular folds

(inelastic false vocal chords)




protect vocal chords, help prevents foreign objects from entering the glottis.

Intrinsic Laryngeal Muscles

(lateral/posterior cricoarytenoid muscles) act to increase/decrease tension on the vocal folds (via connections of vestibular folds) during sound production, changing sound pitch.

Posterior cricoarytenoid muscles

Open the vocal folds and are opposed by lateral cricoarytenoids

Asphyxiation

Can be caused by paralysis of posterior arytenoids blocking the passage of air.

Vocalization (sound)

Accounted for by rapid closing and opening (relaxation and contraction) of the glottis

Trachea (windpipe)

Tough, inflexible tube leading to primary bronchii




Lined by pseudostratified cilliated (columnar) mucus epithelial




Stiffened by 15-20 tracheal cartilages connected to one another by annular ligaments.

Tracheal Cartilages

C-shaped partial rings of hyaline cartilage connected to one-another by annular (ring-like) ligaments.




Open portion of C-shaped tracheal cartilage faces posteriorly, adjacent to underlying esophagus. Ends connected by trachealis.

Trachealis

A band of smooth muscle, connects ends of c-shaped tracheal cartilages.




Controls airflow:


Partially contracted, thus reducing size of tracheal lumen and reduces airflow.




Relaxation improves airflow.

Primary Bronchi

Branches from the trachea, leading to each lung via hilum.




Outside serous pleural membrane




Right primary bronchii has a large diameter and steeper angle (foreign objects enter trachea and lodge in the right bronchii)

Hilum

Groove, provides passageway for nerves and blood vessels supplying lung tissue.



Lung Root

region where hilum of each lung is located

Lungs

Left/Right lungs within pleural cavities




Roughly coned-shaped




Each: Apex (superior tip) & broad, concave base resting on surface of diaphragm.




Left lung impression/cardiac notch rest heart

Lungs ANATOMY

Pleura


Lobes


Pulmonary bronchi


Bronchioles

Pleura

Each lung sits within a separate serous cavity: visceral pleural membrane (lining of outer surface lungs) and parietal pleural membrane (lines inner surface of thoracic cavity/diaphragm)




Serous cavity filled with pleural fluid (lubricates the lungs and is critical in pulmonary ventilation

Lobes

Each lung is divided into distinct portions (lobes)




Right- three lobes (superior, middle, inferior)


Left- two lobes (superior and inferior, rest of space taken by heart)

Pulmonary bronchi

Primary: from trachea to entrance of lungs




Smaller bronchi: secondary and tertiary bronchi, have cartilage plates to stiffen them and prevent collapse.

Bronchioles

Subsequent branching of tertiary bronchi leads


Many divisions to large # of terminal bronchioles




Simple cuboidal epithelium, no cilia or mucous cells

Terminal Bronchioles

Considerable smooth muscle in its walls (determines resistance to airflow)




Divides into several respiratory bronchioles, and each lead to single alveolar sac (via short alveolar duct) consists of several individual alveoli.

Alveolar duct

Duct leading from respiratory bronchioles to alveolar sac.

Asthma Attack

Smooth muscle in terminal bronchioles bronchoconstrict, cutting off ariflow to the alveoli.

Alveoli

Small, air-filled sacs where gas exchange occurs.




Simple squamous epithelium and thin basal lamina




Pulmonary capillaries fused with alveolar basal lamina to reduce diffusion distances for gas exchange

Alveoli ANATOMY

Type I Alveolar cells


Type II Alveolar cells


Surfactant

Type I Alveolar cells

Compromise the gas exchange surface of the alveolus

Type II Alveolar cells

Each alveolus only has a few type II




Responsible for production of surfactant

Surfactant

Soap-like lipoprotein that reduced surface tension of water


Stops alveoli from collapsing


Alveoli more expandable


(stops alveoli from sticking together and collapsing-wet slide example)


Chemical damage reduces surfactant production

NRDS

Newborn Respiratory Distress Syndrome


Little surfactant, lungs collapse

Pressure Gradient

air flows from areas of greater pressure to lower pressure areas (lungs and planet's atmosphere)

Inspiration

[Air Enters Lungs]

Process of Inspiration

Diaphragm flattens (2/3 expansion of thoracic cavity)


Ribs move up and out (external intercostals contract) (1/3)


Expansion of chest cavity drags parietal pleural membrane, pulling visceral outward as Pressure decreases


Lungs expand (decrease pressure in alveoli)


Air enters lungs (P_alveoli < P_atmosphere)

Expiration

[Air Force OUT of lungs]

Process of Expiration

Diaphragm relaxes (bulges in middle)


Ribs move down and in


Chest cavity volume decreases (elastic recoil)


Intrapleural cavity pressure increases


Lungs shrink (alveoli compressed)


Air leaves lungs (P_alveoli > P_atm.)

When does diaphragm relax?

During Expiration

Quiet Breathing

Inspiration dominated by diaphragm (75% of inspired air) w/ assistance from external intercostals (25%)




Expiration-largely passive (relax diaphragm and ex. i.costals & elastic recoil of the lung)

Deeper Breathing / Exercise

Diaphragm=dominant but other muscles help with inspiration and expiration

Muscles that help with inspiration

External intercostals


Sternocleidomastoid


Pectoralis major


...more

Muscles that help with expiration

Abdominal muscles


Internal Intercostals

Chronic Obstructive Pulmonary Disease


(COPD)

Result of smoking


Combo of chronic bronchitis (overproduction of mucus) and emphysema

Emphysema

Combo of inflammation of tissues in the smaller passages of the lungs along with damage to alveolar exchange surfaces

Symptoms of COPD

Shortness of breath


Irregular breathing


Chronic cough (with copious sputem production)

Pneumothorax

Air entry into pleural space, introduce air to the fluid layer.