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88 Cards in this Set

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A ____ in volume is followed by a ____ in pressure

An increase in volume is followed by a decrease in pressure

Inspiration involves:

Contracting of diaphragm and contracting of external intercostal muscles

Expiration involves

Relaxation of diaphragm and relaxation of external intercostal muscles

What happens to alveolar pressure When thoracic volume increases

When thoracic volume increases, Alveolar pressure decreases

What happens to the alveoli when the plural pressure is less than the alveolar pressure

Alveoli tends to expand


When the pleural pressure is less than the alveolar pressure the alveoli tends to expand

During inspiration, how much less is the pleural pressure than the alveolar pressure?

4 mm of Hg

Both during inspiration and expiration interpleural pressure is always

A few millimeters lower than the intrapulmonary pressure

What keeps the alveolar wall from sticking to one another

Surfactant

How is flow and pressure gradient related

They are directly proportional

How is flow and resistance of the alveoli related

They are inversely proportional

The ease with which the lungs expand

Compliance

The total pressure exerted by a gaseous mixture is equal to

The sum of the partial pressure of each individual component in the mixture

Components of the respiratory epithelium:

Squamous cells of alveoli


It's basement membrane


Squamous cells of capillaries


Basement membrane


Interstitial space

5

How does increased thickness of the respiratory membrane affect diffusion

It decreases the diffusion

How does the surface area of the membrane affect diffusion

Diffusion is faster

Oxyhemoglobin is unstable in areas where:

The oxygen concentration is low

Oxygen is released from the oxyhemoglobin when

The blood concentration of carbon dioxide increases

About 98% of oxygen is transported as

Oxyhemoglobin

Most of the carbon dioxide is carried as

Bicarbonate ions

When and where does hemoglobin oxygen

In the lungs, at high partial pressures of oxygen

When and where is oxygen released

At low partial pressures of oxygen in the tissues

When electrical neutrality loss of bicarbonate is compensated by and influx of chloride ions it is called

The chloride shift

The pigment of red blood cells that binds oxygen and carbon dioxide

Hemoglobin

Decreased carbon dioxide binding due to increased oxygen levels is known as

The Haldone effect

A rise in partial pressure of carbon dioxide or a lower pH causes oxygen offloading known as

Bohr effect

What is triggered to prevent overinflation of the lungs

Herring Breuer Reflex

Peripheral chemoreceptors


Location & function

Located in the carotid sinuses and aortic arch


Sense changes in blood oxygen concentration

Central chemoreceptors


Location & function

Located in the medulla


Senses changes in blood concentration of carbon dioxide

Lack of oxygen is known as

Hypoxia

Total absence of oxygen is known as

Anoxia

Five concepts of the respiratory system

Ventilation


External respiration


Transport


Internal respiration


Cellular respiration

Two sources of blood supply

Pulmonary vessels


Bronchial Vessels

Right bronchial vein joins

Azygos

Left bronchial vein joins

Hemiazygos

The lymphatic vessels in the lungs are

More superficial

Areas of the brain that controls respiration

Pons & medulla

The pons controls

Rate & depth

The medulla controls

Rhythm

The pons is also known as

Pneumotaxic center

The medulla is split into

Dorsal Respiratory Group


Ventral Respiratory Group

The dorsal respiratory group (DRG) controls

Inspiration

The ventral respiratory group (VRG) controls

Expiration

Factors that affect the rate of diffusion

1. Thickness of membrane:


⬆️ thickness = ⬇️ diffusion


2. Surface area:


⬆️ surface = ⬆️ diffusion


3. Partial pressure


4. Diffusion coefficient


What is diffusion coefficient

The ease at which a gas diffuses

What is diffusion to efficient dependent upon

Solubility and size

How much quicker does CO2 diffuse than 02

20x more rapidly

Ventilation includes

Inspiration and expiration

External respiration


AKA & definition

Alveolar gas exchange


Gas exchange between alveoli and capillaries

Internal respiration


A.k.a. and definition

Systemic gas exchange


Gas exchange Between capillaries and systemic tissues

Muscles involved in quiet breathing

Diaphragm &


external intercostal

Muscles involved in forced breathing

Internal intercostal,


Abdominal muscles


Muscles in the thoracic region

Inspiration is what kind of process

Active process


Muscles contract

Expiration is what kind of process

Passive process


Muscles relax

How is volume & pressure related?

Inversely

Diaphragm effect on respiration

Increases vertical volume


Relaxed: dome shape


Contracts: flattens

Intercostal muscles effect on respiration

Increases lateral volume


Increases anter-posterior (AP) volume

Intrapulmonary pressure

The pressure within the lungs


A.k.a. intra alveolar pressure

3

Intrapleural pressure is less than

Intrapulmonary pressure


*4 mm of Hg less

Why is intrapleural pressure less than intrapulmonary pressure?

Facilitates expansion of lungs

At the end of inspiration and expiration what pressures are equal

Atmospheric pressure and intrapulmonary pressure


*760 mm Hg*

The atmosphere is composed of

78% nitrogen


21% oxygen


.04% CO2


Water vapors and misc. gases


*760 mm of Hg

Atmospheric pressure

Pressure gases in the air exert on the environment


760 mm Hg


⬆️ altitude = thinner air

Tidal volume

Amount of air per breath


*500 ml*

Proprioceptors

Within joints and muscles


Stimulated by body movement

What initiates the inhalation reflex

Baroreceptors

Herring-Breuer reflex

Inhalation reflex

Airflow is dependent upon

-Pressure gradient


(Between atmospheric pressure & intrapulmonary pressure)


-Resistance


F=P/R

Ways in which resistance can be altered (3)

1. Collapse of alveoli


2. Change in the diameter of bronchioles


3. Lung loses elasticity

Compliance determined by

Surface tension and elasticity of the chest wall and the lungs

Spirometry

The volume of air your lungs can hold

Anatomic dead space

Areas that don't participate in gas exchange


*150 ml*

Respiration rate

Number of breaths per minute

Pulmonary ventilation equals


(Total lung capacity) equals

Tidal volume x respiration rate

Inspiratory reserve volume (IRV)

AKA: complemental air


The amount of air that can be inhaled above the tidal volume


*3000 ml

Expiratory reserve volume (ERV)

AKA: supplemental air


Amount of air that can be exhaled beyond tidal volume


*1200 ml

Residual volume

Amount of air left in the lungs after expiration


*900 females


*1200 males

Inspiratory capacity equals

TV+IRV=IC


3500 ml

Functional Residual Capacity (FRC) equals

ERV+ RV=FRC


Max. 2400 ml

Vital capacity (VC) equals

TC+IRV+ ERV=VC


4700 ml

Forced expiratory volume

Percentage of air expelled in a period of time


*Normal lungs can expel all air in two seconds*

Dalton's law

The total pressure in a mixture of gases is equal to the sum of the individual partial pressures

Partial pressure

The driving force to move a gas into a liquid

Alveolar gas exchange

PO2 in alveoli = 104 mmHg


PO2 in capillaries = 40 mm Hg


PCO2 in alveoli = 40 mm Hg


PCO2 in capillaries = 45 mm Hg

Systemic gas exchange

PO2 in capillaries = 95 mm Hg


PO2 in systemic cells = 40 mm


PCO2 in systemic cells = 45 mm


PCO2 in capillaries = 40 mm Hg

Saturation curve

Relationship between PO2 and hemoglobin saturation


S-shaped


* when O2 binds to hemoglobin the enzyme undergoes change allowing more O2 to bind

Affects binding of O2

⬆️ temp. = ⬇️ binding


⬇️ pH ⬇️affinity

Decreased carbon dioxide binding due to increased oxygen levels is known as

Haldone effect

Arise in partial pressure of carbon dioxide or a lower pH causes oxygen offloading known as

The Bohr effect