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50 Cards in this Set

  • Front
  • Back
Respiratory system includes __.
Nose, nasal cavity, pharynx, larynx, trachea, bronchi, & lungs.
Actual site of gas exchange - bronchioles, aveolar ducts, alveoli, & microscopic structures.
Respiratory zone
Rigid conduits for air to reach gas exchange sites.
Conducting zone
Which organ contains both conducting & respiratory zone structures?
The lungs
Under normal resting conditions, arterial blood hemoglobin is __% saturated.
98
Under normal resting conditions, venous blood hemoglobin is __% saturated.
75
2,3-biphosphoglycerate - binds w/hemoglobin & is produced by RBCs as they break down glucose by anaerobic glycolysis.
BPG
Enhances oxygen unloading - declining blood pH (acidosis) & increase Pco2 weakens Hb-O2 bond
Bohr effect
Cyanosis occurs when Hb saturation falls below __.
75%
Ischemic (stagnant) hypoxia results __.
when blood circulation is impaired or blocked.
Cyanide poisioning causes __ hypoxia.
histotoxic - body cells unable to use O2
Due to abnormal ventilation - perfusion exchange - pulmonary disease - lack of O2 in air.
Hypoxemic hypoxia
Normal body cells produce __ ml of CO2 each minute.
200
Substance that reduces surface tension of watery film between alveoli - w/o it surface tension can collapse.
Pulmonary surfactant
Enzyme in RBCs that catalyze unbound CO2 to carbonic acid -maintains gradient so CO2 leaves fluid & enters blood.
Carbonic anhydrase
Bathes medulla - a drop in pH stimulates receptors to change breathing rate.
Cerebrospinal fluid & CO2
Receptors that detect levels of O2 & CO2 in arterial blood.
Carotid bodies & aortic bodies
CO2 is transported primarily as __ in plasma.
bicarbonate ion (HCO3)
The lower the Hb saturation w/oxygen, the more CO2 can be carried in blood.
Haldane effect
The Haldane effect encourages __ exchange in tissues & lungs.
CO2
Excess H+ is removed by forming __.
carbonic acid - This is the carbonic acid - bicarbonate buffer system.
Slow, shallow breathing allows CO2 to __.
accumulate in blood & blood pH drops
Rapid, deep breathing reduces __.
CO2 out of blood & increase pH.
Breathing involves neurons in __.
reticular formation of medulla & pons.
Neurons in root of cranial nerve IX - integrates input from stretch & chemoreceptors & communicates w/VRG.
Dorsal respiratory group (DRG)
Neurons in ventral brain stem - rhythm-generating & integrative center.
Ventral respiratory group (VRG)
Average breaths per minute.
12-15 eupnea
What generates gasping during severe hypoxia?
VRG networks
Air hunger - labored breathing
Dyspnea
Fine tunes breathing rhythms generated by VRG
Pontine respiratory group
Respiratory rate is determined by __.
how long inspiratory center is active
Most important factors that influence breathing rate & depth.
Levels of CO2, O2 & H+ in arterial blood as sensed by chemoreceptors in medulla - aortic arch & carotid arteries.
Arterial Pco2 is normally __ mm Hg.
40
pH drops in cerebrospinal fluid - CO2 levels rise in blood.
hypercapnia
hyperventilation removes __.
CO2 - low CO2 in blood (hypocapnia).
Main oxygen sensors
Chemoreceptors in carotid bodies
How to get rid of excess acid in blood.
Increase respiratory rate & depth.
__ in blood pH inhibits respiration.
Increase
The __ modifies respiration rate & depth in response to emotion & temp.
hypothalamus
Protective response to prevent excessive stretching of lungs.
Hering-Breuer reflex (inflation)
Causes secretion of abnormally thick mucus - air sacs become cysts.
Cystic Fibrosis (CF)
Lung condition - neutrophils secrete chemicals that increase capillary permeability & edema results - often lethal.
Acute respiratory distress syndrome (ARDS)
Surgical removal of an infected pharyngeal tonsil (adenoids)
Adenoidectomy
Abnormal breathing pattern seen just before death - trauma & hypoxia of brain stem & CO2 pressure imbalances in CSF.
Cheyne-Stokes breathing
Thin plastic tube through trachea through nose or mouth - delivers oxygen to patients who are breathing inadequately.
Endotracheal tube
Epistaxis
Nosebleed
Inability to breathe in horizontal position.
Orthopnea
Branch of medicine dealing w/diagnosis & treatment of ears, nose & throat.
Otorhinolaryngology
Obstruction of pulmonary artery by an embolus (blood clot)- chest pain, bloody cough, tachycardia, & rapid, shallow breathing.
Pulmonary embolism
Unexpected death of an apparently healthy infant during sleep.
Sudden infant death syndrome (SIDS)