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