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51 Cards in this Set

  • Front
  • Back

Respiratory System

- Obtains O2 for the entire body and eliminates CO2 waste


- The process of respiration involved cellular respiration and external respiration


Cellular respiration

- Cells use O2 to make ATP

External Respiration

- Exchange of O2 and CO2 between the external environment and tissue cells

What are the 4 steps of external respiration?

- Air is moved into and out of the lungs


- the act of breathing (ventilation), the rate depends upon the body's current needs


- O2 and CO2 are exchanged between the atmosphere and blood in the pulmonary


capillaries in the alveoli


- Blood transports O2 and CO2 between lungs and tissues


- O2 and CO2 are exchanged between tissue cells and the blood in systemic capillaries

What are the "non-respiratory" functions in the respiratory system?

- Water loss and heat elimination


- Moisture is required for diffusion across alveoli linings


- Venous return is enhanced by the respiratory pump


- The pH balance is maintained by altering how much CO2 is released


- Enables speech and vocalization


- Defends against inhaled particles


- Materials dissolved in the blood are altered as they pass through the lungs


- The nose allows for the sense of smell

Respiratory airways

- They are responsible for transporting the air from the external environment to the alveoli


- If they are compromised, air exchange will be difficult

Respiratory anatomy

- Nasal passages in the nose lead to the pharynx


- The trachea and esophagus are at the bottom of the pharynx


- The larynx is at the top of the trachea, its opening is the glottis


- The vocal folds are within the larynx (vocal chords)


- They vibrate when noise is produced


- The trachea leads to the right and left bronchi


- Bronchi then branch many times to form small tube known as bronchioles


- Alveoli are at the ends of the bronchioles

Alveoli

- Many, and very small


- Ideal sites for gas exchange via diffusion


- The alveolar walls are made of one layer of type I alveolar cells (squamous) [makes up walls]


- Very flat and thin cells


- Lots of surface area = rate of diffusion will increase


- Thinner the distance, faster that everything will happen


- can get damaged very easily


- Very little space between the alveolar wall and capillary (pulmonary capillaries)


- Smaller distance = faster diffusion


- Having a million of these increases the total surface area available for diffusion


- We have a lot of surface area on our alveoli

Type II alveolar cells

- Some of the alveolar surface epithelium is covered with this


- These secrete pulmonary surfactant which facilitates lung expansion


- Not nearly as thin or flat


- makes surfactant





Alveolar macrophages (pulmonary)

- They occupy air sacs and monitor for invaders


- always in motion

Lungs

- They take up most of the space in the thoracic cavity


- There is smooth muscle in the bronchioles and arterioles, but no muscle to expand the alveoli ([airways] can change size) ( you have to rely on external factors)

Thoracic Cavity

- The thorax


- Made up of 12 pairs of ribs, the sternum, and thoracic vertebrae


- The bones serve to protect organs


- The diaphragm is a sheet of skeletal muscle on the bottom of this (lungs are sitting on here)


- We can move and adjust so the thoracic cavity can move


- Expands more quickly than the lungs

Pleural Sac

- Surrounds each lung


- Each lung sits in its own pleural cavity


- Fluid between each layer( 2 layers) of this lubricated the surfaces and reduces friction during inflation and deflation



Pleurisy

- Inflammation of the pleural sac


- Painful due to friction felt when the lungs inflate and deflate


- Can happen for unknown reasons


- No lubrication and the layers are sticking, rubbing, and tearing (causes damage to the lungs)

Air movement due to pressure gradient

- From high pressure to low pressure


- Air flowing in and out of the lungs creates constantly reversing pressure gradients


- Air is always moving down this

What are the three pressures?

- Atmospheric pressure


- Intra-alveolar pressure


- Intra-pleural pressure

Atmospheric Pressure

- Pressure exerted by the weight of the air on the objects on Earth's surface


- Air around us, stays


- Approximately stable ( no big swings)

Intra-alveolar Pressure

- Pressure within the alveoli (lungs)


- Big changes

Intra-pleural Pressure

- Pressure within the pleural sac


- Normally sac should be a closed space (stays the same) air that separates lungs from thoracic body wall

Transmural Pressure Gradient

- Keeps the lungs close to the thoracic wall


- The lungs are pulled outward as the chest wall expands


- Different between infra-alveolar and pleural sac (makes lungs follow the chest wall)


- The lungs expand, but do not expand quite as much as the thoracic wall


- This decreases the pressure in the pleural sac (closed space, no air entering or exiting)

Pneumothorax

- If the chest wall is punctured, this occurs as air can enter the pleural sac


- The pleural sac has the same pressure as the alveoli and atmosphere


- The transmural pressure gradient no longer exists


- Lungs can collapse because pleural sac will keep getting air. Lungs will stay small and not follow pleural sac.

Boyle's Law

- At any constant temperature, the pressure exerted by a gas varies inversely with the volume of a gas


- Bigger volume = lower pressure


- Smaller volume = higher pressure


- Respiratory muscle activity changes the volume of the lungs by moving the thoracic wall


- This changes the intra-alveolar pressure


- Changing size of thoracic cavity and the pressure


- If one goes up, the other will go down


- Exhaling, the pressure will increase in the thoracic cavity

Inspiratory Muscles

- Contract to initiate inspiration


- Diaphragm and external intercostals (between each of your ribs)


- Before inspiration, intra-alveolar and atmospheric pressures are equal


- As inspiratory muscle contract, the lung volume increases and intra-alveolar pressure drops below atmospheric


- Air flows into the lungs until the pressures become equal


- About to inhale (no pressure gradient)

Extreme deep breathing

- This can occur if accessory inspiratory muscles are contracted (you use these when you want to take a deep breath)


- These pull the thoracic cavity even larger


- More air enters the lungs


- Pressure in the lungs have gone down.

Inspiratory Muscles Relaxation

- The chest wall returns to its original position


- The lungs get smaller which increases intra-alveolar pressure


- Air leaves lungs until intra-alveolar pressure equals atmospheric


- Passive expiration (not really doing anything to make it happen [relaxing])

Forced (Active) Expiration

- Used to push more air out of the lungs


- Expiratory muscles in the abdominal wall and internal intercostals contract (pulled in) (diaphragm is pushed up)


- The lungs get smaller than during passive expiration


- More air exits the lungs


- When you exhale as much as you can


- lungs are extra small

Airways

- Airflow is also affected by resistance


- Radius of airways can create resistance


- Normal airways are large enough to create very little resistance


- They are bigger than blood vessels


- Usually do not see a lot of resistance

What can slightly adjust the bronchiolar size?

- The autonomic nervous system

Sympathetic stimulation

- "fight - or - flight"


- Bronchodilation

Bronchodilation

- The dilation of the bronchus

Parasympathetic stimulation

- "rest - and - digest"


- Bronchoconstriction


- Makes airways a little bit smaller

Bronchoconstriction

- The constriction of the airways in the lungs due to the tightening of the surrounding smooth muscle, with consequent coughing, wheezing, and shortness of breath

Chronic Obstructive Pulmonary Disease (COPD)

- Emphysema, chronic bronchitis, asthma


- Lower airways become narrowed


- Harder to get volume of air through, more time to get air through


- Greater pressure gradients are required to move the same amount of air


- Generally when something is wrong with the airways


- Inspiratory muscles are working harder

Chronic Bronchitis

- When the lower airways are constantly irritated by pollutants


- Airway linings thicken and excessive mucus is produced


- Cilia are immobilized


- Bacterial infections are common


- Mucus will fall down and clog smaller airways ( also will be making airways smaller)


- Common where air quality is bad

Asthma

- Airway obstruction


- Airway walls thicken due to inflammation and histamine-induced edema


- Excessive thick mucus blocks airways


- smooth muscle in the walls of airways spasms and hyper-constricts passageways


- All triggered by environmental allergens, infections, and/or exercise


- Can be lethal if passageways completely close


- Histamine comes from basophils


The boy is believing something is trying to get into the lungs and the body is fighting it


- Medicine clears mucus and opens airways (inhaler)



Emphysema

- When smaller airways collapse and alveolar walls breakdown


- Mostly due to release of trypsin enzyme from alveolar macrophages (constantly patrolling)


- Damage is irreversible and can be severe enough to become lethal


- If too much trypsin is released it can cause damage


- Really good at killing bacteria


- You can lose a lot of surface area and you will start to starve for O2

Increased resistance with COPD

- More difficulty expiring than inspiring


- Airways are opened by chest wall expansion


- They collapse to much smaller than normal during expiration


- Air is hard to force out of these small airways and often produces a wheezing sound

Pulmonary elasticity

- Due to compliance and elastic recoil

Compliance

- The effort required to stretch the lungs


- Stretch ability


- A measure of the change in lung volume from a given change in transmural pressure gradient (difference in pressure in the pleural sac)


- High = lots of stretch


- The lower you go, the harder you must work to inspire

Pulmonary Fibrosis

- Results in fibrous scar tissue which creates a "stiff lung"


- Usually a result of chronic irritants (asbestos)


- Exposed to them over your whole lifetime


- Can damage lungs "tiny needles" they make slices in the walls of the lungs


-Happens if there is damage in lungs, scar tissue will be made


- Lots of ECM fibers (very dense connective tissue) [Lungs can become dense and tight]

Elastic recoil

- How readily the lungs rebound after stretching


- Rebound (bouncing back)

Elastic Behavior

- Depends on how highly elastic connective tissue and alveolar surface tension


- Moisture lining on lungs like a bug on water (doesn't break the surface)


- Low quantities of elastic connective tissue = low elasticity


- Alveolar surface tension is due to a think liquid film lining each alveolus

Pulmonary Surfactant

- A mixture of lipids and proteins produced by type II alveolar cells


- it decreases surface tension by getting between water molecules


- Pulmonary compliance is increased and recoil is decreased


- Water is diluted by this


- of the alveoli was only water, the surface tension wouldn't be able to be broken


- Less H bonds because of surfactant so less surface tension


- Too little surfactant you wouldn't be able to move your lungs as much

Fetal Lungs

- Do not produce surfactant until very late in gestation



Newborn Respiratory Disease Syndrome

- Occurs when premature babies are unable to inhale due to lack of surfactant


- Can be fatal if surfactant replacement treatment can not compensate enough


- Lined with pure H2O (high surface tension)


- Weak respiratory muscles

"half-full" Lungs

- Lungs are always partially full


- Allows gas exchange to occur continuously for a constant supply of O2 for blood


- Shallow breaths

Pulmonary Ventilation

- Volume of air passed in and out in one minute

Respiratory Rate

- Breaths per minute


- Averages 12 breaths/min




Pulmonary = Tidal X Respiratory


Ventilation Volume Rate

Anatomic Dead Space

- A portion of inhaled/exhaled air stays in the airways where no gas exchange occurs


- Can not get this air to your blood vessels

Alveolar Ventilation

- The volume of air exchanged between the atmosphere and alveoli


- Average 4200 mL/min (4.2 L)


- The amount of air that you get to and from the alveoli



Increases in respiratory rate

- Anything other than sitting, your bee