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89 Cards in this Set

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Phases of respiration




Pulmonary Ventilation

The exchange of air between the atmosphere and the air sacs (alveoli) of the lungs. Accomplished by inhalation and exhalation

External Gas Exchange

Occurs in the lungs as oxygen diffuses from the air sacs into the blood and carbon dioxide diffuses out of the blood to be eliminated.

Gas Transport in the blood

The circulating blood carries gases between the lungs and the tissues, supplying oxygen to the cells and bringing back carbon dioxide

Internal Gas exchange

oxygen diffusesfrom the blood to the cells, whereas carbon dioxide travels from cells into theblood.




gasses move between blood and body cells.

The flow of air into and out of the lungs

nasal cavities »pharynx » larynx » trachea » primarybronchi » secondary or lobar bronchi » segmental bronchi » bronchioles»terminal bronchioles » alveoli

What type if tissue lines the trachea

(pseudostratifiedsimple, ciliated, columnar squamous epithelium, PSCC)



Mucous membrane

Where are the nasal cavities

between the roof of the mouth and the cranium

What is the pharynx and what it consists of

Pharynx = throat


consists of: nasopharynx, oropharynx , laryngopharynx

nasopharynx

superior portion, located immediately behind the nasal cavity

oropharynx

the middle section, located posterior to the mouth.

laryngopharynx

most inferior portion

What is and where is the larynx

commonly called the voice box.




connects the pharynx with the trachea.




Its rigid framework consists of nine portions of hyaline cartilage.

Where are the vocal folds aka vocal cords

located centrally in the superior larynx.

What are vestibular folds

false vocal folds

epiglottis

leaf-shaped cartilage that covers the larynx during swallowing

aspirate

to inhale material into the respiratory tract

What is the trachea and where is it located

known as the windpipe.




tube that extends from the inferior edge of the larynx to the mediastinum, just superior to the heart

What is the trachea lined with

c-shaped cartilage along the entire length of the trachea

What are the bronchi and where are they located?

inferior end of the trachea divides into two main stems called bronchi and enter the lungs in the depression called the hilum

What type of tissue lines the structures of respiratory system?

Mucous membrane




(pseudostratified simple, ciliated, columnar squamous epithelium, PSCC)

What is contained within the lungs?

contain both air passageways and minute, thin- walled sacs called alveoli.

How many lobes are in each lung?

Right: 3- Superior, middle, inferior




Left: 2 -Superior and inferior

What are the Bronchioles and what controls it?

the smallest of conducting tubes controlled by the autonomic nervous system.

What are terminalbronchioles

smallest subdivision of the bronchial tree.

Alveoli

found at the end of terminal bronchioles, the alveoli are clusters of tiny air sacs in which most of the external gas exchange takes place. Covered by millions of tiny capillaries, providing an easy passage forgasses entering and leaving the blood.

pleura

a continuous double sat that covers each lung.

parietalpleura

portion attached to the chest wall

visceral pleura.

portion attached to the lungs surface is the

pleuralspace

containing fluid that lubricates the membranes.

Tidal Volume

The amount of air moved into or out of the lungs in quiet, relaxed breathing,

Residual volume

The volume of air that remains in the lungs after maximum exhalation

Inspiratory reserve volume

The additional amount that can be breathed in by force after a normal inhalation

Expiratory reserve volume

The additional amount that can be breathed out by force after a normal exhalation

Vital capacity

The volume of air that can be expelled from the lungs by maximum exhalation after maximum inhalation

Functional residual capacity

The amount of air remaining in the lungs after normal exhalation

Total lung capacity

The total volume of air that can be contained in the lungs after maximum inhalation

partial pressure

pressure of a gas within a gas mixture (such as air) symbolized with a P and a subscript of its formula.

What does gas exchange require


pressure gradient

Why is carbon monoxide a poison?

binds with hemoglobin at the same molecular sites as does oxygen. However, it binds more tightly and displaces oxygen. Even a small amount of carbon monoxide causes a serious reduction in the blood’s ability to carry oxygen thus making you deoxygenated

Explain how the central nervous system controls respiration.

From the medulla, motor nerve fibers extend into the spinal cord. From the cervical (neck) part of the cord, these nerve fibers continue through the phrenic (FREN-ik) nerve (a branch of the vagus nerve) to the diaphragm and also to the intercostal muscles.

Centralchemoreceptors

Located near the medullary respiratory center –




Respond to raised CO2 level (hypercapnia)

Peripheralchemoreceptors

Located in carotid and aortic bodies (in the neck and aortic arch)




Respond to oxygen level considerably below normal

Hyperpnea (hi-PERP-ne-ah

refers to an increase in the depth and rate of breathing to meet the body’s metabolic needs, as in exercise.

Hypopnea (hi-POP-ne-ah)

is a decrease in the rate and depth of breathing.

Tachypnea (tak-IP-ne-ah)

is an excessive rate of breath- ing that may be normal, as in exercise.

Apnea (AP-ne-ah)

is a temporary cessation of breath- ing. Short periods of apnea occur normally during deep sleep. More severe sleep apnea can result from obstruc- tion of the respiratory passageways or, less commonly, by failure in the central respiratory center.

Dyspnea (disp-NE-ah)

is a subjective feeling of difficult or labored breathing.

Orthopnea (or-THOP-ne-ah)

refers to a difficulty in breathing that is relieved by sitting in an upright position, either against two pillows in bed or in a chair.

Kussmaul (KOOS-mowl)

respiration is deep, rapid res- piration characteristic of acidosis as seen in uncontrolled diabetes.

Cheyne-Stokes (CHANE stokes)

respiration is a rhyth- mic variation in the depth of respiratory movements alternating with periods of apnea. It is caused by depres- sion of the breathing centers and is noted in certain criti- cally ill patients.

Cyanosis (si-ah-NO-sis)

is a bluish color of the skin and mucous membranes caused by an insufficient amount of oxygen in the blood

Hypoxia (hi-POK-se-ah)

means a lower-than-normal oxygen level in the tissues. The term anoxia (ah-NOK- se-ah) is sometimes used instead, but it is not as accurate because it means a total lack of oxygen.

Hypoxemia (hi-pok-SE-me-ah)

refers to a lower-than- normal oxygen partial pressure in arterial blood.

hyperventilation (hi-per-ven-tih-LA-shun)

the rate and depth of breathing increases above optimal levels.

hypoventilation

an amount of air insufficient to meet the body’s metabolic needs enters the alveoli.

Upper Respiratory Infection

Confined to the nose and the throats.




Common cold, Influenza, URI

Lower Respiratory Infection

RSV, Croup, pneumonia, influenza, COPD (enphazima, bronchitis)

Coryza\

an acute inflammatory contagious disease involving the upper respiratory tract: a common cold.

3 types of pneumonia

Lobarpneumonia- Confined to a certain lobe



Bronchopneumonia- Throughout the lung




Pneumocystispneumonia- particular to people with HIV and AIDS

exudate (EKS-u-date)

in the infected alveoli; this fluid consists chiefly of serum and pus, products of infection.

What are tubercles?

Small lesions that form where the organisms grow.

Describe tuberculosis.

infectious disease caused by the bacillus Mycobacterium tuberculosis. Leading cause of communicable disease death in the US. organism can readily spread into the lymph nodes or into the blood and be carried to other organs.




The small lesions in the lung explode and liquify and form a cavity as they die, which destroys the tissue.

Namesome examples of respiratory disorders that can be caused by allergies

allergic rhinitis and asthma

Whatis asthma and what can trigger asthma attacks?

caused by reversible changes in the airways, including inflammation and excessive mucus production and spasm of the involuntary muscle in bronchial tubes.




Exercise, inhaled substances, drugs, respiratory infection, noxious fumes, tobacco smoke, cold air.

Whatis RSV, Respiratory syncytial virus?

causesinfections of the lungs and respiratory tract. It is very common where mostchildren have been infected with the virus by age 2. Respiratory syncytial(sin-SISH-ul)virus can also infect adults.

Whatis COPD and describe what happens in the bronchi and alveoli.

Chronic obstructive pulmonary disease (COPD) is the term used to describe several associated lung disorders, including chronic bronchitis and emphysema (em-fih- SE-mah).

What happens to the bronchi and alveoli with COPD?

destruction of the alveoli and the bronchi become narrow and inflamed and produce excessive secretions.

Pnuemothorax

Pneumothorax: accumulation of air in the pleural space.

Hemothorax:

Blood in the pleural space- caused by penetrating chest wounds. In such cases, the first priority is to stop the bleeding.

Whatis a thoracentesis and why is the procedure done?

A needle inserted in to the pleural space to remove excess fluid.

tracheotomy

refers to the incision in the trachea.

tracheostomy

tube is used if the pharynx or the larynx is obstructed. It is a small metal or plastic tube that is inserted through a cut (stoma) made in the trachea.

What is a bronchoscopy?

Process of visually examining the bronchioles.

What is artificial respiration and when is it used?

used when a patient has temporar- ily lost the capacity to breathe independently.

What is CPR?

Cardiac massage and mouth to mouth respiration.

Oxygen therapy

is used to sustain life when a condition interferes with adequate oxygen supply to the tissues.

Laryng/o

larynx


the laryngeal pharynx opens into the larynx



nas/o

nose


the nasopharynx is behind the nasal cavity

or/o

mouth,


the oropharynx is behind the mouth



pleur/o

side, rib


the pleura covers the lung and lines the chest wall (rib cage)



capn/o

carbon dioxide


hypercapnia is a rise in the blood level of carbon dioxide

orth/o

straight


orthopena can be relieved by sitting in an upright position

-pnea

breathing


hypopnea is a decrease in the rate and depth of breathing



spir/o

breathing


A spirometer is an instrument used to record breathing volumes

atel/o

incomplete


Atelectasis is incomplete expansion of the lung

-centesis

tapping, perforation


in thoracentesis, a needle is inserted into the pleural space to remove fluid

pneum/o

air, gas


pneumothorax is accumulation of air in the pleural space

pneumon/o

lung


pneumonia is inflammation of the lung

rhin/o

nose


rhinitis is inflammation of the nose.