respiratory

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anatomy and physiology 2 ch 22
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1

Describe the anatomy of the Respiratory System

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made up of two parts

CONDUCTING ZONE :

Nose, Nasal Cavity ,Pharynx, Larynx ,Trachea Bronchi ,Bronchioles ,Terminal Bronchioles

RESPIRATORY ZONE

Respiratory Bronchioles ,Alveolar Ducts , Alveoli

2

What does the respiratory system do?

Respiration:
Delivers O2 to the Blood
Removes CO2 from the Blood

3

Differentiate between the respiratory zone and conducting zone organs. What do they do?

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The conducting zone is the pathway that gets air down to the lungs, while the Respiratory zone is where gas exchange takes place.

4

List the pathway that an air molecule would take to get to an alveolus.

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  1. Nose
  2. Nasal Cavity
  3. Pharynx (naso, oro, laryngo)
  4. Larynx
  5. Trachea
  6. Bronchi primary
  7. Bronchioles secondary
  8. Terminal Bronchioles
    Respiratory Bronchioles
  9. Alveolar Ducts
  10. Alveoli
  11. alveolus
5

List the three divisions of the pharynx.

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  1. Noro
  2. oro
  3. laryngo
6

Describe the anatomy of the larynx, including the hyoid.

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  1. The larynx attaches superiorly to the hyoid bone, opening into the laryngopharynx, and attaches inferiorly to the trachea.located between pharynx and trachea
  2. Hyoid bone anchors the larynx
  3. epiglottis
  4. vestibular fold true vocal chord
  5. laryngeal prominence or adams apple.
  6. Thyroid cartilage
  7. vocal fold false vocal chord
  8. Cricoid cartilage
  9. the glottis is the opening into the trachea and is for air under normal circumstances.
  10. .Tracheal cartilages
7

Describe tracheal histology.

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  1. pseudostratified columnar epitheleaium faces towards lumen)
  2. goblet cells in 1rst layer
  3. mucosa
  4. submucosa
  5. hyaline cartilage
  6. smooth muscle
8

Describe the bronchial tree.

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The bronchial tree is an essential part of the respiratory system. It consists of several interacting structures, such as the bronchi, bronchioles, and alveoli. These structures work together to provide a network system between the lungs and the trachea. Without this system, a person could not breathe properly.

they are the primary or bronchi, secondary or bronchioles, and tertiary.

splits 23 times getting smaller each time.

More smooth muscle present as it gets smaller.(bronchodialation/constriction)

terminal bronchial ends in smallest possible airway and it ends in a respritatory bronchiole. which is covered in alveoli which is where gas exchange takes place.

9

Describe how gas exchanges occur between the pulmonary capillaries and the alveoli

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pulminary capilary linked to p vein.

  • Gas exchange depends on:
  • 1. Partial pressures and gas solubilities
  • 2. Ventilation-Perfusion Coupling
  • 3. Thickness and surface area of respiratory membrane
  • Gas is exchanged between the alveoli and the pulmonary capillaries via diffusion: gas molecules will move from an area of high concentration to an area of low concentration.
  • The partial pressure of oxygen (PO2) is lower in the alveoli in comparison to the external environment, which allows for diffusion of oxygen into the alveoli.
  • The partial pressure of carbon dioxide (PCO2) is higher in the capillaries than in the alveoli, which allows for diffusion into the alveoli where it is exhaled during expiration.
  • The ventilation/perfusion ratio (V/Q) ensures that the ideal amount of blood and gas is received by the alveoli for efficient gas exchange
10

Describe the anatomy of the respiratory membrane

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The respiratory membrane consists of a single layer of simple squamous epithelium. one layer thick tunca intima - one layer on capillary wall one layer on aveolar wall so each together makes 2 layers of simple squamous cells.

11

what cavity contains the lungs?

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thoracic pleural cavity

12

Describe the pleural membranes within the lungs.

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Visceral: covers lung
Parietal: Lines cavity
Pleural space with fluid fluid reduces friction when breathing.

  • too much is pulmonary edema
  • too little is pleurisy.
13

Distinguish between atmospheric pressure (ATM) and intrapulmonary pressure.

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    • pressure changes in the lungs which influences whether air can move in / out
    • when the pressure inside lung is 756 for example the lungs will allow air to come in because the pressure inside the lung is less than that outside.
    • this happens and creates a pressure gradient because pressure always moves high to low.
    • ATM atmospheric pressure is 760 mmhg it is constant does not change.
    • Atm is the pressure that is being forced from the outside against the lung.
    • Intrapulmonary pressure can change it is NOT constant.

Pressure recorded within the alveoli
Changes with inspiration / expiration about 1 mm Hg, back and forth at rest
Attempts to equalize with atmospheric pressure: 759 mm Hg 760 mm Hg

14

Describe the two basic laws that influence air movement.

Intrapulmonary pressure is the pressure in the alveoli, which rises and falls during respiration, but always eventually equalizes with atmospheric pressure.

Intrapleural pressure is the pressure in the pleural cavity. It also rises and falls during respiration, but is always about 4 mm Hg less than intrapulmonary pressure.

Dalton’s Law of Partial Pressures Relates gas pressure to gas concentration
2. At a gas-liquid interface: Henry’s Law Relates gas dissolved in water to gas concentration and solubility, and temperature
Daltons law

The total pressure exerted by a mixture of gases is the sum of the pressures exerted independently by each gas in the mixture.
The pressure exerted by each gas– its partial pressure—is directly proportional to its percentage in the mixture.

Boyles law

Pressure is the force exerted on the wall of a container by the particles contained within it.
As the volume of a container (lung) s
the pressure in the container s…OR
As the volume of a container (lung) s,
the pressure in the containers.
P1V1 = P2V2

Henrys Law

The volume of gas that will go into solution at a given partial pressure depends onto its solubility in the liquid (plasma) and temperature.
CO2 = very soluble O2 = 1/20 as soluble as CO2 N2 = virtually insoluble
Less in solution as temperature increases

15

list and describe the 4 processes of respiration.

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  1. Pulmonary Ventilation

bringing air in and out

2. Gas Exchange pulmonary capillary and alveolus systemic capillaries and tissues

3Transport of Respiratory gases

4.Control of Respiration

16

What muscles are involved in inspiration and expiration?

1.Diaphragm, scalenes, external intercostals contract

2. Contraction: diaphragm drops intercostals/scalenes move rib cage UP and OUT
lung volume: RISES intrapulmonary pressure: FALLS air flows: IN to equalize with ATM
4.

Muscles relax.
diaphragm: moves up
intercostals/scalenes relax: rib cage in and down
2. lung volume: FALLS intrapulmonary pressure: RISES air moves: OUT to equalize with ATM

3. Forced expiration: contraction abdominal muscles

17

3 factors that increase energy required to breathe.

1.Increase airway resistance
2.Increase alveolar surface tension
3.Decrease lung compliance

18

what factors could cause the increased energy required to breathe?

airway resistance- Blocked passageways: tumor, mucus Bronchiole constriction: parasympathetic stimulation via irritants or histamine

surface tension-water molecules sticking to the alveoli ir sac which cause it not to inflate (pnemonia)

decrease lung compliance- lungs cannot stretch like they should Compliance: Increased fibrosis, decrease in flexibility of thoracic cage, low surfactant

19

What is a surfactant and what does it do?

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The remarkable property of the surfactant which coats the alveoli is that it reduces the surface tension by a factor of about 15 so that the 1 mmHg pressure differential is sufficient to inflate the alveoli.

20

describe and give the normal values for: TV,IRV,ERV,VC,RV,TLC

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TV - 500ml

IRV - 3100 ml

ERV - 1200 ml

VC - 4800ml forced exhale TV+ERV+RV=

RV - 1200ml air left remaining in the lungs non exchangeable air

TLC - 6000 ml total amount of air exchangeable and non exchangeable.

21

compute minute or total ventilation

General measure of health: total ventilation rate
Minute or total ventilation: V = (ml of air/ breath ) ( # breaths / min)
V = (500 ml air) (12 breaths per min) = 6000 ml per minute

22

Compute alveolar ventilation rate and why is this preferred to minute or TV

AVR= deadspace times breaths per minute

AVR accounts for anatomical dead space
AVR = (TV-dead space)(# breaths/min)
AVR = (500ml-150ml)(12 breaths/min)
= (350 ml)(12 breaths/min)
= 4200 ml/min
AVR is a better measure of health than total ventilation. How so?
Good minute ventilation may not mean good alveolar ventilation
2 People Can Have Same Total Ventilation: One Healthy, One Near Death

23

Very briefly describe Daltons law and Henrys law. List the composition of air.

Dalton’s law of Partial Pressures (Px mm Hg)-

  • The total pressure exerted by a mixture of gases is the sum of the pressures exerted independently by each gas in the mixture. The pressure exerted by each gas- it’s partial pressure-is directly proportional to its percentage in the mixture.

Dalton’s Law of partial pressures in a mixture of gases relates gas pressure to gas concentration. Slide 40/Pg 847

Henry’s law (Gas Solubility) Pg 824

  • The volume of gas that will go into a solution at a given partial pressure depends on its solubility in the liquid (plasma) and temperature.
  • less in solution as temperature increases

Henry’s Law at a liquid-gas interface relates gas dissolved in water to gas concentration, solubility, and temperature. Slide 40

22b. List the composition of air. Slide 40

Oxygen (O2), Carbon Dioxide (CO2), Nitrogen (N2)

  • Nitrogen is the most common and more abundant
24

Describe the solubilities of CO2, O2, N2

  • Carbon Dioxide (CO2) = very soluble
  • Oxygen (O2) = 1/20 as soluble as Carbon Dioxide (CO2)
  • Nitrogen (N2) = virtually insoluble

Note: Less insoluble as temperature raises

25

Differentiate between external and internal respiration

External respiration is between lungs and blood concerning how O2 and CO2 are swapped:

  • Oxygen (O2) goes from alveoli to blood.
  • Carbon dioxide (CO2) goes from blood to alveoli.

Internal respiration is between the blood and tissue cells:

  • Oxygen (O2) goes from blood to cell tissues.
  • Carbon dioxide (CO2) goes from cell tissues to blood
26

How is Oxygen (O 2 ) and Carbon Dioxide (CO 2 ) each transported around the body?and what are their preferred modes of transport

O2 - Carried in two ways: 1. Dissolved in plasma ~ 1.5% 2. Bound to hemoglobin

CO2 -

  • Dissolved in Plasma (~10 %)
  • Bound to Hemoglobin (~20%)
  • As a Bicarbonate (HCO3) (~70 %)

Note: A Bicarbonate makes something “basic”.

CO2 travels through blood and O2 travels on Hb through blood.

27

How many O2 molecules can bind to 1 Hb molecule?

Up to 4 (4 is full)

28

Describe how changing PH and body temperature can affect the affinity of Hb for O2?

  • If Ph and temp too high, Hb tells O2 goodbye
  • If PH and temp too low, Hb just wont let go (of o2)
29

Describe the chloride shift

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chloride shift. The movement of chloride ions from the plasma into red blood cells as a result of the transfer of carbon dioxide from tissues to the plasma, a process that serves to maintain blood pH.

30

describe the peripheral and central chemo-receptors and what they each each are measuring.

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Peripheral Chemoreceptors sensitive to
O2, CO2, pH
1. In Arotic Arch
(via vagus nerves, X)
2. At bifurcation of Common Carotids (glossopharyngeal nerves, IX)

Central Chemoreceptors sensitive to H+
Brainstem, esp along medulla in contact with CSF

31

Describe the respiratory centers in the pons and medulla

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Medullary centers set the basic rhythm of inspiration / expiration
Inspire 2 seconds
Expire 3 seconds
Thought to be due to reciprocal inhibition

Brainstem centers activate neurons leading to:

Diaphragm via phrenic nerves
External Intercostals via intercostal nerves

Pontine centers modify rate and depth of breathing