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chapter 22 respiratory system

front 1

Breathing, which involves the physical movement of air into and out of the lungs is

back 1

pulmonary ventilation(respiratory system)

front 2

transport of oxygen and carbon dioxide between lungs and tissue
(circulatory system)

back 2

transport

front 3

exchange of O2 and CO2 between the lungs and the blood(respiratory system)

back 3

External respiration (respiratory system)

front 4

O2 and CO2 exchange between systemic blood vessels and tissues

back 4

Internal respiration(circulatory system)

front 5

Four processes that supply the body with O2 and dispose of CO2

back 5

pulmonary ventilation, External respiration, transport, Internal respiration

front 6

site of gas exchange

back 6

Respiratory zone

front 7

conduits to gas exchange sites

back 7

Conducting zone

front 8

diaphragm and other muscles that promote ventilation ( expand volume of chest cavity)

back 8

Respiratory muscles

front 9

microscopic structure of respiratory zone

back 9

respiratory bronchioles, alveolar ducts, and alveoli

front 10

account for most of the lungs’ volume and are the main site for gas exchange

back 10

alveoli

front 11

how many alveoli do we have

back 11

approximately 300 milion

front 12

the thickness of air-blood barrier in respiratory membrane

back 12

~ 0.5 micrometer

front 13

the Single layer of squamous epithelium

back 13

alveolar wall

front 14

the simple squamous lining the alveoli is called

back 14

type 1 cells

front 15

type 2 cell secrete

back 15

surfactant

front 16

alveoil is Surrounded by and contain

back 16

fine elastic fibers, open pore

front 17

open pores that Connect adjacent alveoli

back 17

–Allow air pressure throughout the lung to be equalized

front 18

_____ House alveolar macrophages that keep alveolar surfaces sterile

back 18

Alveoli

front 19

lung that is smaller, has two lobes and an oblique fissure

back 19

left lung

front 20

right lung has

back 20

is larger has three lobes separated by oblique and horizontal fissures

front 21

blood supply

back 21

there are two circulations:
1. pulmonary (low pressure, high volume)
2.bronchial ( high pressure, low volume) provides these tissues with oxygen and nutrients

front 22

thin double layered serosa, produce pleural fluid

back 22

pleurae

front 23

Parietal pleura cover

back 23

thoracic wall and superior face of diaphragm

front 24

pleura on external lung surface

back 24

visceral

front 25

function of the pleural fluid

back 25

fills the slitlike pleural cavity and Provides lubrication and surface tension

front 26

Pulmonary ventilation consists of how many phase

back 26

2, inspiration and expiration

front 27

gases flow into the lungs

back 27

inspiration

front 28

expiration

back 28

gases exit the lungs and has positve pressure

front 29

Pressure exerted by the air surrounding the body

back 29

Atmospheric pressure (Patm)

front 30

Atmospheric pressure (Patm) is _____ at sea level

back 30

760 mm Hg or 1 atm

front 31

is the pressure within the aveoli, its always very close to the (Patm)
It fluctuates with breathing but equalizes quickly with the (Patm)

back 31

Intrapulmonary (intra-alveolar) pressure (Ppul)

front 32

Negative respiratory pressure is less than or greater than Patm or equal to Patm

back 32

less than

front 33

positive respiratory pressure is less than or greater than Patm or equal to

back 33

greater than Patm

front 34

zero respiratory pressure is less than or greater than Patm or equal to Patm

back 34

equal to Patm

front 35

is the pressure within the pleural cavity between lungs and thoraciv wall. This pressure is always slightly less than the (Ppul) and atmospheric pressure and always a negative pressure

back 35

Intrapleural pressure (Pip)

front 36

Negative Pip is caused by

back 36

opposing forces

front 37

___force promote lung collapse and ____ force tends to enlarge the lungs

back 37

inwards force, outward force

front 38

Two inward forces promote lung collapse in intrapleural pressure

back 38

  • Elastic recoil of lungs decreases lung size
  • Surface tension of alveolar fluid reduces alveolar size

front 39

Elasticity of the chest wall pulls the

back 39

thorax outward

front 40

if intrapleural pressure is equal to intrapulmonary pressure Pip = Ppul, what happens to the lungs?

back 40

lose the negative pressure and the lungs collapse

front 41

transpulmonary pressure calculation

back 41

760 mm Hg - 756 mm Hg = 4 mm Hg

front 42

Intrapleural pressure

back 42

756 mm Hg
(- 4 mm Hg)

front 43

Intrapulmonary pressure

back 43

760 mm Hg
(0 mm Hg)

front 44

transpulmonary pressure

back 44

intrapulmonary pressure minus intrapleural pressure.

front 45

function of transpulmonary pressure

back 45

keeps the airways open (keeps the lungs from collapsing)

front 46

The greater the transpulmonary pressure, the larger or smaller the lungs

back 46

larger

front 47

Atelectasis

back 47

collapse of lung tissue

front 48

Atelectasis (lung collapse) is due to

back 48

–Plugged bronchioles ---- collapse of alveoli

–Wound that admits air into pleural cavity (pneumothorax)

front 49

Mechanical processes that depend on volume changes in the thoracic cavity

back 49

Pulmonary Ventilation

front 50

Pulmonary Ventilation

back 50

Volume changes lead to pressure changes and in turn flow of gas to quickly equalize pressure

front 51

Pulmonary ventilation
- volume changes leads to what

back 51

pressure changes

front 52

inspiration is an active or passive process

back 52

active

front 53

what happens to the inspiratory muscles during inspiration

back 53

contract

front 54

does the thoracic volume increase or decrease during inspiration?

back 54

increase

front 55

what happens to the lungs and intrapulmonary volume during inspiration?

back 55

lungs stretch
intrapulmonary VOLUME increases

front 56

what happens to the intrapulmonary pressure during inspiration and expiration?

back 56

inspiration-it drops to -1 mm Hg

expiration- Ppul rises (to +1 mm Hg)

front 57

what happens to air during inspiration and expiration?

back 57

during inspiration air flows into the lungs, down its pressure gradient, until Ppul = Patm while in expiration Air flows out of the lungs down its pressure gradient until Ppul = 0

front 58

is forced expiration passive or active

back 58

active

front 59

what happens to the inspiratory muscles during expiration

back 59

they relax

front 60

what happens to the thoracic volume during expiration

back 60

decrease

front 61

what happens to the lungs and intrapulmonary volume during expiration

back 61

lungs recoil
intrapulmonary volume decreases

front 62

what happens to the intrapulmonary pressure as lung volume increases during inspiration?

back 62

pressure inside the lung decreases

front 63

during each breath, the pressure gradient moves how many liters/ml of air into and out of the lungs?

back 63

500 ml or 0.5 liters

front 64

Inspiratory muscles consume energy to overcome 3 physical factors that hinder air passage and pulmonary ventilation

back 64

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

front 65

As airway resistance rises, breathing movements become more

back 65

strenuous

front 66

What effect does severely constricting or obstruction of bronchioles have?

back 66

–Can prevent life-sustaining ventilation

–Can occur during acute asthma attacks and stop ventilation

front 67

can dilates bronchioles and reduces air resistance

back 67

Epinephrine

front 68

alveolar surface tension

back 68

–Attracts liquid molecules to one another at a gas-liquid interface

–Resists any force that tends to increase the surface area of the liquid

front 69

Detergent-like lipid and protein complex and can Reduces surface tension of alveolar fluid and discourages alveolar collapse

back 69

Surfactant

front 70

what is lung compliance

back 70

A measure of the change in lung volume that occurs with a given change in transpulmonary pressure

front 71

lung compliance is diminished by 3 things:

back 71

1.non-elastic scar tissue (fibrosis)
2. reduced production of surfactant
3. decreased flexibility of the thoracic cage

front 72

Dalton's Law of Partial Pressures

back 72

total pressure= PP of a gas A+PP of gas B
the partial pressure of each gas is directly proportional to its percentage in the mixture

front 73

Basic Properties of Gases

back 73

air is a mixture of gases carbon dioxide, oxygen and nitrogen

front 74

Henry's Law

back 74

when a mixture of gas is in a liquid (plasma) each gas will dissolve in the liquid in proportion to is partial pressure

front 75

The amount of gas that will dissolve in a liquid also depends upon its

back 75

solubilty

front 76

CO2 is ___times more soluble in water than O2

back 76

20 X

front 77

External Respiration

back 77

Exchange of O2 and CO2 across the respiratory membrane

front 78

Factors influencing external respiration

back 78

–Partial pressure gradients and gas solubilities

–Ventilation-perfusion coupling

–Structural characteristics of the respiratory membrane

front 79

does CO2 diffuses in equal amounts or greater amount or lesser amount with oxygen

back 79

equal amount

front 80

________amount of gas reaching the alveoli

back 80

ventilation

front 81

respiratory membrane

back 81

–0.5 to 1 mm thick

–Large total surface area (40 times that of one’s skin)

front 82

the respiratory membaene become what if lungs become waterlogged and edematous, and gas exchange becomes inadequate

back 82

thicken

front 83

Loading and unloading of O2 is facilitated by

back 83

change in shape of Hb

front 84

As O2 binds, Hb affinity for O2______ while As O2 is released, Hb affinity for O2 ______

back 84

increase, decease

front 85

oxygen is fully saturated when

back 85

all four heme groups carry O2

front 86

oxygen is Partially saturated when

back 86

one to three hemes carry O2

front 87

Rate of loading and unloading of O2 is regulated by

back 87

–Po2, Temperature, Blood pH, Pco2

front 88

percentage of bound O2 is unloaded during one systemic circulation

back 88

20-25%

front 89

Increases in temperature, H+, Pco2, and BPG

back 89

–Modify the structure of hemoglobin and decrease its affinity for O2

front 90

As cells metabolize glucose, Pco2 and H+

back 90

increase in concentration in capillary blood

front 91

  • CO2 is transported in the blood in how many forms

back 91

three

–7 to 10% dissolved in plasma

–20% bound to globin of hemoglobin (carbaminohemoglobin)

–70% transported as bicarbonate ions (HCO3–) in plasma

front 92

HCO3–

back 92

bicarbonate ions

front 93

Control of Respiration involve

back 93

neurons in the reticular formation of the medulla and pons

front 94

Medullary Respiratory Centers

back 94

Dorsal respiratory group (DRG) and Ventral respiratory group (VRG)

front 95

Sets eupnea is

back 95

12–15 breaths/minute

front 96

Depth and Rate of Breathing are modified

back 96

in response to changing body demands

front 97

____ are the most powerful respiratory stimulant

back 97

Rising CO2 levels

front 98

_______ is increased depth and rate of breathing that makes the body remove too much CO2

back 98

Hyperventilation

front 99

what is an apnea

back 99

period of breathing cessation that occurs when Pco2 is abnormally low

front 100

what is Hyperpnea

back 100

Increase in ventilation (10 to 20 fold) in response to metabolic needs

front 101

COPD

back 101

Chronic obstructive pulmonary disease

front 102

irreversible decrease in the abilty of COPD

back 102

force air out of the lungs

front 103

COPD is exemplified by

back 103

chronic bronchitis and emphysema

front 104

common features of COPD

back 104

  • History of smoking in 80% of patients
  • Dyspnea: labored breathing (“air hunger”)
  • Coughing and frequent pulmonary infections
  • Most victims develop respiratory failure (hypoventilation) accompanied by respiratory acidosis

front 105

homeostatic imbalance that is Characterized by coughing, dyspnea, wheezing, and chest tightness. it is also an Active inflammation of the airways precedes bronchospasms

back 105

Asthma

front 106

Lung cancer

back 106

–Leading cause of cancer deaths in North America

–90% of all cases are the result of smoking

front 107

the three most common type of lung cancer

back 107

Squamous cell carcinoma, Adenocarcinoma, and Small cell carcinoma