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eupnea
normal quiet breating at rest
eupnea breathing rate
12 to 20 breaths a minute
hyperventilate
increased ventilation that exceeds metabolic needs
hyperventilate occurs during... (example)
anxiety attack
hypoventilate
decreased ventilation that does not meet metabolic needs
hypoventilate identified by
decreased respiratory rate (bradypnea)
AND/OR
shallow breaths
hyperventilate identified by
increased respiratory rate (tachypnea)
AND/OR
deep breaths
hypoventilate examples (2)
pulmonary diseases
hypoventilation syndrome
respiratory system consists of (4)
airways
lungs
thorax muscles
respiratory muscles
two divisions of airways
conducting zone
respiratory zone
7 parts of conducting zone (in order from external to internal)
nares
nasal cavity
pharynx
larynx
trachea
bronchi
terminal bronchioles
which parts of the conducting zone are lined with smooth muscle?
trachea, bronchi, and terminal bronchioles [the last three parts]
3 functions of the conducting zone
controls volume of air in and out of the respiratory tract
brings inhaled air to body temperature and humidifies it
filters and protects the respiratory tract from particulates
what controls volume of air breathed in and out
airway smooth muscle tone
2 examples of airway smooth muslce tone
B-2 (beta 2) receptors
muscarinic receptors
B-2 (beta 2) receptors function
relax airway smooth muscle
B-2 (beta 2) receptors cause
bronchodialation
muscarinic receptors function
contract airway smooth muslce
muscarinic receptors cause...
bronchoconstriction
what brings inhaled air to body temp and humidifies it
rich supply of blood vessels in mucous membrane
what traps large particles in nose (2)
nose hairs and mucus
what happens when polluted air is breathed
bronchoconstriction
mucociliary escalator function
goblet cells produce mucus that traps fine debris
mucociliary escalator made up of
ciliated epithelial cells
ciliated epithelial cells (in mucociliary escalator) function
propel debris trapped in mucus to pharynx
mucociliary escalator cilia slowed by
cold dry air
mucociliary escalator cilia damaged by __ and can be __
smoking (can be permanent)
mucociliary escalator mucus thickened in those with ___ which makes it ___
cystic fibrosis which makes it difficult for cilia to propel mucus
respiratory zone consists of (3)
bronchioles
alveolar ducts
alveolar sacs
what makes the respiratory zone different than the conducting zone
there is gas exchange here
where does gas exchange occur
in the alveoli
where are alveoli solely present?
the respiratory zone
how many alveoli are in each lung
about 500 million in each lung, 1 billion in both lungs
what is dead space
area of the lung where there is no gas exchange
anatomic dead space
volume of the conducting zone (there are no alveoli here)
anatomic dead space average
150mL
anatomic dead space value varies based on
height
alveolar dead space
alveoli that are not perfused, resulting no gas exchange
alveolar dead space amount should be
zero
alveolar dead space in those with certain lung diseases?
higher than zero
physiologic dead space
anatomic dead space + alveolar dead space
elastin fibers of lungs contained in
interstitium
elastin fibers of the lungs function
allows lungs to stretch and recoil
three layers of the pleura
parietal pleura
pleural space
visceral pleura
visceral pleura location
covers the lungs
pleural space description and location
fluid-filled potential space between pleural layers
pressure in fluid filled space is ___ than pressure in alveoli because ___
pressure in fluid filled space is less than pressure in alveoli because it allows the lungs to remain inflated
structure of pleura allows lungs to
move along with thorax
parietal pleura location
lines thoracic cavity and is attached to the diaphragm
compliance
measure of the ease with which a structure expands when exposed to pressure (stretchiness/stiffness of a structure)
normal compliance related to... (2)
elastic properties of the lung
surfactant
what gives lungs their elastic properties
elastin fibers
surfactant
a lipoprotein produced and secreted by type II pneumocytes
surfactant location
lines the inner surface of alveoli
Laplace's law equation
P = 2T/r (no calculation needed)
define variables P = 2T/r
p = pressure needed to keep alveoli from collapse
T = surface tension that favors collapse of alveoli
r = radius (of alveoli)
what reduces surface tension (T)
surfactant - it helps prevent alveoli from collapse
increase in compliance indicates that
the lung is too "stretchy"
increase in compliance caused
damage or loss of elastin fibers
decrease in compliance indicates that
the lung is too "stiff"
decrease in compliance caused by what diseases and why (2)
interstitial lung disease - interstitium becomes fibrous
surfactant deficiency disorder - lack of surfactant
alveoli without surfactant causes
surface tension will be high, pressure will be high, alveoli at risk of collapsing
alveoli vunerable to collapse
atelectasis
what happens when alveoli are collapsed
the lung becomes very stiff
perfusion of the lungs completed by
alveoli
perfusion of the lungs otherwise known as
pulmonary circulation
deoxygenated blood carried to the lungs via
pulmonary arteries
where does blood go after the pulmonary arteries and why
it goes to the pulmonary capillaries to become oxygenated at the alveoli
oxygenated blood carried back to the ___ via the ___
back to the left atrium via the pulmonary veins
spirometry
measurement of the lungs and capacities with the use of a spirometer
female lungs volumes are _ less than males
10%
tidal volume approximately
500ml
inspiratory reserve volume approximately
3000 to 3300ml
expiratory reserve volume (ERV) approximately
1000 to 1200ml
residual volume (RV) approximately
1200ml
can residual volume be measured with a spirometer
no
residual volume definition
volume of air that can be expired at the end of a normal expiration
what is a lung capacity
made up of two or more lung volumes
lung capacities made up of RV...
cannot be measured by normal spirometry
inspiratory capacity (IC) approximately
3500 to 3800ml
inspiratory capacity (IC) definition
volume of air that can be inspired after a normal expiration
inspiratory capacity (IC) equation
IC = VT + IRV
vital capacity (VC) approximately
4500 to 5000ml
vital capacity (VC) definition
volume of air expired after a maximal inspiration
vital capacity (VC) equation
VC - VT + IRV + ERV
functional residual capacity (FRC) approximately
2200 to 2400ml
functional residual capacity (FRC) definition
volume of air in the lungs after a normal expiration
functional residual capacity (FRC) equation
FRC = ERV + RV
total lung capacity (TLC) approximately
5700 to 6200ml
total lung capacity (TLC) definition
volume of air in the lungs after a maximal inspiration
total lung capacity (TLC) equation
TLC = VT + IRV + ERV + RV
what does a forced vital capacity (FVC) maneuver do
it assesses the health of the respiratory system
forced vital capacity (FVC) definition
volume of air forcefully expired after a maximal inspiration
FVC normal amount
5000ml
FEV 1 definition
volume of air forcefully expired during the first second of a FVC maneuver
FEV 1 normal amount
3500 to 4000ml
forced vital capacity (FVC) maneuver equation
FEV 1 / FVC x 100
what percentage of air is forcefully expired in the first second of a FVC maneuver
70 to 80%
pulmonary ventilation
movement of air into or out of the lung
minute ventilation (VE) definition
volume of air in or out of the conducting zone per minute