Respiratory Physiology

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List the three stages of respiration.

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1

List the three stages of respiration.

  1. Ventilation→ mechanical

  2. Gas Exchange→ diffusion of O2 and CO2

  3. Cellular respiration→ utilization of O2

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2

Name the respiratory zones.

  1. Conducting zone

  2. respiratory zone

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3

List in order the sites of the conducting zone.

mouth

pharynx

larynx

trachea

primary bronchi

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4

What is the function of the conducting zone?

1)raises temp

2)moistens air

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5

Distinguish between terminal and respiratory bronchiole.

Respiratory bronchiole branch out from terminal bronchiole.

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6

What blood vessels are found on the alveoli?

capilaries

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7

How does air move?

From high pressure area to low pressure areas

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8

What is breathing in called?

Inspiration.

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9

Describe lung air pressure during inhalation?

Reduction of air pressure in lungs to below atmospheric pressure due to volume increase.

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10

What’s Boyle’s law?

P inversely proportional to Volume.

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11

Describe the pleural membranes.

1)visceral→ tightly covers the lunds

2)pariental→ lines the

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12

Describe the relationship between the diaphragm and the thoracic cavity.

The diaphragm muscle lines the base of the thoracic cavity.

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13

What holds the visceral and pariental pleura together?

Pleural fluid

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14

Is there a space between the pleura?

There’s no interpleural cavity.

ONLY PLEURAL CAVITY!

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15

Distinguish between forced and normal inspiration.

Normal is caused by the contraction of the diaphragm and the external intercoastal muscles.

Forced inspiration is caused by secondary muscles → scalenes and pectoralis minor

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16

What’s the change in INTRAPULMONARY PRESSURE during normal inspiration?

-3mmHg BELOW ATMOSPHERIC PRESSURE

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17

What’s the change in INTRAPULMONARY PRESSURE during forced inspiration?

-20mmHg

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18

What contributes to normal expiration?

The elasticity of thorax and lungs that recoil after being stretched.

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19

Is expiration passive or active?

Passive

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20

What is the pressure increased to during normal expiration

+3mmHg

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21

What contributes to forced expiration?

Intercoastal muscles and abdominal muscles

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22

What is the pressure change during forced expiration?

+30mmHg

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23

What type of mucles are respiratory muscles?

Skeletal- regulation of breathing!

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24

What’s pleural pressure? Ppl

Pressure of pleural fluid

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25

What’s the relationship between intrapleural and intra alveolar pressure?

intrapleural pressure is LOWER than intra-alveolar

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26

In which way are pariental and visceral pluera pulled?

Visceral is pulled inward

Pariental pulled outward (part of thoracic cavity)

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27

What’s the pressure gradient between intra-pleural and intra-alveolar pressure called?

Transpulmonary pressure

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28

Why is transpulmonary pressure vital?

To keep pressure in lungs higher

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29

Why is pressure in the intrapleural cavity so low?

The thoracic cavity stretches it outwards

The lunds stretch it in

Increase in volume due to <- →

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30

Describe the intra-pleural pressure during inspiration and expiration

-6mmHg during inspiration

-3mmHg during expiration

<p>-6mmHg during inspiration</p><p>-3mmHg during expiration</p>
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31

What happens to transpulmonary pressure when pleural membranes are damaged and air flows in?

The air unsticks the pleural membranes

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32

Define pneumothorax.

Collapsed lung.

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33

What happens to lung volume due to pneumothorax?

Volume decreases as the visceral pleura no longer stretches the lung outward.

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34

What’s the compliance of the lung?

Ability of the lung tissue to stretch and expand.

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35

Define lung compliance.

The change in lung volume resulting from a change in TRANSPULMONARY PRESSURE

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36

Equation for lung compliance

Cl= delta Volume / transpulmonary tissue

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37

What’s the elasticity of the lung.

Ability of the lung to return rapidly to its original size.

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38

What protein is responsible for the elasticity of lungs?

Elastin.

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39

What happens to intrapulmonary (same as intralveolar pressure) during expiration.

Increased.

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40

What happens to lung compliance in lungs with fibrotic tissue?

Compliance is reduced.

Less air moves in during inspiration.

= restrictive pulmonary disease.

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41

What is degenerated in a patient with emphysema?

alveolar septa and pulmonary capillaries

→ compliance is increased

→ volume increased but doesn’t snap back

→ elasticity lost

→ expirary diifult

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42

What else generates resistance to lung expansion?

Surface tension

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43

What creates this surface tension?

SPHERICAL alveoli secrete a thin layer of fluid

→ presence of air increases surface tesnion

→ water molecules pull in towards the alveoli

→ opposed the expansion of lungs during inspiration

→ lung compliance decreased

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44

Do smaller or larger alveoli have a greater surface tension?

smaller

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45

What’s the law of laplace?

P= 2* T/r

→ divided by the radius

→ inward pressure

→more work needed to increase the volume of air in alveoli that are pulled inward due to surface tension

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46

What does alveoli fluid contain to reduce surface tension?

Surfacts

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47

What kind of biomolecule is a surfactant

Lipoprotein

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48

What does the surfactant prevent?

Collapse ofsmaller alveoli during expiration

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49

Do alveoli completely empty themselves?

No, there’s always residual volume

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50

What type of alveoli produce surfactant?

Type II alveolar cells

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51

When do type II alveolar cells develop?

Late foetal development

-25th week

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52

What do premature infants (before 34th week) suffer from due to low type II development?

Acute respiratory distress syndrome

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53

Acute respiratory distress syndrome- what does that do to the lungs?

Decreases lung compliance

Collapses Alveoli

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