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internal cellular respiration (IR)
process by which O2 is consumed to produce ATP and CO2
Respiratory Quotient
CO2 produced / O2 consumed
What is the RQ for carbohydrates?
RQ = 1
External respiration
process by which O2 and CO2 are exchanged from the environment into the body
Ventilation of air from environment into lungs
Gas exchange between alveoli and capillaries
Transport of gases through bloodstream to tissues
Gas exchange between capillaries and tissues
Where does air travel down a pressure gradient during ventilation?
entry through nose/mouth
passage through nasopharynx and oropharynx, glottis, larynx
entry into tracheobronchial tree
exchange at alveoli
What are the secondary functions of the respiratory system?
water and heat balance
acid base balance
respiratory pump
immunity
vocalization
production of some enzymes & hormones
olfaction (smell)
What are the two main airway zones and the general pathway?
Conducting Zone
Transitional and Respiratory Zones
Airways branch into bronchi and bronchioles, then respiratory bronchioles and alveolar ducts
In order from top to bottom, what are the parts of the conducting zone?
trachea → bronchi → bronchioles → terminal bronchioles
No alveoli, NO gas exchange
In order from top to bottom, what are the parts of the transitional and respiratory zones?
respiratory bronchioles → alveolar ducts → alveolar sacs
Gas exchange at alveolar ducts & sacs
Going down from trachea → bronchi → bronchioles → alveolar ducts, what happens to the diameter, length, number, and cross section?
Diameter: decreases
Length: decreases
Number: increases
Cross sectional area: increases
Type I Alveolar Cells
flattened single layer of cells forming the wall of the alveoli & performing gas exchange with the capillary
Total surface area of Type I to Capillary contact is about 75 square meters
Type II Alveolar Cells
About 5% of alveolar cells
secrete pulmonary surfactant (contains lipids and proteins)
facilitates lung expansion and decreases resistance.
*prevents collapsed lung
What is the role of surface tension in the lungs?
liquid is more attracted to itself than to gas
resist increase of surface area of gas-liquid interface, therefore decreases the size of alveoli (hollow space)
Type II alveolar secrete pulmonary surfactant act to decrease surface tension by reducing the attraction of liquids to each other
What would happen if the lining of the air spaces were pure water (liquid)?
surface tension would make it hard to inflate the alveoli in the lung
Why is surfactant needed?
needed to lower the work of breathing and to prevent alveolar collapse at end-expiration
reduces H+ bonds below water molecular at the surface
reduces airway resistance and therefore increases the airflow
What happens to the diaphragm and the external intercoastal muscles during inspiration?
diaphragm contracts and pulls downward, expanding intrapleural space
external intercoastal muscles contract between ribs and pull upwards to enlarge the rib cage
During inspiration there is a ________ in the size of the thoracic cavity and a ______ in the intrapleural pressure. As a result, air rushes in and fills the lungs.
increase, decrease
What happens to the lung pressure during expiration?
lung pressure rises to force air out
What happens to the intercostal muscles during forced expiration?
can contract to force out additional air
ex: exericising, coughing, sneezing
What is the pO2 and pCO2 in venous blood?
pO2 < 40 mmHg
pCO2 > 46 mmHg
What is the pO2 and pCO2 in alveolar air?
pO2 ~100 mmHg
pCO2 ~40 mmHg
The change in pO2 and pH at the receiving tissue ______ Hb’s affinity for O2, delivering it to the tissue
reduces
Carbon dioxide diffuses from the cell into capillary blood and can react in 3 major ways:
8% slowly form bicarbonate
65% enter RBC and quickly make water and carbonix anhydrase to form bicarbonate
27% will enter RBC and react with amine groups of blood proteins to make carbaminohemoglobin
Minute Ventilation (Ve)
volume of air moving IN and OUT of lungs PER minute
Ve = tidal volume (TV) - respiratory rate (RR)
Dead space ventilation (Vds)
volume of air NOT in gas exchange
leftover air that stays
Vds = dead space volume x RR
Alveolar Ventilation (Va)
part of tidal volume that enters or leaves the gas exchange area of the lung per breath per minute
Va = (TS - DS) x RR =. Ve - Vds
Tidal Volume (TV)
volume of air entering and leaving the lungs every NORMAL breath
Rest (12-15 breaths/min). TV = 500ml
Inspiratory Reserve Volume (IRV)
amount of air that can be forcefully inspired after normal TV inspiration
IRV = 1900-3100 ml
Expiratory reserve volume (ERV)
amount of air that can be forcefully expired after normal TV inspiration
ERV = 700-1200 ml
Residual Volume (RV)
residual volume of air in the lungs after a forced expiration
RV = 1100-1200 ml
What is the vital capacity?
Inspiratory reserve volume + tidal volume + expiratory reserve volume
OR
Total lung capacity - Residual volume (RV) = vital capacity
Total Lung Capacity (TLC)
maximum amount of air in the lungs after a forced maximal inspiration
TLC= 4200 - 6000 ml
TLC = TV + IRV + ERV + RV
Forced vital capacity (FVC)
amount of air that can be expelled when a forced inspiration is taken, then forcefully expired as much as possible
Forced expiratory volume (FEV1)
amount of VC that is expire during the 1ST second of FVC test
Normall 75-85% of VC
What happens to the alveolar ventilation during deep, slow breathing?
increases, higher than quiet breathing at rest
What is the intrapleural pressure?
pressure at the interface of the lung and chest wall
about 756 mmHg at rest
What is the transmural pressure?
difference in pressure across lung wall or across thoracic wall
(P alv - P ip) or (P atm - Pip)
Intra-alveolar pressure (Palv)
pressure of alveoli, which changes with the phases of breathing
Palv always _________ with Patm
equalizes
Interpleural pressure (Pip)
pressure inside the pleural cavity (space between the lungs and chest wall)
also changes with phases of breathing
INterpleural pressure is always _______ to Palv ( and therefore Patm)
negative
What causes negative interpleural pressure?
elastic properties of the lungs pulls lungs inward away from thoracic wall
surface tension in pleural cavity pulls lungs out
Outward pull is ________ than the inward pull, which creates the ____ mmHg intrapleural pressure
slightly greater
Pneumothorax
abnormal collection of air in the intrapleural space and equilibration with Patm
pleura becomes equalized with atmospheric pressure
can cause the lung to collapse, called Atelectasis due to low or absent gas exchange
What happens to ventilation during exercise?
increase metabolic demand, increases the demand for oxygen and produced more CO2
Exercise hypernea
increase in ventilation (RR and TV) to match an increase in metabolic activity
What are factors that affect ventilation?
arterial pO2 and pCO2
temperature
blood pH
exercise activity
voluntary control of breathing
Dorsal Respiratory Group (DRG)
mostly inspiratory neurons (phrenic nerve)
Ventral Respiratory Group (VRG)
both inspiratory and expiratory neurons, but more important in pacing (exercise)
Pre-Botzinger Complex
contains pacemakers
Pneumotaxic Center
stopping inspiration
Apneustic Center
involved in initiating inspiration
Hypoventilation
decrease in ventilation, INCREASE in arterial pCO2 (hypercapnia)
the increase in pCO2 will cause a decrease in pH (respiratory acidosis)
activates chemoreceptors to increase respiratory rate
Hyperventilation
increase in ventilation achieved by increasing respiratory rate and or tidal volume
rate of ventilation is HIGHER than what is needed to remove CO2 from blood
decrease in pCO2 hypocapnia
decreased pCO2 causes decreased inspiratory drive
Prolonged hyperventilation will lead to…
respiratory alkalosis (increase in pH)
leads to vasoconstriction in brain arterioles
decreases blood flow in brain → dizziness
Peripheral Chemoreceptors
found in aortic arch and carotid bodies
sensitive to decreases in arterial pO2 (hypoxia) and to a lesser extent increases in pCO2, decreases in pH
Central Chemoreceptors
found in medullary respiratory center
sense increases in pCO2 and decreases in pH by sensing [H+] in cerebrospinal fluid
Hering-Breuer Reflex
high levels of inflation = increased stretch = decreased respiratory drive
low levels of inflation = decreased stretch = increased respiratory drive