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What is the respiratory system
A process where our body obtains oxygen and gets rid of carbon dioxide
What is internal respiration
It’s inside the cells where oxygen is delivered to blood to produce energy through a process called phosphorylation
Details of internal respiration
It’s the exchange of gases between systematic capillaries and body tissue
Oxygen moves out of blood where there is a high pressure into high pressure tissues where its partial pressure is lower so oxygen is delivered to cells for energy production
Carbon dioxide moves from tissues into blood and removed for elimination
In simple terms of internal respiration
Oxygen moves from blood- tissues
High pressure- low pressure
Carbon dioxide moves from tissues into blood to return to lungs for external respiration
What is external respiration
It’s between body and environment
Involves exchange of oxygen and carbon dioxide between atmosphere and tissues
Process of external respiration
Oxygen from air enters lungs and diffuses into blood and carries to tissues
Carbon dioxide is produced by cells and transported back to lungs and exhaled
More detail of external respiration
Oxygen moves from alveloli where pressure is high to blood where pressure is low
Carbon dioxide moves from blood to alveloli
What is pulmonary circulation
Deoxygenated blood is pumped on right hand side to the lungs by picking up oxygen and releasing carbon dioxide
What is systemic circulation
Oxygenated blood from left side of pumped throughout body and delivers oxygen to tissues
What is double circulation
It maximises efficiency of gas exchange so tissues receive oxygen they need and carbon dioxide is removed
Oxygen rich blood goes to tissues and oxygen poor blood goes to lungs at the same time
What is the upper respiratory tract
Includes all structures conducted from external environment to lower respiratory tract
Nose and nasal cavity- filters warm and humidifies air
Pharynx- passageway for air and food is divided into nasopharnx oropharynx and laryngopharynx
Larynx- contains vocal cords and protects airway with epiglottis
Functions of upper respiratory tract
Condition air
Protect lower airways
Provide an environment for speech
What is the lower respiratory tract
Begins with trachea- windpipe that contains ciliated epithelium and mucas to trap particles
Bronchi- left and right primary bronchi and divided into secondary (lobar) and tertiary (segmental) bronchi
Bronchioles- lack cartilage and leads to terminal bronchioles
Alveoli- air sacks where gas exchange happens
Functions of lower respiratory tract
Conduct air to alveoli
Remove debri through mucas clearance
Provide a site for external respiration
What is the ciliated epithelium for
Lines inner surface of trachea
Pseudostratified
Columnar epithelium
Ciliated cells have hair like projections called cilia which moves rhythmically to transport mucas and trap particles towards towards pharynx in a process called mucocillaryescalator
What are among ciliates cells
Goblet cells which secretes mucas to trap dust
What is beneath epithelial layer
Basement membrane containing blood vessels and immune cells
What is the conducting zone
Includes all features from upper and lower respiratory tract
Conducts air in respiratory zone where gas exchange happens
What is the respiratory zone
Where gas exhange actually happens
Respiratory bronchioles- have some avelioli budding on walls
Alveolar ducts- connects respiratory bronchioles to alveolar sacs
Alveolar sacs- clusters of alveoli at end of alveolar ducts
Alveoli- primary site for gas change
What happens with oxygen in respiratory zone
It diffuses from alveoli into blood in pulmonary capillaries while carbon dioxide is moves from blood into alveoli
What is the respiratory membrane for
To allow gases to be changed between alveolar air and blood in pulmonary capillaries
features of respiratory membrane
Very thin to allow rapid diffusion of oxygen into blood and carbon dioxide out into alveoli (0.5 micrometers)
What is the thorax
The sealed cavity that protects lungs, heart and other thoracic organs to allow movement of necessary breathing
What’s the rib cage
Protects organs and provides attachment for muscles
What’s the sternum
Central anterior bone of chest
What’s the thoracic vertebrae
Provides posterior support
What are the key muscles in thoracic cavity
External intercostals- between ribs and elevates ribs during respiration
Internal intercostals- between ribs and assisting in experation by depressing ribs
Diaphragm- dome shaped muscle separating thoracic from abdomen and main muscle for breathing and contraction
What does inspiration do to volume of oxygen
Increasing volume as thorax expands due to muscles that allow for expansion of cavity
What’s the primary muscle for inspiration
The diaphragm as the diaphragm flattens done increasing verticals dimentions of thoracic cavity allowing air to flow into lungs
External intercostal muscles elevate ribs to expand thoracic cavity
Scalene muscles- elevate first and second rib
Pectoralis minor- helps raise ribs when arms are fixed
What is quiet expiration
Occurs during normal resting exhalation and doesn’t require much muscluar effort
Driven by elastic recoil and is a passive process
What is forced exploration
Active process during rapid movement like coughing
Uses muscles to decrease thoracic volume
Ribs are depressed and abdominal muscles compress pushing diaphragm up
Decreased thoracic volume increases pulmonary pressure expelling air from lungs
Components of respiratory mechanism
Air enters trachea and conducted through bronchi into lungs
Alveoli is where gas exchange happens
The oxygen enters blood and carbon dioxide leaves the lungs
Lungs are elastic allowing them to recoil during exhalation
What is surrounding the lung
Visceral pleura which is a thin membrane that covers each long
What is the pariteral pleura
It lines thoracic cavity and diaphragm
What is the interplural space
Contains fluid that helps lungs slide smoothly during breathjng
What does it mean when diaphragm flattens
It enlarges thoracic cavity creating negative pressure so air can come in
What is the pleural sac
Double layered membrane surrounding each lung reducing friction and facilitating lung movement
Sac contains negative pressure to keep lungs expanded
What happens to movement of chest wall
It changes in pressure to inflate and deflate lungs
What happens to pressure in quiet inspiration
Chest wall moves outwards
Interplueral pressure falls from -2 to. -8
IPP exerts suction on vicereal pluera and stretches lungs
Alveolar pressure in below atmosphere pressure so air can move down pressure gradient into lungs
What happens to pressure in quiet expiration
Chest wall moves inwards
Pressure rises from -8 to -2
IPP exerts suction on lungs so it recoils
Alveoli are compressed and pressure increases above atmospheric pressure
What is collapsed lung
Due to a loss of interplueral pressure due to entry of air (pneumothorax) blood (haemothrox) or lymph (chylothorax)
Lung is no longer stretched and collapses due to small volume
How can lung volume be measured
By a spirometry to see how much air is inhales and exhaled as well as how quickly you can blow air out
Spirometers record what
Volume and flow of air
What is tidal volume
The air inhaled or exhaled during a normal breath -500ml
What is inspiratory volume
The additional air you inhale after a normal breath
What is expiratory reserve volume
The addition air you exhale after normal expiration
What is residual volume
The air that remains in the lungs after the maximal exhalation
How do we work out inspiratory volume
It’s tidal volume + inspiratory reserve volume
How to work out residual volume
Expiratory reserve volume and residual volume
How to work out the vital capacity
The vital capacity is total If you can move in combining IVR, TV and EVR
How to work out total lung capacity
Combine TV, ERV, IRV and RV
What is breathing rate
Number of breaths per min
What is respiratory minute volume
The volume of air entering or leaving lungs per min
How to work out respiratory volume
RV= TVx BR
Why does not all air we breath reach alveoli
Some air stays in conducting zone called dead space as it dosent participate in oxygen or carbon dioxide exchange it humidities and filters air
How to work out air reaching alveoli
TV- dead space
How to work out alveolar ventilation the volume of air entering lungs that will actually each alveoli to participate in gas exchange per min
AV= (TV-dead space) x respiratory rate- breaths per min
Which breathing is more efficient for tidal volume
Slow deep breathing