Chapter 23 lecture- respiratory system

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Whats the difference between external and internal respiration

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1

Whats the difference between external and internal respiration

  • External- gas exchange between air in lungs and blood in the pulmonary capillaries that surround the alveoli of the lungs

  • Internal- gas exchange between the blood in the systemic capillaries and the interstitial fluid/cells that surround them

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2

What are the functions of the respiratory system

  • provide an air passageway, gas exchange, olfaction, voice production, regulation of blood pH, protection

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3

What’s the first line of defense in the respiratory system

  • The respiratory mucosa

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4

What is the respiratory mucosa

  • The respiratory passageway exposed to exterior

  • The internal mucus lining acts as a sticky trap to keep stuff away from lungs

    • Mucous and salvia can do this as well

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5

What are alveoli

  • Give the lungs a spongy appearence and provide an increase in surface area for gas exchange

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6

What are 3 types of cells in the alveoli and what do they do

  • Type 1- 95% of surface and permit gas exchange through simple diffusion

  • Type 2- produce surfactant, which reduces surface tension and prevent alveolar collapse and easier for alveoli to expand

  • Macrophages

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7

What are the components of the respiratory membrane

  • Alveolar epithelium

  • Alveolar epithelium basement membrane

  • capillary endothelium basement membrane

  • capillary endothelium

    • The 2 basement membrane layers fuse

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8

What is pulmonary circulation

  • deoxygenated systemic blood that feeds into the pulmonary capillary network and picks up oxygen

  • The pulmonary veins being oxygenated blood from lungs back to heart

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9

What is bronchial circulation

  • Oxygenated blood to all lung tissue except alveoli

  • The bronchial veins carry the deoxygenated blood back to the heart

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10

What is lymph drainage

  • IF removal of dust, carbon etc… get filtered by lymph nodes

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11

How is the respiratory system innervated

  • Sympathetic NS causes bronchodiolation

  • Parasympathetic NS causes bronchoconstriction

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12

What are the pressures associated with ventilation

  • Atmospheric

  • Intrapulmonary

  • Intrapleural

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13

What is the normal atmospheric pressure

  • 760 mmHg

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14

Is intrapulmonary or intrapleural pressure higher

  • Intrapulmonary

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15

What are the steps of respiration

  • Pulmonary ventilation

  • alveolar gas exchange

  • gas transport

  • Systemic gas exchange

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16

What does boyle’s law state

  • Volume and pressure are inversely related

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17

How does ventilation occur

  • Pressure and volume changes, which create pressure gradients

  • Lungs change in volume due to diaphagm and external intercostals

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18

What are two types of breathing

  • Quiet breathing and forced breathing

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19

During inspiration what happens to the diaphragm and external intercostals

  • The diaphragm flattens and lengthens

  • The external intercostals widen

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20

What structures are in the respiratory

  • Medulla oblongata and pons

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21

What’s the difference between the medullary respiratory area vs the pontine respiratory center

  • Medullary respiratory area connects to the diahragm and intercostal muscles

  • Pontine respiratory center is the pons of the brainstem

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22

What are the ventilation cycle steps

  • 2 seconds in

    • Signals sent to diaphragm and intercostals → they contact

    • After 2 seconds nuerons become inactive and the muscles relax

  • 3 seconds out

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23

What’s a normal ventilation rate

  • 12-15 cycles per minute

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24

How does the PNS and CVS regulate respiration

  • CNS- Medulla responds to changes in H+ or PCO2 in CSF

  • PNS- Aortic arch and carotid arteries response to changes in h+ or PCO2 in the blood

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25

How does a feedback system work with respiration

  • When arterial CO2 is high, low pH causes the CNS and PNS to inspire those areas

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26

What is hypocapnia

  • Low CO2

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27

what is the Hering Breuer reflex

  • Baroreceptor site in bronchi and bronchioles

  • Stimulated by an increase in stretch in inhaling

  • Prevents excessive inflation in the lungs

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28

how do you find a pressure gradient

  • P atm- P alv

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29

How do you find airflow

  • P atm- P alv/R

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30

How can resistance be altered

  • decreased elasticity of the chest wall and lungs

    • age and diseases can cause this

  • Change in diameter of airways

  • Collapse of alveoli

    • increased surface tension

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32

What does bronchoconstriction and bronchodilation do in the airpassageways

  • Bronchoconstriction increases releases and slows down airflow from the parasympathetic nervous system

  • Bronchodilation decreases resistance and speeds up airflow from the sympathetic nervous system

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33

What is lung and throax compliance

  • How easy it is for lungs and thorax to expand and recoil

    • low compliance=hard to expand

    • High compliance=east to expand

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34

What is lung recoil

  • The tendency of the lungs to decrease in size after inhaling

  • The diaphragm moves up and decreases the amount of plueral space, the elasticity of lungs and cohesion of water molecules force lung size to go back to normal

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35

What happens to energy as resistance increases

  • energy increases because our inspirations are more forceful

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36

What is the glottis

  • The opening to the larynx

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37

What is valsalva maneuver

  • Trying to exhale when holding your breath and the glottis is closed

  • This increases pressure and lowers VR and may cause fainting

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38

How do you find pulmonary ventilation rate

  • ventilation rate * tidal volume

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39

What % of air reaches the alveoli and what happens to rest

  • 70% for the alveoli

  • 30% goes to the conducting zone

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40

How much of the atmosphere is oxygen

  • 20.9% or 159 mmHg

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41

What changes do you see in the atmosphere air vs exhaled air

  • The amount of nitrogen and oxygen decrease

  • Water and CO2 increase

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42

Does gas exchange increase or decrease if the respiratory membrane thickens

  • Reduces

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43

What is Henry’s law

  • The amount of gas that can move into a liquid is equal to its partial pressure and solubility in the liquid

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44

With gas transport how much oxygen stays in the plasma

  • 2%

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45

What happens to 98% of oxygen during gas transport

  • Moves to erythrocytes and binds to hemoglobin

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46

With gas transport how much carbon stays in the plasma

  • 7%

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47

How much of the carbon during gas transport binds to hemoglobin creating HbCO2

  • 23%

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48

What does 70% percent of CO2 do during gas transport

  • Converts to H2CO3 and then to HCO3 and then into the plasma as HCO3-

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49

Is pH lower in veins or arteries and why

  • Veins

    • because it is transporting CO2

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50

Does a decrease in pH lead to hypoventilation or hyperventilation

  • Hyperventilation

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51

How do you find the a-v O2 difference

  • Arterial saturation (98%)- venous saturation

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52

After oxygen dissociates where does it go and why

  • To tissues so cell resp. can occur

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53

During exercise does oxygen reserve increase or decrease

  • Decrease

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54

What mechanisms enhance the release of O2 to active tissues

  • Active tissues produce more heat, lower pH, promotes oxygen unloading to tissue and carbon binding to Hb

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