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what makes up the upper airways?
nares, nasal cavity, pharynx
what makes up the lower airways?
larynx, trachea, bronchial tree, lungs
other components of pulmonary system?
diaphragm, visceral and parietal pleura, pleural space
avian pulmonary system
have anterior and posterior sacs for unidirectional flow through lungs, this enhances exchange efficiency and allows them to fly over extreme altitudes
reptile pulmonary varieties
similar to mammals (crocodiles), use muscles of chest wall (snakes, lizards), or buccal pumping (some lizards)
amphibian pulmonary system
have simple lungs as secondary but depend primarily on skin for gas exchange, larval stages utilize gills and skin
horses pulmonary differences
obligate nasal breathers due to position of epiglottis
elephant pulmonary differences
no pleural space, have connective tissue that will allow them to snorkel with trunk
dolphin pulmonary differences
have collapsible lungs to extract oxygen more efficiently and prevent the bends
layers of respiratory system
tunica mucosa, tunica submucosa, tunica adventitia/serosa
tunica mucosa
innermost layer, has epithelium, lamina propria, and muscularis mucosa
lamina propria
loose connective tissue of the mucosa
muscularis mucosa
thin layer of smooth muscle that defines end of mucosa
tunica submucosa
connective tissue layer, may have glands and other inclusions
tunica adventitia/serosa
outermost layer of connective tissue, adventitia will blend into other organs’ connective tissue, serosa will be bounded by serous membrane
upper airway microanatomy
mucosa may not always have muscularis mucosa, submucosa will often have submucosal/mucus glands, will have adventitia that often has bone in nasal cavity
respiratory epithelium
usually pseudostratified columnar with cilia and goblet cells
olfactory epithelium
line nasal conchae, specialized for sensing odors, has Bowman’s glands below epithelium
Bowman’s/olfactory glands
produce mucus to remove old odors and refresh the system
larynx/voice box
cartilage that houses true and false vocal folds
false vocal fold
similar to other portions with respiratory epithelium and mixed glands
true vocal fold
muscular fold covered by stratified squamous non-keratinized epithelium
trachea
tunica mucosa may have muscularis mucosa, submucosa often has submucosal/seromucus glands, adventitia will have C-shaped cartilage rings
C-shaped cartilage rings
prevents trachea from collapsing with inhalation, trachealis muscle closes rings
diffuse neuroendocrine cells in tracheal epithelium
monitor environment and secrete products like serotonin, misregulation can contribute to asthma
why are the cartilage rings C shaped?
to accommodate for esophagus to expand
pleural cavity function
serous membrane is lubricated to minimize friction during respiration, cavity is slight negative pressure compared to lungs through specialized lymphatic drainage
spontaneous pneumothorax
air entering pleural cavity reducing negative pressure, usually caused by rupture of blebs/bullae on surface of lungs
dead space/conducting space
all volume that doesn’t have gas exchange
poiseulle’s law
resistance = ¼ radius
trachea to early bronchi have higher _
resistance
branching tree of bronchi for increased _, but smaller tubes increases _
surface area, resistance
bronchi
tunica mucosa has bronchial epithelium lamina propria and sometimes muscularis mucosa, submucosa has bronchial/seromucus glands, adventitia has cartilage plates instead of rings
bronchial epithelium
pesudostratified columnar with cilia and goblet cells, but shorter that respiratory epithelium and fewer goblet cells
bronchioles
tunica mucosa will have bronchiolar epithelium, club/clara cells, lamina propria, and muscularis mucosa, tunica submucosa will have no bronchial glands, and tunica adventitia has no cartilage
bronchiolar epithelium
simple columnar/cuboidal with cilia
club/clara cell
produce surfactant, break down mucus, and detoxify some substances (CYP450), act as stem cells
surfactant
reduces surface tension from water in lungs
why don’t bronchioles need cartilage?
less air velocity, have smooth muscle instead
progressing down respiratory tree
less cartilage, more smooth muscle, more clara cells, less goblet cells
respiratory bronchioles
first place for gas exchange, simple cuboidal epithelium, club cells, muscularis mucosa, and clear breaks in epithelium with connections to alveoli
alveolar ducts
where airway is almost completely covered by alveoli, smooth muscle will have knobs covered by a few cuboidal cells
alveolar sacs
dead ends of alveolar ducts, no smooth muscle knobs will have pointed septae, and no cuboidal epithelium
alveoli
blind end of respiratory tract where gas exchange occurs by diffusion across blood-air barrier (capillaries), will have type 1 pneumocytes, type 2 pneumocytes, alveolar macrophages, and endothelial cells
type 1 pneumocyte
squamous cells that form blood-air barrier with endothelial cells
stroma of blood-air barrier
made up of collagen and elastin, basement membrane of type 1 and endothelial cell
endothelial cell
squamous cells that line capillaries, form blood-air barrier with type-1 pneumocyte
blood-air barrier needs to be _ and _ for efficient diffusion
very large surface area, very thin
type 2 pneumocyte
cuboidal cell that secrete surfactant
feline asthma
over-reactive immune cells cause recruitment of more immune cells, increase mucus secretion and muscle contraction, will see bright branching pattern on radiograph that is inflammation of bronchi/bronchioles
main function of gas exchange
remove CO2 to maintain acid base balance
respiratory and transition zones
where gas exchange will occur
mucociliary tree
in dead zone, has cilia to move mucus
the mammalian lung will mix
inspired and alveolar gas, breathe in 1 L, lungs have 2-3 total Ls
lung lobules species differences
pigs and cattle lobules are not interconnected, cats and dogs there is profuse interconnectivity, horses are intermediate
lobule interconnection function
allow for collateral ventilation and lessen consequences of airway obstruction
type 1 alveolar cell
form thin projections, 90% of alveoli area
babies born before 34 weeks need
surfactant
alveolar macrophage will not eat
asbestos or silica
equilibration
pressure of gas in alveolar space and in blood leaving lungs is the same
ventilation
process where gas gets into alveoli, first process that enable O2 across blood-gas interface
not all gas will go into alveolar space,
1/3 will stay in dead space
transit time
ratio of pulmonary capillary volume/cardiac output, exercise will increase volume and greatly increase cardiac output which will decrease transit time
total lung capacity
max amount of how much air can be in lungs
vital capacity
distance between total lung capacity and functional residual capacity
tidal volume
average amount of air breathed in
functional residual capacity
at end of each breath, when no respiratory muscles are acting on lungs, great reference of lung volume
residual volume
minimum amount of air lungs wants to hold
VT =VA + VD
tidal volume= alveolar space + dead space
V’E=V’D+V’A
expired ventilation= dead space ventilation + alveolar ventilation
why is rapid shallow breathing less efficient?
too much air is wasted in dead space and not in alveolar space
bohr equation
VD/VT= PACO2-PECO2/PACO2, P difference b/n alveolar CO2 and expired CO2 over alveolar CO2, ratio of dead space to tidal volume,
alveolar ventilation during exercise
increases with volume of carbon dioxide to regulate mean expired carbon dioxide to keep arterial pH as close to 7.4 as possible
where is ventilation higher?
at base of lung, because tissue here is much more compliant and takes less force to stretch
dalton’s law of partial pressures
pressure exerted by a gas is proportional to total pressure multiplied by the fractional concentration of that gas
gases move across a membrane by _
pressure gradient
why does PO2/partial pressure decrease in alveoli
there is mixing with CO2 and O2 is removed at a greater rate than CO2
respiratory exchange ratio
ratio of flow of CO2 to flow of O2 uptake, VCO2/VO2, usually about .8
alveolar gas equation
PaO2 = PIO2 - (PaCO2/R), partial pressure of oxygen = partial pressure of inspired oxygen - (partial pressure of CO2/respiratory exchange ratio)
henry’s law
concentration of gas dissolved in a liquid is proportional to its partial pressure and solubility
the solubility of O2 is _, and the solubility of CO2 is _
very low at .003, and very high at .067
boyle’s law
P1V1=P2V2, helps us understand that as we inhale the negative pressure lowers the alveolar pressure past the atmospheric pressure, driving air into lungs to balance pressure, and the opposite for expiration
fick’s law
volume of gas that diffuses across a membrane per time is determined by V’gas=A/T x D(P1-P2), or area/thickness x diffusion constant (partial pressure on first side - partial pressure on second side)
how is diffusion constant determined?
solubility/ square root molecular weight
alveolar gas PO2 is _, and pulmonary capillary PO2 is _, what does this mean?
100, 40, O2 will flow rapidly down this pressure gradient
diffusion limitation
diseased lungs may take longer for equilibration or it may not happen at all causing blood leaving lung to have a lower O2 than alveolar gas
female humans, greyhound, and horses all experience what with diffusion?
the red blood cells are in the pulmonary capillary for a super short time because the cardiac output is so high, resulting in hypoxemic blood
Within a healthy lung, how long does it take for the capillary blood to equilibrate with the alveolar gas?
.25 s
What are the pressures of O2 and CO2 in the arterial blood, the venous blood, and the alveolar space?
PO2 100 mmHg and PCO2 40 mmHg, PO2 40 mmHg and PCO2 46 mmHg, PO2 100 mmHg and PCO2 40 mmHg
why is pulmonary artery pressure so low?
the blood gas barrier is very fragile
transmural pressure
difference between capillary lumen pressure and alveolar pressure
pressures are_ at rest
pulsatile, but not in capillaries, this increases with exercise
how is vascular resistance affected by lung volume?
with inhalation, volume of pulmonary capillaries are increased and resistance is lowered, with exhalation it will compress capillaries and increase resistance
why don’t we breathe at total lung capacity all the time?
it would overload the right ventricle and cause right heart failure and stiffen the lungs
how do the lung apex and base perfusion compare?
apex has low perfusion pressure and base has high perfusion pressure, this is due to gravity
pulmonary hypoxic vasoconstriction
blood flow past a messed up part/hypoxic region will decrease, but will cause right heart failure and brisket disease because pressure increases in artery
what animals are most affected by hypoxic pulmonary vasoconstriction at altitude?
pigs and cattle
blood flow in equine lung
dorsal surface gets more blood flow because arterioles here have higher sensitivity to vasodilation with exercise
why is PO2 higher as we move up lung?
because the V/Q ratio is higher
pulmonary edema
waterlogged lung, will have thickened blood gas barrier