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What do the turbinates do?
filter, humidifies, causes turbulent flow in the nasal passage, and increases surface area in the nasal passage
what are the paranasal sinuses?
Maxillary, frontal, ethmoid, and sphenoid sinuses
Blunting of the costophrenic angles and fluid in the pleural space indicates?
Pleural effusion
why is the left hemidiaphragm lower than the right?
Because the heart sits there
Stimulation of the sympathetic nervous system can?
increase HR, bronchial smooth muscle relaxation,
Decrease gut/ intestinal motility
What are the conducting zones?
Nasal cavity
pharynx
larynx
mainstem bronchi
segmental bronchi
bronchioles
terminal bronchioles,
What allows collateral ventilation?
Pores of Khon and canals of Lambert
Does surfactant increase or decrease WOB?
DECREASE WOB
The exchange of gases that occur between the alveolus and the respiratory bed is called?
external respiration
Which structure is most effected by smooth muscle constriction?
Bronchioles
What is cila like?
hair like structures That transport, they constantly push mucus upward and out That mucus traps dust, bacteria, viruses, smoke particles
Which bronchi is the most easiest to intubate?
The right because of the verticle angle
What muscles are accessory muscles?
Scalene and pectoralis major/minor
TLC
6000ml
VC
4800ml
IC
3600ml
FRC
2400ml
IRV
3100ml
VT
500ml
ERV
1200ml
RV
1200ml
VC+FRC-ERV=
VC
is inflammation of the vocal cords a life or death situation?
no vocal cords don’t get inflamed
is inflammation of the cricoid cartilage life threatening?
yes
is inflammation of the epiglottis cartilage life threatening?
yes extremely life threatening
tube that connects the middle ear to the nasopharynx?
Eustachian tube
What are the cells that produce mucus?
Goblet and submucosal cells
What is the primary function of the upper airway?
Warm, humidify, filter, passageway for air, prevent foreign materials to get in
the conducting passage membrane is lined with a membrane what does it produce?
mucus, cilia, goblet and submucosal layer
what is the purpose of the Eustachian tube?
equalize pressure and drain secretions
What are ribs 1-7 connected to?
The sternum
Name of the cells where alveolar gas exchange occurs?
type 1 cells (squamous alveolar cells)
which passageways contains cartilage?
trachea, and right and left bronchus
What is the lung compliance formula
C= ΔV/ΔP
What is the elastance formula
E=ΔP/ΔV
What are some major static forces in the lung that cause an inflated lung to recoil inward?
Surface tension and elastance
What is airway resistance?
The pressure difference between the mouth and the alveoli/flow rate
Palveoli- Pmouth/V̇
OR
PiP-Pplat/ V̇
Where would you make an incision for an emergency airway
Cricoidthyroid membrane
What is EPP?
Equilized pressure point
EPP in a non cartilage airway can cause?
Dynamic AW collapse
Air trapping
Decrease elastance
Hyperinflation
Increase WOB
What structures participate in subatmospheric pressure in the alveolus
Disaphragm contracts
movement of the lung tissues
lung tissue moves down with diaphragm
Where is the pleural space?
The space between the pleura
During forceful exhalation which muscles are used?
Absominal muscles
Rectus abdominis
external oblque
interal oblique
transversus abdominis
Where does the trachea start and end?
The larynx below the vocal cords and carina
What happens when you stimulate the parasympathetic nervous system ?
decrease HR
increase bronchial smooth muscle
increase intestinal motility
What is the cartilage found in the larynx? (TEST QUESTION)
Cuniform, cricoid, arytenoid
Which disease has the highest recoil ?
Pulmonary fibrosis
What is the function of surfactant?
decrease surface tension
A patient with emphysema has increased WOB because of high RAW. How would they keep their airway open?
Pursed lipped breathing
emphysema patient has an increase CL or Decrease CL
Increase CL
the thyroid cartilage is the narrowest point in adults or neontes?
Neonates
Does the parasympathetic cause an increase or decrease in submucosal glands?
Increase submucosal glands
What role do the accessory muscles of inspiration play in increasing or decreasing thoracic volume?
Increase thoracic volume
Plateau pressure is equal to what?
alveolar pressure
Can you exhale RV?
No you cannot
Plateau or peak pressure is more important
Plateau pressure is more important
what constitutes IC?
VT + IRV
Is dynamic compression of the non-cartilaginous airway rarely a problem in emphysema patients?
False
purpose of the pores of khon?
Collateral ventilation
Can pulmonary fibrosis cause vasoconstriction?
Yes, vasoconstriction can happen with pulmonary fibrosis
The stimulation of the sensory receptors can cause?
A cough
the nerve that stimulates the diaphragm is ?
The phrenic nerve
Where does a pneumothorax occur?
the pleural space between the visceral and parietal pleura
Increase CL =
Decrease elastance
Increase CL, will the lung take a greater volume of gas?
Yes its easier to get air in
If RAW is increased is it easier or harder to get air in?
Harder to get air in
process of moving gas between the external environment and alveoli is ?
Ventilation
cystic fibrosis
thick sputum, cor pulmonale, digital clubbing, JVD
Surfactant molecules does what?
decrease surface tension
What is racemic epinephrine used for?
post extubation, stridor, upper AW obstruction
what cells secrete surfactant?
Type II epithelial cells