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primary function of the respiratory system
release carbon dioxide from the body and acquire oxygen for use by the body (accomplished through respiration)
4 steps of respiration
pulmonary ventilation, external respiration, transport of respiratory gases and internal respiration
pulmonary ventilation
movement or air into the lungs (inspiration) and out of the lungs (expiration) in order to facilitate gas exchange.
external respiration
carbon dioxide diffuses to the lungs from the blood, oxygen diffuses to the blood from the lungs
transport of respiratory gases
carbon dioxide is transported from the cells of body tissues to the lungs, oxygen is transported from the lungs to the cell of body tissues (through blood of cardiovascular system)
internal respiration
oxygen diffuses from blood to the cells of the body, carbon dioxide diffuses from the cells of the body to the blood
carbon dioxide is produced and oxygen is used by cells for energy production during cellular respiration (in oxidative reactions)
structures of upper respiratory system
nose to the larynx
structures of lower respiratory system
larynx and structures inferior
nose
warms and moistens entering air, provides a resonating chamber for vocalizations, cleans & filters entering air, houses the olfactory receptors
olfactory mucosa epithelium
lines superior nasal cavity and has receptors for smell
respiratory mucosa
lines rest of nose, composed of pseudostratified ciliated columnar epithelium with goblet cells and seromucous nasal glands
secrete antibiotic defensins (assist killing microbial invaders)
seromucous nasal glands
composed of cells that secrete mucus (traps bacteria, dust, and debris) & cells that secrete watery enzyme rich fluid (humidify, lysozyme = antibacterial)
sneeze reflex
triggered when irritants (dust, pollen) contact the rich supply of sensory nerve endings in the nasal cavity, leading to a forceful expulsion of air from the lungs to clear the irritants.
nasal conchae
increase surface area and help create turbulence, deflects non-gaseous particles onto the mucous coatings
paransal sinuses
located in frontal, sphenoid, maxillary, and ethmoid bones that lighten the skull, improve voice resonance, and produce mucus that drains into the nasal cavity.
swallowing food
muscular soft palate and uvula move superiorly to block off nasopharynx, and the epiglottis flaps over the larynx, to keep food out of the nasal cavity and lungs
in nasopharynx, cilia propel mucus toward the stomach
pharyngeal tonsil (adenoid) of the nasopharynx
contains lymphatic tissue that traps and destroys pathogens
when swollen can block the airway and cause breathing difficulties.
pharyngotympanic tubes
connect the middle ear to the nasopharynx, helping to equalize pressure in the ear.
oropharynx and laryngopharynx
receive both food and air, contain a more protective stratified squamous epithelium
zones of respiratory system
respiratory zone and conducting zone
respiratory zone
site of external respiration (where gas is exchanged), is made up of the microscopic alveoli (main site of exchange), alveolar ducts, and respiratory bronchioles
conducting zone
consists of all tubes transporting air from the nose to the respiratory bronchioles, air is humidified, warmed, and filtered/ cleansed
larynx
houses vocal folds (vocal cords) for voice production
laryngeal prominence
the visible bump on the thyroid cartilage, commonly known as the Adam's apple, that is more prominent in males.
arytenoid cartilages
anchor vocal folds
glottis
vocal folds and opening between them (air passes through and produces sound when the vocal folds are positioned strategically)
opens and closes during intermittent expiration to produce speech
laryngeal muscles
move the cartilages of the larynx (mostly the arytenoid) to change the length of the vocal folds and size of the glottis to change the pitch and produce vibrations
laryngitis
an inflammation of the vocal folds causing them the swell and vibrate incorrectly
Valsalva maneuver
if vocal folds are completely closed over the glottis to stop air passage, abdominal muscles contract, and the glottis closes to increase the intra-abdominal pressure to help empty the rectum
boyle’s law
at a constant temperature, the pressure of a gas varies inversely with its volume
forced deep expiration
contracting abdominal wall muscles which pushes the abdominal organs somewhat superiorly against the thorax, and the rib cage is pulled inferiorly to further increase pressure in the thorax & internal intercostal muscles depress the rib cage to further increase pressure for forced expiration
trachea
composed of a mucosa (with pseudostratified columnar ciliated epithelium containing goblet cells which produces and moves mucus up out of lungs), submucosa (seromucous glands), adventitia (outermost connective tissue sheath)
trachealis muscle
lies between the esophagus and trachea, contraction aids in the rapid movement of air and mucus out of the lungs and trachea during coughing
lobe of lungs
3 on the right, 2 on the left
alveolar sac
cluster of alveoli coming off the alveolar duct
walls of alveoli
single thin layer of squamous epithelial cells (type I alveolar cells)
alveoli
densely covered with pulmonary capillaries
respiratory membrane
created by capillary and alveolar walls with their fused basement membranes sandwiched
ventilation-perfusion coupling
air that is high in oxygen and low in carbon dioxide is constantly being refreshed into the alveoli
locally autoregulated in the lung
ventilation
amount of gas reaching the alveoli
perfusion
blood flow in the pulmonary capillaries
cubodial type II alveolar cell
secrete antimicrobial proteins and surfactant that coats the alveoli
pulmonary surfactant
decreases the surface tension in the alveoli
fine elastic fibers
surround entire bronchial tree, including the alveoli and help maintain their structure, allowing for elastic recoil during breathing.
macrophages from the alveoli
keep us healthy by destroying pathogens are swept to the pharynx by cilia for disposal once they become too aged to function
mediastinum
heart, great vessels, esophagus, bronchi, and other organs
pleural fluid
fills space between the two pleural membranes
allows the lungs to easily move as we breathe
pleurisy
inflammation of the pleura
if persistently untreated can lead to fluid build-up in the pleural space, puts pressure on the lungs and decreases the ability to breathe
pneumonia
inflammation primarily of the alveoli in the lungs, often caused by infection or irritants.
can cause atelectasis when bronchioles become clogged with infectious materials and fluid accumulation in the alveoli, leading to difficulty breathing and reduced oxygen exchange.
cardiac notch
left lung is molded to accomodate the heart
tertiary bronchi
serve each bronchopulmonary segment (along with an independent artery and vein)
lung compliance
“stretchiness” of the lungs
the more a lung expands the greater its compliance and the higher the compliance the more easy it is for the lung to expand
visceral sensory nerve fibers and motor innervation in lungs
parasympathetic nerves = stimulate air tubes to constrict
sympathetic nerves = stimulate air tubes to dilate
renin angiotensin aldosterone pathway
helps regulate blood pressure
blow flow to the kidneys decreases, juxtaglomerucular cells secrete renin to the systemic circulation
renin converts angiotensinogen (from the liver) to angiotensin I
in the lungs, angiotensin converting enzyme (ACE) , catalyzes the conversion of angiotensin I to angiotensin II
angiotensin II stimulates arterioles to constrict & stimulates the secretion of aldosterone from the zone of glomerulosa of the adrenal cortex
increases reabsorption of sodium in the kidney
increase blood pressure to increase blood flow to the glomeruli of the kidneys
intrapulmonary pressure
pressure in the alveoli
changes as we breathe to move gases between the lungs and blood between the lungs and the atmosphere
intrapleural pressure
pressure in the pleural space or cavity
always slightly less than intrapulmonary pressure to prevent lung collapse and assist in lung expansion during breathing.
transpulmonary pressure
difference between the intrapulmonary and intrapleural pressures
atelectasis
lungs collapse due to lose of small transpulmonary pressure difference
non-respiratory air movements
hiccups or sneezing
Flow (F)
Flow = change in Volume/ change in time
volume of gas
expands with warming, therefore, the air volume expired from the lungs will be slightly greater than that inspired
tidal volume (TV or VT)
specific volume of air is drawn into and then expired from the lungs
expired minute volume (MV or VE)
the total volume of air expired from the lungs in one minute, calculated as tidal volume multiplied by the respiratory rate.
residual volume (RV)
volume of air remaining in the lungs after a full expiration
cannot be measured by spirometry because unable to exhale in the lungs
prevents lung collapse and helps keep the alveoli open
Spirometry
measured by pneumotachometer
pulmonary ventilation
keeps new air consistently and frequently entering the alveoli so that the pressure of oxygen in the alveoli is kept higher, and the carbon dioxide lower, than the oxygen deficient, carbon dioxide loaded, blood perfusing the pulmonary capillaries surrounding the alveoli
Dalton’s Law of partial pressures
the total pressure exerted by a mixture of gases will equal the sum of the partial pressures exerted independently by each of the gases in the mixture
the partial pressure exerted by each gas will be directly proportional to the percentage of that gas in the mixture
Henrys Law
when a gas is in contact with a liquid, the gas will dissolve into the liquid in proportion to its partial pressure
the larger the concentration of this independent gas in the mixture of gases in the gas phase, the greater and more rapidly that independent gas will go into solution in the liquid
Inspiratory capacity formula
IC = TV + IRV
Expiratory Capacity formula
EC = TV + ERV
Vital Capacity formula
VC = IRV + ERV +TV
Functional residual capacity formula
FRC = ERV + RV
Total Lung Capacity formula
TLC = VC + RV
Tidal Volume (TV or VT)
avg female = 500ml
avg male = 500 ml
Amount of air expelled with each normal resting breath
Inspiratory Reserve Volume (IRV)
avg female = 1900ml
avg male = 3100 ml
amount of air that can be forcefully inhaled after a normal tidal inspiration
Expiratory Reserve Volume (ERV)
avg female = 700ml
avg male = 1200ml
amount of air that can be forcefully exhaled after a normal tidal expiration
Residual Volume (RV)
avg female = 1100ml
avg male = 1200ml
amount of air remaining in the lungs after a maximum forced expiration
Total Lung Capacity (TLC)
avg female = 4200ml
avg male = 6000ml
maximum amount of air contained in the lungs after a maximum inspiration
Vital Capacity (VC)
avg female =3100ml
avg male = 4800ml
maximum amount of air that can be expired after a maximum inspiration
Inspiratory Capacity (IC)
avg female =2400ml
avg male = 3600ml
maximum amount of air that can be inspired after a normal tidal expiration
Expiratory Capacity (EC)
avg female = 1200ml
avg male = 1700ml
maximum amount of air that can be expired after a normal tidal inspiration
Functional (forced) residual capacity (FRC)
avg female = 1800ml
avg male = 2400ml
volume of air remaining in the lungs after a normal tidal expiration
hyperbaric oxygen chambers
contain oxygen at partial pressures higher than what we are normally exposed to in the atmosphere
used to drive oxygen into the blood for carbon monoxide poisoning or sometimes gangrene
excess oxygen
can lead to oxygen toxicity, causing damage to lungs and central nervous system.
hemoglobin
a protein in red blood cells that binds to oxygen for transport throughout the body.
affinity
how easily oxygen binds to hemoglobin
Bohr Effect
increasing partial pressures of carbon dioxide weakening the hemoglobin-oxygen bond
chloride shift
bicarbonate exits the red blood cells in exchange for chloride ions, helping to maintain ionic balance during carbon dioxide transport.
Haldane effect
decrease in hemoglobin's affinity for oxygen as CO2 levels rise, enhancing CO2 transport.
hypoxia
inadequate oxygen delivery to the body tissues
classified based on cause
anemic hypoxia
caused by a reduction in hemoglobin levels or impaired hemoglobin function, leading to decreased oxygen-carrying capacity of the blood.
ischemic hypoxia
caused by inadequate blood flow to tissues, resulting in insufficient oxygen delivery to those areas.
histotoxic hypoxia
caused by toxins that inhibit cellular respiration, preventing tissues from utilizing oxygen effectively.
hypoxemic hypoxia
caused by low partial pressure of oxygen in the blood, often due to high altitudes or respiratory diseases, leading to inadequate oxygenation of tissues.
carbon monoxide posioning
a type of hypoxemic hypoxia that occurs when carbon monoxide binds to hemoglobin in the blood, reducing its ability to carry oxygen to the body's tissues.
caused by breathing in smoke or fumes
ventral respiratory group (VRG)
medullary respiratory center of the medulla oblongata
that controls the basic rhythm of breathing by stimulating the diaphragm and intercostal muscles.
dorsal respiratory group (DRG)
medullary respiratory center of the medulla oblongata
that integrates sensory information to modify the rhythm of breathing, particularly during active respiration.
eupnea
clinical term for normal breathing rate
15 breaths per minute
pontine respiratory center
regulates the transition between inhalation and exhalation, smoothing the breathing pattern.
hypercapnia
clinical term for high carbon dioxide levels in the blood