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What happens when you exhale?
Diaphragm relaxes and moves up by intercostal muscle, volume of lung decreases and pressure increases
What happens when you inhale?
Diaphragm contracts and moves down, ribs go up by external intercostal muscles, volume of lung increases and pressure decreases
What forces air into the lungs?
Air moves from high pressure to low pressure (gradient)
What is the gradient created by our body during respiration?
A point in which the pressure in the body is lower than the pressure in the atmosphere, air keeps entering temporarily until the pressures are equal
What is boyle's law?
Pressure is inversely proportional to volume
What is atmospheric pressure?
Force exerted by gasses in the air surrounding us (constant at 760mmHg)
Atmospheric pressure at sea level
760 mmHg
Respiratory (intra-pulmonary) pressures have what three types?
Negative, positive, neutral
What happens to atmospheric pressure during inhalation?
atmospheric pressure is always consistent, but pressure becomes negative and decreases in the lungs during inhalation
What are the mechanisms of inhalation?
PI is lower than atmospheric pressure (Pb), Air flows down the pressure gradient
What are the mechanisms of exhalation?
Diaphragm goes up, ribs go down, smaller volume, PI is higher than Pb, air flows down the pressure gradient
What are the four factors affecting respiration?
Muscles, lung compliance, airway resistance, surfactant effect/surface tension
What muscles are involved in ventilation?
diaphragm and intercostal muscles
What is lung compliance?
The ease of which lungs can be stretched, affected by elasticity (elastic recoil) and surface tension of lungs (alveoli)
What allows lungs to stretch?
Elastic fibers
What is airway resistance?
Airway radius, affected by passive forces, contractile activity of smooth muscle, and mucus secretion
What is the surfactant effect?
Surface tension caused by water in alveoli, pulmonary surfactant reduces this
Why can we hold our breath?
Some air is trapped in our lungs as a reserve, surfactant keeps the alveoli open all the time to maintain some amount of air in the lungs by preventing it from collapsing
What is surfactant made of?
phospholipids
What are the functions of type II cells?
Produce surfactant, and produce mother cells for type I
What are the 3 functions of surfactant?
Stabilize alveoli, maintain dryness of alveoli, reduce the work of breathing
How does surfactant stabilize alveoli?
Reduces surface tension, goes between H and O ions
How does surfactant maintain dryness of alveoli?
Prevents the edema of the alveoli
What is the work of breathing?
Effort required to expand and contract lungs, normally requires 3% of total energy expenditure of the body for quiet breathing
What is partial pressure?
the pressure of a single type of gas in a mixture of gases
What is total pressure?
sum of all partial pressures
What is Dalton's law?
Behavior of nonreactive gasses in a mixture of these gasses
What is Henry's Law?
Behavior of gasses when they contact liquids
What is ventilation?
Movement of air into and out of the lungs, regulated by diameter of airways
What is perfusion?
Flow of blood in pulmonary capillaries, regulated by diameter of blood vessels
What is external respiration?
Result of partial pressure differences in O2 and CO2, oxygen diffuses across respiratory membrane to capillaries, CO2 diffuses out of capillaries into alveolus
What is internal respiration?
Partial pressure of O2 in tissues are lows, O2 diffuses from blood into tissues, CO2 diffuses from tissues to blood
What is loading?
when hemoglobin binds to oxygen in the lungs
What is unloading?
when oxyhemoglobin drops off oxygen in the tissues
Why do we need hemoglobin?
Oxygen needs a carrier due to solubility, 3% of oxygen can dissolve in water, but 97% needs hemoglobin to carry them because they cannot dissolve
How much O2 can a healthy male transport?
200mL
How much O2 can a healthy female transport?
174mL
What happens during right shift?
Reduced affinity, increased temp, increased 2-3 DPG, Increased H+
The amount of O2 bound to hemoglobin is ____________ related to the partial pressure of O2
Directly
What is the oxyhemoglobin dissociation curve?
Shows the O2% that is bound to Hb at each O2 pressure, steep slope and flat portion between 70 and 100 mmHg of O2
How does exercise affect Hb saturation?
During exercise, Hb can carry about 10 more mmHg of O2
How does pH affect the oxyhemoglobindissociation curve?
if pH increases the curve will shift left
Where does the conversion of CO2 to bicarbonate occur?
Red blood cells
Why doesn't the conversion of CO2 to bicarbonate occur in white blood cells or platelets?
Because RBCs produce the enzyme required for the process
What is the chloride shift?
Movement to bring more ions into the RBCs to balance the increase of H+ ions and keep RBCs neutral
What is the Haldane effect?
O2 effect on CO2 transport, increased ability of blood to carry CO2 when hemoglobin is deoxygenated, a high PO2 decreased the affinity of Hb for CO2
How is respiration controlled?
Sensors, Effectors, and the Central controller
What are sensors?
Chemoreceptors, lungs and other receptors can sense if you stop breathing
What is the central controller?
pons, medulla, other parts of brain
What are effectors?
respiratory muscles
List 4 effectors
Diaphragm, intercostal muscles, abdominal muscles, accessory muscles
What are chemoreceptors?
Specializes tissues that respond to a change in the chemical composition of the blood or other fluid, responds to pH or ESF, exists in the lung and other organs
What is the neural control of lung mechanics?
Respiratory center is the brainstem, which includes the medulla oblongata and the pons
What are the effects of aging on respiration?
Vital capacity and maximum minute ventilation decreases, ability to remove mucus from passageways decreases, gas exchange across respiratory membrane in reduces, elasticity decreases
What is the embryonic origin of the respiratory system?
Endoderm
What is the pathway for the digestive system?
mouth → pharynx → esophagus → stomach → small intestine (duodenum, jejunum, ileum) → large intestine (cecum, colon, rectum, anus).
What is mechanical digestion?
Physically breaking down food substances into smaller particles to more efficiently undergo chemical digestion
What is chemical digestion?
Further degrade the molecular structure of the ingested foods by digestive enzymes into a form that is absorbable into the bloodstream
What other systems contribute to the digestive system?
Respiratory and circulatory systems carry oxygen to the digestive system
What are MALT and Peyer patches?
Part of the immune system, lymphs in the small intestine that catch bacteria and support the digestive system
What does the integumentary system form?
Vitamin D
How does the urinary system aid the digestive system?
Reabsorption of calcium, iron, sodium, potassium, and vitamin D
What are the accessory structures of the digestive system?
teeth, tongue, salivary glands, gallbladder, liver, pancreas
What holds the digestive organs in place?
parietal and visceral peritoneum
What is the nerve supply of the digestive tract?
Myenteric plexus and submucosal plexus
What is the myenteric plexus?
Neurons that are responsible for peristaltic movement of the bowels
What is the submucosal plexus?
Situated within the gut wall (from esophagus to the rectum), functions by secretions
What is the general function of the mouth?
Chewing/mastication
What is the general function of the pharynx and esophagus?
Propelling fenction
What is the general function of the stomach?
Acidic environment not good for bacteria, pepsin (for protein), HCl for low pH
What is the general function of the small intestine?
Food absorption
What enzymes are secreted from the intestine?
Lipase, amylase, sucrase, lactase, maltase, aminopeptidase, carboxypeptidase
What is the general function of the liver?
Emulsifies fats/lipids
What is the general function of the pancreas?
Produces enzymes regulated for digestion of proteins like trypsin and trypsinogen
What are the three subdivisions of the pharynx
nasopharynx, oropharynx, laryngopharynx
What is the esophagus?
C-shaped cartilages because it is located behind the trachea and needs to expand
What are the 3 major phases of the digestive system?
Ingestion, propulsion/deglutition, chemical/mechanical digestion
What are the key terms of propulsion?
Movement by peristalsis, food then moves to stomach, small intestine, then large intestine
Is the mouth chemical or mechanical digestion?
both
Is the esophagus chemical or mechanical digestion?
mechanical
Is the intestine chemical or mechanical digestion?
Both
What is the major site of absorption?
small intestine
What are the detailed roles of the stomach?
Muscular action
What are the 4 regions of the stomach?
cardia, fundus, body, pylorus
What is submucosa?
connective tissue
What is stomach mucosa made of?
Parietal cells
What are parietal cells?
Exocrine cells that secrete HCl, Intrinsic Factor, and Bicarbonate
What is the function of bicarbonate?
To kill the bacteria not killed by HCl and neutralize the stomach
What are cheif cells?
Exocrine, secrete digestive enzymes (pepsin and pepsinogen) that cleave proteins into smaller pieces
What are mucous neck cells?
secrete thin, acidic mucus of unknown function
What are enteroendocrine cells?
endocrine cells in the epithelium of the digestive tract, control stomach secretions and motility, produces gastrin and histamine
What is chyme?
Fluid which passes from the stomach to the small intestine (consisting of gastric juices and food)
What is responsible for gastric motility?
Peristalsis
What is a gastric ulcer?
Ulcer formed when acidic or alkaline food goes into the small intestine, if stomach does not stop secretions
What are internal stimuli of the digestive system?
Chemoreceptors detect not enough amino acids, fatty acids, or monosaccharies
What are 3 important digestion regulation hormones?
Gastrin, somatostatin, histamine
What does gastrin do?
Stimulates movement of stomach and intestine muscles to stimulate the secretion of enzyme
What does somatostatin do?
Opposite of gastrin, inhibits secretion of enzymes in the stomach and small intestine, or inhibits peristalsis action
What does histamine do?
Stimulates secretion of HCl
Name some mechanical functions of the stomach
Mixing wave, gastric emptying