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Respiratory Class Notes

  • Pulmonary ventilation: Moving air in and out of the lungs

  • External respiration: Diffusion of gases (O2 and CO2) between lungs and blood; O2 in, CO2 out

  • Internal respiration: Diffusion of gases between blood and tissues; CO2 in, O2 out

  • Cellular respiration: Sugar + Oxygen —> Carbon dioxide + water + ATP

  • Respiratory system regulates pH of blood —> NOT O2 !!!!

  • Hyperventilation = not enough CO2; not enough carbonic acid→Respiratory alkilosis

  • Why breathe using nose, not mouth?

    • Filters coarse materials using VIBRISSAE (Nose hairs)

    • Warms incoming hair (nose can warm the hair)

      • Cold air can damage thin membrane

    • Adds moisture

  • CONCHAE: Inside the nasal cavity; mixes up incoming air → Helps trap smaller particles that made it past the hairs

  • PHARYNGOTYMPANIC TUBE: Connection between nasal cavity and middle ear

  • UVULA:

  • HARD PALATE:
    SOFT PALATE:

  • PHARYNX: The throat; Common passageway for food and air

    • 3 regions

      • Nasopharynx: Back of the throat

      • Orophasynx:

        • Separated from nasopharynx by uvula

        • Separated from laryngopharynx by epiglottis

      • Laryngopharynx:

        • Separated from oropharynx by epiglottis

      • EPIGLOTTIS: Cartilage which closes off the airways named “glottis”; airways are ANTERIOR

        • Behind hyoid bone

        • When you swallow, the larynx lifts and hits the epiglottis, so when you swallow, you won’t hit is

  • LARYNX: AKA - Voice Box or Adam’s Apple

    • Mostly cartilage

    • Biggest cartilage = thyroid cartilage

      • RIght above = hyoid bone

    • Cricoid cartilage = 2nd notch

    • Boys have thicker vocal chords after puberty

      • Pulling tighter = higher

      • Slck = Low

  • TRACHEA: Bronchial tree; windpipe

    • 11-12 cartilage rings which branch out into the lungs

    • Cilia sweep the gunk from lung to mouth to cough;

  • BRONCHIOLES AND ALVEOLI:

    • Bronchioles end in alveoli

    • crtilage is replaced by smooth muscle

    • Respiratory membrane —> Simple squamous epithelium

    • Bundled by thousands of capillary

    • Inhalers have bronchodialators —> Opens up smooth muscle in lungs

      • Sympathamimetics —> Mimics sympathetic nervous system

      • Only 2 —> More will increase heart rate

    • Type 1: Simple squamous epithelium

    • Type 2: Secrete surfactant

      • Breaks up water cohesion; soap

      • Made mo 7

  • LUNG:

    • Left lung is smaller; crowded by heart

      • Right lung has 3 lobes, and 3 secondary bronchi

      • Left has 2 lobes, and 2 secondary brinchi

  • Henry’s Law

    • When a mixture of gases is in contact with a liquid, each gas will disolve in the liquid in proprtuon to its partial pressure.

    • The amount of gas that will dissolve in a liquid also depends upon its solubility

    • Various gases in air have different solubilities

      • CO2 is the most soluble

      • O2 is 1/20th as soluble as CO2

      • Nitrogen is practically insoluble in plasma

  • Oxygen transport:

    • Molecular oxygen is carried in the blood

    • Bound to hemoglobin within RBCs (98%)

    • Dissolved in plasma (2%)

  • Oxygen transport

    • Each Hb molecule binds 4 O2 atoms in a rapid and reversible process

    • Combination is called Oxyhemoglobin (HbO2)

    • Hemoglobin that has released O2 is called reduced/deoxyhemoglobin (HHb)

Heat, acidity, conecntration of co2

  • Want airways to be patent → Not closeable

  • places w heat have the most oxygen

    • Heat and lactic acid weaken bonds in hemoglobin-oxygen

    • Co2 is increased, also wanting to grab co2 instead of oxygen

    • Po2 pco2 (partial pressures), temperature, blood ph

  • CO2 can be transported in 3 ways

    • Dissolved in plasma 7-10%

    • Chemically bound to hemoglobin 20% is carried in RBCs as Carbaminohemoglobin

    • Bicarbonate ion - 70% is transported as bicarbonate

  • lungs

    • right lung has 3 lobes

      • 2 fissures - horizontal and oblique

      • lobes are independent

    • left lung has 2 lobes

      • 1 fissure - oblique

    • pleura

      • pleura

        • visceral + perietal (attatched to ribs and diaphragm)

          • serous fluid inside

    • controlled by diaphragm (boyles law)

      • more pressure = less volume → Leaves lungs

      • less volume = more volume → enters lungs

    • can be disconnected from ribs, will want to be the smallest size

      • collapsed lung

      • pneumothorax - air is in space

      • hemothorax - blood is in the space

    • laryngectomy

      • Stoma to breathe through chest

Co2 + h2o → carbonic acid (h2co3) → hydrogen (h2+) + bicarbonate ion (hco3-)

  • bicarbonate leaves to digestive system

  • H2 stays in blood and makes it slightly basic

Co2 from blood mixes with csf, becoming acidic and irritating brain

yawming = backup —> aortic and carotid body chemoreceptors can tell when oxygen levels are low —> yawn = gasp

  • vagus and glossopharyngeal nerves cranial nerve 9 and 10

central chemoreceptors sense high co2 levels (primary)

peripheral chemoreceptors sense low o2 levels (secondary)

breathing is regulated in pons and medulla

breathing is voluntary adn involuntary - voluntary reflex w involuntary component

medulla has 2 parts which controlls breathing - both say breathe IN, not OUT, just STOP breathing in

  • drg - dorsal respiratory group - tells diaphragm to contract

    • involuntary; passive

    • inspiratory/excitatory

  • vrg - ventral respiratory group -

    • voluntary; active

    • inspiratory/excitatory

pons

  • prg -

    • inhibits drg and vrg

medulla is rate of breath; prg is how deep you will breathe

takes energy to breathe in, no energy to breathe out

  • tidal volume = normal breath (1/2 liter)

    • oxygenates 98-99% of blood

  • experatory reserve volume = 1.2 liters

    • if needed to get rid of more co2 than normal

  • inspiratory reserve molume = 3 liters

    • in case w eneed more o2

  • vital capacity = amount of air i can exchange

    • even if you breathe out all the air, ther eis still some left

      • called residual volume (1 l)

    • total lung capacity = vital capacity + residual capacity ~ 6 liters

someone who smokes uses energy to push air out bc elasticity is lost from pushing air out - barrel chest

Lung cancers: 3 types

  • squamous cell carcinoma - breathing in pollution

    • tissues which come in contact w the air

  • adenocarcinoma - “gland”

    • cancer of cells which make fluids

    • second hand smokers

    • stay encapsulated, easy to remove

    • changes the shape of the ribs, makes other side work harder +

  • small cell carcinoma - 99% time in s\mokers

    • attatched to rib cage and metastasizes