Breathing (respiration) is the exchange of O<em>2 from the atmosphere with CO</em>2producedbycells.</p></li></ul><h3id="f440184a−f789−4f25−96ca−45c29fe2c5eb"data−toc−id="f440184a−f789−4f25−96ca−45c29fe2c5eb"collapsed="false"seolevelmigrated="true">RespiratoryOrgans</h3><ul><li><p>Breathingmechanismsvaryamonganimalsbasedonhabitatandorganizationlevel.</p></li><li><p>Lowerinvertebrates(sponges,coelenterates,flatworms)exchangegasesbysimplediffusionovertheirentirebodysurface.</p></li><li><p>Earthwormsusemoistcuticle;insectsusetrachealtubes.</p></li><li><p>Aquaticarthropodsandmolluscsusegills(branchialrespiration).</p></li><li><p>Terrestrialformsuselungs(pulmonaryrespiration).</p></li><li><p>Vertebrates:fishesusegills;amphibians,reptiles,birds,andmammalsuselungs.</p></li><li><p>Amphibians(frogs)canalsorespirethroughmoistskin(cutaneousrespiration).</p></li></ul><h4id="b05a3d49−6ca9−415b−971b−bd07bfd9e969"data−toc−id="b05a3d49−6ca9−415b−971b−bd07bfd9e969"collapsed="false"seolevelmigrated="true">HumanRespiratorySystem</h4><ul><li><p>Externalnostrilsopenabovetheupperlips,leadingtothenasalchamberviathenasalpassage.</p></li><li><p>Nasalchamberopensintothepharynx(commonpassageforfoodandair).</p></li><li><p>Pharynxopensthroughthelarynx(soundbox)intothetrachea.</p></li><li><p>Epiglottiscoverstheglottisduringswallowingtopreventfoodentryintothelarynx.</p></li><li><p>Tracheaextendstothemid−thoraciccavity,dividingintorightandleftprimarybronchiatthe5ththoracicvertebra.</p></li><li><p>Bronchidivideintosecondaryandtertiarybronchi,thenbronchioles,endinginterminalbronchioles.</p></li><li><p>Trachea,bronchi,andinitialbronchiolesaresupportedbyincompletecartilaginousrings.</p></li><li><p>Terminalbronchiolesgiverisetothin,irregular−walled,vascularizedalveoli.</p></li><li><p>Lungsconsistofthebranchingnetworkofbronchi,bronchioles,andalveoli.</p></li><li><p>Twolungsarecoveredbyadouble−layeredpleurawithpleuralfluidtoreducefriction.</p></li><li><p>Outerpleuralmembranecontactsthethoraciclining;theinnermembranecontactsthelungsurface.</p></li></ul><h4id="9b43113f−9f8a−4141−95ee−ae1155b553e5"data−toc−id="9b43113f−9f8a−4141−95ee−ae1155b553e5"collapsed="false"seolevelmigrated="true">Conductingvs.RespiratoryParts</h4><ul><li><p>Conductingpart:fromexternalnostrilstoterminalbronchioles.</p><ul><li><p>Transportsatmosphericairtoalveoli.</p></li><li><p>Clearsforeignparticles,humidifies,andadjustsairtemperature.</p></li></ul></li><li><p>Respiratory/exchangepart:alveoliandtheirducts.</p><ul><li><p>SiteofactualdiffusionofO2andCO2betweenbloodandair.</p></li></ul></li></ul><h4id="04719435−ec8b−4a4d−b2e9−d8b6c85f0092"data−toc−id="04719435−ec8b−4a4d−b2e9−d8b6c85f0092"collapsed="false"seolevelmigrated="true">ThoracicChamber</h4><ul><li><p>Lungsaresituatedintheair−tightthoracicchamber.</p></li><li><p>Thoracicchamberisformedby:</p><ul><li><p>Vertebralcolumn(dorsally).</p></li><li><p>Sternum(ventrally).</p></li><li><p>Ribs(laterally).</p></li><li><p>Dome−shapeddiaphragm(lowerside).</p></li></ul></li><li><p>Changesinthoraciccavityvolumereflectinthepulmonarycavity,essentialforbreathing.</p></li></ul><h4id="fc83b29c−1678−4596−a0c7−46aea9faf6b1"data−toc−id="fc83b29c−1678−4596−a0c7−46aea9faf6b1"collapsed="false"seolevelmigrated="true">StepsinRespiration</h4><ol><li><p>Breathing/pulmonaryventilation:atmosphericairin,CO_2−richalveolarairout.</p></li><li><p>Diffusionofgases(O2andCO2)acrossthealveolarmembrane.</p></li><li><p>Transportofgasesbytheblood.</p></li><li><p>DiffusionofO2andCO2betweenbloodandtissues.</p></li><li><p>UtilizationofO2bycellsforcatabolicreactions,releasingCO2(cellularrespiration).</p></li></ol><h3id="6cda19dc−e6b6−48e0−954b−7cc016e11d04"data−toc−id="6cda19dc−e6b6−48e0−954b−7cc016e11d04"collapsed="false"seolevelmigrated="true">MechanismofBreathing</h3><ul><li><p>Inspiration:atmosphericairisdrawnin.</p></li><li><p>Expiration:alveolarairisreleasedout.</p></li><li><p>Airmovementisdrivenbyapressuregradientbetweenlungsandatmosphere.</p></li><li><p>Inspirationoccurswhenintra−pulmonarypressureislessthanatmosphericpressure(negativepressure).</p></li><li><p>Expirationoccurswhenintra−pulmonarypressureishigherthanatmosphericpressure.</p></li><li><p>Diaphragmandintercostalmuscles(externalandinternal)generatethesegradients.</p></li></ul><h4id="a675c94b−270b−4682−aa1d−597ce910125c"data−toc−id="a675c94b−270b−4682−aa1d−597ce910125c"collapsed="false"seolevelmigrated="true">Inspiration</h4><ul><li><p>Initiatedbydiaphragmcontraction,increasingthoracicchambervolumeintheantero−posterioraxis.</p></li><li><p>Contractionofexternalintercostalmusclesliftsribsandsternum,increasingthoracicvolumeinthedorso−ventralaxis.</p></li><li><p>Increasedthoracicvolumeleadstoincreasedpulmonaryvolume.</p></li><li><p>Increasedpulmonaryvolumedecreasesintra−pulmonarypressure,forcingairintothelungs.</p></li></ul><h4id="e2493d88−ded4−4a08−80ab−156f8ab245e8"data−toc−id="e2493d88−ded4−4a08−80ab−156f8ab245e8"collapsed="false"seolevelmigrated="true">Expiration</h4><ul><li><p>Relaxationofdiaphragmandintercostalmusclesreturnsthemtonormalpositions,reducingthoracicvolume.</p></li><li><p>Reducedthoracicvolumedecreasespulmonaryvolume.</p></li><li><p>Increasedintra−pulmonarypressureexpelsairfromthelungs.</p></li><li><p>Additionalabdominalmusclescanincreasethestrengthofinspirationandexpiration.</p></li><li><p>Ahealthyhumanbreathes12−16times/minuteonaverage.</p></li><li><p>Aspirometerestimatesairvolumeinbreathingmovementsforclinicalassessmentofpulmonaryfunctions.</p></li></ul><h4id="060d9b5b−473a−4c0c−a98d−628367700811"data−toc−id="060d9b5b−473a−4c0c−a98d−628367700811"collapsed="false"seolevelmigrated="true">RespiratoryVolumesandCapacities</h4><ul><li><p><strong>TidalVolume(TV)</strong>:Volumeofairinspiredorexpiredduringnormalrespiration.Approx.500mL.(6000−8000mL/minute).</p></li><li><p><strong>InspiratoryReserveVolume(IRV)</strong>:Additionalairvolumeduringforcibleinspiration.Averages2500mL−3000mL.</p></li><li><p><strong>ExpiratoryReserveVolume(ERV)</strong>:Additionalairvolumeduringforcibleexpiration.Averages1000mL−1100mL.</p></li><li><p><strong>ResidualVolume(RV)</strong>:Airvolumeremaininginthelungsafterforcibleexpiration.Averages1100mL−1200mL.</p></li><li><p><strong>InspiratoryCapacity(IC)</strong>:Totalairvolumeapersoncaninspireafternormalexpiration.IC = TV + IRV</p></li><li><p><strong>ExpiratoryCapacity(EC)</strong>:Totalairvolumeapersoncanexpireafternormalinspiration.EC = TV + ERV</p></li><li><p><strong>FunctionalResidualCapacity(FRC)</strong>:Airvolumeremaininginlungsafternormalexpiration.FRC = ERV + RV</p></li><li><p><strong>VitalCapacity(VC)</strong>:Maximumairvolumeapersoncanbreatheinafteraforcedexpiration,orbreatheoutafteraforcedinspiration.VC = ERV + TV + IRV</p></li><li><p><strong>TotalLungCapacity(TLC)</strong>:Totalairvolumeaccommodatedinthelungsattheendofaforcedinspiration.TLC = RV + ERV + TV + IRVorTLC = VC + RV</p></li></ul><h3id="df9a3faa−d5ac−4d06−9ab8−30c3e8a88f33"data−toc−id="df9a3faa−d5ac−4d06−9ab8−30c3e8a88f33"collapsed="false"seolevelmigrated="true">ExchangeofGases</h3><ul><li><p>Alveoliaretheprimarysitesofgasexchange.</p></li><li><p>Gasexchangealsooccursbetweenbloodandtissues.</p></li><li><p>O2andCO2areexchangedbysimplediffusionbasedonpressure/concentrationgradients.</p></li><li><p>Solubilityofgasesandmembranethicknessalsoaffecttherateofdiffusion.</p></li><li><p>Partialpressure:pressurecontributedbyanindividualgasinamixture.</p><ul><li><p>pO_2foroxygen.</p></li><li><p>pCO_2forcarbondioxide.</p></li></ul></li><li><p>Concentrationgradientforoxygen:alveolitobloodtotissues.</p></li><li><p>GradientforCO_2:tissuestobloodtoalveoli.</p></li></ul><h4id="1289ad34−5602−4f56−b191−69afd08f22db"data−toc−id="1289ad34−5602−4f56−b191−69afd08f22db"collapsed="false"seolevelmigrated="true">DiffusionFactors</h4><ul><li><p>CO2solubilityis20−25timeshigherthanO2.</p></li><li><p>TheamountofCO2thatdiffusesthroughthemembraneishigherthanO2perunitdifferenceinpartialpressure.</p></li><li><p>Diffusionmembranelayers:</p><ul><li><p>Thinsquamousepitheliumofalveoli.</p></li><li><p>Endotheliumofalveolarcapillaries.</p></li><li><p>Basementsubstance(basementmembranessupportingepitheliumandendothelium).</p></li></ul></li><li><p>Totalthicknessislessthanamillimeter.</p></li><li><p>AllfactorsfavordiffusionofO2fromalveolitotissuesandCO2fromtissuestoalveoli.</p></li></ul><h3id="ab1ef052−70b8−4efe−ba5b−245f8d200e2b"data−toc−id="ab1ef052−70b8−4efe−ba5b−245f8d200e2b"collapsed="false"seolevelmigrated="true">TransportofGases</h3><ul><li><p>BloodisthetransportmediumforO2andCO2.</p></li><li><p>97O_2istransportedbyRBCs.</p></li><li><p>3O_2iscarriedinadissolvedstatethroughplasma.</p></li><li><p>20−25CO_2istransportedbyRBCs.</p></li><li><p>70CO_2iscarriedasbicarbonate.</p></li><li><p>7CO_2iscarriedinadissolvedstatethroughplasma.</p></li></ul><h4id="b01c1383−04cb−43c0−afea−5a422e211cdf"data−toc−id="b01c1383−04cb−43c0−afea−5a422e211cdf"collapsed="false"seolevelmigrated="true">TransportofOxygen</h4><ul><li><p>Hemoglobin:red−colored,iron−containingpigmentinRBCs.</p></li><li><p>O_2bindsreversiblywithhemoglobintoformoxyhemoglobin.</p></li><li><p>EachhemoglobinmoleculecancarryamaximumoffourO_2molecules.</p></li><li><p>BindingisprimarilyrelatedtopO_2.</p></li><li><p>Otherfactors:pCO_2,hydrogenionconcentration,andtemperature.</p></li><li><p><strong>OxygenDissociationCurve</strong>:SigmoidcurveofpercentagesaturationofhemoglobinwithO2plottedagainstpO2.</p><ul><li><p>UsefulforstudyingeffectsofpCO2,H^+concentration,etc.,onO2binding.</p></li></ul></li><li><p>Inalveoli(highpO2,lowpCO2,lesserH^+concentration,lowtemperature):factorsfavoroxyhemoglobinformation.</p></li><li><p>Intissues(lowpO2,highpCO2,highH^+concentration,hightemperature):factorsfavoroxygendissociationfromoxyhemoglobin.</p></li><li><p>Every100mlofoxygenatedblooddeliversaround5mlofO_2totissuesundernormalconditions.</p></li></ul><h4id="b91a885b−d8cb−4f4b−b04f−3a5f74395cd4"data−toc−id="b91a885b−d8cb−4f4b−b04f−3a5f74395cd4"collapsed="false"seolevelmigrated="true">TransportofCarbonDioxide</h4><ul><li><p>CO_2iscarriedbyhemoglobinascarbamino−hemoglobin(20−25pCO_2.</p></li><li><p>pO_2isamajoraffectingfactor.</p></li><li><p>Intissues(highpCO2,lowpO2):moreCO_2binding.</p></li><li><p>Inalveoli(lowpCO2,highpO2):CO_2dissociationoccurs.</p></li><li><p>RBCscontainahighconcentrationofcarbonicanhydrase;smalleramountsinplasma.</p></li><li><p>Carbonicanhydrasefacilitatesthefollowingreaction:<br>CO2 + H2O \rightleftharpoons H2CO3 \rightleftharpoons HCO_3^- + H^+ </p></li><li><p>Attissuesite(highpCO2duetocatabolism):CO2diffusesintobloodandformsHCO_3^-andH^+.</p></li><li><p>Atthealveolarsite(lowpCO2):thereactionproceedsintheoppositedirection,formingCO2andH_2O.</p></li><li><p>Every100mlofdeoxygenatedblooddeliversapproximately4mlofCO_2tothealveoli.</p></li></ul><h3id="df3b7259−6784−47be−9ab3−e436e2fdb34e"data−toc−id="df3b7259−6784−47be−9ab3−e436e2fdb34e"collapsed="false"seolevelmigrated="true">RegulationofRespiration</h3><ul><li><p>Humanscanmaintainandmoderaterespiratoryrhythmtosuitbodytissuedemands.</p></li><li><p>Neuralsystemcontrolsthisregulation.</p></li><li><p>RespiratoryRhythmCenter:inthemedullaregionofthebrain,primarilyresponsibleforregulation.</p></li><li><p>PneumotaxicCenter:intheponsregion,moderatesthefunctionsoftherhythmcenter.</p><ul><li><p>Neuralsignalsfromthiscenterreducethedurationofinspiration,alteringrespiratoryrate.</p></li></ul></li><li><p>ChemosensitiveArea:adjacenttotherhythmcenter,highlysensitivetoCO_2andhydrogenions.</p><ul><li><p>Increaseinthesesubstancesactivatesthecenter.</p></li><li><p>Signalstherhythmcentertoadjustrespiratoryprocesstoeliminatethesesubstances.</p></li></ul></li><li><p>ReceptorsassociatedwiththeaorticarchandcarotidarteryalsorecognizechangesinCO_2andH^+$$ concentration.