respiratory

Step 12: Respiratory System

  • Definition and Importance

    • A pulmonologist is a physician specializing in the respiratory system.

    • The respiratory system is crucial for bringing oxygen into contact with the bloodstream in the lungs.

    • The human body cannot survive without oxygen for more than three to five minutes.

    • Respiratory arrest (failure of lungs) and cardiac arrest (failure of the heart) can both lead to death.

Components of the Respiratory System

  • Anatomy

    • The respiratory system consists of air passages, pulmonary vessels, lungs, and breathing muscles.

      • Upper Airways:

        • Nose, mouth, pharynx (muscular tube).

    • Air Passage Flow:

      • Air enters through the upper airway, moves through the pharynx, and into the larynx (voice box).

      • The epiglottis prevents food and water from entering the respiratory tract.

      • Air continues into the trachea, which splits into bronchi—leading to the right and left lungs.

    • Lung Structure:

      • Each lung has branching tubes that terminate in alveoli (tiny air sacs) where gas exchange occurs.

Functions of the Respiratory System

  • Gas Exchange

    • Oxygen enters and carbon dioxide exits the bloodstream in the alveoli via tiny vessels.

  • Ventilation (Breathing):

    • Inhaling (Inspiration):

      • Diaphragm contracts downward, causing the lungs to fill with air.

    • Exhaling (Expiration):

      • Diaphragm relaxes upward, forcing air out of the lungs.

    • Normal breathing occurs spontaneously 12-20 times per minute, moving about a pint of air each time.

Respiratory System Terminology

  • Combining Forms and Abbreviations:

    • alveoli/alveolus: air sac

    • pharyng/o: pharynx, throat

    • ARDS: acute respiratory distress syndrome

    • phon/o: voice, sound

    • bronch/o: bronchus

    • phren/o: diaphragm, mind

    • bronchiol/o: bronchiole

    • pleur/o: pleura, rib

    • capn/: carbon dioxide

    • pneum/o: air, gas, lung

    • COPD: chronic obstructive pulmonary disease

    • pulm/o, pulmon/o: lung

    • CPR: cardiopulmonary resuscitation

    • RDS: respiratory distress syndrome

    • CXR: chest x-ray

    • rhin/o: nose

    • DTaP: diphtheria, tetanus and pertussis

    • RLL: right lower lobe (of lung)

    • FEV: forced expiratory volume

    • RT: respiratory therapist

    • ICU: intensive care unit

    • RUL: right upper lobe (of lung)

    • IN: inhalation

    • SCLC: small cell lung cancer

    • laryng/larynx: voice box

    • SOB: shortness of breath

    • LLL: left lower lobe (of lung)

    • spir/o: breathe

    • LUL: left upper lobe (of lung)

    • T&A: tonsils and adenoids

    • MDI: metered-dose inhaler

    • TB: tuberculosis

Page 2: Respiratory Disorders and Impacts

  • Pathogen Exposure

    • Each breath can carry microorganisms (viruses and bacteria) that can impact respiratory health.

    • Most microorganisms are harmless, but some can cause serious respiratory illnesses.

  • Common Respiratory Illnesses:

    • Upper Airway Conditions:

      • Common cold: affects only upper airways.

    • Lower Respiratory Diseases:

      • Bronchitis: inflammation of the bronchi.

      • Pneumonia: infection inflaming air sacs in lungs.

  • Chronic Conditions:

    • Emphysema:

      • Alveoli enlarge, destroying walls and capillaries, leading to breathing difficulties and low blood oxygen.

    • Asthma:

      • Airways narrow and swell, producing excess mucus—causing wheezing and shortness of breath.

    • Lung Cancer:

      • Growth of abnormal cells in lungs, caused by irritants (cigarette smoke, asbestos, radiation).

      • Begins as a tumor in bronchi, leading to pain, coughing, and difficulty breathing.

      • Survival rates are improving with new therapies.