Exam Review Notes

Dyspnea

  • Dyspnea is defined as difficulty breathing.
  • Difficulty breathing leads to not getting enough oxygen.
  • The question was about what dyspnea is associated with, not what it could lead to.

Breathing Terms

  • Apnea: No breathing at all. The prefix "a" means without.
  • Eupnea: Normal breathing.
  • Normal breaths per minute: 12 to 20.
  • Hyperventilation: Breathing more than normal (above 20 breaths per minute), resulting in getting more oxygen.
  • Hypoventilation: Breathing less than normal (below 12 breaths per minute), resulting in getting less oxygen.
  • Dyspnea is associated with hypoventilation because difficulty breathing means not getting enough oxygen.

Question Interpretation

  • Avoid thinking about the next possible steps or scenarios when answering questions.
  • Focus on what the question is directly asking.
  • Do not assume the question is trying to trick you; read it carefully and answer what it's asking directly.

Air Distribution vs. Air Exchange

Air Distribution

  • Air distribution is the process of air moving from one point to another within the body.
  • It's like FedEx, distributing air throughout the body.
  • Air distribution structures: Nose, pharynx, larynx, trachea, primary, secondary, tertiary bronchioles
  • All structures except the alveoli are air distribution organs; they are essentially tubes.
  • Air or oxygen distribution refers to the same process.

Air (Gas) Exchange

  • Air exchange, oxygen exchange, and gas exchange all refer to the same process.
  • This involves the exchange of O<em>2O<em>2 and CO</em>2CO</em>2 through diffusion.
  • Air exchange organ: Only the alveoli.
Alveoli
  • The alveoli are air sacs in the lungs where oxygen and carbon dioxide are exchanged.
  • Millions of alveoli in the lungs expand and contract.
  • Oxygen inhaled through the nose, pharynx, larynx, trachea, and bronchioles reaches the alveoli, filling them like balloons.
  • Capillaries surround the alveoli but do not touch them; they carry deoxygenated blood.
  • Through diffusion, carbon dioxide moves from capillaries to alveoli, and oxygen moves from alveoli to capillaries.
  • After oxygen is absorbed, carbon dioxide is exhaled.
  • Oxygen-filled capillaries then distribute oxygen to the rest of the cells via the circulatory system.

Respiration Types

External Respiration

  • Exchange of oxygen and carbon dioxide between the alveoli and blood in the lungs.
  • Called "external" because the air is coming from the outside.

Internal Respiration

  • Exchange of oxygen and carbon dioxide between blood and cells throughout the body.
  • Capillaries distribute oxygen to the rest of the cells in the body.

Diaphragm

  • The most important muscle for inspiration (breathing in) is the diaphragm.
  • When you breathe in, your lungs expand, and the diaphragm pushes down, creating more space for the chest to expand.
  • During inspiration, the chest expands, and the abdomen appears smaller as the diaphragm pushes down.
  • For expiration, abdominal muscles and intercostals would be involved.

Epiglottis

  • The sole purpose of the epiglottis is to prevent food from entering the trachea.
  • It's a flap that covers the trachea when swallowing food, directing it down the esophagus.
  • When breathing, the epiglottis covers the esophagus, allowing air to enter the trachea.

Lateral View

  • Trachea is in the front (anterior).
  • Esophagus is in the back (posterior).
  • The epiglottis covers the trachea when swallowing.
  • Sometimes, if the epiglottis malfunctions (e.g., when laughing while eating), food or liquid can enter the nose.
Hiccups
  • Hiccups can occur when there is a bit of air in the esophagus.
Epiglottitis
  • Epiglottitis is a condition where the epiglottis becomes infected and enlarged, causing discomfort.

Smallest Air Distribution Tube

  • Alveolar ducts, which are smaller than bronchioles, are the smallest air distribution tubes, connecting to the alveoli.