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Ventilation Mechanics and Gas Exchange
Test 2
146
Physiology
Graduate
07/08/2011

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Cards

Term
Bounded by the neck superiorly and the diaphragm inferiorly. The walls are composed of the spinal column, sternum, and ribs.
Definition
Thorax
Term
Completely enclosed in a pleural sac that contains a small amount of intrapleural fluid.
Definition
Each Lung
Term
Name the 4 upper conducting airways
Definition
Nose
Mouth
Pharynx
Larynx
Term
Name the 5 lower conducting airways
Definition
Trachea
L and R Bronchi
Lobar Bronchi
Segmental Bronchi
Bronchioles
Term
The unit where the O2 exchange occurs
Definition
Respiratory unit
Term
Name the 4 parts of the respiratory unit
Definition
Respiratory bronchioles
Alveolar ducts
Alveolar sacs
Alveoli and pulmonary capillary beds
Term
Name the 2 airway zones
Definition
Conducting Zone
Respiratory Zone
Term
This airway zone has no alveoli and no gas exchange with the blood. It includes the lower conducting airways.
Definition
Conducting zone
Term
This airway zone contains alveoli and is the region of gas exchange in the blood
Definition
Respiratory Zone
Term
Hollow air sacs found at the end of the conducting zone whose lumens are continuous with the lumens of the airways
Definition
Alveoli
Term
Branches of the pulmonary arteries and veins form capillary networks that surround the __
Definition
Alveoli
Term
Site of gas exchange
Definition
Alveoli
Term
Alveolar walls contain what?
Definition
Capillaries
Small interstitial space
Term
Some alveoli are connected by what?
Definition
pores
Term
Alveoli are lined by alveolar cells. name then.
Definition
Type I
Type II
Term
Flat epithelial cells that line the air facing surfaces
Definition
Type I
Term
Interspersed with Type I; cells that produce surfactant
Definition
Type II
Term
What does surfactant do?
Definition
Decrease H2O and surface tension
Term
The act of moving air in and out of the lungs
Definition
Ventilation
Term
The exchange of gases within or between 2 spaces
Definition
Respiration
Term
Downward and upward movement of the __ is used to lengthen or shorten the chest cavity.
Definition
Diaphragm
Term
This is the primary muscle that is almost entirely involved in quiet normal breathing.
Definition
Diaphragm
Term
Contraction of the diaphragm pulls the lower surfaces of the lungs down. Contraction of the diaphragm increases the volume of the thorax and causes lung expansion.
Definition
Inspiration
Term
A passive process where the diaphragm relaxes (no contraction involved) and the elastic recoil of the lungs, chest wall, and abdominal structures compress the lungs.
Definition
Expiration
Term
During heavy breathing, the elastic recoil is not sufficient to expel all the aire and the abdominal muscles contract to provide extra force to push the abdominal contents upward against the bottom of the __
Definition
Diaphragm
Term
What muscle can contract when more active expiration is necessary
Definition
Abdominals
Term
Elevation and depression of the ribs increase or decrease the anteroposterior diameter of the chest cavity. This is due to firing of what muscles?
Definition
External Intercostals
Term
The muscle that is primarily responsible for raising the ribs. SCM, anterior serratus, and scalens also contribute some.
Definition
External Intercostals
Term
Name the 2 muscles that are primarily rib depressors.
Definition
Abdominus Rectus
Internal Intercostals
Term
Because of the lungs' elasticity, they __ and __ air whenever there is no force to keep them inflated.
Definition
Collapse and expell air
Term
Forces used to keep lungs ___ are produced by pressures between the lungs and the thoracic wall and those inside the tissues of the lungs.
Definition
Inflated
Term
The pressure of fluid in the thin space between the lung pleura and the chest wall pleura
Definition
Intrapleural pressure
Term
The lungs are suspended in the pleural cavities and lubricated with what?
Definition
pleural fluid
Term
There is continual suction of excess fluid into the __ to help maintain a slight suction between the visceral surface of the lung pleura and the parietal pleural surface of the thoracic cavity.
Definition
Lymphatics
Term
Normal intrapleural pressure at the beginning of inspiration is about what?
Definition
-4 to -5 cm H2O
Term
Equals the amount of suction required to hold the lungs open at rest
Definition
Normal Intrapleural Pressure
Term
Why is normal intrapleural pressure slightly negative?
Definition
It is less than atmostpheric pressure
Term
During normal inspiration, expansion of the thoracic cavity pulls outward on the lungs with greater force and creates a more negative pleural pressure of what value?
Definition
-7.5 cm H2O
Term
What happens to the lungs as pleural pressure becomes more negative?
Definition
Lung volume increases
Term
What happens to lung volume as pleural pressure becomes less negative?
Definition
Lung volume decreases
Term
Pressure of the air inside the lung alveoli
Definition
Alveolar pressure
Term
When the glottis is open and no air is flowing in or out of the lungs, the pressures in all parts of the respiratory tree are equal to atmospheric pressure, which is considered to be ___
Definition
Zero
Term
To cause inward flow of air into the alveoli, the alveolar pressure must fall to a value slightly below __
Definition
Zero (-1 cm H2O)
Term
Palv < Patm
Definition
Air flows in
Term
Palv > Patm
Definition
Air Flows out
Term
To cause outward flow from the alveoli, the alveolar pressure must raise to slightly above __
Definition
Zero
Term
The difference between pleural pressure and alveolar pressure
Definition
Transpulmonary pressure
Term
A measure of the elastic forces of the lungs that tend to collapse the lungs at each instant of respiration
Definition
Transpulmonary pressure
Term
At the end of expiration (no air flow in or out), transpulmonary pressure is what?
Definition
-4 (Palv - Pip)
Term
As intrapleural pressure becomes more negative (lung expansion), transpulmonary pressure ___
Definition
Increases (because the diff between Palv and Pip increases)
Term
When transpulmonary pressure increases, the lungs will __
Definition
Expand
Term
Expansion of the lungs causes alveolar pressure to become more __ and thus air flows into the lungs
Definition
Negative
Term
Walk thru the stages of inspiration
Definition
Diaphragm contracts - Thoracic cage expands - causes intrapleural pressure to become more negative - increases transpulmonary pressure - causes lungs to expand - causes alveolar pressure to become more negative - air flow IN
Term
Walk thru the stages of expiration
Definition
Diaphragm relaxes - thoracic cage recoils inward - intrapleural pressure moves back to preinspiration levels - transpulmonary pressure moves back to preinspiration levels - lung recoils - alveoli become compressed - alveolar pressure becomes great than atmospheric pressure - air flows OUT
Term
The extent to which the lungs will expand for each unit increase in transpulmonary pressure (given enough time to reach equilibrium)
Definition
Compliance of the lungs
Term
Compliance of the lungs affects lung __
Definition
expansion
Term
What is the equation for lung compliance?
Definition
Compliance = Change in lung volume / change (Palv - Pip)
Term
Normal compliance of both lungs together of an average adult is __ml of air per cm H2O
Definition
200
Term
Increased compliance means that the lungs will __ with __ volume of air per unit of Ptp
Definition
Inflate
More
Term
Decreased compliance means that the lungs will __ with __ volume of air per unit of Ptp
Definition
Inflate
Less
Term
Determined by the elastic forces of the lung tissue and the elastic forces caused by surface tension of the fluid that lines the alveoli.
Definition
Compliance
Term
Primarily determined by elastin and collagen fibers that are interwoven among the lung tissue. These fibers are elastically contracted and kinked in a deflated lung.
Definition
Elastic forces of lung tissue
Term
Elastic forces caused by surface tension are more complex and contribute to about __ the total elastic force of the lungs.
Definition
2/3
Term
__ on the inner surfaces of the alveoli produces surface tension, which inherently tends to contract and collapse the alveoli.
Definition
Water
Term
A surface-active agent in water that greatly reduces the surface tension of water.
Definition
Surfactant
Term
Secreted by type II alveolar epithelial cells
Definition
Surfactant
Term
Secretion of surfactant begins at what age?
Definition
6th or 7th month of gestation
Term
3 things that surfactant is composed of.
Definition
Phospholipids
Proteins
Ion
Term
Greatly reduces the amount of effort required by respiratory muscles to expand the lungs.
Definition
Surfactant
Term
The radius of the alveolus also impacts the surface tension of water. The small the radius of the alveolus, the __ the alveolar pressure causes by surface tension.
Definition
Greater
Term
The greater the radius of the alveolus, the __ the alveolar pressure caused by surface tension.
Definition
Less
Term
The thoracic cage has its own elastic and viscous characteristic, similar to those of the lungs. __ effort (even in absence of lungs) is required to expand the thoracic cage.
Definition
Muscular
Term
The compliance of the total pulmonary system (lungs and thoracic cage together) is almost __ that of the lungs along.
Definition
1/2
Term
It takes twice as much inward positive pressure to __ the lungs within the pulmonary system compared to the lungs alone.
Definition
Inflate
Term
Determines how much air flows into and out of the lungs at any given pressure difference.
Definition
Airway resistance
Term
Normally very small, but changes follow changes in airway radii.
Definition
Airway resistance
Term
Contributes to the overall "work" of inspiration, in addition to the work that is required to expand the lungs and the work required to overcome the viscosity of the lung and chest wall structures.
Definition
Airway resistance
Term
Airway radii may change in response to what 3 factors?
Definition
Physical
Neural
Chemical
Term
Transpulmonary pressure, elastic connective tissue fibers of the airways, intrapleural pressures, hormones such as epinephrine, leukotrines all may effect what?
Definition
Airway radii
Term
4 volumes that when added together equal the maximum volume to which the lungs can be expanded (total lung capacity)
Definition
Pulmonary volumes
Term
Name the 4 pulmonary volumes
Definition
Tidal Volume
Inspiratory Reserve Volume
Expiratory Reserve Volume
Residual Volume
Term
What is normal Tidal Volume?
Definition
500 ml
Term
What is normal Inspiratory Reserve Volume?
Definition
300 ml
Term
What is normal Expiratory Reserve Volume?
Definition
1100 ml
Term
What is normal Residual Volume?
Definition
1200 ml
Term
Volume of air inspired or expired with each normal breath
Definition
Tidal Volume
Term
The extra volume of air that can be inspired over and above the normal tidal volume when the person inspires with full force.
Definition
Inspiratory Reserve Volume
Term
Maximum extra volume of air that can be expired by forceful expiration after the end of normal tidal expiration
Definition
Expiratory Reserve Volume
Term
The volume of aire remaining in the lungs after the most forceful expiration
Definition
Residual Volume
Term
TV + IRV + ERV + RV =
Definition
Total Volume Capacity
Term
The combination of 2 or more pulmonary volumes leads to a __
Definition
Capacity
Term
What is the equation of Inspiratory capacity and the normal
Definition
IC = TV + IRV
Normal = 3500
Term
What is the equation of Functional Residual Capacity and the normal?
Definition
FRC = ERV + RV
Normal = 2300
Term
What is the equation of Vital Capacity and the normal?
Definition
VC = IRV + TV + ERV OR VC + IC +ERV
Normal = 4600
Term
What is the equation for Total lung capacity and the normal?
Definition
TLC = TV + IRV + ERV + RV
or TLC = VC + RV
or TLC = IC + FRC
Normal = 5800
Term
The amount of air a person can breath in, beginning at the normal expiratory level and distending the lungs to the maximum amount
Definition
Inspiratory Capacity
Term
The amount of air that remains in the lugns at the end of normal expiration
Definition
Functional Residual capacity
Term
The max amount of air a person can expel after first filling the lungs to max extent and then expiring to max extent
Definition
Vital Capacity
Term
The max volume to which the lungs can be expanded with greatest possible effort
Definition
Total Lung Capacity
Term
All volumes and capacities are about __% less in women than men, greater in larger and atheletic people than small non-athletic people.
Definition
20-25%
Term
Volume of air that can be forcibly expelled after a full inspiration with no time limit.
Definition
FVC
Term
The measurement of gas volumes moved in a period of time
Definition
Flow Rates
Term
Reflects the ease with which the lungs can be ventilated
Definition
Flow Rates
Term
PVC = X (height) - Y (age) - Gender
Definition
PVC
Term
For calculating predicted vital capacity, what are the rates for males and females?
Definition
3.6 in males
2.69 in females
Term
PVC is the same as __ except that it takes into account height and age.
Definition
VC
Term
Normal forced expiratory volume in 1 second is greater than __% of FVC
Definition
75%
Term
Rate at which new air reaches areas of gas exchange in the lungs (alveoli, alveolar sacs, alveolar ducts and respiratory bronchioles)
Definition
Alveolar Ventilation
Term
The air that never reaches the areas of gas exchange in the lungs. It remains in the nose, pharynx and trachea.
Definition
Dead Space Air
Term
Upon expiration, the dead space air is expired __, so it impedes the process of removing expiratory gases from the lungs.
Definition
First
Term
What is the normal dead space air in a young adult male?
Definition
150 ml
Term
Does dead space increase with age?
Definition
Yes
Term
When alveoli are damage or nonfunctional, the alveoli are also considered part of the dead space. This is __ dead space.
Definition
Physiologic
Term
Normally dead space and physiologic dead space volumes are equal which indicates what?
Definition
that alveoli are all functional
Term
When might physiologic dead space increase?
Definition
Pulmonary disease
Alveolar damage
Term
Expressed as the volume of new air reaching the alveoli per minute.
Definition
Rate of alveolar ventilation
Term
Equal to respiratory rate x volume of air
Definition
Rate of alveolar ventilation
Term
Given a normal TV of 500 ml, normal dead space of 150 ml, and a respiratory rate of 12 breaths/min, alveolar ventilation =
Definition
12 X (500-150)

4200 ml/min
Term
What is the equation for Alveolar Ventilation
Definition
AV = RR X (TV-DeadAir)
Term
One of the major factors that determines the concentrations of O2 and CO2 in the alveoli.
Definition
Alveolar ventilation
Term
Describes the gaseous exchange that occurs either between the atmospheric air and pulmonary capillaries (external) or between tissues and surrounding capillaries (internal)
Definition
Respiration
Term
After the alveoli are ventilated with fresh air, the next step in the respiratory process is __ of __ from the alveoli into the pulmonary capillaries and __ of __ out of the blood
Definition
Diffusion
O2
Diffusion
CO2
Term
Name 2 factors of respiration
Definition
Mechanism of diffusion
Rate of diffusion
Term
Pressures are partially dependent upon what?
Definition
Concentration gradients
Term
Net diffusion of gas in one direction is the result of a what?
Definition
Concentration gradient
Term
Gases tend to diffuse from areas of _ concentration to areas of __ concentration.
Definition
High to Low
Term
The __ of a mixed gas is directly proportional to the concentration of all molecules within the gas.
Definition
Pressure
Term
Name the 3 primary gases in respiratory physiology
Definition
O2
CO2
N
Term
The rate of diffusion of each gas is directly proportional to the pressure of that gas alone, which is called the what?
Definition
Partial Pressure of that gas
Term
Atmospheric aire is 70% N and 21% O2. The total pressure of atm air at sea level is 760 mmHg. Therefore, the partial pressure of N is 79% of 760 = __mmHg. The partial pressure of O2 is 21% of 760 = __mmHg
Definition
600
160
Term
Is the composition of alveolar gas and atomospheric gas very diffent?
Definition
yes
Term
Partial pressures of gases in alveoli depend on what 3 things?
Definition
1. Pressures in atmospheric air
2. Rate of ventilation
3. Rate of total body consumption
Term
Breathing air with low PO2
Definition
PO2 decreases
PCO2 no change
Term
Increased alveolar ventilation with unchanged metabolism
Definition
PO2 increases
PCO2 decreases
Term
Decreased alveolar ventilation with unchanged metabolism
Definition
PO2 decreases
PCO2 increases
Term
Increased metabolism with unchanged alveolar ventilation
Definition
PO2 decrease
PCO2 increase
Term
Decreased metabolism with unchanged alveolar ventilation
Definition
PO2 increase
PCO2 decrease
Term
Proportional increases in both metabolism and alveolar ventilation
Definition
PO2 no change
PCO2 no change
Term
Dependent on the concentration and the solubility coefficent of the gas
Definition
Partial pressures of dissolved gases in a solution
Term
Some molecules are more soluble than others, sot hey have differnt __ __ in a solution.
Definition
Partial pressures
Term
_ diffusion of a gas between gas state and fluid state depends upon the difference in partial pressures
Definition
Net
Term
PO2 in air is almost always ___ than the PO2 in the dissolved state (capillary blood), so O2 diffuses __ the blood
Definition
Higher
Into
Term
PCO2 in the dissolved state (capillary blood) is almost always __ than the PCO2 of air, so CO2 diffuses __ the blood and into the alveolar air.
Definition
Higher
Out of
Term
If you were to increase alveolar ventilation what would this do to PO2
Definition
Increase
Term
If you were to increase the rate of O2 consumption without increasing ventilation, what would this do to PO2?
Definition
Decrease
Term
The primary use of O2 in cells and its byproduct.
Definition
ATP Production
CO2
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