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L7A
Mechanics of Breathing
31
Physiology
Professional
02/26/2013

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Term
What is the primary muscle of inspiration?
Definition
diaphragm
Term
What are the secondary muscles of inspiration?
Definition
external intercostals
Term
What are the tertiary/accessory muscles of inspiration?
Definition
scalenes and the sternomastoids
Term
What is the primary muscle of expiration (in exercise)?

*Expiration is normally passive and requires no expiratory muscle effort
Definition
rectus abdominals
Term
What are the secondary muscles of expiration (during exercise)?
Definition
internal intercostals
Term
What does it mean that the lung is a viscoelastic structure?
Definition
it returns to its native shape after being deformed
Term
If pressure outside the lung becomes more subatmospheric (negative pressure), will the lung volume increase or decrease?
Definition
It will increase
Term
What is hysteresis?
Definition
It is a retardation of an effect when the forces acting upon a body are changed. In the lung, there is a difference in lung volumes at identical pressures during inflation and deflation as seen on the P-V loop.
Term
How is a PV-loop for the lung constructed?
Definition
lung is held STATIC (no air flow) and the pressure around the lung is brought more and more negative and then brought back to 0.
Term
What is the Laplace equation for surface tension?
Definition
T = P x r
P = the pressure difference across the fluid interface, T is the surface tension (or wall tension), and r is the radius of the curvature
Term
Would the surface tension of water be greater in a coffee mug or a swimming pool?
Definition
The would be equal -- surface tension is independent of surface area
Term
What is the surface tension equation for a sphere?
Definition
(Pi - Po) = 4T/r
Term
Does pressure in a bubble increase or decrease with increasing radius?
Definition
Pressure decreases as the radius increases
Term
On the PV-loop graph, does inflation of the lungs with air or with saline exhibit more histeresis?
Definition
Inflation of the lungs with air exhibits histeresis. Inflation with saline does not.
Term
How is compliance calculated from a PV loop?
Definition
compliance = deltaV/deltaP
(slope of the graph)
Term
Does an air-filled or a a saline-filled lung have a higher compliance?
Definition
a saline-filled lung has a higher compliance and thus a steeper slope on the PV loop
Term
Why is the inflation line for air inflation nearly flat until ~10 mmHg?
Definition
the alveoli are initially ateclectic and therefore it takes a lot of pressure to pop the alveoli open
Term
what is causing the difference between the graphs of the saline-filled and air-filled lungs?
Definition
air-filled lungs have greater surface tension (histeresis is seen) whereas saline-filled lungs do not have surface tension (no histeresis)
Term
What type of cell secretes pulmonary surfactant?
Definition
alveolar type II pneumocytes
Term
What is dipalmitoyl phosphatidyl-choline?
Definition
it is a phospholipid that is the major constituent of pulmonary surfactant
Term
why is it hard for babies who are born two months premature to breathe?
Definition
surfactant is first synthesized at gestational age 7 months
Term
Where is the intrapleural pressure (Ppl) in the lung the most negative? why?
Definition
In the apex - the lungs pull down from itself which aids in inhalation
Term
during cyclical breathing, does intrapleural pressure (Ppl) change more in the apex or base of the lung?
Definition
Ppl is identical in both the base and the apex.
Term
If the change in intrapleural pressure is identical in both the apex and the base, how does the base have a larger volume change?
Definition
The base is more compliant
Term
what is intrapleural pressure?
Definition
pressure between the visceral and parietal pleura
Term
what happens to the ventilation distribution when a person is breathing a volumes below FRC?
Definition
the basal alveoli collapse in atelectasis
Term
What is transpulmonary or translung pressure?
Definition
it is the difference between the alveolar pressure and the intrapleural pressure in the lungs
Term
why is normal intrapleural pressure subatmospheric compared to inside and outside of the lungs?
Definition
the lung is being pulled both outward (by the chest cage) and inward (by the tendency of the lung to recoil) which decreases the pressure in the intrapleural space
Term
what are various ways someone could get a pneumothorax?
Definition
-a hole in the chest wall
-a ruptured alveoli (a ventilator with a high pressure can do this)
Term
how does the lung respond to a pneumothorax?
Definition
The chest wall expands out and the lung shrinks in. The negative pressure in the intrapleural space is destroyed.
Term
does the lung or the chest wall have a higher compliance?
Definition
the lung does
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