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Lecture 1: Respiration 1
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23
Anatomy
Undergraduate 3
01/19/2015

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Term
Cellular respiration vs body respiration
Definition
Cellular: oxygen is used to burn various fuels, generating CO2, water, and the ATP needed to power all the activities associated with a living cell

Body: taking CO2 out of the body via alveoli/capillaries in lungs, and oxygenated blood is returned to pulmonary veins and left atrium to be used by the body
Term
Nose
Definition
-warms, moistens, and filters incoming air
-houses olfactory receptor cells
-nasal cavity lined with mucous membrane which contain olfactory epithelium
Term
Pharynx
Definition
Nasopharynx: 2 nostrils
Oropharynx: stratified squamous epithelium and receives opening of the mouth. common passage for air, food, and drink
Laryngopharynx: lined with stratified squamous epithelium and then divides posteriorly into esophagus and anteriorly into larynx, or voice box
Term
Larynx
Definition
connects pharynx with trachea. Houses vocal cords
Term
9 pieces of cartilage
Definition
-thyroid
-epiglottis
-cricoid
-arytenoid
-cuneiform
-corniculate
Term
trachea and bronchial tree lined with?
Definition
pseudostratified ciliated epithelium containing goblet, clara, and neuroendocrine cells
Term
mucociliary escalator
Definition
carry out mucous from trachea. ciliated epithelium serves to sweep inhaled particles out of the respiratory tract into the pharyn
Term
non-ciliated clara (club) cells
Definition
secrete a surfactant like material that coats and protects the bronchiolar lining.
-serve as epithelial stem cells
-detoxify noxious gases in inhaled air using cytochrome P-450 enzymes in the rough endoplasmic reticulum
Term
when are lungs expanded
Definition
pressure around them is lower than the alveolar pressure
Term
bronchial arteries
Definition
give lungs blood supply and other metabolic needs and warms inspired air
Term
4 major components of the respiratory membrane
Definition
1.Pulmonary Surfactant within alveolar fluid helps lower surface tension. W/o it, inflation of lungs is impossible
2.Alveolar Epithelium consisting of squamous epithelial cells on their own basement membrane
3.Thin interstitial space between the alveolar epithelium and pulmonary capillary
4.Vascular Endothelial cells of the capillary wall on basement membrane
Term
V/Q=0
(Q: flow of blood through lungs)
Definition
inadequate ventillation
adequate blood flow
-Hypoventilation (narcotics)
-atelectasis: airway blockage and alveolar collapse/inadequate ventilation of lungs. Elevated surface tension at the alveolar air interface which makes it difficult to inflate lungs
Term
V/Q=1
Definition
normal
Term
V/Q=infinity cause Q=0
Definition
pulmonary embolism. poor perfusion and adequate ventilation. results in reduced blood flow through part of a lung
Term
Pulmonary Circulation
Definition
pulmonary arteries branch from pulmonary trunk and supply deoxygenated blood from the right ventricle to the pulmonary arteries and capillaries. Pulmonary capillaries become flattened and sandwhiched between adjacent alveoli so that blood flow is in form of thin sheets. Oxygenated blood from pulmonary capillaries is collected by the pulmonary venules and veins which drain to left atrium.

LOW RESISTANCE AND LOW PRESSURE
Term
Pulmonary edema
Definition
1.increase in hydrostatic pressure in pulmonary capillaries due to an increase in left atrial and pulmonary venous pressure caused by left heart failure
2.increase in capillary permeability due to release of endotoxins by bacteria infecting the lungs or by breathing gases
Term
enzyme found on surfaces of the vascular endothelial cells of the pulmonary capillaries
Definition
ACE: angiotensin-converting enzyme converts angiotensin I to angiotensin II. ANGII is a vasoconstrictor and stimulates adrenal cortex to secrete mineralocorticoid aldosterone
Term
what cells secrete pulmonary surfactant
Definition
Type II Alveolar Epithelial cells
Term
composition of pulmonary surfactant
Definition
90% lipids (DPPC)
10% proteins (SP-A,B,C,D)
-plus small amounts of carbohydrates
Term
Compliance
Definition
V/P
-lungs that are less stretchy have LOW compliance. so have strong elastic recoil and are more difficult to inflate.

Fibrosis: low compliance cause pulmonary surfactant lacking
Emphysema: more complaint lungs. very stretchy and easy to inflate.
Term
function of pulmonary surfactant
Definition
reduce surface tension of fluid wetting interior surfaces of the alveoli, which help to INFLATE lungs easier allowing for adequate oxygen exchange.
Term
Adult RDS
Definition
caused by circulatory shock, various infections, and trauma conditions. cause abnormalities in surfactant properties and functions
Term
Infant RDS
Definition
cant manufacture adequate amounts of surfactant. causes death since lungs cant inflate,

Treatment: corticosteroids, synthetic surfactants (contain DPPC)
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