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Physiology Unit 4
N/a
54
Physiology
Undergraduate 2
04/21/2012

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Term
Identify and describe the two types of respiration
Definition
Internal (cellular) and External; use of oxygen at mitochondria to lead to CO2 production; exchange of gas between atmosphere and body tissue
Term
external respiration involves what 2 systems?
Definition
respiratory and circulatory
Term
____ respiration is necessary for ____ respiration to occur
Definition
external; internal
Term
What are the four processes of external respiration?
Definition
Pulmonary ventilation (breathing); exchange of gases between lungs and blood via diffusion; transportation of gases between lungs and body tissues; exchange of gases between blood and tissues via diffusion
Term
What are the functions of the respiratory system?
Definition
acid-base balance in the blood; vocalization; defense against pathogens; route for water and heat loss; enhancing venous return (respiratory pump); activating plasma proteins as the pass through pulmonary circuit
Term
What are the two zones of the respiratory tract?
Definition
conducting and respiratory
Term
What are the structures of the respiratory system made of?
Definition
lined with epithelial tissue with cilia and lined with mucous membranes and goblet cells
Term
how much dead space is there in the respiratory branches?
Definition
150 mls
Term
What type of fibers cover all alveoli?
Definition
elastic
Term
What structure allows for air flow between 2 adjacent alveoli?
Definition
alveolar pores
Term
What separates air from blood in the body?
Definition
thin respiratory membrane
Term
What type of tissue are the alveoli made of?
Definition
simple squamous epithelial
Term
What are the two factors that make gas exchange quick?
Definition
thin respiratory membrane and huge surface area of the alveoli (size of a tennis court)
Term
the ___ cavity MUST be kept air tight
Definition
thoracic
Term
What are the three structures the pleural sac is adhered to?
Definition
lung, chest wall, and diaphragm
Term
ID:
double-layered membrane of simple squamous epithelium; serous fluid fills cavity
Definition
Pleura
Term
What are the three functions of the pleura?
Definition
lubrication between moving organs; compartmentalization of the thoracic cavity; intrapleural pressure keeps the lungs partially expanded at all times
Term
What structure is responsible for maintaining pleural pressure?
Definition
intrapleural space
Term
What are the four forces in pulmonary ventilation?
Definition
atmospheric pressure, intra-alveolar pressure, intrapleural pressure; transpulmonary pressure
Term
Describe P atm
Definition
outside air; 760mmhg at sea level; all other pressures are expressed relative to it
Term
Describe P alv
Definition
pressure of air in the alveoli; at rest P alv = P atm; < during inspiration; > durign expiration
Term
Describe P ip
Definition
pressure in the pleural cavity; changes with phases of ventilation but ALWAYS less that P atm
Term
What is the equation for transpulmonary pressure?
Definition
P alv- P ip
Term
Both the ___ and ___ are highly elastic
Definition
chest wall; lungs
Term
at rest the chest wall is ___ and is an example of ____ recoil
Definition
compressed; outward
Term
At rest the lung wall is ___ ____ and is an example of ___ recoil
Definition
stretched outward; inward
Term
What action prevents the collapse of the lungs?
Definition
the pulling of the pleura in opposite directions (negative ip pressure)
Term
air flow and blood flow follow what principle?
Definition
bulk flow
Term
What is the equation for Flow?
Definition
Pressure Gradient (ΔP) = P1- P2
Resistance R
Term
What is the equation for air flow?
Definition
P atm - P alv
R
Term
What determines the direction of air movement?
Definition
P alv
Term
What are the two main determinants of P alv?
Definition
quantity of air molecules in alveoli; alveolar volume (size)
Term
What two factor effect alveolar volume?
Definition
changes in vol of thoracic cavity; respiratory muscles expanding or compressing the thoracic cavity
Term
What muscles are responsible for inspiration?
Definition
external intercostals and diaphragm
Term
What muscles are responsible for expiration?
Definition
internal intercostals and abdominals
Term
What is the equation for lung compliance?
Definition
ΔV
Δ (P alv - P ip)
Term
Why is larger compliance better?
Definition
smaller change in transpulmonary pressure lead to more air being brought in (less muscle work for more air)
Term
What are the factors that effect lung compliance?
Definition
elasticity of lungs; surface tension of fluid lining the alveoli
Term
What substance is responsible for decreasing lung compliance and what other substance combats it?
Definition
water; surfactant
Term
Define surfactant
Definition
detergent-like substance secreted by type II cells that helps combat effects of water in alveoli
Term
T/F:
surfactant is more concentrated in larger alveoli
Definition
false; reduces amount of pressure inside it necessary to prevent collapse
Term
What is Laplace's Law?
Definition
P = 2T
r
Term
as airway resistance increases, you need a larger ____
Definition
Pressure gradient
Term
What are the three factors that effect air resistance?
Definition
changes in transpulmonary pressure; bronchoconstriction vs bronchodilation; mucous secretion
Term
What are the two main local chemical mediators?
Definition
Histamine and CO2
Term
What are the two main obstructive pulmonary diseases and their treatments?
Definition
COPD; Asthma; anti-inflammatories (steroids) and B2 adrenergic receptor agonists
Term
ID:
technique for measuring the volumes of inspired and expired air
Definition
spirometry
Term
Define minute ventilation and ID its equation
Definition
total amt of air that flows in or out of the respiratory system in a minute; V e = V t X RR
Term
Describe dead space ventilation
Definition
DSV; for every 500 ml breathed in, 150 ml remains in the conducting zone
Term
Define alveolar ventilation and provide its definition
Definition
Va; volume of fresh air that reaches the alveoli each minute
(Vt - DSV)X RR
Term
Describe Obstructive Pulmonary Diseases
Definition
increase resistance; air gets trapped in lungs and they become over inflated; RV increases; VC and TLC decrease
Term
Describe restrictive pulmonary disease
Definition
decrease compliance; structural damage to lungs, pleura, or chest wall; decrease VC and TLC
Term
ID:
maximal inspiration followed by maximal expiration; get as much VC out as possible; low score indicates disease
Definition
Forced Vital Capacity Test (FVC)
Term
Describe the forced expiratory volume test
Definition
measure of the percent of FVC that can be exhaled in a given time; FEV1/FVC; normal is greater than 80%
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