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Pulmonary System
Pathophysiology I
70
Other
Professional
11/10/2010

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Term
The Pulmonary System is made up of:
Definition
Two lungs, their airways, blood vessles, ches wall, thoracic cage
Term

The lungs are divided into lobes:

Definition

Right-Upper, Middle, Lower

Left- Upper, Lower

Term
Mediastinum contains what?
Definition
The heart, great vessels and esophagus
Term
Conducting Airways
Definition
provide a passage for the movement of air into and out of the gas exchange portions of the lung.
Term
Upper Airways
Definition
  • Nasopharynx
  • Oropharynx
Term
Ciliated Mucosa
Definition
ciliated mucosa warms and humidifiees air and removes foreign particles.
Term
Gas exchange occurs in structures beyond the 16th division:
Definition
the respiratory bronchioles, alveolar ducts and the alveoli
Term
The respiratory bonchioles, alveolar ducts and the alveoli areall referred to as?
Definition
Acinus
Term
Air is inspired and expired through what?
Definition
the conducting airways
Term
The conducting airways include?
Definition
  • nasopharynx
  • oropharynx
  • trachea
  • bronchi
  • broncioles
Term
The Larynx connects whaht two structures?
Definition
upper and lower airways
Term
The memebrane covering the lungs is
Definition
the visceral pluera
Term
What does the larynx consist of?
Definition
  • endolarynx
  • its surrounding triangular-shaped bony and carilaginous structures
Term
The Endolarynx is formed by two pairs of folds, which are?
Definition
  • False vocal cords (supraglottis)
  • True vocal cords
Term
Large cartilages
Definition
  • epiglottis
  • tyroid
  • cricoids
Term
Small cartilages
Definition
  • arytenoids
  • corniculate
  • cuneiform
Term
What connects the small and large cartilages?
Definition
Ligaments
Term
What does the ligaments help prevent?
Definition
collapse ofthe larynx during inspiration and swallowing
Term
What do the internal muscles of the larynx do?
Definition
  • control the vocal cord length and tension
  • contract during swalloing to avoid aspiration into the trachea
Term
What do the external muscles of the larynx do?
Definition
  •  moves larynx as a whole
Term
The trachea is supported by what?
Definition
The cartilage that connects th larynx to the bronchi
Term
Bronchi?
Definition
The conducting airways of the lungs
Term
What is the carina?
Definition
Where the trachea divides into two main airways (bronchi)
Term
What are the characteristics of the Right Bronchi?
Definition
  • Main trachea
  • Extends more vertically then the left
  • Aspirated fluids or foreign  particles tend to enter the right trachea
Term
What is the hili?
Definition
Where the right and left bronchi enter the lungs
Term
What are the chief gas-exchange units of the lungs?
Definition
Alveoli
Term
Alveolocapillary Membrane
Definition
Membrane that surrounds each alveolus and contains the pulmonary capillaries
Term
Structure of the lower airway
Definition
Bronchi->lobar bronchi-> segmental bronchi-> sub-segmental bronchi -> sixteen dividsion of bronchioles
Term
What are the smallest of conducting airways?
Definition
Bronchioles
Term
Bronchial walls have three layers:
Definition
  • Epithelial lining
  • Smooth muschle layer
  • Connective tissure layer
Term
The epithelial lining of the bronchial wallas contain single celled exocrine glands that secrete mucus called?
Definition
Goblet cells
Term
Oxygen _____ the blood; Carbon Dioxide is ________ from the blood
Definition
Enters; Removed
Term
Gas Exchange Airways are made up of?
Definition
  • respiratory bronchioles
  • alveolar ducts
  • alveoli
Term
What are the characteristics of pulmonary circulation?
Definition
  • Facilitates gas exchange
  • Delivers nutrients to lung tissures
  • Acts as a reservoir for the geft ventricle
  • Serves as filtering system to remove clots, air and debris from the circulation
Term
Pulmonary circulation has lower ________ and ________ than the systematic circulation
Definition
pressure and resistance
Term
The chest wall is made up of?
Definition
  • skin
  • ribs
  • intercoastal muscles
Term
What is the purpose of the chest wall?
Definition
to protect the lungs from injury
Term
Pleura
Definition
adheres firmly to the lungs and folds over itself to attach to the chest wall
Term
 Visceral pleura
Definition
covers the lungs
Term
Parietal Pleura
Definition
cover the chest wall
Term
Pleura space
Definition
  • between the two pleura
  • holds a small amount of fluid to allow the layers to rub against each other w/o friction
Term
Ventilation
Definition
Momvement of gas or air into and out of the lungs
Term
Respiration
Definition
Exchange of oxygen and carbon dioxide during cellular metabolism
Term
Neurochemical Control of Ventillation
Definition
Respiratory center in the brain stem controls repiration by transmitting impulses to the respiratory muscles, causing them to contract and relax
Term
What groups make up the respiratory center?
Definition
  • Dorsal Respiratory group (DRG)-recieves afferent impulses from peripheral chemoreceptors
  • Vetnral Respiratory Group (VRG)-located in the medulla
  • Pneumotaxic Center
  • Pneustic Center
Term
What are the three types of lung receptors?
Definition
  1. Irritant receptors
  2. Stretch receptors
  3. J receptors
Term
What are the characteristics of irritant receptors?
Definition
  • found in epithelium of all conducting airways
  • sensitive to aerosols, gases and inhaled dust
  • stimulates cough reflex
Term
What are the characteristics of stretch receptors?
Definition
  • located in the smooth muscle of airways
  • sesitive to increases in the size or volume of lungs
Term
What are the characteristics of J receptors?
Definition
  • located near the capillaries in the alveolar septa
  • sensitive to increased pulomonary capillary pressure
  • stimulates rapid, shallow breathing hypotension and bradycardia
Term
Chemoreceptors
Definition
monitor the pH, PaCO2, PaO2 of arterial blood
Term
Central Chemoreceptor
Definition
  • monitor arterial blood indirectly by sensing changes in the pH of cerebrospinal fluid
  • located near the respiratory center
Term
Pheripheral chemoreceptors
Definition
  • located in aortic boddies, aortic arch and carotid bodies
  • are sensitive to changes in PaCO2 and pH
  • primarily sensitive to oxygen levels in arterial blood
Term
The mechanics of breathing involve:
Definition
  • major and accessory muscles of inspiration and expiration
  • elastic properties of the lungs and ches wall
  • resisance to air flow through the conducting airways
Term
What are the major muscles of inspiration?
Definition
Diaphragm and intercostal muscles
Term
What are the accessory muscles of inspiration?
Definition
sternocleidomastoid and scalene muscles
Term
What are the elastic properties of the lungs and chest walls?
Definition
  • Elasticity
  • Compliance
  • Resistance to air flow throught the conducting airways
Term
What two ways is Oxygen transported?
Definition
  • small amount dissolves in plasma
  • remainder binds to hemoglobin
Term
What occurs in Zone 1?
Definition
alveolar pressure is greater than arterial and venous pressure
Term
What occurs in Zone 2?
Definition
arterial pressure exceeds alveolar pressure, but alveolar pressure exceeds venous pressure
Term
What occurs in Zone 3?
Definition
both arterial and venous pressures are greater than alveolar pressure and blood flow fluctuates
Term
What is the primary function of the pulmomary system?
Definition
Its primary function is the exchange of gases between the environmental air and the blood
Term
What are the three steps in the process of gas exchange?
Definition

Ventilation

Diffusion

Perfusion

Term
What is ventilation?
Definition
The movement of air into and out of the lungs
Term
What is diffusion?
Definition
The movement of gases between air spaces in the lungs and the bloodstream
Term
What is perfusion?
Definition
The movement of blood into and out of the capillary beds of the lungs to body organs and tissues.
Term
The first two functions are carried out by the _______   _______?
Definition
Pulmonary System
Term
The thrid function is carried out by the ________   _________ ?
Definition
Cariovascular System
Term
The slit-shaped space between the true cords forms the ______
Definition
Glottis
Term
___________ is the space above the false vocal cords.
Definition
The vestibule
Term
The space between the two pleurae is called
Definition
the pleural sapce or pleural cavity
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