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Respiratory
Chapter 13
48
Physiology
Undergraduate 2
04/07/2011

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Cards

Term
Airway branches in order
Definition

Trachea

Bronchi

Bronchioles

Terminal bronchioles

Respiratory bronchioles

Alveolar ducts

Alveolar sacs

Term
How do you calculate the partial pressure of a gas if given the concentration of a gas in a mixture and the pressure of that mixture?
Definition
% of gas times the pressure of mixture equals the partial pressure.
Term
How do you calculate the partial pressure of a gas dissolved in a liquid which is in equilibrium with a mixture of gases?
Definition
The partial pressure of gas in the liquid will equal that of that same gas's partial pressure in gas.
Term

Major difference in a bronchus and a branchiole?

 

Definition
Bronchioles no longer contain cartilage
Term
What are the two major mechanisms protecting the respiratory system against infection?
Definition
Branching of tubes and ciliated cells sweep mucous toward mouth; phagacytic cell supply
Term
Define alveolar (intra-alveolar) pressure (Palv).
Definition
Air pressure in pulmonary alveoli along with atmospheric pressure regulates air flow in or out of the lungs
Term
Define atmospheric pressure. (Patm)
Definition
The pressure of the air; along with alveolar pressure helps regulate the airflow into and out of the lungs
Term
Define Pleural (intrapleural) pressure. (Pip).
Definition
Intrapleural fluid pressure, changes in this pressure cause lungs and thoracic wall to move in and out during normal breathing.
Term
Define transpulmonary pressure.
Definition

Difference in pressure between inside and outside of lungs combined with stretchability determines volume in lungs. It is equal to hte pulmonary alveolar pressure minus intropleural.

Ptp = Palv - Pip 

Term
What are type II alveolar cells?
Definition
Thick specialized cells that produce surfactant. 
Term
What is lateral traction?
Definition
The force in the lungs that holds small airways open, exerted by elastic connective tissue linked to surround alveolar tissue.  Important to reduce airway resistance during inspiration.
Term
How are type II alveolar cells stimulated?
Definition
Stimulated by a stretch mechanism, a deep breath increases its secretion.
Term
What are the effects of the autonomic nervous system on airway resistance?
Definition

Epineprine relaxes airway smooth muscle by an effect on beta adrenergic receptors.

Leukotrienes produced in lungs during inflammation contract the muscle.

Term
What are the effects of the autonomic nervous system on respiratory secretions and the rate and depth of breathing?
Definition
Sympathetic, decreases mucous in respiratory secretions to open airways and have less resistance in breathing. It increases rate of breathing and shortens the depth.
Term
Define tidal volume.
Definition
air volume entering or leaving lungs with single breath during any state of respiratory activity 
Term
Define inspiratory reserve volume.
Definition
maximal air volume that can be inspired above resting tidal volume
Term
Define expiratory reserve volume.
Definition
Volume of air that can be exhaled by maximal contraction of expiratory muscles after normal respiratory expiration
Term
Define residual volume.
Definition
Air volume remaining in lungs after maximal expiration
Term
Define vital capacity.
Definition
Maximal amount of air that can be expired, regardless of time required, following maximal inspiration. 
Term
Define dead space.
Definition
Volume of inspired air that cannot be exchanged with blood.
Term
Define minute volume (minute ventilation).
Definition
Total ventilation per minute. Equals tidal volume multiplied by respiratory rate
Term
Define Alveolar ventilation
Definition
Volume of atmospheric air entering alveoli each minute.
Term
Define FEV-1.
Definition
Forced expiratory volume in 1sec, maximal inspiration followed by exhale maximally as fast as possible.
Term
What are the pulmonary function tests?
Definition
Measurement of vital capacity and FEV-1. if you have obstructive lung diseases FEV-1 will be below 80%. If you have restrictive lung diseases there will be a normal FEV-1 and a reduced vital capacity.
Term
How are rate and depth of respiration controlled?
Definition
Control is in medullary respiratory center and neurons of dorsal respiratory group and ventral repiratory group.  The respiratory rhythm generator in the Pre-Botzinger complex controls basal respiratory rate. Rate and depth are also controlled by arterial PO2, production of non-CO2 acids and arterial PCO2 leading to firing of various neurons.
Term
Define hypoxia.
Definition
Low levels of oxygen in the air, blood, or tissues
Term
Define hypoxemia.
Definition
Low levels of oxygen in the blood.
Term
Define hypercapnia.
Definition
Increased arterial PCO2.
Term
Define tachynpnea.
Definition
Increased respiratory rate, abnormally fast breathing.
Term
In improving alveolar ventilation, is increasing the rate or depth of breathing more effective?
Definition
Depth because it requires less work. And it absorbs the most oxygen.
Term
In what units are the blood gases usually measured?
Definition
mmHg
Term
Why is the concentration of oxygen and CO2 in the air different than the concentrations in our alveoli?
Definition
The alveolar PO2 is lower than atmospheric because some of the oxygen in the air entering the alveoli leaves them to enter the pulmonary capillaries. The alveolar PCO2 is higher than atmospheric because carbon dioxide enters the alveoli from the pulmonary capillaries.
Term
What is the normal blood pH?
Definition
7.33 to 7.4
Term
How can the respiratory system cause respiratory acidosis?
Definition
The respiratory system causes an increase in the alveolar and arterial PCO2 which causes arterial H+ concentration to increase. *Look at equation in the book*
Term
How does metabolic acidosis affect the respiratory system?
Definition
The metabolic acidosis occurs due to a non-carbon dioxide acid source such as the addition of lactic acid to the blood in strenuous exercise.
Term
What are the receptors which respond to changes in the blood gasses and where are they located?
Definition
Peripheral chemoreceptors: carotid bodies and aortic bodies
Term
How does an increased arterial PCO2 affect respiration?
Definition
Increased arterial PCO2 increases H+ which fires peripheral chemoreceptors which triggers contractions in respiratory muscles and increases ventilation.
Term
What is a cough?
Definition
An action when the receptors are stimulated causing deep inspiration and a violent expiration
Term
What is the purpose of a cough and a sneeze?
Definition
They are reflexes which protect the respiratory system from irritant materials.
Term
Define Lung compliance.
Definition
It is the stretchability of lungs defined by the magnitude of change in lung volume produced by a given change in transpulmonary pressure.
Term
How are oxygen and carbon dioxide carried in the blood?
Definition
They will diffuse into the blood to balance out pressure differences. Oxygen is carried in blood mainly by a hemoglobin molecule which can bind to 4 oxygen molecules.  About 30% of carbon dioxide is carried by carbamino hemoglobin and 60% of carbon dioxide is stored as bicarbonate ions.
Term
What is carbonic anydrase?
Definition
An enzyme present in RBCs but not plasma, carbonic aid dissociates rapidly into bicarbonate ion and hydrogen ion which then exchanges bicarbonate for chloride resulting in the chloride shift.
Term
How do the pulmonary and the systemic circulations differ?
Definition
Pulmonary is blood to lungs, arteries are deoxygenated and veins are oxygenated. Systemic is blood to body, arteries are oxygenated and veins are deoxygenated.
Term
What does a shift to the right of the oxyhemoglobin dissociation curve signify?
Definition
It signifies higher amounts of hemoglobin saturation.
Term
What causes the shift to the right of the oxyhemoglobin dissociation curve signify?
Definition
The diffusion across is initially based on pressure differences an then O2 binds to hemoglobin and is no longer a part of the included count for pressure.
Term
How would a dramatic increase in alveolar PO2 affect the amount of oxygen carried by blood?
Definition
An increase in PO2 will decrease hte amount of oxygen carried by blood.
Term
How would a dramatic decrease in alveolar PO2 affect the amount of oxygen carried by blood?
Definition
A decrease in PO2 will cause a large fraction of the oxygen in the entering fresh air to leave the alveoli to enter the blood for use by tissues.
Term
How does alveolar air compare with air in the environment?
Definition
Alveolar air has 105 mmHg PO2 and 40 mmHg PCO2. Air in the enviroment has 160 mmHg PO2 and ~0 mmHg of PCO2.
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