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Boyle's Law
 - presure and volume vary directly (temperature is constant)
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Charles's Law
 - volume and temperature vary directly (pressure is constant)
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Barometric Pressure
Force exerted on the earth’s surface by the atmospheric pressure
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Ideal Alveolar Gas Equation
P AO 2 = (P B – P H2O)FiO 2 – P aCO 2(1.25)
Partial pressure in the alveolar = (bariometric pressure – partial pressure of water) – fractional inspired O2 – partial pressure of arterial blood gas (1.25)
- Respiratory exchange ratio is the
- 1.25 in the equation
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Diffusion
Movement of gas from an area of high concentration to an area of low concentration until equilibrium is reached
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Flick's Law
- Rate of gas transfer is directly proportional to surface area of tissue
- (A), and difference in partial pressure of gas between two sides of tissue (P1, P2)
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Perfusion-limited gas flow
Transfer of gas across alveolar wall is a function of the amount of blood that flows past the alveoli
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Diffusion-limited gas flow
Movement of gas across alveolar wall is a function of integrity of alveolar-capillary membrane
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What is WOB?
Work of Breathing, it is the work put into moving into and out of the lungs
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Driving Pressure
Pressure difference between two points
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Transairway pressure
- Pressure difference between mouth pressure (Pm) and
- alveolar pressure (Palv)
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Transmural Pressure
Pressure difference across the airway walls
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Transpulmonary pressure
- Difference between the alveolar pressure
- (Palv) and the pleural pressure
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Transthoracic Pressure
Difference between the alveolar pressure(Palv) and the body surface pressure
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Spontaneous breathing
- Inspiration (active): Diaphragm contracts to enlarge chest cavity, pressure drops moving air into lungs
- Expiration (passive): Diaphragm relaxes to decrease chest cavity, pressure increases forcing gas out of lungs
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Lung compliance
The amount of air that the lungs will accept for each cmH 2O pressure change
- Change in volume (L) per unit pressure (cmH2O)
- ΔV / ΔP
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Flow (of gases and other fluids)
Movement of a specific volume of fluid in a particular period of time
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Principle of continuity
If liquid flows through a ridgid pipe, the mass of the fluid entering a tube must equal the mass leaving the tube
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Hooke's Law
Describes elastance : the ability of matter to return to its natural shape afte external force is removed
Change in pressure per change in volume
ΔP / ΔV
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Surface tension
Cohesive force of luquid molecules at a liquid-gas interface
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Laplace's Law
Pressure and radius are inversely related
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Pulmonary Surfactant
- Film that lines alveoli
- Decreases alveolar surface tension
- produced and stored in type II alveoli cells
- Keeps alveoli from collapsing
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Two major forces causing an inflated lung to recoil inward
- Elastic properties of the lung
- Surface tension of the liquid film that lines the alveoli
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Lung dynamics
The movement of gas in and out of the lungs and pressure changes required to do so
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Poiseuille's Law
- During normal inspiration, bronchial airways get longer and wider
- During exhalation, bronchial airways get shorter and more narrow
 - V (with dot) =flow, P=pressure, r=radius
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Airway resistance
Pressure difference between the mouth and the alveoli
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Laminar
(type of flow)
Streamlined, orderly flow
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Turbulent
(type of flow)
Molecules move in a random manner, jumbled mixture of velocities
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Tracheobronchial (transitional)
(type of flow)
- Occurs in areas where airways branch
- May be laminar or turbulent
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Devices used to measure flow
- Pneumotachometer*
- Fixed orifice meter
- Thermal meter
- Ultrasonic meter
- Rotating vane anemometer (Wright respirometer)
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Phisologic dead space
Anatomic and alveolar
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Ventilatory rate
respiratory rate (12-20)
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Tital volume
Volume of air going in and out durign one quiet breath (about 500mL)
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What makes up the upper respiratory tract?
Nasal cavity, paranasal sinus, pharynx, tongue, epiglottis, soft and hard palates, oral cavities, laryngopharynx, larynx (true vocial cords)
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What makes up the lower respiratory tract?
Tracheobronchial tree (including the alveoli)
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Conducting zone
The path for gas to move in and out of the lung (no gas exchange takes place)
Trachea, mainstem bronchi, bronchioles, terminal bronchioles
Generations 0-19
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Function of the upper airway
Conduct air from the outside environment into the body
Heat/cool and humidify air to body temperature
Filter out particles from environment
Smell
Speech
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Function of Larynx
Passageway between pharynx and trachea
Protects against aspiration
Generates sound for speech
(also used in valsalva maneuver)
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What makes up the conducting zone?
- Trachea 0
- Main stem bronchi 1
- Lobar bronchi 2
- Segmental bronchi 3
- Subsegmental bronchi 4-9
- Bronchioles 10-15
- Terminal bronchioles 16-19
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What makes up the respiratory zone?
- Respiratory bronchioles 20-23
- Alveolar ducts 24-27
- Alveolar sacs 28
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Which generations are cartilaginous?
Trachea, main stem bronchi, lobar bronchi, segmental bronchi, subsegmental bronchi
only conduct air)
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Which generations are noncartilaginous airways?
Bronchioles, terminal bronchioles
(conduct air and gas exchange)
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Ribs
- True 1-7
- False ribs 8-10
- Floating ribs 11-12
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Accessory muscles of ventilation during inspiration
–Scalenus muscles
–Sternocleidomastoid muscles
–Pectoralis major muscles
–Trapezius muscles
–External intercostal muscles
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Accessory muscles of ventilation during exppiration
–Rectus abdominis muscles
–External abdominis obliquus muscles
–Internal abdominis obliquus muscles
–Transversus abdominis muscles
–Internal intercostal muscles
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What are the lobes of the lungs?
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Sympathetic ANS
–raise HR
–Relax bronchial smooth muscle
–lower secretions
–Pupils widen
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Parasympathetic ANS
–lower HR
–Bronchial smooth muscle constricts
–raise secretions
–Pupils constrict
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