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3 most important structures of the respiratory system:
- Lungs: o2 and co2 out
- Muscles of respirations:breathing is a passive process from high to low.
- Brain:Sympathethics increases respiratory rate,
- Para: decrease
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The upper airway that are aligned with ciliated mucosa to keep foreign particles out.
- Nasopharynx:and
- Oropharynx
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The structure that connects upper to lower airways:
Larynx: voice box
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Mucosa:
- 1.protection
- 2.immune support-debris,mucins(proteoglycans),bacteria interface
- 3.lubricant-to allow food move into digestive tract
- 90%apirations go into the right lung
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Hyoid:
Protect the larynx voice box
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Pneumothorax:
complete lung collapse
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Atalectisis:
One lobe partial collapse
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Emphysema:
pomegranates only in alveoli, it deceases surface area for gas exchange, less oxygen in the blood, gas exchange problem.
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Sinusitis:
Is an inflammation of the tissue lining,mucosa membranes
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Thymus:
Mediastinum: self from non-self
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Cricoid:
intubation,connected to epiglottis
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Mechanics of breathing:3
- accessory muscles
- elastic properties of the lungs and chest walls
- resistance air-flow through the conducting airways.
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Muscles of inspiration:
Diaphram and intercostal muscles(between the ribs), causes negative pressure that draws gas into the lungs through the upper airways trachea, increase during excersie
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Expiration:
abdominal and internal intercostal muscles
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Surface tension:
Surfactant lowers by coating the alveoli, lipoprotein produced by type 2 alveolar cells
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Elastic properties: recoil
lungs to returning to its normal state after inspiration, depends on chest wall.
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Compliance:
- Increased compliance indicates has lost some elastic recoil and abnormally easy to inflate:
- Decreased compliance: stiff or difficult to inflate.
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Airway resistance:
airway increases when the diameter of the airway decreases. Bronchoconstriction, which increases airway resistance can be caused by parasympathetic receptors in the bronchial smooth muscle. or by edema or tumors
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Work of breathing:
is determined by muscular effort, and oxygen required. More muscle effort is required when lung compliance decreases,
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Mechanics of breathing:
- Ventilation:is the movement of air between the environment and the lungs
- Diffusion:of oxygen from the alveoli into the capillary blood , happens in the lungs
- Perfusion:the blood that reaches the capillaries
- Diffusion:from capillaries into tissue cells out of blood
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Mechanics of breathing:Pons of the brainstem
- 1.Apneustic center-stimulates neurons to promote expiration and inspiration intercostal and diaphram.
- 2.Pneumotaxic center:stimulated neurons to promote expiration via the internal intercostals and rectus abdominis
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Mechanics of breathing:
- 1.Chemoreceptors-central located in the medulla
- 2.PEripheral-located in the aorta and carotid bodies
- **Both detect increased levels in co2 and then stimulate increase in RR
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Ventilation:
- 1. mechanical movement-of gas or air into and out the lungs
- 2.minute volume - ventilator rate multiplied by the volume of air per breath
- 3.alveolar ventilation:the amount of air that reaches the alveoli and is available for gas exchange with the blood per unit time.
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Gas exchange:
- Alveoli-epithelial cells
- -Type 1 alveolar cells, alveolar structure, where diffusion of respiratory gasses occur.
- -Type 2-surfactant production
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Pulmonary circulation:
- has a lower pressure than the systemic circulation.
- One-third of pulmonary vessels are filled with blood at any given time.
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Pulmonary circulation:
Alveolocapillary membrane formed by the shared alveolar and capillary walls
- -Gas-exchange occurs across this membrane
- -Membrane -Type 1
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Gas transport:
- oxygen transport-diffusion across the alveolocapillary membrane.
- -dissolved in plasma
- -oxyhemoglobin-
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Gas transport
- carbon dioxide
- dissolved in plasma
- bicarbonate-(Hco3)-90% of co2
- carbaminohemoglobin
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Pressures:
- PA-alveoli pressure
- PIP-intrapleura pressure
- PB-atmosphere pressure
- Inhalation: PB>PA>PIP
- Exhalation: PA>PIP>PB
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Physiologic shunting
high Co2(low02)-vasoconstriction
- low co2(high02)-vasodilation
- co2=acid=lowph
- hco3=basehigh PH
- *high co2 massive vasoconstriction cause pulmonary hypetension
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