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Chapter 22 - Respiratory System AP II

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152680804Tidal Volume (TV)Amount of air inhaled or exhaled with each breath under resting conditions (Adult male and female value = 500ml)
152680805Inspiratory Reserve Volume (IRV)Amount of air that can be forcefully inhaled after a normal tidal volume inhalation (Adult male = 3100ml) (female = 1900ml)
152680806Expiratory Reserve Volume (ERV)Amount of air that can be forcefully exhaled after a normal tidal volume exhalation (Adult male = 1200ml) (female = 700ml)
152680807Residual Volume (RV)Amount of air remaining in the lungs after a forced exhalation (Adult male = 1200ml) (female = 1100ml)
152680808When alveolar O2 is highArterioles(blood vessels) dilate
152680809When alveolar O2 is lowArterioles(blood vessels) constrict
152680810When alveolar CO2 is highBronchioles dilate
152680811When alveolar CO2 is lowBronchioles constrict
152680812External Respiration occurs in ____________.Lungs
152680813Internal Respiration occurs in the __________.Tissues
152680814VentilationAmount of gas reaching the alveoli
152680815PerfusionBlood flow reaching the alveoli
152680816Lung compliance is diminished by1.) Non-elastic scar tissue (fibrosis) 2.) Smoking 3.) Reduced production of surfactant 4.) Decreased flexibility of the thoracic cage 5.) Tuberculosis
152680817Homeostatic Imbalances that reduce compliance1.) Deformities of the thorax 2.) Ossification of the costal cartilidge 3.) Paralysis of intercostal muscles
152680818Lung complianceHealthy lungs are very stretchy referred to as
152680819Lung complianceNormally is high due to 1.) The distensibility (swelling/stretching) of the lung tissue 2.) alveolar surface tension
152680820F(flow) =P(pressure) / R(resistance) means more resistance = less air
152680821Physical factors influencing pulmonary ventilation1.) Airway resistance/friction 2.) Alveolar surface tension 3.) Lung compliance
152680822Surfactant1.) Detergent-like lipid and protein complex produced by type II alveolar cells. 2.) Reduces surface tension of alveolar fluid and discourages alveolar collapse
152680823Respiratory Distress Syndrome (RDS)Insufficient quantity of surfactant in premature infants causes this
152680824Transpulmonary pressure(intrapulmonary pressure) MINUS (intrapleural pressure) 760 mm Hg minus 756 mm Hg = 4 mm Hg
152680825Intrapleural pressure (P ip)Pressure in pleural cavity Always a negative pressure around -4 mm Hg
152680826Intrapulmonary pressure (P pul)Pressure in the alveoli Always eventually equalizes with P atm (atmospheric pressure)
152680827SpirometerInstrument used to measure respiratory volumes and capacities
152680828Minute VentilationTotal amount of gas flow in or out of the respiratory tract in one minute
152680829Alveolar Dead spaceAlveoli that cease to act in gas exchange due to collapse or obstruction
152680830Anatomical Dead spaceVolume of the conducting zone conduit (150 ml), means of the tidal volume 500ml only 350ml actually reach alveoli bc of this space.
152683448The four respiratory volumes areTidal, inspiratory reserve, expiratory reserve, and residual
152683449The four respiratory capacities areVital, functional residual, inspiratory, and total lung
152869542CO2 (Carbon Dioxide)is 20 times more soluble in Water than O2 (oxygen).
152869543N2 (Nitrogen)Very little dissolves in Water
152869544Law that when a mixture of gases is in contact with a liquid, each gas will dissolve in the liquid in proportion to its partial pressureHenry's Law
152869545At equilibrium,the partial pressures in the two phases will be equal
152869546Alveoli contain more CO2 and water vapor than atmospheric air, due to1.) Gas exchanges in the lungs 2.) Humidification of air 3.) Mixing of alveolar gas that occurs with each breath
152869547Exchange of O2 and CO2 across the respiratory membrane is Influenced by1.) Partial pressure gradients and gas solubilities 2.) Alveolar Ventilation-pulmonary blood perfusion coupling 3.) Structural characteristics of the respiratory membrane
152869548Partial pressure gradient for CO2 in the lungs is less steep:Venous blood Pco2 = 45 mm Hg Alveolar Pco2 = 40 mm Hg
152869549Partial pressure gradient for O2 in the lungs is steepVenous blood Po2 = 40 mm Hg Alveolar Po2 = 104 mm Hg
152869550Respiratory MembranesThicken if lungs become waterlogged and edematous, and gas exchange becomes inadequate
152869551Respiratory MembranesReduction in surface area with emphysema, when walls of adjacent alveoli break down
152869552Molecular O2 is carried in the blood1.5% dissolved in plasma 98.5% loosely bound to each Fe of hemoglobin (Hb) in RBCs 4 O2 per Hb
152869553Oxyhemoglobin (HbO2):hemoglobin-O2 combination
152869554Reduced hemoglobin (HHb):hemoglobin that has released O2
152869555Rate of loading and unloading of O2 in Hemoglobin (Hb) is regulated by1.) Po2 (partial pressure oxygen) 2.)Temperature 3.)Blood pH 4.)Pco2 (partial pressure carbon dioxide) 5.)Concentration of BPG (isomer present in red blood cells)
152869556In arterial blood1.) Po2 = 100 mm Hg 2.) Contains 20 ml oxygen per 100 ml blood (20 vol %) 3.) Hb is 98% saturated
152869557In venous blood1.) Po2 = 40 mm Hg 2.) Contains 15 vol % oxygen 3.) Hb is 75% saturated
152869558Hemoglobin is almost completely saturated at aPo2 level of 70 mm Hg (mercury)
152887151If O2 levels in tissues drop:1.) More oxygen dissociates from hemoglobin and is used by cells 2.) Respiratory rate or cardiac output need not increase
152887152Only 20-25% of bound O2 isunloaded during one systemic circulation
152887153HypoxiaDue to a variety of causes 1.) Too few Red Blood Cells 2.) Abnormal or too little Hb 3.) Blocked circulation 4.) Metabolic poisons 5.) Pulmonary disease 6.) Carbon monoxide
152887154CO2 is transported in the blood in three forms1.) 7 to 10% dissolved in plasma. 2.) 20% bound to globin of hemoglobin (carbaminohemoglobin). 3.) 70% transported as bicarbonate ions (HCO3-) in plasma.
152887155In systemic capillaries1.) HCO3 (bicarbonate ion) - quickly diffuses from Red Blood Cells into the plasma. 2.) The chloride shift occurs: outrush of HCO3 (bicarbonate ion) - from the Red Blood Cells is balanced as Cl- (chloride ion) moves in from the plasma.
152887156Carbon dioxide + Water= Carbonic Acid (H2CO3) (happens in Systemic capillaries during transport and exchange of CO2)
152887157Carbonic Acid (H2CO3) disassociates quickly into what during transport and exchange of CO2?Hydrogen Ion (h+) + Bicarbonate ion (HCo3-)
152887158In pulmonary capillaries during transport and exchange of CO21.) HCO3 (bicarbonate ion) - moves into the Red Blood Cellss and binds with H+ to form H2CO3 (carbonic acid). 2.) H2CO3 (carbonic acid) is split by carbonic anhydrase into CO2 and water. 3.) CO2 diffuses into the alveoli.
152887159Acclimatization to High Altitude1.) Decline in blood O2 stimulates the kidneys to accelerate production of Erethropoietin( producess Red blood cells) 2.) Red Blood Cell numbers increase slowly to provide long-term compensation
152887160Acclimatization to High Altituderespiratory and hematopoietic adjustments to altitude
152887161Acclimatization to High Altitude1.) Chemoreceptors become more responsive to Pco2 when Po2 declines. 2.) Substantial decline in Po2 directly stimulates peripheral chemoreceptors. Result: minute ventilation increases and stabilizes in a few days to 2-3 L/min higher than at sea level.
152887162Quick travel to altitudes above 8000 feet may produce these symptoms of acute mountain sickness (AMS):1.) Headaches, shortness of breath, nausea, and dizziness. 2.) In severe cases, lethal cerebral and pulmonary edema.
152887163Three neural factors cause increase in ventilation as exercise begins:1.) Psychological stimuli—anticipation of exercise 2.) Simultaneous cortical motor activation of skeletal muscles and respiratory centers 3.) Exictatory impulses reaching respiratory centers from
152887164Pco2, Po2, and pH levels remainsurprisingly constant during exercise.
152887165HyperpniaIncrease in ventilation (10 to 20 fold) in response to metabolic needs
152887166Hering-Breuer Reflex (inflation reflex)1.) Stretch receptors in the pleurae and airways are stimulated by lung inflation. 2.) Inhibitory signals to the medullary respiratory centers end inhalation and allow expiration to occur. 3.) Acts more as a protective response than a normal regulatory mechanism.
152887167Pulmonary Irritant Reflexes1.) Receptors in the bronchioles respond to irritants 2.) Promote reflexive constriction of air passages 3.) Receptors in the larger airways mediate the cough and sneeze reflexes
152929428Boyle's Law tells us thatthe decrease of pressure in your lungs causes you to inhale because the internal pressure is less than that outside your body.
152929429As body temperature risesoxygen exchange is less efficient because the solubility of oxygen in the heated plasma decreases.
152929430During normal breath-holding it's the increase in carbon dioxide, not the oxygen decreasethat stimulates taking a breath.
152929431Your body has central chemoreceptors that are more sensitive to increases in carbon dioxidethan decreases in oxygen.
152929432Partial pressure and gas solubility are key factors inefficient gas exchange.
152929433Cellular metabolism generates carbon dioxide as aby-product.
152929434Partial pressure of oxygen is lowerin the tissues.
152929435The amount and partial pressure of oxygen is greater in thealveolar sacs.
152929436Less than five percent of the oxygen is freely circulatingand the rest is bound to hemoglobin.
152929437Dalton's Law of Partial Pressuresexplains how gases behave when they are mixed together. The pressure in a confined space is the total of all the gas pressures combined.
152929438Henry's Law explainshow gases can dissolve in a solution
152939294In order for the alveolar sacs to inflate easily, what has to be low?surface tension
152939295What is the distance between your alveoli and the blood across the respiratory membrane?About half a micrometer
152939296Which law explains how the air travels through the conducting system?Boyle's Law
152939297What is the partial pressure difference for oxygen between the lungs and tissues versus the partial pressure differences for carbon dioxide?Oxygen is twelve to fifteen times greater than carbon dioxide.
152939298During normal resting breathing, why do you breathe in?because the partial pressure in your lungs is lower than outside your body.
152939299Dalton's Law of Partial Pressures explains how gases behave when they are mixed together.True
152939300Greater than 95% of the oxygen exchanged is bound to iron in hemoglobin.True
152939301What is the name of the area from the nose to the respiratory bronchioles?the conducting zone
152939302What is the actual site of gas exchange?The alveoli
152939303What is the name of the surface through which gas is exchanged?respiratory epithelium. It consists of alveolar epithelium, a basement membrane, and endothelium surface.
152939304Which law describes how gas moves in and out of solution?Henry's Law. Henry's law describes diffusion of gas into and out of liquids.
152939305Which law states that gas pressure and volume are inversely related?Boyle's Law
152939306What facilitates the flow of oxygen and carbon dioxide into and out of your tissues?Pressure gradients
152939307At rest, when the diaphragm contracts, does the pressure in the thoracic cavity decrease or increase?decrease. As the volume expands, the pressure decreases, and air rushes in to fill the void.
152939308Besides the partial pressure of a gas, what other factor determines the efficiency of gas exchange?Gas solubility
153315218(AVR) Alveolar ventilation rateFlow of gases into and out of the alveoli during a particular time.
153315219(AVR) = freqeuncy X (TV - Dead Space) (ml/min.) (breaths/min) (ml/breath)An index of effective ventilation is this formula
153824694The partial pressures of gases in the alveoli differ from those in the atmosphere BC of the combunation of these three factors:1.) Humidification of inhaled air. 2.) Gas exchange between the alveoli and pulmonary capillaries. 3.) Mixing of old and new air.
153827914Ventilation-perfusion coupling: effect of (PO2)Mechanisms which maintain the correct proportion between alveolar flow and pulmonary capillary flow, including constriction and dilation of arterioles and bronchioles.
153831244Internal respiration depends on:1.) Available surface area, which varies in different tissues. 2.) Partial pressure gradients. 3.) Rate of blood flow varies. (e.g. Metabolic rate of tissue)
153849353These conditions DECREASE HEMOGLOBIN'S affinity for oxygen (more oxygen is released to the tissues), releasing more oxygen to the active muscles.1.) Lowered PH 2.) Temperature rising 3.) Increase in PCO2 (Partial pressure carbon dioxide) 4.) increase in 2-3 Biphosphoglycerate (BPG)
153851567These conditions INCREASE HEMOGLOBIN'S affinity for oxygen (less oxygen is released to tissues), less active muscles.1.) Increase in PH 2.) Decrease PCO2 (Partial pressure carbon dioxide) 3.) decrease in 2-3 Biphosphglycerate (BPG)
153879627Bohr effectAs hydrogen ions bind to hemoglobin, more oxgen is released to the tissues.The interaction between hydrogen ion binding and Hemoglobin's affinity for oxygen (O2) . Decreased PH on Oxygen (O2) loading. (Tissues)
153879628Haldane effectOxygen (O2) loading facilitates carbon dioxide (CO2) unloading from hemoglobin. (Lungs)

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