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Anatomy
Lecture 1
34
Pharmacology
Professional
11/22/2012

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Cards

Term
What are functions of the respiratory system?
Definition
- Provide O2/Eliminate CO2
- Regulate pH
- Phonation - form speech
- Defend against microbes
- FILTER blood
- Removal/production of chemicals (PgE, AngI)
- DRUG ABSORPTION
Term
What is respiration?
Definition
Exchange of O2 and CO2 between and organism and it's environment
Term
What are the 5 major processes of respiration?
Definition
- Ventilation - movement of air in and out
- Gas exchange in lungs - between alveoli and blood
- Transport of gases - from lungs to tissues and back
- Gas exchange in tissues - between systemic blood and cells
- Cellular respiration - O2 utilization
Term
What are upper respiratory tract structures?
Definition
Nasal cavity, pharynx, larynx, oral cavity
Term
What are lower respiratory tract structures?
Definition
trachea, bronchi, bronchioles, alveoli
Term
What composes the respiratory mucosa?
Definition
ciliated columnar cells
Goblet cells - secrete mucous
serous glands - secrete antibacterial enzymes. Defensins are proteins that pierce microbes
**Not in alveoli
Term
What are the three sections of the pharynx?
Definition
In descending order:
- Nasopharynx - auditory tube, drains middle ear
- Oropharynx
- Laryngopharynx
Term
What divides the nasal cavity?
Definition
The nasal septum
Term
What is special about olfactory mucosa?
Definition
In the superior part of the nasal cavity, contains sensory cells
**Nasal cavity is both ciliated and mucous secreting
Term
What structures are found in the nasal cavity?
Definition
- Nostrils - openings
- Posterior aperture - opens to pharynx
- Vestibule - entrance to nasal cavity, filters air. Contains Sweat and sebaceous glands
- Conchae - lobes in the nasal cavity
- Meatus - creases that increase surface area, trap large particles
Term
What are the sinuses?
Definition
4 cavities that connect w/ the nasal cavity, warm/moisten air and lighten/hollow out the skull
- Frontal
- Ethmoid
- Sphenoid
- Maxillary
Term
What are tonsils?
Definition
Lymphatic structures in the PHARYNX that trap pathogens
Term
What is the pharynx?
Definition
Pathway for food/air that connects mouth and larynx
Term
What is the larynx?
Definition
Made of cartilage, only the LOWER portion is ciliated
Contains the voice box/vocal cords
Routes air and food using epiglottis
Term
What structures are in the oral cavity?
Definition
Hard and soft palate
Uvula - closes off nasal cavity during swallowing
**NOT ciliated
Term
What are types of upper respiratory tract disorders?
Definition
- Rhinitis - inflammation of nasal mucosa
- Sinusitis - Inflammation of the sinuses
- Tonsilitis - inflammation of the tonsils
- Epistaxis - bloody nose
- Laryngitis - inflammation of vocal cords
- Pharyngitis - Sore throat
Term
What is the Trachea?
Definition
In the lower respiratory tract - flexible tube connecting trachea to bronchi. Moistens and cleans air
** Ciliated and mucous producing
Term
What are the bronchial tubes?
Definition
Passageways connecting the trachea to bronchioles. Cartilage decreases further into the lungs.
** Ciliated and mucous secreting
Term
What are the bronchioles?
Definition
The smallest air passages before the alveoli, lacking cartilage. Sensitive to HISTAMINE.
LACK cilia and mucous glands
**Terminal bronchioles do not attach to alveoli
Term
What are alveoli?
Definition
The Main site of gas exchange!
Lined w/ Type I simple squamous cells (produce ACE)
- Type II cells - produce surfectant
- Alveolar macrophages - remove debris and infections agents
- Alveolar sacs - end clusters
- Alveolar ducts - lead to sacs
- Alveolar pores - equalize air pressure
Term
What is the respiratory membrane?
Definition
The membrane across which O2 and CO2 exchange in the alveoli
Also called alveolar-capillary membrane - Type I + pulmonary epithelium
0.5 microns!
Term
What different zones exist in the pulmonary system?
Definition
- Conducting zone - Nasal cavity up to and INCLUDING terminal bronchioles. Cilia and Goblet cells.
- Respiratory zone - respiratory bronchioles to alveoli. NO CARTILAGE PRESENT.
Term
What are the anatomical features of the lungs?
Definition
- Right lung - 3 lobes
- Left lung - 2 lobes w/ cardiac notch
- Lobules - smallest division
- Hilus - where blood vessels and primary bronchi enter
Term
What are the pleural coverings?
Definition
- Parietal pleura - faces thoracic wall
- Visceral pleura - faces surface of the lung
Allow lung to function independently, prevent infection. Filled w/ fluid.
Fxns: Lubricate outer surface, hold pleura together, coordinate breathing movements
Term
What muscles are used in respiration?
Definition
- Diaphragm - contracts on inspiration
- Intercostal muscles - between ribs, assist in inspiration and expiration
- Abdominal muscles - For rigorous breathing
Term
How are the lungs innervated?
Definition
- Vagus nerve - PNS to and from. Cholinergic stimulation CONSTRICTS airways, increases mucous secretion
- Thoracic nerves T2-T4 - SNS. Motor to intercostals and abdominals. Dilation through non-SNS such as NO, VIP, NK. Also, epi binds to B2 --> dilation
- Phrenic - cervical, innervates diaphragm
Term
How are the lungs perfused?
Definition
- Pulmonary circulation - pulmonary arteries contain deoxygenated blood, perfuses into alveoli. Low pressure, high volume
- Bronchiole circulation - from AORTA, oxygenated blood to all lung tissues EXCEPT alveoli
Term
Is there lymphatic drainage in the lungs?
Definition
Yes! controls fluid balance. Blockage = pulmonary edema
Term
What respiratory volumes are found in the lungs?
Definition
- Tidal volume - volume entering during a normal inspiration
- Inspiratory reserve volume - amount that can be inspired forcefully over TV
- Expiratory reserve volume - amount that can be forcibly exhaled after TV
- Residual volume - amount in the lungs after forces expiration
Term
What capacities exist in the lungs?
Definition
- Functional residual capacity - amount residing in the lungs after TV expiration. FRC = ERV + RV
- Inspiratory capacity - maximum unforced amount that can be inspired. IC = TV + IRV
- Vital capacity - Maximum amount expired w/ maximum effort. VC = TV + IRV + ERV
- Total capacity - max amount possible to contain in the lungs. TC = TV + IRV + ERV + RV
Term
What rate measurements are used to measure the lung?
Definition
- Forced vital capacity - vital capacity measured by exhaling as fast as possible. Low in restriction
- Forced expiratory volume 1 - volume expired after 1 second following max inhalation. Low in obstruction/COPD
Term
What is spirometry?
Definition
measure of respiratory volumes and flow, evaluates a loss in respiratory function.
Term
What is minute ventilation?
Definition
Tidal volume * Respiratory rate
Term
What is alveolar ventilation? How does it compare to minute ventilation?
Definition
The amount of fresh air available for gas exchange, accounts for dead space
(TV- 150(dead space)) * respiratory rate
**Will always be less than minute ventilation
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