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MCC Paramedic
A&P Respiratory System (Ch. 23 & 24) Review
73
Biology
Professional
09/08/2009

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Cards

Term
What does the respiratory system do?
Definition

1. Ventilation (breathing or respiration)

2. Gas exchange

Term

Overview of Ventilation

 

Inhalation

Definition

active process - need muscle contraction

 

inspiratory muscles - diaphragm and external intercostal

 

phrenic nerve - must be intact

Term

Overview of Ventilation

 

Exhalation

Definition

Passive process (quiet) - does not involve muscle contraction

 

elastic recoli

 

active process (forced) - ex: cough or running hard

Term
What does air need in order to flow?
Definition
pressure gradient
Term
What are the upper respiratory structures?
Definition

Nose

 

Pharynx

 

Larynx

Term
What are the lower respiratory structures?
Definition

Trachea

Bronchi

Lungs

Bronchioles

Alveolar ducts

Alveoli

Term
What happens in the conduction zone?
Definition

-moves air

-warms air

-moistens air

-filters air

-airway resistance at the bronchi and bronchioles due to smooth muscle

Term
What happens in the respiratory zone?
Definition
Gas exchange between the aveolar sacs and capillaries
Term
What two things work together to trap things and prevent infections?
Definition
Cilia and mucus only in the conducting zone
Term
Hypercapnia
Definition
excessive CO2 in blood
Term
What are the 4 paranasal sinuses?
Definition

frontal

maxillary

sphenoidal

ethmoidal

Term
What are the aveoli surrounded by?
Definition
pulmonary capillaries
Term
Where does the greatest site of airway resistance occur?
Definition
with the bronchi and bronchioles - they are affected by the SNS (bronchodilation) and ParaNS (bronchoconstriction)
Term
Where does the olfactory receptors reside in?
Definition
the nasal cavity
Term
What are the three parts of the pharynx?
Definition

Nasopharynx (behind the naso cavity)

 

Oropharynx (behind mouth)

 

Laryngopharynx (below mouth and above larynx)

Term
Pharynx is refered to as what?
Definition
the throat
Term
What other structures are in the pharynx?
Definition

Nasal conchae (in the nose)

Eustachian (auditory) tube

Hard/soft palate

Uvule

Tonsils

Term
What are the tonsils?
Definition
clusters of WBC's that are "on-guard" for pathogenic diseases
Term
What is the larynx mainly composed of?
Definition
cartilage
Term
Larynx includes?
Definition

Thyroid cartilage (Adam's apple)

 

Cricoid cartilage

 

Epiglottis

Term
What is another name for the larynx?
Definition
voice box
Term
Where are the vocal cords located?
Definition
in the larynx
Term
What is another name for the trachea?
Definition
windpipe
Term
What is the trachea made of?
Definition
composed mainly of rigid cartilagenous rings (tracheal rings) to prevent from collapsing
Term
Where is a tracheotomy performed?
Definition
with the patient's neck hyper-extended the incision is usually made through the skin through the 2nd, 3rd, or 4th tracheal ring
Term
How many lobes are in the right lung?
Definition
3
Term
How many lobes are in the left lung?
Definition
2
Term
What is a pneumothorax?
Definition
the presence of air in the intrapleural space on one side of the chest.......which leads to COLLAPSE!
Term
What two fluids work together to keep lungs inflated?
Definition
pleural fluid and the pulmonary surfactant
Term
What are the alveolus and pulmonary capillaries lined with to ease gas exchange?
Definition
simple squamous epithelium
Term
What four gasses are in the air?
Definition
N2, O2, CO2, and H2O
Term
What makes surfactant?
Definition
by the Type II alveolar cell
Term
What is the function of surfactant?
Definition
to lower surface tension and subsequently reduce the tendency of the aveoli to collapse completely
Term
What pressures are involved with breathing?
Definition

Atmospheric pressure

 

Intra-alveolar pressure

 

Pleural pressure

Term
Movement of air requires what?
Definition
a pressure gradient
Term
Boyle's Law
Definition

the volume of a gas is inversely proportional to its pressure

 

P1V1 = P2V2

Term
What causes our primary drive to breathe?
Definition
a rising CO2 level (hypercapnia)
Term
When the diaphragm contracts, the volume of the thorax increases, thoracic pressure:
Definition
decreases, and air rushes into the lungs
Term
Quiet respiration is the function of:
Definition
the diaphragm and external intercostal
Term
Eupnea
Definition
normal breathing
Term
During normal, quiet respiration, the amount of air exchange between the lungs and atmosphere is called _________ and has a volume of _______ ml.
Definition
tidal volume; 500
Term
Under normal conditions, air in the atmosphere exerts a pressure of:
Definition
760 mm Hg
Term
Apnea
Definition
the temporary cessation of breathing
Term
Residual volume
Definition
the volume remaining in the respiratory tract after maximum expiration
Term
Temperature
Definition
the measurement of the motion of molecules
Term
Dalton's Law is also know as?
Definition
the law of partial pressures
Term
PO2 at standard atmospheric pressure is approximately:
Definition
160 mm Hg
Term
What is the gas of greatest concentration in atmospheric air?
Definition
Nitrogen
Term
What is a spirometer and respirometer used for?
Definition
to measure tidal volume
Term
Vital capacity
Definition
max you can inspire and expire
Term
How is oxygen carried in the blood?
Definition

Dissolved in plasma (solubilized) -- 1.5%

 

Bound to hemoglobin (Hb) in RBCs -- 98.5%

Term
Oxyhemoglobin (HbO2)
Definition
Hb bound with O2
Term
Deoxyhemoglobin (HHb)
Definition
Hb not bound with O2
Term
Increasing the carbon dioxide content of blood results in:
Definition

increased H+ concentration of plasma

 

decreased blood pH

Term
A right shift of oxygen-hemoglobin dissociation curve due to increased Pco2 is known as?
Definition
Bohr effect
Term
The basic rhythm of the respiratory cycle seems to be generated by:
Definition

the medullary rhythmicity area

 

the inspiratory center

 

the expiratory center

Term
What causes hiccups?
Definition
irritation of the phrenic nerve can cause extended periods of hiccups
Term
What is formed when carbon dioxide bind(s) to hemoglobin?
Definition
carbaminohemoglobin
Term
The amount of air that can be forcibly exhaled after expiring the tidal volume is known as?
Definition
expiratory reserve volume
Term
Pulmonary ventilation
Definition
breathing
Term
Inhaling
Definition
inspiration
Term
Exhaling
Definition
Expiration
Term
Most carbon dioxide is carried in what form?
Definition
bicarbonate ions (HCO3) -- 70%
Term
Carbon dioxide is transported by the blood in 3 forms:
Definition

Dissolved in plasma -- 7%

 

Bound to hemoglobin (carbiaminohemoglobin) in RBCs or other plasma proteins --23%

 

As bicarbonate ions (HCO3) -- 70%

Term
What sets the basic rhythm for breathing?
Definition
the inspiratory and expiratory centers
Term
What causes our secondary drive to breathe?
Definition
a falling O2 level (hypoxia)
Term
Hyperventilation
Definition
rapid & deep
Term
Hypoventilation
Definition
slow & shallow
Term
Respiratory arrest
Definition
long period of breathing cessation
Term
Where are the chemoreceptors found?
Definition
in the carotid sinus and aortic arch
Term
Where is ventilation controlled?
Definition
by the neurons in the brainstem
Term
Where are the 2 most important collection of neurons in the medulla?
Definition
inspiratory and expiratory centers
Term
What is the normal breathing rate?
Definition
12-18 breaths/min
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