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Respiratory System
anatomy and physiology of respiratory system
107
Anatomy
Undergraduate 2
04/01/2011

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Term
respiratory system (functions)
Definition
gas exchange, sound waves for speech, regulates body pH (directly tied into carbon dioxide levels in body)
Term
structures of upper respiratory tract
Definition
nose and pharynx
Term
structures of lower respiratory tract
Definition
larynx, trachea, bronchi, bronchioles, lungs
Term
accessory organs
Definition
respiratory muscles (diaphragm and intercostals), ribcage, oral cavity
Term
respiratory zone
Definition
where actual gas exchange occurs (alveoli)
Term
conducting zone
Definition
pathway for air in/out to where gas exchange occurs
Term
nose
Definition
warms, moistens, and filters air / organ of smell
Term
pharynx
Definition
tube, 5 inches (adult), base of skull to esophagus (digestive tube), lined with mucous membrane, 3 regions
Term
nasopharynx
Definition
posterior nares to soft palate
Term
oropharynx
Definition
behind oral cavity, soft palate to hyoid bone
Term
laryngopharynx
Definition
hyoid bone to opening of esophagus
Term
passageways of the pharynx
Definition
- posterior nares
- fauces
- larynx
- esophagus
- eustachian tube (auditory tubes) -> between middle ear and throat, equalize pressure on both sides of eardrum / should be a sterile cavity with ossicles, nasopharynx has normal flora, if it gets into middle ear (infection - pus development, leads to loss of hearing)
Term
functions of pharynx
Definition
- common passageway for digestive/respiration
- phonation -> formation of sounds for words
- warms, moistens, and filters air you breathe in
- tonsils -> pharyngeal (nasopharynx) / palatine and lingual (oropharynx)
Term
larynx
Definition
- voicebox; root of tongue and trachea
- 3rd cervical vertebrae to 6th cervical vertebrae
- thyroid gland located on its external anterior surface
- triangular appearance; 9 pieces of cartilage -> held together by ligaments & CT; lined with mucous membrane
- mucous membrane forms 2 pairs of folds that point upwards
Term
upper pair of mucous membrane folds
Definition
vestibular "false" vocal cords, no role in speech
Term
lower pair of mucous membrane folds
Definition
true vocal cords, force air between, they vibrate -> produce sound waves we use for speech
Term
rima glottis
Definition
space between the true vocal cords where air is forced through
Term
glottis
Definition
true vocal cords plus rima glottis
Term
arytenoid cartilage (paired)
Definition
riangular pieces of mostly hyaline cartilage located at the posterior superior border of the cricoid cartilage; form synovial joints with the cricoid cartilage and have a wide range of mobility
Term
cuneiform cartilage (paired)
Definition
club-shaped elastic cartilages anterior to the corniculate cartilages, support the vocal folds and lateral aspects of the epiglottis
Term
corniculate cartilage (paired)
Definition
horn-shaped pieces of elastic cartilage, located at apex of each arytenoid cartilage
Term
thyroid cartilage (single)
Definition
consists of two fused plates of hyaline cartilage that form the anterior wall of the larynx and give it a triangular shape; it is present in both males and females but it is usually larger in males due to the influence of male sex hormones on its growth during puberty; the ligament that connects the thyroid cartilage to the hyoid bone is called the thyrohyoid membrane.
Term
cricoid cartilage (single)
Definition
ring of hyaline cartilage that forms the inferior wall of the larynx; attached to the first ring of cartilage of the trachea by the cricotrachael ligament. the cricoid cartilage is a landmark for making an emergency airway called a tracheotomy
Term
epiglottis (single)
Definition
large, leaf-shaped piece of elastic cartilage that is covered with epithelium; “stem” of epiglottis is the tapered inferior portion that is attached to the anterior rim of the thyroid cartilage and hyoid bone; superior “leaf” portion is unattached and free to move up and down like a trap door
Term
muscles of the larynx
Definition
- swallowing & vocalization
- intrinsic & extrinsic => open and close glottis, control tension in vocal cords
Term
function of larynx
Definition
- produces sound waves for speech
- warms, moistens, filters air
- passageway for air
Term
trachea
Definition
tube, 5 in. length, extends between larynx and primary bronchi with a flattened posterior aspect which lies on anterior surface of the esophagus
Term
wall of trachea (4 layers)
Definition
1) mucous membrane layer => pseudostratified columnar epithelium with goblet cells
2) submucous membrane
3) 20 horseshoe shaped hyaline cartilage, opening faces posteriorly, function is to keep trachea from collapsing
4) covering of connective tissue
Term
bronchi
Definition
- 5th thoracic vertebrae => trachea splits into primary bronchi (left and right)
- tubes that enter the lungs, wall similar to trachea except hyaline cartilage rings eventually disappear by time bronchi enter the lungs
- divide successively into an upside down tree
- simple passageway for air down to alveoli
Term
secondary (lobar) bronchi
Definition
divisions of the primary bronchi which form smaller bronchi; one for each lobe of the lung = the right lung has three lobes; the left lung has two
Term
tertiary (segmental) bronchi
Definition
branches of smaller bronchi from the secondary bronchi that divide into bronchioles; 10 tertiary bronchi in each lung. segment of lung tissue that each tertiary bronchus supplies is called a bronchopulmonary segment. each bronchopulmonary segment has many small compartments called lobules; each lobule is wrapped in elastic connective tissue and contains a lymphatic vessel, an arteriole, a venule, and a branch from a terminal bronchiole
Term
terminal bronchioles
Definition
bronchioles branch repeatedly and the smallest ones branch into even smaller tubes (respiratory bronchioles)
Term
alveolar ducts
Definition
subdivisions of respiratory bronchioles; lead to functional unit of the lungs (alveoli)
Term
walls of bronchi
Definition
smooth muscle in wall of bronchiole tubes; increases in amount as you move down the bronchial tree
Term
lungs
Definition
- cone-shaped structures, base adjacent to diaphragm, apex is the upper margin
- completely fill pleural cavity
- medial surface is slightly concave, indentation in left lung => cardiac notch
- both lungs have hilum (primary bronchi, pulm. arteries & veins)
- divided by fissures into lobes (right has 2 => horizontal & oblique [3 lobes] left has 1 => oblique [2 lobes])
Term
alveoli
Definition
- functional unit of lung => gas exchange between lungs & blood
- cup-shaped, look exactly like hollow grapes
- walls are simple squamous epithelium supported by elastic fibers
- increase surface area for gas exchange between lungs and blood
Term
alveolar sac
Definition
2 or more alveoli that share a common opening
Term
wall of alveoli
Definition
made up of 2 types of alveolar epithelial cells (type I & type II [septal])
Term
type I alveolar epithelial cells
Definition
simple squamous epithelium; forms a continuous covering for wall, site of gas exchange
Term
type II (septal) alveolar epithelial cells
Definition
scattered in wall of alveoli, secrete alveolar fluid (keeps inside wall moist) => fluid contains surfactant which reduces surface tension & prevents collapsed alveoli
- function: secrete alveolar fluid
Term
other types of cells in alveoli
Definition
macrophages & fibroblasts (make elastic/reticular fibers in wall of alveoli)
Term
respiratory membrane
Definition
- diffusion membrane with 4 components
1) simple squamous epithelium of alveolar wall
2) basement membrane of alveolar wall
3) basement membrane of capillary wall
4) endothelium of capillary wall
Term
pulmonary circulation
Definition
CO2 rich blood from pulmonary arteries => lungs => O2 rich blood => pulmonary veins => left atrium

IMPORTANT SITUATION: in hypoxic tissue (vasodilation)
* IN LUNGS: hypoxia causes vasoconstriction => diverts blood away from hypoxic region to an area with higher oxygen content (ex: pneumonia)
Term
atmospheric pressure
Definition
air pressure exerted on your body by the air around you
- @ sea level => 760 mmHg
- above sea level => below 760 mmHg
Term
intrapulmonary pressure
Definition
air pressure in alveoli, rises and falls during inhalation and exhalation cycles
Term
intrapleural pressure
Definition
air pressure on pleural cavity, outside of lungs = VERY LOW
Term
Boyle's Law
Definition
inverse relationship between volume and pressure (as volume goes up, pressure goes down and vice versa)
Term
Dalton's Law
Definition
each gas in a mix of gases exerts its own pressure as if all other gases were not present (atmospheric gases)
- all atmospheric gases exert a partial pressure in total atmospheric pressure
* O2 = 21%
* CO2 = 0.04%
* N2 = 80%
- diffuse from high partial pressure to low partial pressure
Term
formula for partial pressure of gas at a certain atmospheric pressure
Definition
p(gas) = % gas in atmosphere x atmospheric pressure

ex: pO2 => (.21)(760mmHg) = 160mmHg
Term
Henry's Law
Definition
quantity of gas that will dissolve in liquid is proportional to the pressure of gas over liquid and solubility coefficient of the gas
- in plain english: how soluble is the gas in the liquid?
- high solubility content / higher percentage of gas dissolved in liquid
- carbon dioxide is the most soluble of atmospheric gases
Term
Charles' Law
Definition
volume of a gas is directly proportional to its temperature (increased temp/increased volume)
Term
pulmonary ventilation
Definition
inspiration & expiration
- process by which gases are exchanged between atmosphere and alveoli
- air flows due to pressure changes in lugs => created by contraction and relaxation of respiratory muscles (intercostals/diaphragm)
Term
external respiration
Definition
gas exchange between lungs and blood
Term
internal respiration
Definition
gas exchange between blood and tissue cells
Term
cellular respiration
Definition
glucose catabolism, uses O2 as final electron acceptor, ATP
Term
inspiration
Definition
- active process because it requires contraction of resp. muscles
- when diaphragm contracts => dome goes down, cavity elongates / intercostals swing ribcage up and out
- surface tension of serous fluid pulls pleural layers => lungs expand in volume => air pressure decreases => air goes into lungs until air pressure in lungs equalizes with air pressure around you
Term
expiration (quiet breathing)
Definition
- passive process => respiratory muscles relax; breathe out until pressure equalizes
Term
forced expiration
Definition
active process; requires contraction of abdominal muscles
- the volume that can be exhaled from a full inhalation by exhaling as forcefully and rapidly as possible for a timed period
Term
residual volume
Definition
the amount of gas remaining in the lung at the end of forced expiration
Term
surface tension
Definition
(inside wall of alveoli) creates a recoil, contributes to pushing air out
Term
compliance
Definition
amount of energy needed to expand the lungs and thoracic wall; ease with which the lungs expand (can be high or low)
* related to 2 factors => surface tension and elasticity of lungs/chest wall
Term
factors that reduce compliance
Definition
- reduction of surfactant
- prevention of expansion of intercostal muscles
- any condition that reduces elasticity of lungs => cancer, emphysema, etc.
- conditions that cause lungs to fill with fluid
Term
airway resistance
Definition
- as air flows through respiratory tree => resistance (most created in bronchioles)
- smooth muscle fibers stimulated by SNS fibers, sympathetic stimulation relaxes fibers => bronchiole lumen expands
- increased a.r. => inspiration
- decreased a.r. => expiration
- "fight or flight" => decreases a.r.
Term
transport mechanisms for oxygen
Definition
- oxygen dissolved in plasma (pO2) => 1.5% of the O2 you transport
- oxyhemoglobin (HgbO2) => 98.5% of the O2 you transport
Term
transport mechanisms for carbon dioxide
Definition
- carbon dioxide dissolved in plasma (pCO2) => 7%
- carbaminohemoglobin (HgbCO2) => 23%
- HCO3- (bicarbonate) => 70%
Term
factors that cause hemoglobin to release its oxygen
Definition
- internal respiration
- decrease in pO2 / increase in CO2
- increase in hydrogen ions (lowered pH)
- local temp. increases (increased metabolic activity / increased temperature)
Term
factors that affect external respiration
Definition
- p.p. difference between alveoli and blood (increase altitude, decrease p.p. gas)
- surface area for gas exchange (decrease surface area, decrease gas exchange)
- diffusion distance (increase distance, decrease gas exchange)
- surface area for gas exchange
Term
inflation reflex (Hering-Breuer reflex)
Definition
- does not regulate rate of respiration => "protective mechanism" of overinflation of respiratory tract
* receptors (baroreceptors) detect stretch, located in walls of bronchi/bronchioles; send an inhibitory message via vagus nerve to inspiratory and apneustic center
Term
other factors that influence respiration
Definition
- limbic system => part of brain that deals with anxiety, sends excitatory messages to inspiratory center (increase resp.)
- body temperature (increase rate of respiration with increase in temperature)
- chronic pain => increase respiration
Term
hypoxic hypoxia
Definition
pO2 in arterial blood is significantly reduced, "suffocation"
Term
anemic hypoxia
Definition
inadequate amounts of hemoglobin
Term
ischemic hypoxia
Definition
inadequate blood delivery to tissue cells; ex: heart attack
Term
histotoxic hypoxia
Definition
adequate oxygen delivery to tissue but tissue lacks enzyme to utilize oxygen
Term
some affects of aging on respiratory system
Definition
- loss of elasticity in wall of lungs and thoracic wall - cannot inhale as deeply (@ 70 - decreased 35% lung capacity)
- cilia and macrophages become less active, more likely for microbes to affect lungs and respiratory tracts
Term
carbon monoxide
Definition
- colorless, odorless, tasteless gas produced by incomplete combustion of organic fuels
- competes with oxygen for binding site on hemoglobin (heme); better @ binding (200x the binding capability of oxygen)
Term
hypoxic drive
Definition
- lost significant surface area for gas exchange, cannot take in enough O2 and cannot blow off enough CO2
- pCO2 increased and pO2 decreased in arterial blood
- concentration of hydrogen ions goes up
- reduced activity
- chemoreceptors for carbon dioxide do not work; the ones for oxygen run the show and oxygen therapy is used to treat
Term
cyanosis
Definition
carbon dioxide binded with hemoglobin; bluish tint to skin, fingernails, etc.
Term
loading vs. unloading
Definition
- Hgb + O2 =====> HgbO2 (loading)

- HgbO2 =====> Hgb + O2 (unloading)
Term
myoglobin
Definition
- located in the sarcoplasm of a muscle fiber
- binds oxygen molecules that diffuse into muscle fibers from interstitial fluid
- releases oxygen when needed by mitochondria for ATP production (muscle contraction)
Term
glycogen
Definition
- made primarily by the liver and muscles
- forms an energy reserve that can be quickly mobilized to meet a sudden need for glucose in muscle cells
- muscle cells lack the enzyme glucose-6-phosphatase, which is required to pass glucose into the blood, so the glycogen they store is destined for internal use and is not shared with other cells
Term
bony components of the nose/nasal cavity
Definition
- vomer (perpendicular plate of the ethmoid, maxillae, and palatine bones)
- superior part of nasal cavity is surrounded by bone
- the lateral walls of the internal nose are formed by the ethmoid, maxillae, lacrimal, palatine, and inferior nasal conchae bones; the ethmoid bone also forms the roof
- the palatine bones and palatine processes of the maxillae (both = hard palate) form the floor of the internal nose
Term
inferior nasal conchae
Definition
inferior to the middle nasal conchae of the ethmoid bone but are separate and NOT part of the ethmoid bone; shaped like scrolls; form a part of the inferior lateral wall of the nasal cavity and project into the nasal cavity; all three pairs of nasal conchae (sup., mid., & inf.) increase the surface area of the nasal cavity and help swirl and filter air before it passes into the lungs
Term
superior nasal conchae
Definition
near the olfactory foramina of the cribriform plate where the sensory receptors for olfaction terminate in the mucus membrane of the superior nasal conchae; increase the surface area for the sense of smell
Term
middle nasal conchae
Definition
all conchae greatly increase the vascular and mucous membrane surface area in the nasal cavity which warms and moistens inhaled air before it passes into the lungs. the conchae also cause inhaled air to swirl, and the result is many inhaled particles become trapped in the mucus that lines the nasal cavity; helps cleanse inhaled air before it passes into the rest of the respiratory passageways
Term
meatus of the nasal cavity
Definition
- the conchae subdivide each side of the nasal cavity into a series of groovelike passageways = superior, middle, and inferior meatuses
- mucous membrane lines the cavity and its shelves; the arrangement of conchae and meatuses increases surface area in the internal nose and prevents dehydration by trapping water droplets during exhalation.
Term
paranasal sinuses
Definition
- cavities in certain cranial and facial bones lined with mucous membranes that are continuous with the lining of the nasal cavity
- skull bones containing the paranasal sinuses: frontal, sphenoid, ethmoid, maxillae
- aside from producing mucus, paranasal sinuses serve as resonating chambers for sound as we speak or sing
Term
bony components of the hard palate
Definition
- palatine bones and palatine processes of the maxillae form the hard palate
- usually palatine processes of the maxillary bones unite during weeks 10 to 12 of embryonic development; failure to do so can result in cleft palate or cleft lip and they often occur together
Term
simple squamous epithelium
Definition
- single layer of flat cells; centrally located nucleus
Term
location of simple squamous epithelium
Definition
lines heart, blood vessels, lymphatic vessels, air sacs of lungs, glomerular (Bowman’s) capsule of kidneys, and inner surface of the tympanic membrane (eardrum), forms epithelial layer of serous membranes (mesothelium), such as the peritoneum, pericardium, and the pleura
Term
function of simple squamous epithelium
Definition
filtration, diffusion, osmosis, and secretion in serous membranes
Term
hemoglobin
Definition
a substance in red blood cells consisting of the protein globin and the iron-containing red pigment heme that transports most of the oxygen and some carbon dioxide in blood
Term
CO2 + H2O ==> H2CO3 ==> Hydrogen ion + HCO3-
Definition
carbon dioxide + water turns into carbonic acid which then disassociates into a hydrogen ion and a bicarbonate
Term
respiratory centers in the brain
Definition
composed of neurons in the medullary rhythmicity area (expiratory / inspiratory) in the medulla oblongata plus the pneumotaxic and apneustic areas in the pons
Term
mediastinum
Definition
the anatomical region on the thoracic cavity between the pleurae of the lungs that extends from the sternum to the vertebral column and from the first rib to the diaphragm
Term
function of mediastinum
Definition
central compartment of the thoracic cavity
Term
structures that lie within the mediastinum
Definition
heart, the great vessels of the heart, esophagus, trachea, phrenic nerve, cardiac nerve, thoracic duct, thymus, and lymph nodes of the central chest
Term
pleural membrane
Definition
each lung is enclosed & protected by a double layered serous membrane
Term
parietal pleura
Definition
superficial layer of pleural membrane that lines the wall of the thoracic cavity
Term
visceral pleura
Definition
deep layer of pleural membrane, covers the lungs themselves
Term
pleural cavity
Definition
small space between the two layers which contains a small amount of lubricating fluid secreted by the membranes; this pleural fluid reduces friction betwen the membranes, allowing them to slide easily over one another during breathing and creates surface tension
Term
tidal volume
Definition
volume of one breath
Term
forced inspiration
Definition
the volume of gas that can be taken into the lungs in a full inhalation, starting from the resting inspiratory position; equal to the tidal volume plus the inspiratory reserve volume
Term
inspiratory reserve volume
Definition
the maximal amount of gas that can be inhaled from the end-inspiratory position
Term
expiratory reserve volume
Definition
the maximal amount of gas that can be exhaled from the resting end-expiratory level
Term
vital capacity
Definition
the volume of gas that can be expelled from the lungs from a position of full inspiration, with no limit to duration of inspiration; equal to inspiratory capacity plus expiratory reserve volume
Term
total lung capacity
Definition
the amount of gas contained in the lung at the end of a maximal inhalation
Term
anatomical dead space
Definition
air that is inhaled by the body in breathing, but does not take part in gas exchange
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