Chapter
11 Outline (Respiratory Physiology)
(updated 3/28/22)
Know the structures involved in the conduction zone (oral
& nasal cavities, pharynx, larynx, trachea, bronchi, and terminal bronchioles)
Know the structures involved in the respiratory zone (respiratory
bronchioles and alveolar sacs)
Know the difference between alveolar type 1 and type 2 cells.
What is "surfactant" and what influence does it have on
surface tension within the alveolar sacs?
What is IRDS versus ARDS?
What does the diaphragm do during inhalation to change thoracic and
lung volume? What does this do to intrapulmonary air pressure?
What does the diaphragm do during exnhalation to change thoracic and lung
volume? What
does this do to intrapulmonary air pressure?
Understand how air moves along pressure "gradients" from
high to low.
Understand the influence of "Boyle's Law" on changes
in air pressure with changing volumes of a closed chamber (like the lungs).
What happens to intrapulmonary pressure - relative to atmospheric
pressure outside the lungs - when we inhale versus when we exhale? *This
change in air pressure is related to changes in volume of the thoracic cavity
- which can be changed by respiratory muscles contracting or relaxing.
What issurface tension, compliance, and recoil with respect to the
lungs?
Know the 2 membranes associated with the lungs (visceral and parietal
pleura)
What is surface tension with respect to the lung alveoli (repeated
from above)?
What is the danger with a pneumothorax (what is happening to the
intrapleural space) ?
Know the following respiratory disorders (and whether they are restrictive
or obstructive):
- pulmonary fibrosis (and some
causes of it - silicosis, anthracosis, mesothelioma, & smoking)
- asthma
- COPD
- emphysema
- cystic fibrosis
Know respiratory vocabulary (apnea, dyspnea, eupnea, hyperventilation, hypoventilation)
How is gas exchange regulated at lung alveoli and the pulmonary arteries
- depending on partial pressures of oxygen (PO2) and pressures of carbon
dioxide (PCO2)?
How is gas exchange regulated at tissues and arterial capillaries
- depending on partial pressures of oxygen (PO2) and pressures of carbon
dioxide (PCO2)? See Figure 16.22
How
is respiration regulated by the brain stem?
- Voluntary control (by primary motor cortex or precentral gyrus)
- Involuntary control (by medulla and pons)
What are
the main "chemoreceptors" that sense changes in blood pH?
If your blood pH drops too low (respiratory acidosis), what will your medulla
do to minute ventilation to fix it?
If you blood pH rises too high (respiratory alkalosis), what will your medulla
do to minute ventillation to fix it?
What are some causes of metabolic acidosis? Of metabolic alkalosis?
What
is oxyhemoglobin versus deoxyhemoglobin?
What
are disorders of hemoglobin"?
- carboxyhemoglobin
- methemoglobin (inlcuding blue-baby syndrome)
- neonatal jaundice
- sickle cell anemia
Clinical Apps (embedded within the PowerPoint):
Pneumothorax
Carbon Monoxide poisoning and formation of carboxyhemoglobin
Neonatal
jaundice
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