Respiratory System The respiratory system Gas laws Ventilation

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Respiratory System § The respiratory system § Gas laws § Ventilation Copyright © 2007

Respiratory System § The respiratory system § Gas laws § Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Respiratory System § Exchange of gases between the atmosphere and the blood § Homeostatic

Respiratory System § Exchange of gases between the atmosphere and the blood § Homeostatic regulation of body p. H § Protection from inhaled pathogens and irritating substances § Vocalization Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Principles of Bulk Flow § Flow from regions of higher to lower pressure §

Principles of Bulk Flow § Flow from regions of higher to lower pressure § Muscular pump creates pressure gradients § Resistance to flow § Diameter of tubes Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Respiratory System Overview of external and cellular respiration Copyright © 2007 Pearson Education, Inc.

Respiratory System Overview of external and cellular respiration Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -1

Respiratory System § Conducting system § Alveoli § Bones and muscle of thorax Copyright

Respiratory System § Conducting system § Alveoli § Bones and muscle of thorax Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Respiratory System Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure

Respiratory System Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -2 a

Muscles Used for Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin

Muscles Used for Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -2 b

The Respiratory System The relationship between the pleural sac and the lung Copyright ©

The Respiratory System The relationship between the pleural sac and the lung Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -3

Branching of Airways Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Branching of Airways Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -2 e

Branching of the Airways Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin

Branching of the Airways Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -4

Alveolar Structure Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure

Alveolar Structure Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -2 g

Pulmonary Circulation § Right ventricle pulmonary trunk lungs pulmonary veins left atrium PLAY Animation:

Pulmonary Circulation § Right ventricle pulmonary trunk lungs pulmonary veins left atrium PLAY Animation: Respiratory System: Anatomy Review Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Gas Laws Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Gas Laws Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Gas Laws Pgas = Patm % of gas in atmosphere Copyright © 2007 Pearson

Gas Laws Pgas = Patm % of gas in atmosphere Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Boyle’s Law Gases move from areas of high pressure to areas of low pressure

Boyle’s Law Gases move from areas of high pressure to areas of low pressure Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -5

Spirometer Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17

Spirometer Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -6

Lungs Volumes and Capacities Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin

Lungs Volumes and Capacities Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -7

Conditioning § Warming air to body temperature § Adding water vapor § Filtering out

Conditioning § Warming air to body temperature § Adding water vapor § Filtering out foreign material Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Ciliated Respiratory Epithelium Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Ciliated Respiratory Epithelium Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -8

Air Flow § Flow P/R § Alveolar pressure or intrapleural pressure can be measured

Air Flow § Flow P/R § Alveolar pressure or intrapleural pressure can be measured § Single respiratory cycle consists of inspiration followed by expiration Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Movement of the Diaphragm Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin

Movement of the Diaphragm Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -9 a

Movement of the Diaphragm Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin

Movement of the Diaphragm Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -9 b

Movement of the Diaphragm Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin

Movement of the Diaphragm Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -9 c

Movement of the Rib Cage during Inspiration Copyright © 2007 Pearson Education, Inc. ,

Movement of the Rib Cage during Inspiration Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -10 a

Movement of the Rib Cage during Inspiration Copyright © 2007 Pearson Education, Inc. ,

Movement of the Rib Cage during Inspiration Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -10 b

Pressure Changes during Quiet Breathing Copyright © 2007 Pearson Education, Inc. , publishing as

Pressure Changes during Quiet Breathing Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -11

Pressure in the Pleural Cavity Copyright © 2007 Pearson Education, Inc. , publishing as

Pressure in the Pleural Cavity Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -12 a

Pressure in the Pleural Cavity Pneumothorax results in collapsed lung that can not function

Pressure in the Pleural Cavity Pneumothorax results in collapsed lung that can not function normally Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -12 b

Compliance and Elastance § Compliance: ability to stretch § High compliance § Stretches easily

Compliance and Elastance § Compliance: ability to stretch § High compliance § Stretches easily § Low compliance § Requires more force § Restrictive lung diseases § Fibrotic lung diseases and inadequate surfactant production § Elastance: returning to its resting volume when stretching force is released Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Law of La. Place Surface tension is created by the thin fluid layer between

Law of La. Place Surface tension is created by the thin fluid layer between alveolar cells and the air Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -13

Surfactant § More concentrated in smaller alveoli § Mixture containing proteins and phospholipids §

Surfactant § More concentrated in smaller alveoli § Mixture containing proteins and phospholipids § Newborn respiratory distress syndrome § Premature babies § Inadequate surfactant concentrations Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Air Flow PLAY Animation: Respiratory System: Pulmonary Ventilation Copyright © 2007 Pearson Education, Inc.

Air Flow PLAY Animation: Respiratory System: Pulmonary Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Ventilation Total pulmonary ventilation and alveolar ventilation Total pulmonary ventilation = ventilation rate tidal

Ventilation Total pulmonary ventilation and alveolar ventilation Total pulmonary ventilation = ventilation rate tidal volume Dead space filled with fresh air 150 m. L 2700 m. L 1 0 0 L m Only 350 m. L of fresh air reaches alveoli. 0 35 50 Dead space is filled with fresh air. 1 End of inspiration 15 Atmospheric air The first exhaled air comes out of the dead space. Only 350 m. L leaves the alveoli. 2 150 m. L 150 350 150 Respiratory cycle in an adult 2 3 At the end of expiration, the dead space is filled with “stale” air from alveoli. 2200 m. L 4 The first 150 m. L of air into the alveoli is stale air from the dead space. Dead space filled with stale air 4 150 m. L 2200 m. L 3 Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Exhale 500 m. L (tidal volume). Inhale 500 m. L of fresh air (tidal volume). KEY PO 2 = 160 mm Hg PO 2 ~~ 100 mm Hg Figure 17 -14

Ventilation Dead space filled with fresh air 150 m. L 2700 m. L 1

Ventilation Dead space filled with fresh air 150 m. L 2700 m. L 1 1 End of inspiration Respiratory cycle in an adult KEY PO 2 = 160 mm Hg PO 2 ~ ~ 100 mm Hg Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -14, step 1

Ventilation Dead space filled with fresh air 150 m. L 2700 m. L 1

Ventilation Dead space filled with fresh air 150 m. L 2700 m. L 1 The first exhaled air comes out of the dead space. Only 350 m. L leaves the alveoli. 0 15 1 End of inspiration 35 0 2 150 m. L Respiratory cycle in an adult 2 Exhale 500 m. L (tidal volume). 2200 m. L KEY PO 2 = 160 mm Hg PO 2 ~ ~ 100 mm Hg Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -14, steps 1– 2

Ventilation Dead space filled with fresh air 150 m. L 2700 m. L 1

Ventilation Dead space filled with fresh air 150 m. L 2700 m. L 1 The first exhaled air comes out of the dead space. Only 350 m. L leaves the alveoli. 0 15 1 End of inspiration 35 0 2 150 m. L Respiratory cycle in an adult 2 2200 m. L Dead space filled with stale air Exhale 500 m. L (tidal volume). 3 At the end of expiration, the dead space is filled with “stale” air from alveoli. 150 m. L 2200 m. L 3 Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings KEY PO 2 = 160 mm Hg PO 2 ~ ~ 100 mm Hg Figure 17 -14, steps 1– 3

Ventilation Dead space filled with fresh air 150 m. L 2700 m. L 1

Ventilation Dead space filled with fresh air 150 m. L 2700 m. L 1 0 0 L m Only 350 m. L of fresh air reaches alveoli. 0 35 50 Dead space is filled with fresh air. 1 End of inspiration 15 Atmospheric air The first exhaled air comes out of the dead space. Only 350 m. L leaves the alveoli. 2 150 m. L 150 350 150 Respiratory cycle in an adult 2 3 At the end of expiration, the dead space is filled with “stale” air from alveoli. 2200 m. L 4 The first 150 m. L of air into the alveoli is stale air from the dead space. Dead space filled with stale air 4 150 m. L 2200 m. L 3 Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Exhale 500 m. L (tidal volume). Inhale 500 m. L of fresh air (tidal volume). KEY PO 2 = 160 mm Hg PO 2 ~~ 100 mm Hg Figure 17 -14, steps 1– 4

Ventilation Dead space filled with fresh air 150 m. L 2700 m. L 1

Ventilation Dead space filled with fresh air 150 m. L 2700 m. L 1 0 0 L m Only 350 m. L of fresh air reaches alveoli. 0 35 50 Dead space is filled with fresh air. 1 End of inspiration 15 Atmospheric air The first exhaled air comes out of the dead space. Only 350 m. L leaves the alveoli. 2 150 m. L 150 350 150 Respiratory cycle in an adult 2 3 At the end of expiration, the dead space is filled with “stale” air from alveoli. 2200 m. L 4 The first 150 m. L of air into the alveoli is stale air from the dead space. Dead space filled with stale air 4 150 m. L 2200 m. L 3 Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Exhale 500 m. L (tidal volume). Inhale 500 m. L of fresh air (tidal volume). KEY PO 2 = 160 mm Hg PO 2 ~~ 100 mm Hg Figure 17 -14, steps 1– 5

Ventilation Alveolar ventilation = ventilation rate (tidal volume – dead space volume) Copyright ©

Ventilation Alveolar ventilation = ventilation rate (tidal volume – dead space volume) Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Ventilation Effects of changing alveolar ventilation on PO 2 and PCO 2 in the

Ventilation Effects of changing alveolar ventilation on PO 2 and PCO 2 in the alveoli Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -15

Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Ventilation Local control matches ventilation and perfusion Copyright © 2007 Pearson Education, Inc. ,

Ventilation Local control matches ventilation and perfusion Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -16 a

Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17

Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -16 b

Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17

Ventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 17 -16 c

Ventilation § Auscultation = diagnostic technique § Obstructive lung diseases § Asthma § Emphysema

Ventilation § Auscultation = diagnostic technique § Obstructive lung diseases § Asthma § Emphysema § Chronic bronchitis Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Summary § Respiratory system § Cellular respiration, external respiration, respiratory system, upper respiratory tract,

Summary § Respiratory system § Cellular respiration, external respiration, respiratory system, upper respiratory tract, pharynx, and larynx § Lower respiratory tract, trachea, bronchioles, alveoli, Type I and Type II alveolar cells § Diaphragm, intercostal muscles, lung, pleural sac, and plural fluid § Gas Laws: Dalton’s law and Boyle’s law Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings

Summary § Ventilation § Tidal volume, vital capacity, residual volume, and respiratory cycle §

Summary § Ventilation § Tidal volume, vital capacity, residual volume, and respiratory cycle § Alveolar pressure, active expiration, intrapleural pressures, compliance, elastance, surfactant, bronchoconstriction, and bronchodilation § Total pulmonary ventilation, alveolar ventilation, hyperventilation, and hypoventilation Copyright © 2007 Pearson Education, Inc. , publishing as Benjamin Cummings