Phases of Respiration

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Phases of Respiration We get oxygen from the environment and it goes to our cells, there. Pulmonary ventilation External exchange of gases Internal exchange of gases

Overview of respiration. In ventilation, gases are moved into and out of the lungs. In external exchange, gases move between the air sacs (alveoli) of the lungs and the blood. In internal exchange, gases move between the blood and body cells. The circulation transports gases in the blood.

The Respiratory System Conducts air into lungs Nasal cavities, Pharynx, Larynx, Trachea (windpipe)

The respiratory system. (A)Overview. (B)Enlarged section of lung tissue showing the relationship between the alveoli (air sacs) of the lungs and the blood capillaries. (C)A transverse section through the lungs.

Question: True or False?: The two gases involved in the external exchange of gases that takes place in the respiratory system are CO 2 and O 2.

The Nasal Cavities Nostrils (nares) Nasal cavities Mucous membrane: Filters foreign bodies, Warms and Moistens air Conchae Nasal septum Sinuses

Checkpoint 18-2: What happens to air as it passes over the nasal mucosa?

The Pharynx Throat (pharynx) carries air to respiratory tract and food to digestive system Nasopharynx: Superior portion Oropharynx: Middle portion Laryngeal pharynx: Inferior portion

The Larynx Larynx (voice box) is located between the pharynx and trachea Cartilage framework: Thyroid cartilage (Adam s apple) Vocal folds (vocal cords): Used for speech Glottis Epiglottis

The Trachea Trachea (wind pipe) conducts air between larynx and lungs Framework of separate cartilages Horseshoe shaped Open at back for expansion during swallowing

The Bronchi Trachea divides into two primary bronchi that enter the lungs: 1. Hilum 2. Epithelial tissue lining

Question: The air-conducting passageways of the respiratory tract are lined with what type of tissue? a. stratified squamous epithelial b. pseudostratified epithelial c. squamous epithelial

The Lungs Mediastinum Lobes Bronchial tree Bronchioles Alveoli Diaphragm Pleura Parietal Visceral Pleural space

The Process of Respiration Ventilation of lungs Exchange of gases Transport of gases in blood

Pulmonary Ventilation Inhalation (inspiration) is active phase Compliance Exhalation (expiration) is passive phase Lung capacity

Pulmonary ventilation. (A)Inhalation. (B)Exhalation.

Gas Exchange Diffusion is movement of molecules from higher to lower concentration (remember the pool) External exchange Gases move between alveoli and capillary blood Internal exchange Gases move between blood and tissues

Gas exchange. (A) External exchange between the alveoli and the blood. Oxygen diffuses into the blood and carbon dioxide diffuses out, based on concentrations of the two gases in the alveoli and in the blood. (B) Internal exchange between the blood and the cells. Oxygen diffuses out of the blood and into tissues, while carbon dioxide diffuses from the cells into the blood.

Transport of Oxygen Most oxygen in capillary blood binds to hemoglobin Oxygen must separate from hemoglobin to enter cells

Transport of Carbon Dioxide (relax) 10% is dissolved in plasma and fluid in red blood cells 15% is combined with protein of hemoglobin and plasma proteins 75% dissolves in blood fluids and is converted to bicarbonate ion First combines with water to form carbonic acid Carbonic acid ionizes (separates) into hydrogen and bicarbonate ions Carbonic anhydrase enzyme speeds conversion Buffers blood to keep ph steady

Question: In what structure of the respiratory system does most gas exchange take place? a. bronchioles b. pleurae c. alveoli

Regulation of Respiration Fundamental respiratory pattern Controlled by central nervous system centers Partly in medulla (main control center), partly in pons (modifies patterns set in the medulla) Modified by receptors detecting changes in blood chemistry

Nervous Control Control center is located in medulla and pons of brain stem Motor nerve fibers extend into spinal cord Fibers extend through phrenic nerve to diaphragm

Chemical Control Central chemoreceptors Located near medullary respiratory center Respond to raised CO2 level (hypercapnia) Peripheral chemoreceptors Located in neck and aortic arch Respond to oxygen level considerably below normal

Abnormal Ventilation Hyperventilation High oxygen level and low CO2 level (hypocapnia) Increases blood ph Hypoventilation Insufficient air in alveoli Decreases blood ph

Breathing Patterns Measured in breaths per minute Adults: 12 to 20 Children: 20 to 40 Infants: more than 40

Some Terms for Altered Breathing Hyperpnea increase depth and rate Hypopnea decrease depth and rate Tachypnea - excessive Apnea temporary cessation Dyspnea labored Orthopnea difficulty (laying) Kussmaul respiration deep, rapid Cheyne-Stokes respiration rhythmic variation & apnea

Question: What is the medical term for temporary cessation of breathing? a. dyspnea b. apnea c. hypopnea

Results of Inadequate Breathing Cyanosis blue color Hypoxia lower than normal oxygen Hypoxemia lower than normal oxygen in arterial blood Suffocation umm

Disorders of the Respiratory System Infection Allergies Environmental factors Lung cancer

Disorders of the Nasal Cavities and Related Structures Paranasal sinuses: Sinusitis & Polyps Nasal septum: Deviated septum Mucous membranes: Epistaxis (most common cause of bleeding)

Infection Upper respiratory infection (URI) Common cold (acute coryza) Respiratory syncytial virus (RSV): lower resp. tract infection Croup: children under 3 years, URI Influenza: the flu, URI Pneumonia (inflammation of the lungs) Bronchopneumonia Lobar pneumonia Pneumocystis pneumonia (PCP) Tuberculosis (bacterial infection)

Hay Fever and Asthma Hypersensitivity to allergens Watery discharge from eyes and nose Seasonal or chronic Inflammation of airway tissues Spasm in bronchial tubes

Chronic Obstructive Pulmonary Disease (COPD) Also called chronic obstructive lung disease (COLD) Includes both chronic bronchitis and emphysema Normal air flow obstructed Reduced exchange of oxygen and carbon dioxide Air trapping and overinflation of lungs Dyspnea

Sudden Infant Death Syndrome (SIDS) Also called crib death Unexplained death Seemingly healthy infant Under 1 year old Usually occurs in sleep

Respiratory Distress Syndrome (RDS) Covers a range of inflammatory disorders Acute respiratory distress syndrome (ARDS) or shock lung Usually appears in adults Respiratory distress syndrome of the newborn Formerly called hyaline membrane disease Appears in premature newborns

Cancer Lung cancer Most common cause of cancer-related deaths Most important cause is cigarette smoking Cancer of larynx Linked to cigarette smoking and alcohol consumption High cure rate

Disorders Involving the Pleura Pleurisy Inflammation of pleura Pneumothorax Air in pleural space Hemothorax Blood in pleural space

Age and the Respiratory Tract Tissues lose elasticity, become more rigid Decreased compliance, lung capacity Increased susceptibility to infection Increased incidence of emphysema Reduced capacity for exercise

Special Equipment for Respiratory Treatment Bronchoscope Oxygen therapy Suction apparatus Tracheostomy tube Artificial respiration apparatuses