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Chapter 6: Respiratory System

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1 Chapter 6: Respiratory System
1 1

2 Structure and Function of the Respiratory System
Structures Nose/nostrils Nasal cavity Pharynx Larynx Trachea Bronchi Bronchioles Alveoli 2 2

3 Structure and Function of the Respiratory System (cont’d)
Anatomical structures of respiratory system. 3 3

4 Structure and Function of the Respiratory System (cont’d)
Functions Conducts air into & out of lungs Exchanges gases between air & blood Humidifies air: prevents damage to membranes due to drying out Warms air: helps maintain body temperature Filters air Mucus traps airborne particles Cilia move mucus toward oral cavity to be expelled 4 4

5 Structure and Function of the Respiratory System (cont’d)
Alveoli Saclike structures surrounded by capillaries in lungs Attached to respiratory bronchioles Site of exchange of oxygen & carbon dioxide 300 million in lungs Provide tremendous surface area where diffusion can take place Respiratory membrane: 2 cell membranes that aid diffusion Membrane of alveolar cells Membrane of cells of capillary wall 5 5

6 Structure and Function of the Respiratory System (cont’d)
Respiratory membrane.

7 Mechanics of Ventilation
Pleural Sac Double-layered membrane that encases each lung Visceral (pulmonary) pleura: outer surface of lungs Parietal pleura: inner surface of thoracic cavity & diaphragm Pleural fluid: lubricating fluid between 2 membranes Intrapleural pressure: pressure in pleural cavity between 2 membranes; less than atmospheric pressure 7 7

8 Mechanics of Ventilation (cont’d)
Pressure Changes During Ventilation Increase in volume of intrathoracic cavity: Increases lung volume Decreases intrapulmonic pressure Causes air to rush into lungs (inspiration) Decrease in volume of intrathoracic cavity: Decreases lung volume Increases intrapulmonic pressure Causes air to rush out of lungs (expiration) 8 8

9 Mechanics of Ventilation (cont’d)
Inspiration Inspiratory muscles increase intrathoracic cavity volume Diaphragm: most important inspiratory muscle Flattens as it contracts Puts in motion pressure changes that cause inspiration Contraction moves abdominal contents forward & downward Muscles that elevate ribs: external intercostals, scalenes, sternocleidomastoid, pectoralis minor 9 9

10 Mechanics of Ventilation (cont’d)
Expiration No muscular effort needed at rest Passive recoil of diaphragm & other muscles decreases intrathoracic cavity volume During exercise or voluntary forced expiration, accessory muscles of expiration contract, pulling ribs downward: Internal intercostals Rectus abdominis Internal oblique muscles of abdominal wall 10 10

11 Mechanics of Ventilation (cont’d)
Inspiration and expiration. 11 11

12 Mechanics of Ventilation (cont’d)
Muscles involved in inspiration & expiration. 12 12

13 Mechanics of Ventilation (cont’d)
Airflow Resistance Airflow = P1 − P2/Resistance Where P1 − P2 is pressure difference between 2 areas & Resistance is resistance to airflow between 2 areas Thus, airflow can be increased by: Amplifying pressure difference between 2 areas Decreasing resistance to airflow Diameter of airway is biggest factor affecting airflow at rest In exercise, bronchodilation decreases resistance to airflow 13 13

14 Mechanics of Ventilation (cont’d)
Pulmonary Ventilation Amount of air moved in & out of lungs in given time period Tidal volume: amount of air moved per breath Volume of air moved per minute can be calculated as: VE = VT × f Where VE = volume of air expired per minute; VT = tidal volume; f = breathing frequency per minute Greater in trained athletes Pulmonary ventilation = anatomical dead space + alveolar ventilation 14 14

15 Mechanics of Ventilation (cont’d)
Lung Capacities and Volumes Determined using spirometry equipment Reserve of tidal volume at rest allows increase in tidal volume during maximal exercise Residual volume: air left in lungs after max. exhalation Frequency and Depth of Breathing Increase in depth of breathing occurs first after onset of exercise If increase in depth not sufficient, rate of breathing will increase 15 15

16 Mechanics of Ventilation (cont’d)
Lung volumes and capacities. 16 16

17 Diffusion at the Lungs Factors Promoting Diffusion
Large surface area of alveoli Thinness of respiratory membrane (2 cells thick) Pressure differences of oxygen & carbon dioxide between air in alveoli & blood Partial pressure: portion of pressure due to a particular gas in a mixture of gases Dalton’s law: total pressure of gas mixture = sum of partial pressures of each gas Henry’s law: amount of gas dissolved in any fluid depends on temperature, partial pressure of gas, & solubility of gas 17 17

18 Diffusion at the Lungs (cont’d)
Oxygen Diffusion Partial pressure of oxygen (PO2) must be > in alveoli than in blood & > in blood than in tissue PO2 at sea level = mm Hg PO2 in alveoli = 105 mm Hg PO2 in arterial blood entering lungs = 40 mm Hg PO2 in blood leaving lungs = 100 mm Hg PO2 in tissues = 40 mm Hg Thus, differences between PO2 in alveoli & blood (65 mm Hg) and between blood & tissue (60 mm Hg) provide driving force for diffusion of oxygen 18 18

19 Diffusion at the Lungs (cont’d)
Capillary gas exchange at lungs & tissue. 19 19

20 Diffusion at the Lungs (cont’d)
Carbon Dioxide Diffusion Partial pressure of carbon dioxide (PCO2) must be > in blood than in alveoli & > in tissue than in blood PCO2 in atmospheric air = 0.2 mm Hg PCO2 in alveoli = 40 mm Hg PCO2 in arterial blood entering lungs = 46 mm Hg PCO2 in blood leaving lungs = 40 mm Hg PCO2 in tissues = 46 mm Hg Thus, differences between PCO2 in alveoli & blood (6 mm Hg) and between blood & tissue (6 mm Hg) provide driving force for diffusion of carbon dioxide 20 20

21 Diffusion at the Lungs (cont’d)
Lung Blood Flow Determines velocity at which blood passes through pulmonary capillaries Increased blood flow during exercise results in increased gas diffusion Blood pressure in pulmonary circulation is low compared with systemic Equilibration of oxygen between alveoli air & lung capillary blood takes 0.25 seconds As blood flow increases with exercise, less time is available for this equilibration However, increased capillary blood volume slows blood flow 21 21

22 Blood Gas Transport Oxygen Transport
Only 9 to 15 mL of oxygen can be dissolved in plasma, which is insufficient to meet needs of body RBCs containing hemoglobin transport 98% of oxygen Oxyhemoglobin: oxygen bound to hemoglobin Deoxyhemoglobin: hemoglobin not bound to oxygen Concentration of hemoglobin determines amount of oxygen that can be transported 22 22

23 Blood Gas Transport (cont’d)
Oxyhemoglobin disassociation curve. 23 23

24 Blood Gas Transport (cont’d)
Oxyhemoglobin Disassociation Curve Temperature effect Increase in temp. Shifts curve to right Decreases affinity of hemoglobin for oxygen Decrease in temp. Shifts curve to left Increases affinity of hemoglobin for oxygen 24 24

25 Blood Gas Transport (cont’d)
Effect of temperature & acidity on hemoglobin disassociation curve. 25 25

26 Blood Gas Transport (cont’d)
Oxyhemoglobin Disassociation Curve (cont’d) pH effect (Bohr effect) Increase in acidity Shifts curve to right Decreases affinity of hemoglobin for oxygen Decrease in acidity Shifts curve to left Increases affinity of hemoglobin for oxygen 26 26

27 Blood Gas Transport (cont’d)
Oxyhemoglobin Disassociation Curve (cont’d) 2,3-Diphosphoglycerate (2,3 DPG) effect Increase in 2,3 DPG Shifts curve to right Decreases affinity of hemoglobin for oxygen Decrease in 2,3 DPG Shifts curve to left Increases affinity of hemoglobin for oxygen 27 27

28 Blood Gas Transport (cont’d)
Carbon Dioxide Transport 3 methods 7% to 10% is dissolved in plasma 20% is bound to hemoglobin 70% is transported as bicarbonate 28 28

29 Blood Gas Transport (cont’d)
Ability of hemoglobin to bind oxygen & carbon dioxide. 29 29

30 Gas Exchange at the Muscle
Occurs due to partial pressure differences between oxygen & carbon dioxide between tissue & blood Myoglobin Oxygen transport molecule similar to hemoglobin Found in skeletal & cardiac muscle Reversibly binds with oxygen Assists in passive diffusion of oxygen from cell membrane to mitochondria Functions as oxygen reserve at start of exercise 30 30

31 Control of Ventilation
Respiratory Control Center Portion of medulla oblongata & pons Serves as pacemaker, generating a rhythmical breathing pattern Rate & depth of breathing can be modified by: Higher brain centers Chemoreceptors in medulla Other peripheral inputs Pulmonary ventilation is generally involuntary, but can changed voluntarily 31 31

32 Control of Ventilation (cont’d)
The respiratory control center in the medulla. 32 32

33 Control of Ventilation (cont’d)
Central Chemoreceptors Located in medulla, separate from respiratory control center Respond to changes within CSF, esp. in H+ concentration or pH Peripheral Chemoreceptors Located in carotid arteries & aortic arch Respond to changes in blood PCO2 & H+ concentration Other Neural Input Stretch receptors in lungs & respiratory muscles Proprioceptors & chemoreceptors in skeletal muscle & joints 33 33

34 Effects of Exercise on Pulmonary Ventilation
Three phases of changes in pulmonary ventilation. 34 34

35 Ventilation Is Associated With Metabolism
Ventilatory Equivalents Amount of air ventilated needed to obtain 1 L of oxygen or expire 1 L of carbon dioxide Ventilatory equivalent of oxygen: ratio of pulmonary ventilation (VE) to oxygen (VO2): VE/VO2 Ventilatory equivalent of carbon dioxide: ratio of pulmonary ventilation (VE) to carbon dioxide (VCO2): VE/VCO2 Ventilatory Threshold (VT) Technique using ventilatory equivalents to estimate lactate threshold 35 35

36 Ventilation is Associated With Metabolism (cont’d)
VT and RCP.

37 Ventilation Is Associated With Metabolism (cont’d)
Respiratory Compensation Point (RCP) The work intensity at which both VE/VO2 & VE/VCO2 increase Characterized by a decrease in end-trial partial pressure of O2 Indicates end of control of VE by PCO2 VT & RCP can be used to create 3 training zones of exercise intensity, based on heart rate: Light-intensity: <VT Moderate-intensity: between VT & RCP High-intensity: >RCP 37 37


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