Respiratory System
Rose Bui-Luu, Period 2

Major Functions

Upper Respiratory

Lower Respiratory

Structure

Function

Structure

Function

Layers of Pleurae (double-layered serous membrane)

Volume & Pressure Relationships in Thoracic Cavity

Respiratory Volumes & Capacities

Disorders

Internal vs. External Respiration

Mechanism of Inspiration & Expiration

obtains O2 from atmosphere, removes CO2 from the body cells

helps in sense of smell

removes particles from incoming air

regulates water content and the temperature of the air

provides vocal sounds

regulates blood pH

consists of tubes that filter, warm, moisturize incoming air, and transport it into the gas exchange areas and microscopic air sacs that exchange gases

larynx (voice box)

trachea

bronchial tree

lungs

Nose

Nasal Cavity

Sinuses

Pharynx (throat)

nostrils provide opening for entrance + exit of air

support mucous membranes and increase surface area to warm, moisturize, and filter incoming air

reduce weight of the skull, serves as resonant chambers for the voice

aids in producing sounds for speech

air-filled spaces in maxillary, frontal, ethmoid, and sphenoid bones

open into the nasal cavity

lined with mucous membrane that is continuous with that lining the nasal cavity

space being oral + nasal cavities and larynx

3 subdivisions: nasopharynx, oropharynx, laryngopharynx
(<- superior ... inferior ->)

supported by bone and cartilage

nostrils contain coarse hairs, which prevent entry of particles

hollow space posterior to nose

divided medially by nasal septum (wall), consisting of bone and cartilage)

nasal conchae, scroll-shaped bones, divide nasal cavity into passageways

an enlargement in airway superior to trachea and inferior to laryngopharynx

composed of framework of muscles and cartilage bound by elastic tissue

larger cartilage of larynx in men = thyroid cartilage (adam's apple)

transport air in and out of trachea, helps keep particles from entering trachea, houses vocal cords

vocal folds: consists of muscle and connective tissue, covered with mucous membrane, extend from the walls

Epiglottis

Glottis

true vocal cords and opening between them

flaplike, made of elastic cartilage; covers opening to glottis

cylindrical tube that extends downward anterior to esophagus and into thoracic cavity

splits into right/left primary bronchi

inner wall lined with ciliated mucous membrane with many goblet cells that produce mucus to trap incoming particles, cilia sweeps mucus toward pharynx to be swallowed

wall supported by 20 incomplete (c-shaped) cartilaginous rings that keep airway open

consists of branched, mucous membrane-lined tubular airwars, leading from trachea to microscopic air sacs of lungs called alveoli

branches

alveoli: consist of simple squamous epithelium to conduct rapid gas exchange between air and blood with associated capillaries; closley surrounded by extensive capillary networks

primary bronchi: first branches; branch directly off trachea, each leads to a lung

secondary bronchi: branches of main bronchi; each enters lobe of a lung

tertiary bronchi: branches of lobar bronchi; each enters segment of a lung

alveolar ducts: branch off respiratory bronchioles

alveolar sacs: branch of alveolar ducts; consist of air sacs (alveoli)

Bronchioles: smaller tubular organs that branch of segmented bronchi

Terminal Bronchioles: branch of larger bronchioles; smallest bronchiole that conduct air without performing gas exchange

soft, spongy cone-shaped organs of respiratory system

separated medially by mediastinum, enclosed by diaphragm and thoracic cage

occupies most of thoracic cavity

Visceral Pleura: inner layer; attached to surface of each lung

Parietal Pleura: outer layer; lines thoracic cavity

Serous Fluid: lubricates pleural cavity between the 2 layers

right lung larger than left

right = 3 lobes (superior, middle, inferior)

left = 2 lobes (superior, inferior)

each lung contains air passages, alveoli, nerves, blood vessels, lymphatic vessels, connective tissues

conduct air from trachea to alveoli; mucous lining continues to filter incoming air

passageway for air; mucous lining continues to filter particles from incoming air

contain air passages, alveoli, blood vessels, connective tissues, lymphatic vessels, nerves

Volumes

Capacities (combos of 2+ Volumes)

Tidal Volume (TV)

Inspiratory Reserve Volume (IRV)

Expiratory Reserve Volume (ERV)

Residual Volume (RV)

Inspiratory Capacity (IC)

Vital Capacity (VC)

Functional Residual Capacity (FRC)

volume of air that remains in lungs after maximal expiration; average ≈ 1,200 mL; can't be measured with spirometer

volume of air that can be inhaled in addition to TV during forced inspiration; average ≈ 3,000 mL

volume of air that enters/leaves lungs during respiratory cycle; average ≈ 500 mL

volume of air that can be exhaled during maximal forced expiration, beyond the TV; average ≈ 1,200 mL

volume of air that can be inhaled after normal, resting expiration; IRV + TV (≈3,500 mL)

volume of air that remains in lungs after a resting expiration; ERV + RV (≈2,300 mL)

maximum volume of air that can be exhaled after a maximal inspiration; TRV + IRV + ERV (≈4,600 mL)

Total Lung Capacity (TLC)

total volume of air the lungs can hold; VC + RV (≈5,800 mL); varies with age, gender, body size

Anatomic Dead Space

volume of air remaining in bronchial tree that isn't involved in gas exchange

Tuberculosis: bacterial infection in the respiratory system caused by Myobacterium Tuberculosis

COPD: Chronic Obstructive Pulmonary Disorder; includes chronic bronchitis, emphysema, and asthma

Causes/Risk Factors: asthmatic bronchitis, tobacco smoke, dust and chemical fume exposure

Symptoms: chronic cough, wheezing lung damage

Treatment Options: smoking cessation, bronchodilators, pulmonary rehabilititation

Causes Risk Factors: contagious inhaled, travel where TB is common, care/live with TB patients

Symptoms: latent TB-asymptomatic, swollen lymph nodes, cough with thick mucus

Treatment Options: long-term antibiotics: surgery, medication (some drug-resistant variations can't be treated)

Pneumonia: bacterial or viral infection of the lungs

Causes/Risk Factors: exposure to infected individuals, complication with other respiratory infections, impaired immune system

Symptoms: fever, shortness of breath, tachycardia

Treatment Options: over the counter medication, antibiotics, oxygen therapy

Lung Cancer: uncontrolled cell growth and undeveloped tumors in the lungs

Causes/Risk Factos: smoking (90% of cases), asbestos exposure, radon gas

Symptoms: blood in sputum, persistent cough, chronic infections

Treatment Options: radiation, chemotherapy, surgical removal; at later stages, treatments only prolong life not cure disease

Seasonal Flu: a viral infection; there are many variations of this virus and it changed rapidly year to year which changes severity of symptoms

Causes/Risk Factors: inhaled in respiratory droplets, living conditions, pregnancy

Symptoms: dry cough, congestion, body ache

Treatment Options: early vaccination, over the counter or antiviral medication, rest and hydration

more commen in men and most common at ages 75-84

highest cases in the world in Azerbaijan by 22%

every 1 in 5 of 8.8 million child deaths due to TB

highest case of lung cancer in the US is in the South, perhaps due to higher amount of pollution or tobacco usage

359 cases of H1N1, a strain of flu, found in San Diego County by 2009

Internal Respiration

External Respiration

gas exchange between BLOOD and BODY CELLS

gas exchange between LUNGS and BLOOD

Inspiration (inhalation)

Expiration (exhalation)

air moves from higher to lower pressure

Inspiration

pressure inside lung decreases below AP, air flows in

increasing volume of thoracic cavity, air pressure inside lungs decreases

diaphragm + external intercostal muscles CONTRACT, pressure in lungs fall 2 mm below AP, air rushes into lungs

Expiration

diaphragm + external intercostal muscles RELAX, lungs recoil, volume of thoracic cavity decreases

passive process

increased surface tension in alveoli decreases lung volume

intra-alveolar pressure increases 1 mm Hg above AP, air rushes out of lungs

active process

Normal Inspiration

diaphragm + external intercostal muscles expand thoracic cavity

diaphragm contracts + moves downward, enlarging TC

external intercostals contract, moving ribs + sternum upward and outward

Maximal Inspiration

pectoralis minor, sternocleidomastoid, scalenes, diaphram, exernal intercostal muscles required to enlarge TC even more

surface tension between double pleura causes TC + lungs to expand

surface tension not advantageious in alveoli, tends to cause alveolar collapse

lipoprotein mixture -> surfactant; keeps alveoli inflated to prevent collapse

elastic recoil of muscles + lung tissues from surface tension within alveoli

diaphragm recoils -> abdominal organs return to OG shape, pushing diaphragm upward

lungs recoil -> pleura + chest wall pulled inward

air rushes out of lungs

Forced Expiration

allows for expiration of more air than normal

aided by internal intercostal muscles + abdominal wall muscles, which compress rib cage + addominal wall respectively