Chapter 16 Respiratory System
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Questions and Answers

What does the respiratory system consist of?

Tubes that filter incoming air and transport it into the microscopic alveoli where gases are exchanged.

What is respiration?

The process of exchanging gases between the atmosphere and body cells.

What does respiration consist of?

Ventilation, gas exchange between blood and lungs, gas transport in the bloodstream, gas exchange between the blood and body cells, and cellular respiration.

What is ventilation?

<p>Breathing.</p> Signup and view all the answers

What is cellular respiration?

<p>The process of oxygen utilization and carbon dioxide production at the cellular level.</p> Signup and view all the answers

How many groups can the organs of the respiratory tract be divided into? What are they?

<p>Two: Upper respiratory tract and lower respiratory tract.</p> Signup and view all the answers

What does the upper respiratory tract consist of?

<p>Nose, nasal cavity, sinuses, and pharynx.</p> Signup and view all the answers

What does the lower respiratory tract consist of?

<p>Larynx, trachea, bronchial tree, and lungs.</p> Signup and view all the answers

What is the nose supported by and provide entrance for?

<p>It is supported by bone and cartilage and provides entrance for air.</p> Signup and view all the answers

How is air filtered in the nose?

<p>By coarse hairs inside the nostrils.</p> Signup and view all the answers

What is the nasal cavity and what is it divided by?

<p>It is a space posterior to the nose that is divided medially by the nasal septum.</p> Signup and view all the answers

What role does the nasal conchae play?

<p>It divides the nasal cavity into passageways that are lined with mucous membrane, and help increase the surface area available to warm and filter incoming air.</p> Signup and view all the answers

How are particles in the mucus (nasal) disposed of?

<p>Particles trapped in the mucus are carried to the pharynx by ciliary action, swallowed, and carried to the stomach where gastric juice destroys any microorganisms in the mucus.</p> Signup and view all the answers

What are sinuses and where are they located?

<p>Sinuses are air-filled spaces found within the maxillary, frontal, ethmoid, and sphenoid bones of the skull.</p> Signup and view all the answers

What are sinuses open to and lined with?

<p>They are open to the nasal cavity and are lined with mucus membrane that is continuous with that lining the nasal cavity.</p> Signup and view all the answers

What role do the sinuses play?

<p>They reduce the weight of the skull and serve as a resonant chamber to affect the quality of the voice.</p> Signup and view all the answers

What role does the pharynx play?

<p>The pharynx is a common passageway for air and food. It aids in producing sounds for speech.</p> Signup and view all the answers

What is the larynx?

<p>It is an enlargement in the airway superior to the trachea and inferior to the pharynx.</p> Signup and view all the answers

What role does the larynx play?

<p>It helps keep particles from entering the trachea and also houses the vocal cords.</p> Signup and view all the answers

What is the larynx composed of?

<p>It is composed of a framework of muscles and cartilage (thyroid, cricoid, and epiglottic) bound by elastic tissue.</p> Signup and view all the answers

What is found inside the larynx?

<p>Two pairs of folds of muscle and connective tissue covered with mucous membrane make up the vocal cords.</p> Signup and view all the answers

The false vocal cord is considered...

<p>The upper pair.</p> Signup and view all the answers

The true vocal cord is considered...

<p>The lower pair.</p> Signup and view all the answers

How do vocal cords work?

<p>Changing tension on the vocal cords controls pitch, while increasing the loudness depends upon increasing the force of air vibrating the vocal cords.</p> Signup and view all the answers

What happens to the vocal cords during normal breathing?

<p>They are relaxed and the glottis is a triangular slit.</p> Signup and view all the answers

What happens to the vocal cords when swallowing?

<p>The false vocal cords and the epiglottis close off the glottis.</p> Signup and view all the answers

Where is the trachea?

<p>It extends downward anterior to the esophagus and into the thoracic cavity, where it splits into right and left bronchi.</p> Signup and view all the answers

What is the inner wall of the trachea lined with?

<p>Ciliated mucous membrane with many goblet cells that serve to trap incoming particles.</p> Signup and view all the answers

How is the trachea wall supported?

<p>By 20 incomplete cartilaginous rings.</p> Signup and view all the answers

What does the bronchial tree consist of?

<p>Branched tubes leading from the trachea to the alveoli.</p> Signup and view all the answers

What does the bronchial tree begin with?

<p>Two main (primary) bronchi, each leading to a lung.</p> Signup and view all the answers

What are the branches of the bronchial tree from the trachea called? Do they further subdivide?

<p>Right and left primary bronchi. Yes, they further subdivide until bronchioles give rise to alveolar ducts, then alveolar sacs which terminate in alveoli.</p> Signup and view all the answers

How does gas exchange between the blood and air occur?

<p>Through the thin epithelial cells of the alveoli.</p> Signup and view all the answers

Describe the lungs.

<p>Right and left soft, spongy, and cone-shaped.</p> Signup and view all the answers

How are the lungs separated? What are they enclosed by?

<p>They are separated medially by the mediastinum and are enclosed by the diaphragm and thoracic cage.</p> Signup and view all the answers

What enters each lung?

<p>The bronchus and large blood vessels.</p> Signup and view all the answers

What folds back to form the parietal pleura?

<p>A layer of serous membrane, the visceral pleura.</p> Signup and view all the answers

What is attached to the lung?

<p>Visceral pleura.</p> Signup and view all the answers

What lines the thoracic cavity?

<p>Parietal pleura.</p> Signup and view all the answers

What does serous fluid lubricate?

<p>The pleura cavity between the visceral pleura and parietal pleura.</p> Signup and view all the answers

How many lobes does the right lung have? The left?

<p>The right has 3 and the left has 2.</p> Signup and view all the answers

What are each lobe of the lungs composed of?

<p>Lobules that contain air passages, alveoli, nerves, blood vessels, lymphatic vessels, and connective tissue.</p> Signup and view all the answers

What is ventilation? What is it composed of?

<p>(Breathing) the movement of air in and out of the lungs; it is composed of inspiration (inhalation) and expiration (exhalation).</p> Signup and view all the answers

What is the force that moves air into the lungs?

<p>Atmospheric pressure.</p> Signup and view all the answers

Describe what happens during inspiration.

<p>When pressure on the inside of the lungs decreases, higher pressure air flows in from the outside.</p> Signup and view all the answers

What happens when air pressure inside the lungs is decreased?

<p>Increases the size of the thoracic cavity; due to the surface tension (attraction of water) between the two layers of the pleura, the lungs follow with the chest wall and expand.</p> Signup and view all the answers

What muscles are involved in expanding the thoracic cavity?

<p>The diaphragm and the external intercostal muscles.</p> Signup and view all the answers

What happens as the lungs expand?

<p>Surfactant (mixture of lipids and protein) keeps the alveoli from sticking to each other so they do not collapse when internal air pressure is low.</p> Signup and view all the answers

What are the forces of expiration due to?

<p>The elastic recoil of lung and muscle tissues and from the surface tension within the alveoli.</p> Signup and view all the answers

What is forced expiration aided by?

<p>Thoracic and abdominal wall muscles that compress the abdomen against the diaphragm.</p> Signup and view all the answers

What is the measurement of different air volumes called?

<p>Spirometry.</p> Signup and view all the answers

What does spirometry describe?

<p>Four distinct respiratory volumes.</p> Signup and view all the answers

What is a respiratory cycle?

<p>One inspiration followed by expiration.</p> Signup and view all the answers

What is the tidal volume?

<p>The amount of air that enters or leaves the lungs during one respiratory cycle.</p> Signup and view all the answers

What happens during forced inspiration?

<p>An additional volume, the inspiratory reserve volume, can be inhaled into the lungs.</p> Signup and view all the answers

What does IRV + TV give us?

<p>The inspiratory capacity.</p> Signup and view all the answers

What happens during maximal forced expiration?

<p>An expiratory reserve volume can be exhaled, but there remains residual volume in the lungs.</p> Signup and view all the answers

What gives us the functional reserve capacity?

<p>By adding the expiratory reserve volume and the residual volume together.</p> Signup and view all the answers

What is vital capacity?

<p>The tidal volume plus inspiratory reserve and expiratory reserve volumes combined.</p> Signup and view all the answers

What equals the total lung capacity?

<p>Vital capacity plus residual volume.</p> Signup and view all the answers

What is anatomic dead space?

<p>Air remaining in the bronchial tree.</p> Signup and view all the answers

Describe normal breathing...

<p>A rhythmic, involuntary act even though the muscles are under voluntary control.</p> Signup and view all the answers

What comprise the respiratory areas?

<p>Groups of neurons in the brain stem.</p> Signup and view all the answers

What role does the respiratory areas do?

<p>Controls breathing by causing inspiration and expiration and by adjusting the rate and depth of breathing.</p> Signup and view all the answers

What are the two groups of neurons that the medullary rhythmicity center includes?

<p>The dorsal respiratory group and the ventral respiratory group.</p> Signup and view all the answers

What is the dorsal respiratory group responsible for?

<p>The basic rhythm of breathing.</p> Signup and view all the answers

When is the ventral respiratory group active?

<p>When more forceful breathing is required.</p> Signup and view all the answers

What forms the pontine respiratory group? Do they contribute anything?

<p>Neurons in the pons. They may contribute to the rhythm of breathing by limiting inspiration.</p> Signup and view all the answers

What factors affect breathing?

<p>Chemicals, lung tissue stretching, and emotional state.</p> Signup and view all the answers

What are chemosensitive areas? What are they associated with?

<p>They are central chemoreceptors that are associated with the respiratory center and are sensitive to changes in the blood concentration of carbon dioxide and hydrogen ions.</p> Signup and view all the answers

What happens if either carbon dioxide or hydrogen ion concentrations rise?

<p>The central chemoreceptors signal the respiratory center, and breathing rate increases.</p> Signup and view all the answers

Explain the role peripheral chemoreceptors play...

<p>Peripheral chemoreceptors in carotid bodies and aortic bodies sense changes in blood oxygen concentration, transmit impulses to the respiratory center, and breathing rate and tidal volume increase.</p> Signup and view all the answers

How are inflation reflexes triggered? What does it help prevent?

<p>By stretch receptors in the visceral pleura, bronchioles, and alveoli, helps to prevent overinflation of the lungs during forceful breathing.</p> Signup and view all the answers

What does hyperventilation do?

<p>Lowers the amount of carbon dioxide in the blood.</p> Signup and view all the answers

What are the only sites of gas exchange between the atmosphere and the blood?

<p>Alveoli.</p> Signup and view all the answers

What are alveoli?

<p>Tiny sacs clustered at the distal ends of the alveolar ducts.</p> Signup and view all the answers

What does the respiratory membrane consist of?

<p>The epithelial cells of the alveolus, the endothelial cells of the capillary, and the two fused basement membranes of these layers.</p> Signup and view all the answers

Where does gas exchange occur?

<p>Respiratory membrane.</p> Signup and view all the answers

Describe diffusion across the respiratory membrane...

<ol> <li>Gases diffuse from areas of higher pressure to areas of lower pressure. 2) In a mixture of gases, each gas accounts for a portion of the total pressure; the amount of pressure each gas exerts is equal to its partial pressure. 3) When partial pressure of oxygen is higher in the alveolar air than it is in the capillary blood, oxygen will diffuse into the blood. 4) When the partial pressure of carbon dioxide is greater in the blood than in the alveolar air, carbon dioxide will diffuse out of the blood and into the alveolus. 5) A number of factors favor increased diffusion; more surface area, shorter distance, greater solubility of gases, and a steeper partial pressure gradient.</li> </ol> Signup and view all the answers

How are gases transported?

<p>They are transported in association with molecules in the blood or dissolved in the plasma.</p> Signup and view all the answers

How is oxygen carried? What %?

<p>Over 98% of oxygen is carried in the blood bound to hemoglobin of red blood cells, producing oxyhemoglobin.</p> Signup and view all the answers

Where is oxyhemoglobin unstable?

<p>In areas where the concentration of oxygen is low, and gives up its oxygen molecules in those areas.</p> Signup and view all the answers

When is more oxygen released?

<p>As the blood concentration of carbon dioxide increases, as the blood becomes more acidic, and as blood temperature increases.</p> Signup and view all the answers

What is hypoxia? Does it have any causes?

<p>A deficiency of oxygen reaching the tissues. It has a variety of causes.</p> Signup and view all the answers

How can carbon dioxide be transported or dissolved in blood plasma?

<p>As carbaminohemoglobin or as bicarbonate ions.</p> Signup and view all the answers

How is most carbon dioxide transported?

<p>In the form of bicarbonate.</p> Signup and view all the answers

Describe the steps in carbon dioxide transport....

<ol> <li>Carbon dioxide be transported or dissolved in blood plasma as carbaminohemoglobin or as bicarbonate ions. 2) Carbon dioxide is mostly transported in the form of bicarbonate. 3) When carbon dioxide reacts with water in the plasma, carbonic acid is formed slowly, but instead, much of the carbon dioxide enters red blood cells, where the enzyme carbonic anhydrase speeds this reaction. 4) The resulting carbonic acid dissociates immediately, releasing bicarbonate and hydrogen ions. 5) Carbaminohemoglobin also releases its carbon dioxide which diffuses out of the blood into the alveolar air.</li> </ol> Signup and view all the answers

Study Notes

Respiratory System Overview

  • The respiratory system filters incoming air through tubes and transports it to alveoli for gas exchange.
  • Respiration involves exchanging gases between the atmosphere and body cells, consisting of ventilation, gas exchange, transport, and cellular respiration.

Components of the Respiratory System

  • Divided into two groups: upper respiratory tract (nose, nasal cavity, sinuses, pharynx) and lower respiratory tract (larynx, trachea, bronchial tree, lungs).
  • The nose, supported by bone and cartilage, provides air entrance and filters air using coarse hairs in the nostrils.

Nasal Cavity and Sinuses

  • The nasal cavity is divided by the nasal septum and contains nasal conchae, which increase surface area for warming and filtering air.
  • Sinuses, air-filled spaces in skull bones, reduce skull weight and enhance vocal resonance, opening to the nasal cavity.

Larynx and Vocal Cords

  • The larynx, located above the trachea, prevents particles from entering the trachea and houses vocal cords.
  • Composed of muscles and cartilage, it contains true (lower) and false (upper) vocal cords, which regulate pitch and loudness by tension changes.

Trachea and Bronchial Tree

  • The trachea extends before splitting into left and right bronchi and is lined with ciliated mucous membrane for trapping particles.
  • The bronchial tree branches into bronchioles leading to alveolar ducts and sacs for gas exchange.

Lungs Structure

  • Lungs are spongy, cone-shaped organs divided into lobes (3 on the right, 2 on the left), separated by the mediastinum and enclosed by the diaphragm and thoracic cage.

Ventilation Mechanics

  • Ventilation involves inspiration (inhaling) and expiration (exhaling). Atmospheric pressure is the force moving air into the lungs.
  • During inspiration, lung pressure decreases, causing air influx; thoracic cavity expansion is aided by the diaphragm and external intercostal muscles.

Breathing Control

  • Breathing is involuntary but can be voluntarily controlled; the brain stem's respiratory areas manage inspiration and expiration.
  • Two groups in the medullary rhythmicity center: the dorsal respiratory group (basic rhythm) and ventral respiratory group (forceful breathing).

Gas Exchange and Transport

  • Gas exchange occurs at the respiratory membrane (alveoli and capillary interface) through diffusion based on partial pressure gradients.
  • Oxygen is primarily transported as oxyhemoglobin in red blood cells, while carbon dioxide is transported as bicarbonate, carbaminohemoglobin, or dissolved in plasma.

Respiratory Volumes and Capacities

  • Spirometry measures different air volumes during respiratory cycles, including tidal volume, inspiratory reserve volume (IRV), expiratory reserve volume (ERV), and residual volume.
  • Vital capacity combines tidal volume, IRV, and ERV, while total lung capacity is vital capacity plus residual volume.

Regulation of Breathing

  • Factors affecting breathing include chemical changes, lung stretch, and emotional states.
  • Chemosensitive areas in the brain respond to blood CO2 and hydrogen ion levels; increased concentrations heighten breathing rates.
  • Inflation reflexes prevent overinflation during forceful breathing, triggered by stretch receptors.

Conditions Impacting Oxygen and Carbon Dioxide Levels

  • Hypoxia refers to inadequate oxygen supply in tissues, with various causes.
  • Hyperventilation decreases blood carbon dioxide levels, affecting gas exchange efficiency.

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