Podcast
Questions and Answers
What is an example of temporary stoppage of ventilation?
What is an example of temporary stoppage of ventilation?
- Pneumonia
- Choking incident
- Respiratory arrest from trauma
- Sleep apnea (correct)
Which muscle is primarily responsible for the lengthening of the thoracic cavity during inspiration at rest?
Which muscle is primarily responsible for the lengthening of the thoracic cavity during inspiration at rest?
- Rectus abdominus
- Serrati anterior
- External intercostals
- Diaphragm (correct)
Which of the following is an indication of dyspnea that a clinician can observe?
Which of the following is an indication of dyspnea that a clinician can observe?
- Accessary muscle breathing (correct)
- Regular breathing patterns
- Quiet breathing
- Calm demeanor
What occurs during expiration at rest?
What occurs during expiration at rest?
During physical activity, which muscle aids in lifting the sternum?
During physical activity, which muscle aids in lifting the sternum?
What is the effect of thoracic volume expansion during inspiration?
What is the effect of thoracic volume expansion during inspiration?
Which of the following is NOT a factor involved in expiration during physical activity?
Which of the following is NOT a factor involved in expiration during physical activity?
Which of the following describes a pathologic example of dyspnea?
Which of the following describes a pathologic example of dyspnea?
What happens if the left ventricle is experiencing both increased stroke volume and increased afterload?
What happens if the left ventricle is experiencing both increased stroke volume and increased afterload?
What is the effect of maintained increased intrathoracic pressure during the Valsalva maneuver?
What is the effect of maintained increased intrathoracic pressure during the Valsalva maneuver?
How do baroreceptors respond to a decrease in blood pressure during prolonged Valsalva maneuver?
How do baroreceptors respond to a decrease in blood pressure during prolonged Valsalva maneuver?
Which condition makes the maintained increased external pressure even more problematic for the myocardium?
Which condition makes the maintained increased external pressure even more problematic for the myocardium?
What can a drastic reduction in cardiac output due to prolonged Valsalva maneuver lead to?
What can a drastic reduction in cardiac output due to prolonged Valsalva maneuver lead to?
During Phase 2 of the Valsalva maneuver, how is the blood supply to the coronary arteries affected?
During Phase 2 of the Valsalva maneuver, how is the blood supply to the coronary arteries affected?
What happens to the cardiac output when the filling of the vena cava decreases?
What happens to the cardiac output when the filling of the vena cava decreases?
What can prolonged compression on the vena cava lead to?
What can prolonged compression on the vena cava lead to?
What is the primary function of the dorsal respiratory group?
What is the primary function of the dorsal respiratory group?
Which of the following statements about the ventral respiratory group is accurate?
Which of the following statements about the ventral respiratory group is accurate?
What role does the pneumotaxic center play in respiration?
What role does the pneumotaxic center play in respiration?
What occurs during Phase 1 of the Valsalva maneuver?
What occurs during Phase 1 of the Valsalva maneuver?
Which reflex is initiated due to increased right atrial pressure during Phase 1 of the Valsalva maneuver?
Which reflex is initiated due to increased right atrial pressure during Phase 1 of the Valsalva maneuver?
What is a potential problem for individuals with atherosclerosis during the Valsalva maneuver?
What is a potential problem for individuals with atherosclerosis during the Valsalva maneuver?
Which respiratory muscle is primarily activated by the dorsal respiratory group?
Which respiratory muscle is primarily activated by the dorsal respiratory group?
What impact does increased intrathoracic pressure have on the blood supply to the myocardium?
What impact does increased intrathoracic pressure have on the blood supply to the myocardium?
What occurs to the vena cava during Phase 3 of the Valsalva maneuver?
What occurs to the vena cava during Phase 3 of the Valsalva maneuver?
How does the low venous return during Phase 3 affect cardiac output?
How does the low venous return during Phase 3 affect cardiac output?
What happens to blood pressure during Phase 3 of the Valsalva maneuver?
What happens to blood pressure during Phase 3 of the Valsalva maneuver?
During Phase 4, what effect does normal intrathoracic pressure have on the vena cava?
During Phase 4, what effect does normal intrathoracic pressure have on the vena cava?
What can potentially happen due to the sudden surge of blood in the coronary arteries during Phase 4?
What can potentially happen due to the sudden surge of blood in the coronary arteries during Phase 4?
Which component is not part of the cough reflex process?
Which component is not part of the cough reflex process?
Which consequence could occur in patients after recent thoracic or abdominal surgery during a cough reflex?
Which consequence could occur in patients after recent thoracic or abdominal surgery during a cough reflex?
What is a possible immediate physiological response to the increase in right atrial pressure during Phase 4?
What is a possible immediate physiological response to the increase in right atrial pressure during Phase 4?
What is the primary function of ventilation in respiratory physiology?
What is the primary function of ventilation in respiratory physiology?
What factor primarily influences the regulation of ventilation?
What factor primarily influences the regulation of ventilation?
How is minute ventilation calculated?
How is minute ventilation calculated?
Which term describes an elevated ventilatory rate and depth that meets metabolic demand?
Which term describes an elevated ventilatory rate and depth that meets metabolic demand?
What does tachypnea typically indicate?
What does tachypnea typically indicate?
What is a consequence of hyperventilation?
What is a consequence of hyperventilation?
Which component of respiratory physiology is NOT dependent on blood flow through the alveolar capillaries?
Which component of respiratory physiology is NOT dependent on blood flow through the alveolar capillaries?
What is tidal volume abbreviated as?
What is tidal volume abbreviated as?
What condition is characterized by a high-pitched inspiratory sound and can be resolved by neuromuscular coordination training?
What condition is characterized by a high-pitched inspiratory sound and can be resolved by neuromuscular coordination training?
What percentage of our resting energy expenditure is typically used for ventilation?
What percentage of our resting energy expenditure is typically used for ventilation?
During exercise, the energy demand for ventilation increases to what percentage?
During exercise, the energy demand for ventilation increases to what percentage?
Which of the following factors complicates ventilation in individuals with pulmonary disease or obesity?
Which of the following factors complicates ventilation in individuals with pulmonary disease or obesity?
What consequence can arise from the long-term overuse of respiratory muscles?
What consequence can arise from the long-term overuse of respiratory muscles?
Which subregion of the brain is not part of the respiratory center?
Which subregion of the brain is not part of the respiratory center?
What can happen if respiratory muscles are in 'exercise' mode during physical activity?
What can happen if respiratory muscles are in 'exercise' mode during physical activity?
Which muscle action is involved in both inspiration and active expiration?
Which muscle action is involved in both inspiration and active expiration?
What structure has the greatest amount of cartilage in the respiratory tract?
What structure has the greatest amount of cartilage in the respiratory tract?
During which phase of breathing does airway resistance typically decrease?
During which phase of breathing does airway resistance typically decrease?
What is the primary cause of increased airway resistance during an asthma attack?
What is the primary cause of increased airway resistance during an asthma attack?
Which of the following factors is NOT associated with airway resistance increase in disease states?
Which of the following factors is NOT associated with airway resistance increase in disease states?
What neurotransmitter is responsible for bronchoconstriction?
What neurotransmitter is responsible for bronchoconstriction?
Where in the respiratory tract is airflow resistance the greatest?
Where in the respiratory tract is airflow resistance the greatest?
What is the primary factor required for effective gas exchange between alveoli and the bloodstream?
What is the primary factor required for effective gas exchange between alveoli and the bloodstream?
How does increased airway resistance affect airflow during expiration?
How does increased airway resistance affect airflow during expiration?
During exercise, how does pulmonary blood flow change?
During exercise, how does pulmonary blood flow change?
What is the primary effect of sympathetic stimulation on airway resistance?
What is the primary effect of sympathetic stimulation on airway resistance?
What does physiological dead space refer to?
What does physiological dead space refer to?
What is a major consequence of a pulmonary embolism?
What is a major consequence of a pulmonary embolism?
Which factor does NOT decrease pulmonary vascular resistance during exercise?
Which factor does NOT decrease pulmonary vascular resistance during exercise?
What is the danger associated with 'dead space' in the respiratory system?
What is the danger associated with 'dead space' in the respiratory system?
What physiological change occurs when blood clots form in the pulmonary vessels?
What physiological change occurs when blood clots form in the pulmonary vessels?
What defines anatomical dead space in the respiratory system?
What defines anatomical dead space in the respiratory system?
What is the primary mechanism by which bronchodilators function?
What is the primary mechanism by which bronchodilators function?
What could be a consequence of decreased lung compliance?
What could be a consequence of decreased lung compliance?
How is partial pressure defined in relation to blood gases?
How is partial pressure defined in relation to blood gases?
What does FiO2 represent in respiratory physiology?
What does FiO2 represent in respiratory physiology?
What is the relationship between atmospheric pressure and the partial pressure of oxygen at sea level?
What is the relationship between atmospheric pressure and the partial pressure of oxygen at sea level?
What effect can stiff lung tissue have on expiration?
What effect can stiff lung tissue have on expiration?
What causes decreased lung compliance?
What causes decreased lung compliance?
What is the approximate partial pressure of oxygen in the atmosphere at sea level?
What is the approximate partial pressure of oxygen in the atmosphere at sea level?
What is the approximate PaO2 value at sea level?
What is the approximate PaO2 value at sea level?
Which factor can reduce gas exchange in the alveoli?
Which factor can reduce gas exchange in the alveoli?
During exercise, how does PvO2 change?
During exercise, how does PvO2 change?
What is the primary reason oxygen moves from the alveolus to the blood?
What is the primary reason oxygen moves from the alveolus to the blood?
What is the PACO2 value indicative of in the alveoli?
What is the PACO2 value indicative of in the alveoli?
What happens to the concentration gradient for gas exchange at high altitudes?
What happens to the concentration gradient for gas exchange at high altitudes?
Which of the following cannot facilitate the gas exchange process in the lungs?
Which of the following cannot facilitate the gas exchange process in the lungs?
What defines PvO2 in the systemic venous system?
What defines PvO2 in the systemic venous system?
What percentage of oxygen is transported bound to hemoglobin in healthy individuals?
What percentage of oxygen is transported bound to hemoglobin in healthy individuals?
In healthy individuals, what is the primary form of carbon dioxide transportation in the blood?
In healthy individuals, what is the primary form of carbon dioxide transportation in the blood?
What critical limitation does pulse oximetry have?
What critical limitation does pulse oximetry have?
How does skin pigmentation affect pulse oximetry readings?
How does skin pigmentation affect pulse oximetry readings?
Which factor most significantly increases the ventilatory stimulus?
Which factor most significantly increases the ventilatory stimulus?
What is a misconception about pulse oximeter readings in a carbon monoxide poisoning scenario?
What is a misconception about pulse oximeter readings in a carbon monoxide poisoning scenario?
During intense exercise, what percentage of carbon dioxide is typically bound to hemoglobin?
During intense exercise, what percentage of carbon dioxide is typically bound to hemoglobin?
What incorrect assumption can be made from normal pulse oximeter readings in a patient who has lost a lot of blood?
What incorrect assumption can be made from normal pulse oximeter readings in a patient who has lost a lot of blood?
Flashcards
Ventilation
Ventilation
The movement of air through airways and alveoli, driven by pressure differences.
Gas Exchange
Gas Exchange
Oxygen and carbon dioxide diffusion between alveoli and bloodstream, requiring good blood flow and hemoglobin.
Gas Transport
Gas Transport
Oxygen and carbon dioxide movement in blood and fluids to and from body tissues, reliant on cardiovascular system and hemoglobin.
Tidal Volume (VT)
Tidal Volume (VT)
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Respiratory Frequency (RR)
Respiratory Frequency (RR)
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Hyperventilation
Hyperventilation
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Tachypnea
Tachypnea
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Hyperpnea
Hyperpnea
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Stoppage of Ventilation
Stoppage of Ventilation
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Sleep Apnea
Sleep Apnea
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Respiratory Arrest
Respiratory Arrest
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Dyspnea
Dyspnea
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Pathologic Dyspnea
Pathologic Dyspnea
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Mechanics of Pulmonary Ventilation
Mechanics of Pulmonary Ventilation
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Diaphragm Contraction
Diaphragm Contraction
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Accessory Muscles of Inspiration
Accessory Muscles of Inspiration
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Exercise-induced laryngeal obstruction (EILO)
Exercise-induced laryngeal obstruction (EILO)
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Neuromuscular coordination training
Neuromuscular coordination training
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Somatic muscles & ventilation
Somatic muscles & ventilation
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Respiratory muscle activation during exercise
Respiratory muscle activation during exercise
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Consequences of increased respiratory muscle activation
Consequences of increased respiratory muscle activation
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Medulla and respiratory control
Medulla and respiratory control
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Three subregions of the respiratory center
Three subregions of the respiratory center
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Functions of respiratory center subregions
Functions of respiratory center subregions
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Dorsal Respiratory Group
Dorsal Respiratory Group
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Ventral Respiratory Group
Ventral Respiratory Group
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Apneustic Center
Apneustic Center
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Pneumotaxic Center
Pneumotaxic Center
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Increased Venous Return (Valsalva)
Increased Venous Return (Valsalva)
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Decreased Coronary Perfusion (Valsalva)
Decreased Coronary Perfusion (Valsalva)
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Increased Left Ventricular Afterload (Valsalva)
Increased Left Ventricular Afterload (Valsalva)
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What is the Bainbridge Reflex?
What is the Bainbridge Reflex?
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Increased afterload and stroke volume
Increased afterload and stroke volume
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Coronary artery blockages and heart workload
Coronary artery blockages and heart workload
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Cardiac damage and heart workload
Cardiac damage and heart workload
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Valsalva maneuver - Phase 1
Valsalva maneuver - Phase 1
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Valsalva maneuver - Phase 2
Valsalva maneuver - Phase 2
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Valsalva maneuver - Phase 3
Valsalva maneuver - Phase 3
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Valsalva maneuver and heart health
Valsalva maneuver and heart health
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Coronary arteries and Valsalva maneuver
Coronary arteries and Valsalva maneuver
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Valsalva Maneuver: Phase 3 & Coronary Arteries
Valsalva Maneuver: Phase 3 & Coronary Arteries
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Valsalva Maneuver: Phase 4 - Vena Cava
Valsalva Maneuver: Phase 4 - Vena Cava
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Valsalva Maneuver: Phase 4 - Ventricular Contractility
Valsalva Maneuver: Phase 4 - Ventricular Contractility
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Valsalva Maneuver: Increased Myocardial Oxygen Demand
Valsalva Maneuver: Increased Myocardial Oxygen Demand
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Cough Reflex: Sensory Receptors
Cough Reflex: Sensory Receptors
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Cough Reflex: Nerve Pathway
Cough Reflex: Nerve Pathway
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Cough Reflex: Phases
Cough Reflex: Phases
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Cartilage in airways
Cartilage in airways
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Airway resistance: Where is it greatest?
Airway resistance: Where is it greatest?
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Inspiration and airway resistance
Inspiration and airway resistance
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Expiration and airway resistance
Expiration and airway resistance
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What causes bronchoconstriction?
What causes bronchoconstriction?
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What causes bronchodilation?
What causes bronchodilation?
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How does inflammation increase airway resistance?
How does inflammation increase airway resistance?
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How do blockages increase airway resistance?
How do blockages increase airway resistance?
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Bronchodilators
Bronchodilators
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Inhaled Steroids
Inhaled Steroids
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Decreased Lung Compliance
Decreased Lung Compliance
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Partial Pressure
Partial Pressure
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PO2
PO2
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FO2
FO2
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FiO2
FiO2
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Increased Metabolic Rate
Increased Metabolic Rate
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Gas Exchange: Direction
Gas Exchange: Direction
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Gas Exchange: Factors
Gas Exchange: Factors
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Reduced Concentration Gradient
Reduced Concentration Gradient
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Reduced Surface Area
Reduced Surface Area
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Membrane Permeability
Membrane Permeability
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Oxygen Transport in Blood
Oxygen Transport in Blood
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Carbon Dioxide Transport
Carbon Dioxide Transport
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Pulse Oximetry Limitations
Pulse Oximetry Limitations
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High Carbon Dioxide and Ventilation
High Carbon Dioxide and Ventilation
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Carbon Monoxide Poisoning
Carbon Monoxide Poisoning
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Melanin's Effect on Pulse Oximetry
Melanin's Effect on Pulse Oximetry
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Pulse Oximetry and Low Saturation
Pulse Oximetry and Low Saturation
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Blood Gases' Role in Ventilation
Blood Gases' Role in Ventilation
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Increased distance between alveoli and capillary
Increased distance between alveoli and capillary
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Ventilation-Perfusion Matching
Ventilation-Perfusion Matching
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Pulmonary blood flow changes during exercise
Pulmonary blood flow changes during exercise
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Dead space
Dead space
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Anatomic dead space
Anatomic dead space
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Physiologic dead space
Physiologic dead space
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Pulmonary embolism
Pulmonary embolism
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Blood gas transport
Blood gas transport
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Study Notes
Respiratory System Physiology
- Four main components: ventilation, gas exchange, gas transport, and regulation of ventilation
- Ventilation: Air movement through airways and alveoli, relying on respiratory muscles to create pressure differences
- Gas Exchange: Oxygen and carbon dioxide diffusion between alveoli and bloodstream; dependent on gases in alveoli, blood flow, and blood's capacity to carry gases
- Gas Transport: Oxygen and carbon dioxide transport in blood and body fluids to cells; dependent on cardiovascular system and hemoglobin
- Regulation of Ventilation: Central nervous system (CNS) controls respiration, primarily in response to carbon dioxide levels
Breathing Terms
- Tidal Volume (VT): Air volume moved with each breath
- Respiratory Frequency (RR): Number of breaths per minute
- Minute Ventilation (VE): Product of VT and RR
- Eupnea: Normal ventilatory rate and depth
- Hyperpnea: Elevated rate and depth to meet metabolic demand (e.g., exercise)
- Hyperventilation: Elevated rate and depth exceeding metabolic demand
Mechanics of Ventilation
- Inspiration: Thoracic volume expansion, decreasing intrathoracic pressure, allowing air to enter alveoli
- Expiration: Thoracic volume decrease, increasing intrathoracic pressure, forcing air out of alveoli
- Muscles involved include diaphragm (resting), external intercostals, and accessory muscles (exercise)
Other Respiratory Concepts
- Tachypnea: Increased respiratory rate without tidal volume increase
- Apnea: Cessation of ventilation (temporary or permanent)
- Dyspnea: Subjective experience of difficulty breathing (may be pathologic or non-pathologic)
- Valsalva Maneuver: Increased intrathoracic pressure; affects venous return, coronary artery perfusion, and blood pressure
- Cough Reflex: Response to irritation in the airways, leading to forceful expulsion of air
- Sneeze Reflex: Response to nasal irritation, similar to cough reflex but with nasal pathway initiation
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Description
Test your knowledge on the physiology of the respiratory system with this quiz covering key concepts such as ventilation, gas exchange, and gas transport. Understand the role of tidal volume, respiratory frequency, and how the central nervous system regulates breathing. Perfect for students studying human physiology or medicine.