Respiratory Physl
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Questions and Answers

How does the interaction of water molecules differ at the surface of a liquid compared to those in the bulk?

  • Surface molecules primarily interact with gas molecules, resulting in stronger bonds compared to bulk molecules.
  • Surface molecules experience equal attractive forces in all directions, similar to bulk molecules.
  • Surface molecules form weaker bonds with neighboring water molecules due to the absence of interactions with gas molecules.
  • Surface molecules experience a net inward force due to stronger attraction to neighboring water molecules, creating surface tension. (correct)

Which of the following best describes surface tension in liquids?

  • A repulsive force that repels liquid molecules away from each other at the air-liquid interface.
  • A measure of the kinetic energy of liquid molecules at the liquid-solid interface.
  • A phenomenon where liquid molecules randomly move at the air-liquid interface..
  • A measure of the attractive forces acting to pull a liquid’s surface molecules together at an air-liquid interface. (correct)

What is the primary reason for the strong attractive forces among water molecules in the bulk of a liquid?

  • Water molecules in bulk interact in limited directions creating weak bonds.
  • Water molecules in bulk can only interact with gas molecules, leading to increased attraction.
  • Water molecules in bulk have a hydrophobic nature causing them to aggregate.
  • Water molecules in bulk interact with each other in all directions due to their polarity, creating strong bonds. (correct)

How would increasing the temperature of a liquid typically affect its surface tension, and why?

<p>Decrease it, because the increased molecular motion disrupts the cohesive forces. (D)</p> Signup and view all the answers

Which scenario would likely result in the highest surface tension?

<p>A polar solvent at a low temperature. (A)</p> Signup and view all the answers

A patient performs a maximal expiration after a normal expiration. Which lung volume are they primarily demonstrating?

<p>Expiratory Reserve Volume (B)</p> Signup and view all the answers

Why is residual volume a crucial component of lung function?

<p>It prevents alveolar collapse and maintains gas exchange. (B)</p> Signup and view all the answers

Which of the following is the correct formula for calculating Vital Capacity (VC)?

<p>VC = TV + IRV + ERV (D)</p> Signup and view all the answers

Why can't Functional Residual Capacity (FRC) be measured using spirometry?

<p>Spirometry cannot measure residual volume, which is a component of FRC. (B)</p> Signup and view all the answers

A patient with a known expiratory reserve volume (ERV) and functional residual capacity (FRC) wants to determine their residual volume (RV). Which calculation should they perform?

<p>RV = FRC - ERV (A)</p> Signup and view all the answers

Total Lung Capacity (TLC) consists of several lung volumes. If you know the Vital Capacity (VC) and Residual Volume (RV), how do you calculate TLC?

<p>TLC = VC + RV (C)</p> Signup and view all the answers

What two lung volumes are added together to get Inspiratory Capacity (IC)?

<p>Tidal volume and inspiratory reserve volume. (A)</p> Signup and view all the answers

If a patient has a tidal volume of 500 mL, what does this value represent?

<p>The volume of air moved in or out of the lungs during a normal breath. (C)</p> Signup and view all the answers

How do changes in the sol layer primarily affect the mucociliary escalator function?

<p>By hindering cilia movement due to altered viscosity or depth. (D)</p> Signup and view all the answers

In the context of the mucociliary escalator, what is the primary functional difference between the movement of cilia in the nasopharynx versus the trachea?

<p>Cilia in the nasopharynx move mucus downwards towards the esophagus, while cilia in the trachea move it upwards towards the esophagus. (B)</p> Signup and view all the answers

How does the inhalation of silica dust lead to pulmonary fibrosis?

<p>Silica kills macrophages, releasing factors that recruit fibroblasts and increase collagen deposition. (C)</p> Signup and view all the answers

What is the primary function of macrophages in the alveoli regarding particulate matter?

<p>To phagocytose and digest small particulates, acting as a last line of defense. (B)</p> Signup and view all the answers

How does smoking impair the function of the mucociliary escalator?

<p>By reducing the activity of cilia and increasing the number of mucus-producing goblet cells. (C)</p> Signup and view all the answers

How do lungs affected by pulmonary fibrosis differ functionally from healthy lungs?

<p>Fibrotic lungs lose their elastic properties and are less able to expand. (D)</p> Signup and view all the answers

What is the key measurement provided by spirometry?

<p>The volume and rate of air inspired and expired. (C)</p> Signup and view all the answers

How does the disintegration of macrophages due to indigestible particles like asbestos contribute to pulmonary fibrosis?

<p>It leads to the release of chemotactic factors, promoting fibroblast recruitment and collagen deposition. (B)</p> Signup and view all the answers

What role do Type I alveolar cells play within the alveoli?

<p>Facilitating gas exchange by lining the alveolar walls. (C)</p> Signup and view all the answers

How does surface tension affect the alveoli?

<p>It causes the alveoli to maintain as small an area as possible, promoting collapse. (A)</p> Signup and view all the answers

Why does a saline-filled lung exhibit a steeper compliance curve compared to an air-filled lung?

<p>Saline eliminates surface tension, reducing the pressure needed for inflation. (D)</p> Signup and view all the answers

What is the primary reason for the substantial surface tension on the alveolar surface?

<p>The presence of water molecules and their hydrogen bonding. (B)</p> Signup and view all the answers

How does surface tension influence the alveoli?

<p>Reduces alveolar size and promotes collapse. (A)</p> Signup and view all the answers

According to Laplace's equation ($P = 2T/r$), how does the radius of an alveolus affect the pressure required to keep it open, assuming surface tension remains constant?

<p>Smaller alveoli need more pressure to stay open. (A)</p> Signup and view all the answers

In the lungs, alveoli of different sizes are interconnected. If the surface tension (T) is the same in two alveoli, one large and one small, what will happen?

<p>Air will flow from the smaller alveolus to the larger alveolus. (C)</p> Signup and view all the answers

In the context of alveolar surface tension, what does Laplace's equation ($P = 2T/r$) help to explain?

<p>The equilibrium between pressure and collapse tendency in alveoli. (B)</p> Signup and view all the answers

How does humidification of air affect alveolar surface tension?

<p>Humidification increases surface tension due to water vapor saturation. (D)</p> Signup and view all the answers

What is the outcome of the pressure difference between smaller and larger alveoli when they are connected?

<p>Air flows from smaller alveoli to larger alveoli, potentially causing the smaller alveoli to collapse. (C)</p> Signup and view all the answers

What is the primary reason the partial pressure of oxygen (PO2) decreases as air moves from the atmosphere to the alveoli?

<p>Inspired air mixes with air already present in the lungs (functional residual capacity), which has a lower PO2. (D)</p> Signup and view all the answers

How does increased alveolar ventilation affect alveolar PO2 and PCO2?

<p>Increases PO2 and decreases PCO2. (B)</p> Signup and view all the answers

How does a change in metabolic rate, such as during exercise, affect the PO2 in the mixed venous blood and, consequently, the alveolar PO2?

<p>Decreases PO2 in mixed venous blood, which decreases alveolar PO2. (D)</p> Signup and view all the answers

Altitude affects the partial pressure of oxygen (PO2). Which statement accurately describes this effect?

<p>At higher altitudes, the percentage of oxygen remains the same, but the overall atmospheric pressure decreases, which proportionally reduces the PO2. (D)</p> Signup and view all the answers

If alveolar ventilation decreases, what is the expected effect on alveolar PCO2?

<p>Alveolar PCO2 will increase because less CO2 is exhaled. (D)</p> Signup and view all the answers

How does a change in cardiac output (lung perfusion) influence alveolar PO2?

<p>Changes in cardiac output alter the amount of blood that passes through the respiratory system, influencing the alveolar PO2. (A)</p> Signup and view all the answers

Which factor does NOT directly determine the partial pressure of oxygen (PO2) in the alveoli?

<p>PO2 in the pulmonary artery. (B)</p> Signup and view all the answers

Why is the partial pressure of carbon dioxide (PCO2) in the alveoli much higher than the PCO2 in the atmosphere?

<p>Because the atmosphere contains very little CO2, and a large amount of CO2 diffuses from the blood into the alveoli. (A)</p> Signup and view all the answers

During strenuous exercise, both alveolar ventilation and metabolic rate increase significantly. How do these changes interact to affect alveolar PO2 and PCO2?

<p>Increased ventilation increases alveolar PO2 and decreases PCO2, while increased metabolic rate decreases alveolar PO2 and increases PCO2. (C)</p> Signup and view all the answers

A patient has a condition that reduces their alveolar ventilation by 50%. Assuming their metabolic rate remains constant, what would be the expected change in their alveolar PCO2 relative to normal?

<p>Alveolar PCO2 would increase, but not necessarily by 50%. (B)</p> Signup and view all the answers

In a healthy individual, where is the resistance to airflow the lowest?

<p>Small airways in the respiratory zone (C)</p> Signup and view all the answers

Which airflow pattern is characterized by gas particles moving in a linear fashion and requires relatively little energy to overcome resistance?

<p>Laminar airflow (C)</p> Signup and view all the answers

According to Poiseuille’s law, how does halving the radius of an airway affect resistance to airflow, assuming laminar flow?

<p>Resistance increases by a factor of 16 (C)</p> Signup and view all the answers

Which condition is characterized by a high lung compliance, leading to 'floppy lungs' with reduced surface area for gas exchange?

<p>Emphysema (B)</p> Signup and view all the answers

What is the primary reason dynamic compliance is usually less than or equal to static compliance?

<p>Airway resistance during airflow (B)</p> Signup and view all the answers

In the context of the pressure-volume relationship in the lungs, what does the flat section of the inflation curve at the beginning of inflation represent?

<p>The medium and small airways are collapsed (D)</p> Signup and view all the answers

What contributes to the hysteresis observed in the pressure-volume curve of the lungs?

<p>Elastic properties of the lung and alveolar surface tension (B)</p> Signup and view all the answers

What property of elastin allows the lung to have high extensible properties?

<p>Spring shape (A)</p> Signup and view all the answers

Which of the following conditions is associated with an accumulation of collagen in the lungs, leading to decreased lung compliance?

<p>Pulmonary fibrosis (D)</p> Signup and view all the answers

How does alveolar surface tension affect lung compliance?

<p>Decreases lung compliance (D)</p> Signup and view all the answers

In which of the following scenarios would the resistance to airflow be most sensitive to changes in airway radius?

<p>When airflow is turbulent (A)</p> Signup and view all the answers

What is the effect of edema in the small airways on respiratory resistance?

<p>Increases resistance by reducing the space available for airflow (A)</p> Signup and view all the answers

How does mucus accumulation in the bronchioles typically affect alveolar space and subsequent airflow?

<p>It reduces alveolar space, impeding airflow (A)</p> Signup and view all the answers

What is the consequence of degeneration or reduction in both elastin and collagen in the lungs with aging?

<p>Increased lung compliance and 'floppy lungs' (B)</p> Signup and view all the answers

What would cause an increase in resistance of the small airways?

<p>Contraction of smooth muscle (B)</p> Signup and view all the answers

Flashcards

Cilia Movement

Cilia move mucus in one direction to eliminate it.

Muco-Ciliary Escalator

Process of moving mucus and trapped particles out of respiratory tract.

Smoking Effects

Reduces cilia activity and increases mucus-producing cells.

Macrophages in Alveoli

Defensive immune cells that digest and eliminate particulates.

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Silica Dust Impact

Fine particulates can kill macrophages and lead to fibrosis.

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Pulmonary Fibrosis

Condition where lungs lose elasticity due to collagen buildup.

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Spirometry

Pulmonary function test measuring inspired and expired air.

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Lung Volumes and Capacities

Measurements of different volumes of air in the lungs.

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Tidal volume

The volume of air moved IN or OUT during each breath.

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Expiratory reserve volume

Air that can be forcibly exhaled after a normal breath.

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Inspiratory reserve volume

Air that can be forcibly inhaled after a normal breath.

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Residual volume

Volume of air remaining in lungs after maximum expiration, cannot be exhaled.

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Vital capacity

Maximal volume of air that can be exhaled after deep inhalation.

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Inspiratory capacity

Maximal volume of air that can be inhaled after normal exhalation.

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Functional Residual Capacity

Volume of air remaining at the end of a normal expiration.

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Total Lung Capacity

Total volume of air in lungs at the end of maximum inhalation.

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Molecular Interaction

Molecules in a fluid interact based on their polarity, creating strong bonds, especially in bulk fluid.

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Surface Molecule Behavior

Water molecules on the surface interact less with gas and more with neighboring water molecules, leading to unique properties.

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Surface Tension

A measure of the attractive forces acting to pull a liquid’s surface molecules together at an air-liquid interface.

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Air-Liquid Interface

The boundary where air meets liquid, significant for molecular interactions in the case of water.

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Role in Lungs

Surface tension in the lungs helps maintain structure and function, affecting pressure-volume relationships.

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Alveolar Gas Exchange

Process where gases are exchanged between alveoli and blood.

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Partial Pressure of Oxygen (PO2)

The pressure exerted by oxygen in a mixture of gases.

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Alveolar Ventilation

Rate at which fresh air enters the alveoli.

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Metabolic Rate

The rate of energy expenditure in the body affecting PO2.

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Lung Perfusion

Blood flow through the lungs impacting oxygen levels.

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Alveolar PCO2

Partial pressure of carbon dioxide in alveoli.

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Atmospheric Pressure Effects

Higher altitude reduces PO2 in inspired air.

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Mixing of Air

New air mixes with residual air in the lungs.

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Difference in Pressure Gradient

The difference between alveolar PO2 and blood PO2 driving diffusion.

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Type I Alveolar Cells

Cells that line the alveolar walls and are in contact with surfactant.

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Laplace's Equation

P = 2T/r; describes the pressure needed to keep alveoli open against surface tension.

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Alveolar Collapse

When inward recoil from surface tension causes alveoli to collapse.

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Effect of Saline on Compliance

Filling the lung with saline eliminates surface tension, steepening compliance curve.

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Inward Recoil

The tendency for alveoli to collapse due to surface tension.

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Pressure Differences in Alveoli

Smaller alveoli have higher pressure required to keep them open compared to larger ones.

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Air Humidification

Air entering lungs is saturated with water vapor at body temperature.

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Surfactant Role

A fluid that reduces surface tension, preventing alveoli collapse at lower volumes.

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Hysteresis in Lung Compliance

The difference in lung volume during inflation and deflation due to surface tension.

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Airway Resistance

Opposition to airflow in the respiratory system, influenced by airway size.

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Laminar Flow

Smooth, orderly airflow where gas particles move in layers.

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Turbulent Flow

Chaotic airflow characterized by eddies and higher resistance.

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Transitional Flow

Airflow that is partially laminar and partially turbulent, often occurs in bronchial branches.

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Poiseuille’s Law

Describes how the resistance to flow in a tube is affected by the radius.

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Small Airways Resistance

Higher resistance found in small airways, despite having more airways overall.

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Dynamic Compliance

Lung compliance measured during airflow changes, affected by resistance.

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Static Compliance

Lung compliance measured without airflow, reflecting elastic properties.

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Hysteresis

Difference in lung volume during inhalation and exhalation due to elastic properties.

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Influence of Collagen

Excess collagen in lungs leads to reduced compliance and stiffness.

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Effects of Emphysema

High lung compliance with damaged alveolar structure leading to inefficient gas exchange.

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Effect of Surface Tension

Surface tension at the air-water interface decreases lung compliance.

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Lung Volume vs. Transpulmonary Pressure

Relationship that defines how lung volume changes with varying pressures.

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Airway Constriction

Narrowing of airways that increases resistance, often due to muscle contraction.

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Pathological Resistance Changes

In diseases, small airway resistance can increase significantly, affecting airflow.

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Study Notes

Respiratory Physiology

  • Respiratory physiology studies how oxygen enters the lungs, then tissues, and how carbon dioxide is eliminated.
  • The respiratory system's functions include:
    • Gas exchange (O2 and CO2)
    • Protection against microbes and toxins
    • Regulating blood pH
    • Phonation (speech)
    • Olfaction (smell)
    • Blood reservoir for gas exchange
  • The respiratory system is organized into conducting and respiratory zones.
  • Upper airways: nasal and oral cavities, pharynx, larynx, trachea. These warm, humidify, and filter inhaled air.
  • Trachea and primary bronchi have a C-shaped cartilage ring for structure and flexibility.
  • Bronchi and bronchioles progressively decrease in diameter, losing cartilage and gaining smooth muscle.
  • Terminal bronchioles are the last part of the conducting zone, leading to the respiratory zone.
  • Respiratory zone: alveolar sacs, ducts, and bronchioles. This is where gas exchange occurs.
    • Alveoli: tiny air sacs. They are surrounded by a dense network of capillaries
    • There are several types of alveolar cells (Type I and Type II cells). Type I cells are exceedingly thin for efficient gas exchange. Type II cells produce surfactant to lower surface tension and prevent alveolar collapse.
  • Changes in cross-sectional area of airways occur through successive branching, decreasing diameter but increasing total area. Anatomical dead space is the volume of conducting airways where gas exchange does not occur (approximately 150ml)

Alveoli

  • Tiny, thin-walled sacs in the lungs.
  • Very important for respiration
  • Highly vascularized
  • Blood volume in capillaries varies with metabolic demand
  • 500M alveoli in human lungs
  • 0.5mm in diameter, increasing their surface area
  • Netting of capillaries that continuously contact the alveolar surface
  • 280B billion capillaries in lungs (at rest/ 200ml during exercise)

Steps of Respiration

  • Ventilation (movement of gas): This process is independent of gas composition and relies on pressure differences to move air.
  • Gas exchange within the alveoli (diffusion): Oxygen and carbon dioxide move from an area of high pressure to one of low pressure.
  • Transport in blood (bulk flow): O2 and CO2 are circulated via the cardiovascular system.
  • Gas exchange between the blood and tissues (diffusion): The pressure difference between the blood and tissues drives this process.
  • Cellular utilization (cellular respiration): Cells use O2 in metabolic processes and produce CO2 as a byproduct.

Respiratory Muscles

  • 3 Categories: Pump, Airway, Accessory Muscles
  • Pump Muscles:
    • Diaphragm: Dome-shaped muscle responsible for expanding the chest cavity.
    • External intercostals: Assist in expanding the thoracic cavity.
  • Airway Muscles: Located in the upper airways, open the airways.
  • Accessory Muscles: Involved in forceful/deeper breathing (e.g during exercise)
    • Sternomastoid and scalenes elevate ribs;
    • Abdominal muscles push rib cage down

Resistance to Air Flow

  • Airway resistance, while present, tends to be low overall.
  • Several factors contribute to resistance, more in small airways:
    • Inertia of the respiratory system
    • Friction between the alveoli.
    • Friction between the lung and chest wall.
  • Air flow resistance is affected by the size and condition of the airways.

Lung Compliance

  • Lung compliance measures the elasticity of the lungs; how easily they expand/contract
  • There are static and dynamic forms of lung compliance.
    • Static compliance is a measure of the elastic properties of the lungs (when there is no gas flow).
  • A high compliance means the lungs expand and contract easily, which is useful but at relatively reduced pressure gradients.
  • Low compliance means the lungs are stiff and inflexible; more pressure is needed to make the lungs expand.
  • Surface tension and elasticity contribute to lung compliance (in opposition), along with the way the respiratory airways are arranged.

Gas Exchange and Pulmonary Circulation

  • Gas exchange occurs across the respiratory membrane between alveoli and capillary beds. The pressure gradient dictates the direction.
  • Increase in ventilation leads to higher PO2 and lower PCO2 in alveoli.
  • Increased Perfusion causes greater venous blood mixing making the PO2 lower.
  • Ventilation Perfusion matching:
    • Local conditions in each part of the gas exchange system determine the amount of gas exchanged.
    • Factors such as constriction or dilation of the blood vessels or airways (in relation to O2 levels) keep ventilation and blood flow balanced.

Transport of Oxygen in Blood

  • Oxygen transport in blood occurs through two forms:
    • Dissolved in plasma (a small portion)
    • Bound to hemoglobin in red blood cells (a larger portion)
  • Hemoglobin has a higher affinity for oxygen in high PO2 conditions (e.g in the lungs) but releases oxygen more readily in low PO2 conditions (e.g peripheral tissues).

Transport of Carbon Dioxide in Blood

  • Carbon dioxide is transported in several forms in blood:
    • Dissolved in plasma.
    • Bound to hemoglobin in red blood cells.
    • As bicarbonate ions (HCO3-). This form is crucial, as CO2 reacts with water to form carbonic acid, which dissociates into HCO3- and H+. A chloride shift moves chloride ions into the red blood cells to maintain electrical balance.

Neural Control of Breathing

  • The nervous system controls breathing through networks of neurons in the brain stem, mainly the medulla oblongata.
  • Inputs from chemoreceptors (sensitive to chemicals in the blood) and mechanoreceptors (from the lungs and chest) regulate the rhythm and rate of breathing.
  • Respiratory rate can be altered according to metabolic activity, and to other factors.

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Respiratory Physiology PDF

Description

Explore surface chemistry topics, focusing on intermolecular forces and surface tension. Investigate lung volumes and their clinical significance, including residual volume, vital capacity, expiratory reserve volume and functional residual capacity. Understand how these parameters are measured and calculated.

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