chapter 19 respiratory system - anatomy and physiology...
TRANSCRIPT
Chapter 19
Respiratory
System
Respiration
Organs
Functions:
Works closely with circulatory system,
exchanging gases between air and blood:
Takes up oxygen from air and supplies it
to blood (for cellular respiration).
Removal and disposal of carbon dioxide
from blood (waste product from cellular
respiration).
Homeostatic Role:
Regulates blood pH.
Regulates blood oxygen and carbon dioxide
levels.
Functional Unit =
alveoliBlood transports gases
between lungs and tissues.
OrgansComponents:
Nasal cavity, throat (pharynx), larynx (voice box), trachea, bronchi, alveoli, and lungs.
Pathway of Inhaled Air:
Nasal cavity
Pharynx (Throat)
Larynx (Voice Box)
Trachea (Windpipe)
Bronchi
Bronchioles
Alveoli (Site of gas exchange)
Exhaled air follows reverse pathway.
The Respiratory Song
Nasal CavityPosterior to the external nose
Divided by a midline nasal septum
Posterior nasal apertures (choanae) open
into the nasal pharynx
Roof: ethmoid and sphenoid bones
Floor: hard and soft palates
Nasal Cavity - sinuses
Reduces weight of skull and are resonant chambers that affect sound.
Contains olfactory receptors for smell.
Warms and humidifies air before it enters lungs.
Pseudostratified ciliated epithelium
Increases surface area, goblet cells
produce mucous, cilia trap foreign
particles.
When sinuses swell, the mucous can’t drain, pressure increases, causes a
headache.
Membranes of the Nasal
Cavity
Nasal mucosa has many sensory nerve endings triggers the sneeze reflex
Tissue of this portion of the nose is heavily
saturated with capillaries (used to heat
inspired air in cooler temperatures)
This is why nosebleeds are common
Functions of the Nasal Mucosa
and Conchae
Lateral walls have projections called conchae that increase surface area
During inhalation, the conchae and nasal
mucosa
Filter, heat, and moisten air
During exhalation these structures
Reclaim heat and moisture
Pharynx Muscular tube that connects to the
Nasal cavity and mouth superiorly
Larynx and esophagus inferiorly
From the base of the skull to the level of the sixth
cervical vertebra (approx. 13cm or 5in.)
Larynx (Voicebox)
Attaches to the hyoid bone and opens into the
laryngopharynx
Continuous with the trachea
Made of eight rigid hyaline cartilages and a spoon-
shaped flap of elastic cartilage (epiglottis)
Functions
1. Provides a patent (open) airway
2. Routes air and food into proper channels
3. Voice production
Cartilages of the LarynxHyaline cartilage except for the epiglottis
Epiglottis: elastic cartilage; covers the laryngeal inlet during swallowing
Thyroid cartilage with laryngeal prominence (Adam’s apple)
More prominent in males due to growth stimulation during puberty
Vocal ligaments
Contain elastic fibers
Form core of vocal folds (true vocal cords)
Opening between them is the glottis
Folds vibrate to produce sound as air rushes up from the
lungs
Avascular (appear white)
Figure 22.5
(a) Vocal folds in closed position;
closed glottis
(b) Vocal folds in open position;
open glottis
Base of tongue
Epiglottis
Vestibular fold
(false vocal cord)
Vocal fold
(true vocal cord)
Glottis
Inner lining of trachea
Cuneiform cartilage
Corniculate cartilage
Voice Production Length and tension of cords change pitch
- Faster vibration = higher pitch
Male vocal cords become longer and thicker during puberty.
- slower vibration = lower pitch (voice deepening)
• Chambers of pharynx, oral, nasal, and sinus cavities amplify and enhance sound quality
• Sound is “shaped” into language by muscles of the pharynx, tongue, soft palate, and lips
Trachea (windpipe)
Walls are reinforced with C-
shaped hyaline cartilage
Connects larynx with bronchi
Lined with ciliated mucosa.
Beats continuously in the
opposite direction of
incoming air to expel mucus
loaded with dust and other
debris away from lungs
https://www.youtube.com/watch?v=NmHxhpMfD4c
Tracheostomy used to create an opening in the neck to bypass
an obstructed airway, clean or remove
secretions, to more easily, and usually more
safely, deliver oxygen to the lungs
Surgical Procedure
Landmarks
Primary Bronchio Formed by division of the trachea
o Enters the lung at the hilus (medial depression)
o Right bronchus is wider, shorter, and straighter than left
o Bronchi subdivide into smaller and smaller branches
Bronchi and BronchiolesPrimary bronchi
Secondary (lobar) bronchi
Tertiary (segmental) bronchi
Intralobular bronchioles (lobules)
Terminal bronchioles
Respiratory bronchioles
Alveolar ducts
Alveolar sacs
Alveoli
~300 million alveoli account for most
of the lungs’ volume and are the
main site for gas exchange
Macro
Micro
Coverings of the Lungs
Slide 13.13
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Pulmonary (visceral) pleura covers the lung surface
Parietal pleura lines the walls of the thoracic cavity
Pleural fluid fills the area between layers of pleura to allow gliding
Figure 22.8a
(a)
Alveolar duct
Alveolar ductAlveoli
Alveolar
sac
Respiratory
bronchioles
Terminal
bronchiole
Alveoli
Alveoli Surrounded by fine elastic fibers
Contain open pores that
Connect adjacent alveoli
Allow air pressure throughout the lung to be
equalized
House alveolar macrophages that keep alveolar
surfaces sterile
Gas Exchange
Slide 13.19
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
o Gas crosses the respiratory membrane by diffusion
oOxygen enters the blood
oCarbon dioxide enters the alveoli
Lungs
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Occupy most of the thoracic cavity
oApex is near the clavicle (superior portion)
oBase rests on the diaphragm (inferior portion)
Lobes of the Lungs
• Left lung is smaller, separated into two lobes by an
oblique fissure
• Right lung has three lobes separated by oblique and
horizontal fissures
• Lobules are the smallest subdivisions; served by
bronchioles and their branches
Most smokers and city dwellers have blackened
lobules due to carbon build up
Respiration Pulmonary ventilation (breathing):
movement of air into and outof the lungs
External respiration: O2 and CO2exchange between the lungsand the blood
Transport: O2 and CO2in the blood
Internal respiration: O2 and CO2exchange between systemic bloodvessels and tissues
Respiratory
system
Circulatory
system
Mechanics of Breathing
Pulmonary ventilation consists of two
phases
1. Inspiration: gases flow into the lungs
2. Expiration: gases exit the lungs
Figure 22.13 (1 of 2)
Sequence of events
Changes in anterior-
posterior and superior-
inferior dimensions
Changes in lateral
dimensions
(superior view)
Ribs are elevatedand sternum flares
as externalintercostals
contract.
Diaphragmmoves inferiorly
during contraction.
Externalintercostalscontract.
Inspiratory muscles contract (diaphragm descends; rib cage rises).
2
1
Thoracic cavity volume increases.
3 Lungs are stretched; intrapulmonary volume increases.
4 Intrapulmonary pressure drops (to –1 mm Hg).
5 Air (gases) flows into lungs down its pressure gradient until intrapulmonary pressure is 0 (equal to atmospheric pressure).
Figure 22.13 (2 of 2)
Sequence
of events
Changes in anterior-
posterior and superior-
inferior dimensions
Changes in
lateral dimensions
(superior view)
Ribs and sternumare depressed
as externalintercostals
relax.
Externalintercostalsrelax.
Diaphragmmovessuperiorlyas it relaxes.
1 Inspiratory muscles relax (diaphragm rises; rib cage descends due to recoil of costal cartilages).
2 Thoracic cavity volume decreases.
3 Elastic lungs recoil passively; intrapulmonary volume decreases.
4 Intrapulmonary pres-sure rises (to +1 mm Hg).
5 Air (gases) flows out of lungs down its pressure gradient until intra-pulmonary pressure is 0.
Pulmonary Function Tests
http://kidshealth.org/teen/diseases_conditions/allergies_immune/video_
spirometer.html
Spirometry
Disorders
Destruction
of capillaries
and alveoli
Thickening of bronchiole walls
and muscle causing narrowing.
Excess mucus blocks airway and causes infection and swelling.
Pneumonia
Respiratory Volumes and Capacities
Slide 13.26
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Normal breathing moves about 500 ml of air with each breath (tidal volume [TV])
Many factors that affect respiratory capacity
A person’s size
Sex
Age
Physical condition
Residual volume of air – after exhalation, about 1200 ml of air remains in the lungs
Respiratory Capacities
Slide 13.30
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Figure 13.9
Respiratory Volumes and Capacities
Slide 13.28
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Vital capacity
The total amount of exchangeable air
Vital capacity = TV + IRV + ERV
Dead space volume
Air that remains in conducting zone and never reaches alveoli
About 150 ml
Respiratory Sounds
Slide 13.31
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Sounds are monitored with a stethoscope
Bronchial sounds – produced by air rushing through trachea and bronchi
Vesicular breathing sounds – soft sounds of air filling alveoli
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