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    Principles of Human Anatomy and Physiology, 11e 1

    LAB 11

    Respiratory System

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    Principles of Human Anatomy and Physiology, 11e 2

    INTRODUCTION

    The two systems that cooperate to supply O2 and eliminateCO2 are the cardiovascular and the respiratory system.

    The respiratory system provides for gas exchange.

    The cardiovascular system transports the respiratory gases.

    Failure of either system has the same effect on the body:disruption ofhomeostasis and rapid death of cells from

    oxygen starvation and buildup of waste products.

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    Principles of Human Anatomy and Physiology, 11e 3

    Respiratory System Classification

    Structurally

    Nose

    Pharynx = throat

    Larynx = voicebox

    Trachea = windpipe

    Bronchi = airways

    Lungs

    Functionally

    The Conducting System

    Consists of a series of cavities and tubes - nose, pharynx,

    larynx, trachea, bronchi, bronchiole, and terminal bronchioles- that conduct air into the lungs.

    The Respiratory Portion

    Consists of the area where gas exchange occurs - respiratory

    bronchioles, alveolar ducts, alveolar sacs, and alveoli.

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    Principles of Human Anatomy and Physiology, 11e 4

    The Respiratory System

    The respiratory system works with the cardiovascular system toaccomplish respiration which includes;

    Ventilation (Breathing)-Movement of air in and out of the lungs.

    Pulmonary (External) respiration-Exchange of gases between air andblood. Carbon dioxide out to the air, Oxygen into the lungs..

    Tissue (Internal) respiration-Exchange of gases between blood andtissue fluids. Oxygen into the tissues and carbon dioxide out of thetissues

    Cellular respiration- Production of ATP.

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    The Respiratory Tract

    It extends from the nose to the lungs As air moves towards the lungs it is cleansed, warmed, and moistened.

    Accomplished by hairs, cilia and mucous which act as a screening

    device.

    Unwanted particles are released as expectorates.

    As air moves out during expiration, it cools and deposits moisture on thelining of the trachea and the nose.

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    External Nasal Structures

    The external portion of the nose is made of cartilage and skin and is

    lined with mucous membrane. Openings to the exterior are theexternal nares.

    The bony framework of the nose is formed by the frontal bone, nasal

    bones, and maxillae.

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    Olfactory epithelium for sense of smell Pseudostratified ciliated columnar with goblet cells lines nasal cavity

    Warms air due to high vascularity

    Mucous moistens air & traps dust

    Cilia move mucous towards pharynx

    Paranasal sinuses open into nasal cavity

    Lighten skull & resonate voice

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    Principles of Human Anatomy and Physiology, 11e 10

    The Pharynx

    The pharynx (throat) is a funnel-shaped passageway that connects thenasal and oral cavities to the larynx. It also enhances sound.

    Three sections.

    Nasopharynx - Nasal cavities open above soft palate.

    Oropharynx - Oral cavity opens.

    Tonsils-lymphoid tissue produce lymphocytes

    Laryngopharynx - Opens into the larynx.

    The nasopharynx functions in respiration. Both the oropharynx and

    laryngoph

    arynx function in digestion, respiration and speech

    (servingas a passageway for both air and food).

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    Pharynx

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    The larynx (voice box) serves as a passageway for

    air between the pharynx and the trachea..

    Thyroid cartilage forms Adams apple Epiglottis---leaf-shaped piece of elastic cartilage

    During swallowing, larynx moves upward to prevent food

    from entering trachea

    Epiglottis bends to cover glottis

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    Larynx

    The larynx also houses the vocal cords (voice box) whichare stretched across the glottis (opening)

    When air passes through the glottis it causes these vocal

    cords to vibrate and produce sound.

    Tension of glottis determines the pitch High tension-narrow glottis-high pitch

    Low tension-wider glottis-low pitchGlottis closed Glottis open

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    Trachea

    The trachea (windpipe) extends from the larynx to theprimary bronchi.

    It is composed of smooth muscle and C-shaped rings of

    cartilage and is lined with pseudostratified ciliated columnar

    epithelium.

    The cartilage rings keep the airway open.

    The cilia of the epithelium sweep debris away from the lungs

    and back to the throat to be swallowed.

    Smoking destroys th

    ese cilia

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    Trachea and Bronchial Tree

    The trachea (windpipe) extends from the larynx to the

    primary bronchi.

    It is composed of smooth muscle and C-shaped rings of

    cartilage and is lined with pseudostratified ciliated columnarepithelium.

    The cartilage rings keep the airway open.

    The cilia of the epithelium sweep debris away from the lungs

    and back to the throat to be swallowed.

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    Tracheostomy and Intubation

    Reestablish

    ing airflow past an airwayobstruction

    Crushing injury to larynx or chest

    swelling that closes airway

    vomit or foreign object

    Tracheostomy is incision in trachea below

    cricoid cartilage if larynx is obstructed

    Intubation is passing a tube from mouth or

    nose through larynx and trachea

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    Bronchi and Bronchioles

    -The trachea divides into the rightand left pulmonary bronchi

    -The bronchial tree consists of the trachea, primary bronchi, secondary bronchi, tertiary

    bronchi, bronchioles, and terminal bronchioles.

    -Sympathetic NS & adrenal gland release epinephrine that relaxes smooth muscle& dilates airways

    -Asthma attack or allergic reactions constrict distal bronchiole smooth muscle

    -Nebulization therapy = inhale mist with chemicals that relax muscle & reduce

    thickness of mucus

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    Lungs

    The lungs lie on either side of the heart within the thoracic cavity.

    Right lung has three lobes and the left lung has two lobes. Each lobe is divided into lobules.

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    Alveolar ducts surrounded by alveolar sacs & alveoli

    sac is 2 or more alveoli sharing a common opening

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    From Airways to the Lungs

    Air enters or leaves the respiratory system through nasal cavitieswhere hair and cilia filter dust and particles, blood vessels warm, andmucus moistens, the air

    Nose

    Pharynx Larynx

    Trachea

    Bronchi

    Bronchioles

    Alveoli.

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    PULMONARY VENTILATION

    Respiration occurs in three basic steps Pulmonary ventilation

    External respiration

    Internal respiration

    The movement of air into and out of the lungs depends on

    pressure changes governed in part by Boyles law, which

    states that the volume of a gas varies inversely with

    pressure, assuming that temperature is constant .

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    Respiratory (Lung) Volumes

    Measured using a spirometer.

    Tidal volume-- the amount of air that moves in and out with each breathduring normal relaxed breathing.

    Vital capacity--the maximum amount of air that can be moved in and out in

    a single breath.TV +IRV +ERV

    Inspiratory Reserve Volume- forced inhalation

    Expiratory Reseve Volume--- forced exhalation

    Residual Volume The air remaining in the lung after exhaling

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    Vital Capacity

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    Inspiration and Expiration

    Ventilation

    Moves of a continuous column of air into and out of lungs

    from the pharynx to the alveoli.

    Occurs in a cyclic pattern called the respiratory cycle

    One respiratory cycle consists of inhalation and

    exhalation

    Lungs lie within sealed thoracic cavity.

    Rib cage forms top and side of the cavity,

    while the diaphragm forms the floor..

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    Medulla oblongata sets main

    rhythm; centers in pons fine-tune it

    Magnitude of breathing depends on

    concentration of oxygen and H+

    Brain detects H+, increasesbreathing

    Carotid bodies and aortic bodies

    detect drop in oxygen, increase

    breathing

    brain stem

    (pons and

    medulla)receptors

    detect

    decreases in

    pH of

    cerebrospinal

    fluid (due to

    rising CO2 in

    blood)

    carotid bodies

    (CO2 receptors)

    aortic bodie

    (O2 receptor

    heart

    lungs

    spinal chord

    Control of Breathing

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    Negative feedback control of

    breathing

    Increase in arterial pCO2

    Stimulates receptors

    Inspiratory center Muscles of respiration contract

    more frequently & forcefully

    pCO2 Decreases

    Negative Feedback Regulation

    of Breathing

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    Changes in Pressure

    760

    756

    760

    760

    754

    759

    760

    756

    761

    Atmospheric pressure:

    Intrapleural

    pressure:

    Intrapulmonary

    pressure:

    Before

    inhalation

    During inhalation

    (lungs expanded)

    During

    exhalation

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    Inhalation-Inspiration

    Medulla sends neurons tellingdiaphragm to contract and flattens

    External intercostal muscles contract

    Volume of t

    horacic cavity increases Lungs expand

    Air flows down pressure gradient intolungs

    Negative pressure

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    FORCED INHALATION

    The diaphragm and external intercostals contract Also involves muscles in the anterior regions of the neck

    and shoulders

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    Normal (Passive) Exhalation

    Lung volume decreases

    Air flows out of lungs

    Diaphragm and the external

    intercostals relax Rib cage moves down and

    inward

    Positive Pressure

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    Active Exhalation

    Muscles in the abdomen (Rectus Abdominus) and theinternal intercostal muscles contract

    This decreases thoracic cavity volume more than passive

    exhalation

    A greater volume of air must flow out to equalizeintrapulmonary pressure with atmospheric pressure

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    Summary of Breathing

    Alveolar pressure decreases & air rushes in

    Alveolar pressure increases & air rushes out

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    EXCHANGE OF OXYGEN AND CARBON DIOXIDE

    To understand the exchange of oxygen and carbon dioxidebetween the blood and alveoli, it is useful to know some gas

    laws.

    According to Daltons law, each gas in a mixture of gases

    that exerts its own pressure as if all the other gases were

    not present.

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    Daltons Law

    Each gas in a mixture of gases exerts its own

    pressure

    as if all other gases were not present

    partial pressures denoted as p

    Total pressure is sum of all partial pressures

    atmospheric pressure (760 mm Hg) = pO2 +

    pCO2 + pN2 + pH2O

    to determine partial pressure of O2-- multiply 760

    by % of air that is O2 (21%) = 160 mm Hg

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    Respiration

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    Gas Exchanges in the Body

    External respiration refers to gas exchange between air inthe lungs and blood in the pulmonary capillaries.

    Blood entering the pulmonary capillaries has a higher

    partial pressure of carbon dioxide than atmospheric air

    Carbon dioxide diffuses out of the blood and red bloodcells into the lungs and released into the air.

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    External Respiration

    Most carbon dioxide istransported as bicarbonate

    The H+ comes from hemoglobin

    Bicarbonate formation isenhanced by the action ofcarbonic anhydrase inside red

    blood cells

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    External Respiration

    Opposite for oxygen

    Blood entering the pulmonary

    capillaries has a lower PP than the

    atmospheric air so it diffuses from

    the air into the red blood cells and

    capillaries

    Oxyhemoglobin carries the oxygento the tissues

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    External Respiration

    O2

    and CO2

    diffuse fromareas of theirhigher partialpressures to areas of theirlower partial pressures

    Diffusion depends on partialpressure differences

    Compare gas movements inpulmonary capillaries totissue capillaries

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    Internal Respiration

    Internal respiration refers to gas exchange between theblood in systemic capillaries and the tissue fluid.

    Oxygen diffuses out of the blood into the tissue because

    the partial pressure of oxygen of tissue fluid is lower than

    that of blood.

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    Internal Respiration

    Oxygen diffuses outof the blood into

    the tissue

    because th

    epartial pressure of

    oxygen of tissue

    fluid is lower than

    that of blood.

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    Internal Respiration

    Carbon Dioxide is opposite

    It diffuses from tissue into blood

    10% is dissolved in plasma

    30% binds withhemoglobin to form

    carbamino hemoglobin

    60% percent is in bicarbonate form

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    External Respiration vs Internal respiration

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    Respiration and Health

    Upper Respiratory

    Tract

    Infections

    (Nasal Cavities, Pharynx and Larynx)

    Sinusitus

    Infection of cranial sinuses.

    Congestion blocks the openings leading to pain & post nasaldischarge

    Tx: spray decongestives, hot shower, sleep upright

    Otitis Media -

    Bacterial infection of middle ear.

    Nasal infection spreads into auditory tube

    Hearing loss, dizziness, fever

    Tx: Antibiotics , special tubes

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    Respiration and Health

    Tonsillitis Inflammation and enlargement of tonsils.

    Tx: If occurrence is often and swelling causes

    trouble breathing, they are surgically

    removed

    Laryngitis Infection of larynx withhoarseness and inability to

    talk.

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    Respiration and Health

    Lower Respiratory

    Tract

    Infections

    Acute bronchitis -Irritation of the ciliated

    epithelium that lines the bronchiole walls

    Air pollutants, smoking, or allergies can

    be the cause

    Excess mucus causes coughing, canharbor bacteria

    Chronic bronchitis scars and constricts

    airways Infection of primary and

    secondary bronchi.

    T

    x: antibiotics

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    Respiration and Health

    Lower Respiratory Tract Infections Pneumonia Viral or bacterial infection of the lungs.

    Lungs fill with fluid

    Tx: antibiotics

    AIDSPneumocystis Carinii

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    Respiration and Health

    Restrictive Pulmonary Disorders Vital capacity is reduced because lungs have lost

    elasticity.

    Coal, sand, dust, asbestos and fiberglass

    Pulmonary fibrosis improper inflammation of lungs due to

    tissue build-up

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    Respiration and Health

    Obstructive Pulmonary Disorders - Air does not flow freely in t

    heairways.

    Chronic bronchitis

    Degenerative breakdown of lungs

    Due to pollutants

    Tx: stop smoking to slow progression Emphysema

    Incurable blockage of alveoli

    Preceded by chronic emphysema

    Lack of oxygen resulting in irritability & sluggishness

    Tx: stop smoking, exercise will slow progression

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    Respiration and health

    Asthma Immune deficiency causing inflammation of the

    bronchioles and bronchi

    Wheeziness, breathlessness due to allergens likepollen, dust & smoke

    Not curable, but treatable with inhalers

    Lung cancer

    One of the major causes of death

    Generally due to smoking

    Begins with the loss of cilia, tumors form &metastasizes

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    Effects of Smoking

    Shortened life expectancy

    Increased rates of cancers

    Increased rate ofheart disease

    Impaired immune function and healing

    Detrimental to fetus

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    Smokers Lowered Respiratory Efficiency

    Smoker is easily winded with moderate exercise

    nicotine constricts terminal bronchioles

    carbon monoxide in smoke binds to hemoglobin

    irritants in smoke cause excess mucus secretion

    irritants inhibit movements of cilia

    in time destroys elastic fibers in lungs & leads to

    emphysema

    trapping of air in alveoli & reduced gas exchange

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    Aging & the Respiratory System

    Respiratory tissues & c

    hest wall become more rigid

    Vital capacity decreases to 35% by age 70.

    Decreases in macrophage activity

    Diminished ciliary action

    Decrease in blood levels of O2

    Result is an age-related susceptibility to pneumonia orbronchitis

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