Ginmnncnecm io
* Nose
ee * Oversees gas exchangesbetwee th blood. * The only exteally visible par ofthe
am _ and external environment respiratory system
ae = = = Exchange of gases aks place within the" Air enters the nose through the exteral nares,
= Jungs inte ave (costs
spronchi BE -
= Lungs - Sz _* Passageways tothe lungs purify, warm, and." ‘The interior of the nose consists of a nasal
sew humidity he incosing sir cavity divided by a nasal septum
Upper Respiratory Tract
* olfactory receptors are located in the mucosa
‘on the superior surface
"The est ofthe cavity ned with respiratory
= Moistens aie
= Taps incoming foreign particles
eos * Cavities within bones surrounding the nasal
cavity
+ nesses alr eurbulence win the nasal
caviy * Frontal bone * Lighten tesa
+ Te nasal cavity separated fom the oral *Speoid bone i
eee “eet Actas sane canes fo speech
+ Amertr hard plate (ome) . * Pouce mucus that ans imo te nas
+ Posterior soft palate (scl) Load oe cay
Ea aR
SMachr sag iomadcny oye eT eT me)
* Thee regions of he pharynx ™ Auditory tubes enter the nasopharynx * Routes air and food into proper channels
* Raggatiaryanseperior region behind scons ofthe pharyns * Plays a role in speech
Pecans ~ me behind nt See eee * Made of eight rigid hyaline cartilages and a
olay niin noel spoon-shaped flap of elastic cartilage
* The ropharyns ad laryagopharynx are i eel tee te eniglottis)
cannon passageways for ait and fod * Lingual tonsits atthe base ofthe tongue
EEO)
"Thyroid cartilage ‘Structures of the La * Connects larynx with bronchi
* Largest hyaline cartilage * Vocal cord (vocal folds) “Lined wih ated mucosa
* Protrules anteriorly (Adam's apple) * Vibrate with expelled air to create sound . aenean ee
ie (speech) “= Expel mucus loaded with dust and other
+ supetior opening ofthe ary debris away fom hngs
* Routes food to the larynx and airtovard ” Glotis- opening berween vocal cords = Was are reinforced with C-shaped hyaline
the trachea cardege
= Formed by division of the trachea * Occupy mos of the thoracic cavity
* Enters the lung at the hilus ‘= Apex is near the clavicle superior portion)
(amedial depression) * Base rests on the diaphragm (inferior
* Right bronchus is wider, shorter, Prson)
and straighter than left * Each lung is divided into lobes by fissures
* Bronchi subdivide into smaller * Lett ing 0 lobes
and smaller branches * Right ang — three besLungs
a
* 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
* Secondary bronchi = Smallest ) % ee
branches of a &
* Tertiary bronchi + alba ihe
the bronchi a, Salt
* Bronchioli sence - ®
* Terminal bronchioli ‘loca ~
el
= Structures * Sructure of alveoli
* Respiratory bronchioli _* Alveolar duct
* Alveolar duct Ne aeaaa
“Rem ) * Alveoli bee
onchioles _ *= Gas exchange takes place within the alveoli
Respiratory Membrane (Air-Blood Barrier)
Respiratory Membrane (Air-Blood Barren mente yt
"Thin squamous epithelial layer lining alveolar ee ere)
walls oe j=
* Pulmonary capillaries cover external surfaces
of alveoli
Events of Respiration 5
* Gas crosses the respiratory membrane by lati ing atin and * Resvittory eas transport — transport of
diffusion Pulmonary ventilation moving ain and. * Erman earn dole va he
* Oxygen enters the blood, out ofthe lungs ania
* internal respiration ~ gos exchange between
Blood and tssue cllsin systemic capillaries
ee
* Carbon dioxide enters the alveoli
" External respiration - gas exchange between
pulmonary blood and alveoli
* Macrophages add protection
* Surfactant coats gas-exposed alveolar
surfacesVentilation) Ventilation) * Diaphragm and intercostal muscles contract
* Completely mechanical process * Two phases * The size ofthe thoracic cavity increases
“Depends on volume changes inthe thoracic inspiration ~flow of air nto lung Estemal air is pulled into the langs due to an
cavity
= Volume changes lead presse change,_* Expiration ~arleving lang increase in intrapulmonary volume
‘which lead to the flow of gases to equalize
pressure
een
—
* Largely a passive process which depends on
satura Tang elasticity
= * As muscles relax, alr is pushed ou ofthe
Ings
* Forced expiration can occur mostly by
contracting internal imtercostal muscles to
depress the eb cage
(eee
* Can be caused by reflexes or voluntary
actions
od
oor
DOESN - exampies
* Gough and sneeze — clears lungs of debris
* Normal pressure within the pleural space is
always negative (intapleural pressure) * Laughing
* Differences in ung and pleural space “crying
Pressures keep lungs from collapsing * Yawn
* Hiceup
spi mE
Normal beating moves ou far wis LA
‘och ret (dl ume TV) * Inspiratory reserve volume (IRV)
* Many ars tat ae epieycpaciy + Armount far tt canbe ae in forty” Residual volume
2 ae * Air remaining in lung after expiration
See * Usually between 2100 and 3200 ml
Ae *Expiratory reserve volume (ERV) aan
oe * Amount of ar tht canbe forcibly exhale
* Residual vlume of ar—afterexaltion, about
120 ml of aera inthe ngs
* Approximately 1200 ml
(eae
Respiratory Volumes and Capacities [Res Volumes and Capacities
** Vital capacity Functional volume
* The total amount of exchangeable air * Air that actually reaches the respiratory wel
* Vital capacity = TV + IRV + ERV zone ra i
Pies * Usually abou 360ml iz Se
* Aicthatremins in conducting zone and. * Respiratory capacities are measured with a ‘=
never reaches alvel spirometer 7
* About 150 mi"Sounds are monitored with a stethoscope ~ Oxy movement nto the boo Carbon dioxide movement out ofthe blond
"Bronchial sounds — produced by ar rushing "yey avs Bek more onsen han Concentrate bon dower
‘through trachea and bronchi cope oven diusion cd the inthealveol
« Vesiclar breathing sounds ~ soft sounds of Sex of lower concentstion “ramos pay bod ep
air illing alveoli + Pulmonary capillary blood gains oxygen
"Boo leaving the lungs Is oxygen-teh and
‘xbon daxide-poor
:
* Oxygen transport inthe loo * Exchange of gases between blod and bh
° aaa Caton dixie anspor inthe Bou ce a
* Inside re blood cells tached to
hemoglobin (oxyhemoglobin[HbO:)) ec epeyetanle * Ameppete acon nah oc ae
hinge
+ small amon i cased ide ed blac
+ A small amounts caved dsslved inthe
Plosma een * Carbon dosde fuses ou of tissue o
inn te tan hse of oxypon Bleed
* Oxygen dfs from blood int ds
iernal Respiration, Gas Transport, and
Pier acer ies ees ar
ene
ye
Loge k
a &
* k
a= roma
‘bean by the pesca meet eres — = it SOE ee ed
a z(\ = =
esa EQ re
"The pons appears to smocth oat respiratny rae a 7 Reet oar ene
eas \
ura =~
‘een dnt foam
‘eran hse * Volition (conscious contol)
=, eae
espiratory Disorders: Ch
Factors inuencing Respiratory Rate and | boom So eee
Eas Pea See
* Chemical fats (ominued) Exempliled by chosicboaeis and
* Chemica
Oxygen levels copter
* carton ieee
a oe Major causes of death andi inthe
‘chp hr ret te dec yeep te nied Sates
eeman + rlomon sm oie ea tengaee eer arr
Cet een
"Features ofthese diseases
Features of these diseases (continued)
+ Patient almost always hve history of,
smoking
ote breathing (yspnea becomes
hyposicand have respiratory acidosis
progressively more severe
* Coughing an fequent pulmonary
infections are common
resprtary fale
errs
(eo)
* Mucosa ofthe lower espratrypasoges
becomes Severely nae
"Mucus production neeases
Pooled mocts imps venation and gs
‘exchange
“Risk flung nection nrases
+= Hypoxia and cyanosis occurearty
———
oem ao
ee ee er
Seeeeeiestessiome ons ae
"One thd of cases appear tbe due to hear
‘ti abaomalles
erry
von * Elasicity of ings decreases
ce
important ich dees
* Vital capaci decreases
* Cyt ideo oversertion of thick
eas clogs the respira sem
" Blood oxygen evels decrease
* Stimulating effec of earbon dioxide
decreases
* Clt plate
"More risks of espiatory rae infection
* Most wctimes retain carbon oxide, ae
‘Those infected wil ukimately develop
ope
Alo enage as acer chambers ak hough
+ onic iaammaion roma ag fibrosis
= Airways collapse ding exprton
+ Palen use age aan nergy exhale
+ Overinton ofthe ngs leads a permaneny
+ Cyan appease in te dsease
™ Accounts for 1 ofall cancer deaths in the
United States
“Increased incidence associated with smoking
= The common types
* Squamous cll carcinoma,
+ Adenocarcinoma
* Smal el earcinoma
eee
eect!
Lungs ace filled with flu in he fetus
* Lungs are not fully inflated with ir unt wo
weeks ater birth
* Surfactant that lowers alveolar surface
tension Is not present unt! late in fetal
development and may not be preseat in
premature babies
Sereno rs
Sct)
Life
* Newhoms ~ 40 to 80 respirations per minute
* Infants ~ 30 respirations per minute
= Age 5 ~25 respirations per minute
* Adults ~12 to 18 respirations per minute
* Rate often increases somewhat with old age