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Ventilation – or breathing,
is the process of moving
air into and out of the
lungs
2 phases of ventilation:
1. Inspiration – Inhalation
2. Expiration – Exhalation
Ventilation is regulated by
changes in thoracic
volume, which produce
changes in air pressure
within the lungs
Ventilation and Respiratory volumes
Changing thoracic
volume
Muscles associated with
the ribs are responsible
for ventilation
Inhaling requires a set of
muscles called muscle of
inspiration
This includes:
1. diaphragm
2. muscles that elevate
the ribs
3. sternum
4. external coastals
Ventilation and Respiratory volumes
Muscles of expiration
1. intercostals
(depress the ribs and
sternum)
Ventilation and Respiratory volumes
Spirometry - is the
process of measuring
volumes of air that
move into and out of
the respiratory system
Spirometer – is the
device that measures
these respiratory
volumes
Ventilation and Respiratory volumes
VOLUMES
Respiratory volume –
are measurement of
amount of air
movement during
different portions of
ventilation
Respiratory capacities
- are sums of two or
more respiratory
volumes
Ventilation and Respiratory volumes
Tidal volume – is the
volume of air inspired
or expired with each
breath
Inspiratory reserve
volume – is the
amount of air that can
be inspired forcefully
beyond the resting
tidal volume
Ventilation and Respiratory volumes
Expiratory reserve
volume – is the
amount of air that can
be expired forcefully
beyond the resting
tidal volume
Residual volume – is
the volume of air still
remaining in the
respiratory passages
and lungs after
maximum expiration
Ventilation and Respiratory volumes
CAPACITIES
Functional residual
capacity – is the
expiratory reserve
volume plus the
residual volume. This
is the amount of air
remaining in the lungs
at the end of a normal
expiration
Ventilation and Respiratory volumes
CAPACITIES
Inspiratory capacity –
is the tidal volume
plus the inspiratory
reserve volume
Vital capacity – is the
sum of inspiratory
reserve volume, the
tidal volume and the
expiratory reserve
volume
Ventilation and Respiratory volumes
CAPACITIES
Total lung capacity – is
the sum of the
inspiratory and
expiratory reserves
and the tidal and
residual volumes
Gas Exchange
Exchange of gases
across the respiratory
membrane is
influenced by 3
factors:
1. Thickness of the
membrane
2. Total surface area of
the respiratory
membrane
3. Partial pressure of
gases across
membrane
Gas Exchange
Respiratory membrane
thickness – Thickness
increases during
certain respiratory
diseases
Surface area – Total
surface area of the
respiratory membrane
is about 70sqm in
normal adult
Gas Exchange
Partial pressure –
Pressure exerted by a
specific gas in a
mixture of gases, such
as air
Gas Exchange
Movement of gases in
the lungs – O2 diffuses
from alveoli into the
pulmonary capillaries
because the Po2 in the
alveoli is higher/ greater
than in the pulmonary
capillaries
In contrast CO2 diffuses
from the pulmonary
capillaries into the
alveoli because the
PCO2 in the pulmonary
capillaries is higher/
greater than in the
alveoli
Gas Exchange
Gas transport in the
blood
O2 Transport – After
O2 diffuses through
the respiratory
membrane into the
blood about 98.5% of
the O2 is transported
in the blood and
combines with iron-
containing heme
groups of hemoglobin
Gas Exchange
About 1.5% of the O2
remains dissolved in
the plasma
Oxyhemoglobin –
Hemoglobin with O2
bound to its heme
groups
Gas Exchange
CO2 Transport and
blood PH
CO2 enters the blood, it
is transported in 3 ways
1. About 7% is
transported as CO2
dissolved in plasma
2. 23% is transported
bound to blood
proteins, primarily
hemoglobin
3. 70% is transported in
the form of bicarbonate
ions
Gas Exchange
Co2 reacts with water
to form carbonic acid
(H2CO3), which is
then dissociates to
form H+ and
bicarbonate ions
(HCO3-)
Carbonic anhydrase –
is located inside the
RBC and on the
surface of capillary
epithelial cells
Gas Exchange
Rhythmic breathing
Normal breathing rate
in adults is between
12 and 20 breaths per
minute
In children 20 to 40
per minute
Gas Exchange
Respiratory areas in
the brainstem
Neurons involved with
respiration are located
in the brainstem
Medullary respiratory
center consists of 2
Dorsal respiratory
groups and 2 ventral
respiratory groups