{"id":407,"date":"2015-08-11T21:33:29","date_gmt":"2015-08-11T21:33:29","guid":{"rendered":"http:\/\/sites.msudenver.edu\/haysc\/?page_id=407"},"modified":"2020-03-29T21:44:59","modified_gmt":"2020-03-29T21:44:59","slug":"outline-3-bio-2320-respiratory-physiology","status":"publish","type":"page","link":"https:\/\/sites.msudenver.edu\/haysc\/biology-courses\/human-anatomy-and-physiology-ii-homepage-bio-2320\/outline-3-bio-2320-respiratory-physiology\/","title":{"rendered":"Outline-3, BIO 2320, Respiratory Physiology"},"content":{"rendered":"<p>C.<strong> Respiration<\/strong><\/p>\n<p style=\"padding-left: 30px\">1. Overall function<\/p>\n<p style=\"padding-left: 30px\"><em>Movement of gases, gas exchange, transport of gas (oxygen and carbon dioxide)<\/em><\/p>\n<p style=\"padding-left: 30px\">2. Pulmonary Ventilation<\/p>\n<p style=\"padding-left: 60px\">a.<strong> Boyle&#8217;s Law<\/strong><\/p>\n<p style=\"padding-left: 60px\"><em>Gas pressure in closed container is inversely proportional to volume of container<\/em><\/p>\n<p style=\"padding-left: 60px\">b. Pressure differences and air flow<\/p>\n<p style=\"padding-left: 60px\"><em>Air flows from area of higher pressure to lower pressure<\/em><\/p>\n<p style=\"padding-left: 60px\">c. Atmospheric pressure<\/p>\n<p style=\"padding-left: 60px\"><em>760 mm Hg at sea level<\/em><\/p>\n<p style=\"padding-left: 60px\">d. Intrapleural pressure (756mmHg)<\/p>\n<p style=\"padding-left: 60px\"><em>Pressure between pleural layers, helps to keep lungs expanded<\/em><\/p>\n<p style=\"padding-left: 60px\">e. Intrapulmonary pressure<\/p>\n<p style=\"padding-left: 60px\"><em>Pressure inside lungs, changes with size of lungs &amp; Boyle&#8217;s law<\/em><\/p>\n<p style=\"padding-left: 30px\">3.<strong> Inspiration\/Inhalation<\/strong><\/p>\n<p style=\"padding-left: 60px\">a. Diaphragm &amp; Intercostal muscles<\/p>\n<p style=\"padding-left: 60px\"><em>Contract and lowers diaphragm, elevates ribs<\/em><\/p>\n<p style=\"padding-left: 60px\">b. Volume thoracic cavity<\/p>\n<p style=\"padding-left: 60px\"><em>Increases<\/em><\/p>\n<p style=\"padding-left: 60px\">c. Volume of lungs<\/p>\n<p style=\"padding-left: 60px\"><em>Increases<\/em><\/p>\n<p style=\"padding-left: 60px\">d. Intrapulmonary pressure (758mmHg)<\/p>\n<p style=\"padding-left: 60px\"><em>As volume (container) increases, pressure drops (Boyle&#8217;s law), now air moves from atmospheric pressure (760 mm Hg) into lungs (758 mm Hg)<\/em><\/p>\n<p style=\"padding-left: 30px\">4.<strong> Expiration\/Exhalation<\/strong><\/p>\n<p style=\"padding-left: 60px\">a. Volume thoracic cavity<\/p>\n<p style=\"padding-left: 60px\"><em>Decreases<\/em><\/p>\n<p style=\"padding-left: 60px\">b. Volume of lungs<\/p>\n<p style=\"padding-left: 60px\"><em>Decreases<\/em><\/p>\n<p style=\"padding-left: 60px\">c. Intrapulmonary pressure (763mmHg)<\/p>\n<p style=\"padding-left: 60px\"><em>As volume decreases, pressure increases, now air moves from lungs (763 mm Hg) out to atmosphere (760 mm Hg)<\/em><\/p>\n<p style=\"padding-left: 60px\">d. Relaxed muscles<\/p>\n<p style=\"padding-left: 60px\"><em>Diaphragm returns to dome shape and ribs lower<\/em><\/p>\n<p style=\"padding-left: 60px\">e. Forced expiration<\/p>\n<p style=\"padding-left: 60px\"><em>Abdominal muscles and intercostal muscles can contract and further decrease size of thoracic cavity<\/em><\/p>\n<p style=\"padding-left: 30px\">5. Factors that influence pulmonary air flow<\/p>\n<p style=\"padding-left: 60px\">a. F=P\/R<\/p>\n<p style=\"padding-left: 60px\">b. Diameter of airways; esp. bronchioles<\/p>\n<p style=\"padding-left: 60px\">c. Parasympathetic &amp; Sympathetic Stimulation<\/p>\n<p style=\"padding-left: 30px\">6. Surface tension<\/p>\n<p style=\"padding-left: 60px\">a. Lung collapse<\/p>\n<p style=\"padding-left: 60px\"><em>Surface tension tends to oppose alveoli expansion<\/em><\/p>\n<p style=\"padding-left: 60px\">b.<strong> Pulmonary surfactant<\/strong><\/p>\n<p style=\"padding-left: 60px\"><em>Phospholipid\/protein made by alveolar cells that greatly reduce surface tension<\/em><\/p>\n<p style=\"padding-left: 30px\">7. Lung volumes &amp; capacities<\/p>\n<p style=\"padding-left: 60px\">a.<strong> Tidal volume<\/strong><\/p>\n<p style=\"padding-left: 60px\"><em>Volume of air in or out of lungs at rest, 500 mls<\/em><\/p>\n<p style=\"padding-left: 90px\">1.<strong> Respiratory rate<\/strong><\/p>\n<p style=\"padding-left: 90px\"><em>12 breaths\/minute at rest<\/em><\/p>\n<p style=\"padding-left: 90px\">2.<strong> Minute respiratory volume<\/strong>[6000ml\/min]\u00a0<em>12 x 500<\/em><\/p>\n<p style=\"padding-left: 60px\">b.<strong> Inspiratory reserve volume<\/strong>[3000,2100 mls]\n<p style=\"padding-left: 120px\"><em>Air that can be inspired in addition to quiet tidal volume<\/em><\/p>\n<p style=\"padding-left: 90px\">&#8211;\u00a0<strong>Inspiratory capacity<\/strong>\u00a0[TV + IRV]\n<p style=\"padding-left: 60px\">c.<strong> Expiratory reserve volume<\/strong>[1200,800 mls]\n<p style=\"padding-left: 60px\"><em>Air that can be forced out after quiet tidal volume<\/em><\/p>\n<p style=\"padding-left: 90px\">1.<strong> Residual volume<\/strong>[1200 ml]\n<p style=\"padding-left: 90px\"><em>Air that cannot be expired no matter how hard you try<\/em><\/p>\n<p style=\"padding-left: 90px\">2.<strong> Functional residual capacity<\/strong>[ERV + RV]\u00a0<em>air left in lungs after exhaling quiet tidal volume<\/em><\/p>\n<p style=\"padding-left: 60px\">d.<strong> Vital capacity<\/strong>[IRV + TV + ERV; 4700, 3400 mls]\u00a0<em>Maximum amount of air that can be moved in and out of lungs<\/em><\/p>\n<p style=\"padding-left: 60px\">e.<strong> Total lung capacity<\/strong><\/p>\n<p style=\"padding-left: 60px\">f.<strong> Dead air volume<\/strong><\/p>\n<p style=\"padding-left: 60px\"><em>Air not in alveoli<\/em><\/p>\n<p style=\"padding-left: 30px\">8. Alveolar ventilation efficiency<\/p>\n<p style=\"padding-left: 60px\">a. R.R. x (Tid. Vol. &#8211; Dead Air Vol) = A.V. (4200)<\/p>\n<p style=\"padding-left: 60px\">b. Double R.R. (A.V. = 8400 ml\/min)<\/p>\n<p style=\"padding-left: 60px\">c. Double T.V. (A.V. = 10,200 ml\/min)<\/p>\n<p style=\"padding-left: 30px\">9. Matching alveolar airflow with blood flo<\/p>\n<p style=\"padding-left: 60px\">a. Pulmonary vessels<\/p>\n<p style=\"padding-left: 60px\"><em>Vessels can constrict in areas where oxygen is low<\/em><\/p>\n<p style=\"padding-left: 60px\">b. Respiratory passageways<\/p>\n<p style=\"padding-left: 60px\"><em>Airways can dilate where carbon dioxide levels are high<\/em><\/p>\n<p>D. Gas exchange<\/p>\n<p style=\"padding-left: 60px\">1. Partial pressure<\/p>\n<p style=\"padding-left: 60px\"><em>Each gas in atmosphere contributes to entire atmospheric pressure, denoted as P<\/em><\/p>\n<p style=\"padding-left: 60px\">2. Gases in liquid<\/p>\n<p style=\"padding-left: 60px\"><em>Gas enters liquid and dissolves in proportion to its partial pressure<\/em><\/p>\n<p style=\"padding-left: 60px\">3. O<em><sub>2<\/sub><\/em> &amp; CO<em><sub>2<\/sub><\/em> exchange<\/p>\n<p style=\"padding-left: 60px\"><em>Inhaled air mixes with old air in lungs, PO<sub>2<\/sub><\/em><em><sub>\u00a0<\/sub><\/em><em>is 105 mmHg in alveoli and PO<sub>2<\/sub><\/em><em>\u00a0<\/em><em>is 40 in alveolar capillaries, thus net<\/em><em>\u00a0<\/em><strong><em>diffusion<\/em><\/strong><strong><em>\u00a0<\/em><\/strong><em>of oxygen into blood. PCO<sub>2<\/sub><\/em><em>\u00a0<\/em><em>is 45 in alveolar capillaries and 40 in alveoli, so carbon dioxide diffuses into alveoli.<\/em><\/p>\n<p>E. Gas transport<\/p>\n<p style=\"padding-left: 60px\">1. O<em><sub>2<\/sub><\/em> transport in blood<\/p>\n<p style=\"padding-left: 90px\">a.<strong> Hemoglobin<\/strong><\/p>\n<p style=\"padding-left: 90px\"><em>Oxygen binds to heme group on hemoglobin, 4 oxygen\/hemoglobin<\/em><\/p>\n<p style=\"padding-left: 90px\">b. PO<em><sub>2<\/sub><\/em><\/p>\n<p style=\"padding-left: 90px\"><em>PO<sub>2<\/sub><\/em><em>\u00a0<\/em><em>is the most important factor determining whether oxygen and hemoglobin combine or dissociate.<\/em><\/p>\n<p style=\"padding-left: 90px\">c. O<em><sub>2<\/sub><\/em>-Hb dissociation curve<\/p>\n<p style=\"padding-left: 90px\"><em>If PO<sub>2<\/sub><\/em><em>\u00a0<\/em><em>is low, hemoglobin binds less oxygen, if PO<sub>2<\/sub><\/em><em>\u00a0<\/em><em>is high, hemoglobin binds more oxygen<\/em><\/p>\n<p style=\"padding-left: 90px\">d. pH &amp; CO<em><sub>2<\/sub><\/em><\/p>\n<p style=\"padding-left: 90px\"><em>Acidic pH, high carbon dioxide levels shift the curve to the right<\/em><\/p>\n<p style=\"padding-left: 90px\">e. Temperature<\/p>\n<p style=\"padding-left: 90px\"><em>Increased temperature shifts the curve to the right<\/em><\/p>\n<p style=\"padding-left: 90px\">DPG<\/p>\n<p style=\"padding-left: 90px\"><em>Increased levels of metabolic byproducts shifts the curve to the right<\/em><\/p>\n<p style=\"padding-left: 60px\">2. CO<sub>2<\/sub> transport in blood<\/p>\n<p style=\"padding-left: 90px\">a. 7% plasma<\/p>\n<p style=\"padding-left: 90px\">b. 23% carbamino compounds (globin of Hemoglobin)<\/p>\n<p style=\"padding-left: 90px\">c. 70%\u00a0<strong>bicarbonate<\/strong><\/p>\n<p style=\"padding-left: 120px\">1. Carbonic anhydrase-enzyme<\/p>\n<p style=\"padding-left: 90px\"><strong><em>CO<sub>2<\/sub><\/em><\/strong><strong><em><sub>\u00a0<\/sub><\/em><\/strong><strong><em>+ H<sub>2<\/sub><\/em><\/strong><strong><em>\u00a0<\/em><\/strong><strong><em>O&lt;&#8211;&gt; H<sub>2<\/sub>CO<sub>3<\/sub><\/em><\/strong><strong><em>\u00a0<\/em><\/strong><strong><em>&lt;&#8211;&gt; H<sup>+<\/sup><\/em><\/strong><strong><em><sup>\u00a0<\/sup><\/em><\/strong><strong><em>+ HCO<sub>3<\/sub><sup>&#8211;<\/sup><\/em><\/strong><\/p>\n<p style=\"padding-left: 120px\">2. Chloride shift<\/p>\n<p style=\"padding-left: 120px\"><em>As bicarbonate moves out of RBC, chloride must move in etc&#8230;<\/em><\/p>\n<p>F. Control of respiration (ventilation)<\/p>\n<p style=\"padding-left: 60px\">1. Medullary Rhythmicity area<\/p>\n<p style=\"padding-left: 90px\">a.<strong> Medullary inspiratory neurons<\/strong><\/p>\n<p style=\"padding-left: 90px\"><em>Main control of breathing<\/em><\/p>\n<p style=\"padding-left: 120px\">1. Pons neurons<\/p>\n<p style=\"padding-left: 150px\">a. Pneumotaxic area (limits period of inspiration)<\/p>\n<p style=\"padding-left: 150px\">b. Apneustic area (prolongs inspiration)<\/p>\n<p style=\"padding-left: 120px\">2. Lung stretch receptors=Mechanoreceptors (inhibits inspiration)<\/p>\n<p style=\"padding-left: 90px\">b. Medullary expiratory neurons<\/p>\n<p style=\"padding-left: 90px\"><em>Only active with exercise\/forced expiration<\/em><\/p>\n<p style=\"padding-left: 60px\">2. Control of rate &amp; depth of respiration<\/p>\n<p style=\"padding-left: 90px\">a. Arterial PO<em><sub>2<\/sub><\/em><\/p>\n<p style=\"padding-left: 90px\"><em>When PO<sub>2<\/sub><\/em>\u00a0<em>is VERY low, alveolar ventilation is stimulated<\/em><\/p>\n<p style=\"padding-left: 90px\">b. Arterial PCO<sub>2<\/sub> [5 mmHg increase, increases ventilation by 100%]\n<p style=\"padding-left: 90px\"><strong><em>The major regulator of alveolar ventilation is PCO<sub>2.<\/sub><\/em><\/strong><\/p>\n<p style=\"padding-left: 90px\">c. Arterial pH<\/p>\n<p style=\"padding-left: 90px\"><em>As hydrogen ions increase, alveolar ventilation increases, but hydrogen ions can&#8217;t diffuse into CSF as well as CO<sub>2<\/sub><\/em><\/p>\n<p>G. Effects of exercise<\/p>\n<p style=\"padding-left: 60px\">1. Neural signals [rate &amp; depth increase]\n<p style=\"padding-left: 60px\">2. PCO<em><sub>2<\/sub><\/em> (PO<em><sub>2<\/sub><\/em>&amp; pH)<\/p>\n<p style=\"padding-left: 60px\">3. Cardiac output<\/p>\n<p style=\"padding-left: 60px\">4. Maximal hemoglobin saturation<\/p>\n<p style=\"padding-left: 60px\">5. Dilate airways<\/p>\n<p><a href=\"https:\/\/youtu.be\/NNgBhvVLLy4\">Respiratory Airflow Video<\/a><\/p>\n<p><a href=\"https:\/\/youtu.be\/LbkRkNw9h1I\">Lung Volumes Video<\/a><\/p>\n<p><a href=\"https:\/\/youtu.be\/z6MzvT3Dkss\">Partial Pressure Video<\/a><\/p>\n<p><a href=\"https:\/\/youtu.be\/LirLe4sq5S4\">Gas Exchange Video<\/a><\/p>\n<p><a href=\"https:\/\/youtu.be\/LPi0qamYyos\">Carbon Dioxide Transport Video<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>C. Respiration 1. Overall function Movement of gases, gas exchange, transport of gas (oxygen and carbon dioxide) 2. Pulmonary Ventilation a. Boyle&#8217;s Law Gas pressure in closed container is inversely proportional to volume of container b. Pressure differences and air &hellip; <a href=\"https:\/\/sites.msudenver.edu\/haysc\/biology-courses\/human-anatomy-and-physiology-ii-homepage-bio-2320\/outline-3-bio-2320-respiratory-physiology\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":270,"featured_media":0,"parent":209,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"class_list":["post-407","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/pages\/407","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/users\/270"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/comments?post=407"}],"version-history":[{"count":0,"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/pages\/407\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/pages\/209"}],"wp:attachment":[{"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/media?parent=407"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}