Functions of Respiratory System
Supply body with oxygen and dispose carbon dioxide.
Major Processes of Respiratory System
Pulmonary Ventilation & External Respiration
Pulmonary Ventilation
Movement of oxygen from lung air to blood.
External Respiration
Movement of oxygen from lung air to blood & movement of carbon oxygen from blood to lung air
Conducting Zone of Respiratory System
condiuts/passageways for air to reach sites for gas exchange.
-Nose
-Nasal Cavity
-Pharynx
-Larynx
-Trachea
-Bronchi & Branches
Respiratory Zone
Actual sites of gas exchange
-respiratory bronchioles
-alveolar ducts
-alveoli
Nose and Nasal Cavity
Provides airway for respiration
-moisten entering air
-warms entering air
-filters entering air
-houses olfactory receptors
External Nose
Root (frontal bone)
Bridge (Nasal Bone)
Septal, Lateral, Alar Cartilages (Hyaline)
Alae (Dense Connective Tissue
Nasal Cavity
Extends from nares (nostrils) to choanae (opening to pharynx). Floor of cavity is hard palate (anterior), muscular soft palate (posterior). Hairs extend into nasal vestibule to filter coarse particles from entering air.
Olfactory Mucosa
Mucous membrane lining superior region; has smell recptors
Respiratory Mucosa
Lines remainder of nasal cavity.
-ciliated, pseudostratified columnar epithelium
-goblet cells with mucous and serous glands
-mucus has lysozyme and defensins that trap dirt and kill bacteria
Conchae
Superior, Middle, Inferior protrusions that create turbulence in inspired air
Pharynx
Throat
Common passage way of the Pharynx
Respiratory Passageway = nasal cavity to larynx
Digestive Passageway = oral cavity to esophagus
Regions of the Pharrnx
Nasopharynx, Oropharynx, Laryngopharynx
Larynx
Connects pharynx to trachea.
Function of Larynx
Controls passage of air and food to proper channels
Epiglottis
Spoon shaped elastic cartilage extending from posterior tongue to anterior rim of thyroid cartilage.
-covers laryngeal inlet during swallowing...prevents food from trachea
Glottis
Opening between vocal folds, lets air pass through to trachea
Trachea
Flexible tube from larynx inferiorly branching into two main bronchi. Has sensory receptors that detect foreign particles and has a cough reflex.
-cleans, warms, moistens passing air
Layers of Trachea
1. Mucosa
2. Submucosa
3. Cartilage
4. Adventitia
Mucosa
Pseudostratified ciliated epithelium with goblet cells and sweeps mucus
Submucosa
CT layer around mucosa
Cartilage
C shaped rings of hyaline cartilage around anterior and side
-allows flexing and prevents collapse of tube lumen
Adventitia
Outermost layer of CT
Main Right and Left Bronchi
Division of Trachea, each enters respective lung at hilum
PRIMARY
Carina
Ridge formed by most inferior tracheal cartilage
-radiological landmark that seperates right and left main bronchi
-sensitive to mechanical stimulation, powerful cough reflex.
Lobar Bronchi
Three in right lung and two in the left lung
-supply each lobe of lungs
SECONDARY
Segmental Bronchi
Branching of lobar/secondary bronchi
Bronchiles
Passageways less than 1 mm diameter
Respiratory Bronchioles
Beginning of Respiratory Zone- where gas exchange occurs
Alveolar Ducts
Rings of smooth muscle cells and CT fibers
Alveolar Sacs
Clusters of alveoli attached to alveolar ducts
Alveoli
Microscopic air-filled chambers at end of bronchial tree
-walls are simple squamous epithelium
-external surface intimately associated with pulmonary capillaries
-main sites of gas exchange
Respiratory Membrane
In respiratory zone, layers through which gas exchange occurs by simple diffusion composed of wall of alveolus and wall of pulmonary capillary
Alveolar Walls
Mostly simple squamous epithelium (type I cells)
-also has type II cells (cuboidal cells secreting surfactant fluid)
-many macrophages that digest debris & bacteria
-surrounded by elastic fibers
-have alveolar pores
Alveolar Pores
Openings between adjacent alveoli
-allow equalization of inflation
Lungs
Mostly air-filled spaces and elastic CT
Where are the lungs located?
Right and left lungs are suspended in their own subcavities within thoracic cavity
Apex
Just deep to clavicle
Base
Just superior to diaphram
Hilum
Indentation on mediastinal aspect of each lung
-site entry of main bronchus to each lung
-also entry of pulmonary blood vessels and systemic blood vessels
How many lobes do the lungs have?
The left lung has 2 lobes and the right lungs have 3 lobes. Lobes are separated by fissures.
Blood Circulation of Lungs
Pulmonary & Bronchial
Pulmonary Circulation
Gas exchange. Carbon dioxide from blood to lung air and oxygen from lung to blood.
Pulmonary Plexus
Sympathetic & parasympathetic fibers
-enter at hilum and run along bronchial tree with blood vessels
Parasympathetic Fibers
Cause smooth muscle constriction of bronchiole tubes
Sympathetic Fibers
Release neurotransmitters that cause bronchiole smooth muscle relaxation and dilation of tubes
Pleurae
Thin, double-layer of serous membranes
Parietal Pleura
Lines inside of thoracic cavity and superior diaphram
Pleural Cavity
Space between parietal & visceral pleurae, filled with pleural fluid (lubricating)
Visceral Pleura
Lines the outer surface of lungs
Pressures
Atmospheric Pressure = 760 mmHg (at sea level)
Pulmonary Pressure/Alveolar Pressure = Atomspheric Pressure (after equilibration)
Intrapleural Pressure = about 3-4 mmHg less than Atmospheric Pressure
Intrapleural Pressure
Negative pressure always less than atmospheric pressure and is needed to keep lungs from collapsing.
Muscular Activity
Volume changes for breathing. Diaphragm contracts and flattens inferiorly. External intercostals contract to expand rib cage. Internal intercostals contract to contract rib cage for forced exhalation.
Recoil of Lungs
Elasticity of lung tissue allow passive exhalation:
1. elastic fibers around alveoli
2. surface tension of fluid lining inside of alveolar walls
Surfactant
Amphiphilic/amphipathic, detergent like molecule
-secreted by Type II alveolar cells
-decreases surface tension of fluid
-saves from having to reinflate alveoli
How to you treat premature babies who lack sufficient surfactant?
Inhaling it
Tidal Volume
About 500 mL, during quiet breathing
Inspiratory Reserve
About 3100 mL, amount of air that can be inhaled after normal inhale
Expiratory Reserve
About 1200 mL, amount of air that can be exhaled after normal exhale
Residual Volume
About 1200 mL, volume of air that cannot be exhaled
Spirometer
Instrument for measuring lung volumes and capacities
Obstructive Pulmonary Disease
increased airway resistance
Restrictive Disorders
Reduction in lung capacity
Forced Vital Capacity (FVC)
Deep breath, then forcefully exhale as quickly as possible
Forced Expiratory Volume (FEV)
Amount of air expelled within a particular time interval of FVC test
Dead Space
Some inspired air only gets into conducting zone, not reach respiratory zone, so not participate in gas exchange
Anatomical Dead Space
Volume of conducting zone (about 150mL)
Alveolar Dead Space
Volume from alveoli that do not have gas exchange
Minute Ventilation Rate (MVR)
=(TV)(breaths per minute)
Alveolar Ventilation Rate (AVR)
=(TV - DeadSpace)(breaths per minute)
Lung Compliance
Measure of ease with which lungs expand
Alveolar Gas Exchange/External Respiration
Blood in capillaries exchanges gases with air in alveoli
Gas Transport
About 98% of oxygen pick up in lungs is transported by hemoglobin in red blood cells.
Oxygen-hemoglobin Dissociation Curve
Unloading of oxygen from Hb to tissues influenced by tissue pressure of oxygen
Medullary Respiratory Centers
Ventral Respiratory Group (VRG) & Dorsal Respiratory Group (DRG)
Ventral Respiratory Group
Network of neurons in ventral brainstem that extends from pons-medulla to spinal cord and seems to be the rhythm-generating center
Inspiratory Neurons Fire
Impulses travel along phrenic nerve & intercostal nerves
Expiratory Neurons Fire
Inspiratory outputs stops
Dorsal Respiratory Group
Neurons intergrate input from peripheral stretch receptors and chemoreceptors, relays info to influence VRG activity
Chronic Obstructive Pulmonary Disease (COPD)
Any disorder in which there is long-term obstructive of airflow and substantial reduction of pulmonary ventilation.
Asthma
Most common chronic illness in children (around 5000 deaths per year of all ages and rising)
Allergic Asthma
Allergen exposure, release of imflammatory chemicals from mast cells
Non-Allergic Asthma
Triggered by things such as infections, pollutants, cold air, excercise, emotions
Symptoms of of Asthma
Bronchiole spasms, mucus buildup, severe coughing, wheezing, sometime suffocation, and later on tissue damage
Emphysema
-Destruction of alveolar walls -> larger, but fewer alveoli
-Lungs lose elasticity -> become over-compliant
-Inspiration OK; expiration requires much work
-Air passages tend to collapse & trap air
-Highly inflated lungs -> barrel-chested -> stretched inspiratory muscles