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RESPIRATORY SYSTEM
Laboratory 6
Objectives:
1.Measure static lung volumes with minimally invasive methods
2.Examine the effects of alveolar gases and lung volumes on respiratory mechanics
3.Examine the effects of moderate exercise on ventilation
Procedures/Overview:
4.Use a spirometer to measure lung volumes
5.Try breath holds after re-breathing, hyperventilation, and other procedures to
explore gas and volume effects
6.Use a bicycle and spirometer to measure the effects of exercise on ventilation
Terminology:
Ventilation, Anatomical Dead Space, Internal Respiration, External Respiration,
Alveolar Pressure, Intramural Pressure, Alveolar Pressure, Intrapleural Pressure,
Diaphragm, Phrenic Nerve, Intrapleural Space, Intercostal Muscles/Nerves, Lung
Volumes (TV, IRV, ERV, RV), Lung Capacities (TLC, FRC, VC, IC), Central/Peripheral
Chemoreceptors, Hering-Breuer Reflex, Lung Parenchyma, Hyperpnea, Minute
Ventilation (V-dot-E),
RESPIRATORY ANATOMY
The respiratory system functions
to exchange gases between the
external environment and the
body
During ventilation, air travels into
airways down a pressure
gradient
Pathway:
Entry through nose/mouth
Passage through nasopharynx
and oropharynx, glottis, larynx
Entry into tracheobronchial tree
Exchange at alveoli
AIRWAY ZONES
Airways branch into bronchi
and bronchioles, then
respiratory bronchioles and
alveolar ducts
Conducting Zone:
First 16 generations contain no
alveoli and do not participate in gas
exchange
Anatomical Dead Spaces
RESPIRATION
Gas exchange occurs at the AlveolarCapillary Unit = External Respiration
Alveoli are thin walled and highly vascularized
Air is humidified gas is dissolved for diffusion
down its partial pressure gradient
GAS EXCHANGE
Gases diffuse down partial
pressure gradients
Blood in the pulmonary
circulation flows such that
oxygen will move into the blood
and carbon dioxide will move
out
Venous Blood:
PO2 <40mmHg, PCO2>46mmHg
Alveolar Air:
PO2 ~100mHg, PCO2~40mmHg
OXYGEN TRANSPORT
O2 diffuses into plasma and is
loaded onto hemoglobin
molecules
A conformational shift allows
more O2 to bind up to 4 O2 per
Hb
Arterial O2 saturation is usually
100%
The change in PO2 and pH at the
receiving tissue reduces Hbs
affinity for O2, delivering it to the
tissue
CARBON DIOXIDE
TRANSPORT
Carbon dioxide diffuses from the
cell into capillary blood and can
react in 3 major ways:
MECHANICS OF BREATHING
Air
moves from areas of higher pressure
to lower pressure
(V dot) = flow of air during
ventilation
Palv = Alveolar Pressure
Patm = Atmospheric Pressure
R = Resistance ()
Intrapleural Pressure (Pip): pressure
at the interface of the lung and chest
wall
Transmural Pressure (Ptm): difference
between Palv and Pip (NOT ON EXAM).
INSPIRATION
Inspiratory Muscles:
Diaphragm (primary) innervated by
phrenic nerve, contracts downward to
expand the intrapleural space
external intercostals (for deep breathing)
innervated by intercostal nerves, contract
to raise and enlarge the rib cage
Process:
Muscles are activated to contract
Thoracic volume increases
Intrapleural pressure is reduced
Alveoli enlarge passively and P Alv is reduced
Air flows into lungs
EXPIRATION
Muscles
None required during normal breathing
expiration is passive.
Abdominal wall and Internal intercostals
activate during forced exhalation
Process
Relaxation of inspiratory muscles
Elastic recoil of lungs increases alveolar
pressure
Air moves out of lungs down the pressure
gradient
LUNG VOLUMES
Tidal Volume (TV): The volume of air entering and leaving the
LUNG CAPACITIES
Total Lung Capacity (TLC): total volume of air in the lungs
PART 2: EFFECTS OF
INSPIRED GAS COMPOSITION
AND LUNG VOLUME ON
RESPIRATION
Factors that affect ventilation:
Arterial PCO2 and PO2
Blood PH
Temperature
Exercise or anticipation of exercise
Voluntary control
CONTROL OF VENTILATION
Breathing is spontaneously initiated by the
Pons and Medullary respiratory centers
Medullary/Pons respiratory centers:
Dorsal Respiratory Group (DRG) contain
mostly inspiratory neurons (i.e. phrenic nerve)
Ventral Respiratory Group (VRG) contain both
inspiratory and expiratory neurons, but more
important in pacing (exercise)
Pre-Botzinger Complex: contains pacemakers
Pneumotaxic Center: involved in stopping
inspiration
Apneustic Center: involved in initiating
inspiration
HYPOVENTILATION &
HYPERVENTILATION
PERIPHERAL
CHEMORECEPTORS
CENTRAL
CHEMORECEPTORS
Located in the Medullary
Respiratory Center
STRETCH RECEPTORS
Stretch receptors are located in the smooth muscle of large and small
airways, also in lung parenchyma (connective tissue around lungs)
Afferent fibers travel through the vagus nerve and project into the
brainstem.
When there is an increase in stretch there will be an inhibition of inspiratory
neurons. The opposite will happen if there is a decrease in stretch. (HeringBreuer Reflex)
This reflex contributes to pacemaking and initiation of inspiration &
expiration. (NOT actually a significant contributor to prevention of
overinflation the ribs do that!)
High levels of inflation = increased stretch = decreased respiratory drive
Low levels of inflation = decreased stretch = increased respiratory drive
PART 3: EXERCISE
HYPERPNEA
Hyperpnea: increase in ventilation
matching an increase in metabolic
activity, such as exercise
MEASURES OF VENTILATION
Minute Ventilation - (V dot E)
Volume of air that was moved in and out of the lungs per minute
TV tidal volume (mL/breath)
RR respiratory rate (breaths/minute)
Dead Space Ventilation Volume of air not participating in gas exchange per minute
- dead space volume (mL/breath)
Alveolar Ventilation Part of the tidal volume that enters or leaves the gas exchange area of the lung
per breath per minute