Five Steps of Respiration - Kirkwood Community · PDF file ·...

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Intrapulmonary pressure (Ppul) – pressure within the alveoli (759-761 mmHg) Atmospheric pressure (Patm) Pressure exerted by the air (760 mmHg) Intrapleural pressure (Pip) – pressure within the pleural cavity (755-757 mmHg) Basic Pressures Respiratory Volumes Two forces act to pull the lungs away from the thoracic wall. Elasticity of lungs causes them to assume smallest possible size Surface tension of alveolar fluid draws alveoli to their smallest possible size The lungs would collapse if these were the only forces. 759 mmHg 755 mmHg Ppul pressure is less than atm = Breathing In 761mmHg 757 mmHg Ppul pressure is greater than atm = Breathing Out Atm= 760mmHg Pressure Disturbances: – Unable to expand lung Scar tissue Reduced surfactant Mucous Fluid – Unable to contract lung Emphysema Resistance Disorders Tumor: obstruction Asthma: constriction of air ways. Boyle’s Law Decreased volume = Increased pressure Increased volume = Decreased pressure Breathe Out Breathe In 760 761 760 759 If the volume of the lung is decreased… The pressure increases… The pressure in the lung is higher than atmosphere… Breathe out If the volume of the lung is increased… The pressure decreases… The pressure in the lung is lower than atmosphere… Breathe in emphysema asthma scar tissue mucous fluid in lungs surfactant Matching of alveolar ventilation and pulmonary blood perfusion Structural characteristics of the respiratory membrane Partial pressure gradients and gas solubilities Blood gases in blood: – CO 2 >> O 2 >> N 2 N 2 O 2 CO 2 N 2 CO 2 O 2 Air Blood Henry’s and Dalton’s Laws Slower flow, more time to take in O2 We’re full of O2 so lets go Is only 0.5 to 1 m thick, allowing for efficient gas exchange (thin) Have a total surface area (in males) of about 60 m2 (40 times that of one’s skin) (much surface area) Basics are, respiratory membranes are thin with a lot of surface area. Both thickening (edema) or loss of area (emphysema) will significantly alter respiration. Normal Range Reserve O 2 O 2 O 2 O 2 O 2 O 2 O 2 O 2 O 2 O 2 Hemoglobin is almost completely saturated at a PO Further increases in PO small increases in oxygen binding Oxygen loading and delivery to tissue is adequate when PO levels Work Temp BPG acid Hb likes O 2 less O 2 is dropped off CO 2 Tissue is nourished and recovers from Haldane effect CO2 O2 7% dissolved in plasma 70% carried as carbonic acid buffer system 23% bound to hemoglobin carbaminohem oglobin 98.5 % bound to Hb 1.5 % Dissolved in plasma 1. Ventilation 5. Cellular Respiration 2. External Respiration 3. Oxygen/Carbon Dioxide Transport 4. Internal Respiration Five Steps of Respiration Lung Collapse Disturbances of Pressure and Resistance Pressures during Ventilation Control of Ventilation

Transcript of Five Steps of Respiration - Kirkwood Community · PDF file ·...

Page 1: Five Steps of Respiration - Kirkwood Community · PDF file · 2007-11-09Disturbances: – Unable to expand lung •Scar tissue ... signi˝cantly alter respiration. N o r m a l R a

Intrapulmonarypressure (Ppul) – pressure within the alveoli(759-761 mmHg)

Atmospheric pressure (Patm)Pressure exerted by the air(760 mmHg)

Intrapleural pressure (Pip) – pressure within the pleural cavity(755-757 mmHg)

Basic Pressures

Respiratory Volumes

Two forces act to pull the lungs away from the thoracic wall.

Elasticity of lungs causes them to assume smallest possible size

Surface tension of alveolar �uid draws alveoli to their smallest possible size

The lungs would collapse if these were the only forces.

759 mmHg

755 mmHg

Ppul pressure is less than atm = Breathing In

761mmHg

757 mmHg

Ppul pressure is greater than atm = Breathing Out

Atm=760mmHg

• Pressure Disturbances:– Unable to

expand lung• Scar tissue• Reduced

surfactant• Mucous• Fluid

– Unable to contract lung• Emphysema

• Resistance Disorders

Tumor: obstructionAsthma: constriction of air ways.

Boyle’s Law

Decreased volume =Increased pressure

Increased volume =Decreased pressure

Breathe Out Breathe In

760

761

760

759

••

If the volume of the lung is decreased…The pressure increases…The pressure in the lung is higher than atmosphere…Breathe out

• If the volume of the lung is increased…•The pressure decreases…•The pressure in the lung is lower than atmosphere…•Breathe in

emphysema asthmascar tissuemucous�uid in lungs surfactant

Matching of alveolar ventilation and pulmonary blood perfusion Structural characteristics of

the respiratory membrane

Partial pressure gradients and gas solubilities

• Blood gases in blood:– CO2 >> O2 >> N2

N2 O2 CO2

N2 CO2O2

Air

Blood

Henry’s and Dalton’s LawsSlower flow, more time to take in O2

We’re full of O2 so lets go

Is only 0.5 to 1 �m thick, allowing for e�cient gas exchange (thin)

Have a total surface area (in males) of about 60 m2 (40 times that of one’s skin) (much surface area)

Basics are, respiratory membranes are thin with a lot of surface area. Both thickening (edema) or loss of area (emphysema) will signi�cantly alter respiration.

Norm

al Range

Reserve

2 of 70 mm Hg2 produce only

2 is below normal

O2O2

O2O2

O2

O2O2

O2O2

O2

Hemoglobin is almost completely saturated at a POFurther increases in POsmall increases in oxygen bindingOxygen loading and delivery to tissue is adequate when POlevels

Work

↑ Temp

↑ BPG

↑ acid

Hb likes O2 less

O2 is dropped off

↑ CO2

Tissue is nourished and recovers from

Haldane effect

CO2

O2

7% dissolved in plasma 70% carried as carbonic acidbu�er system23% bound to hemoglobin carbaminohemoglobin

98.5 % bound to Hb1.5 % Dissolved in plasma

1. Ventilation

5. Cellular Respiration

2. External Respiration

3. Oxygen/Carbon Dioxide Transport

4. Internal Respiration

Five Steps ofRespiration

Lung Collapse

Disturbances of Pressureand Resistance Pressures during Ventilation

Control of Ventilation