Provide oxygen
Remove CO2
Maintain blood pH
Inspiration
Expiration
From
Lung’s perspective – passive
Skeletal muscles contract, increasing size of thoracic
cavity
Diaphragm and
external intercostals
Gas exchange via passive diffusion
Regulated through the rate and depth
of breathing
Basic rate established in
respiratory centers in the medulla (12-14 cycles/min)
Higher
centers in the brain
Stretch
receptors in the lungs
Chemoreceptors
Aortic
and Carotid bodies
Measure
CO2 rise and pH fall
Other receptors in the body
Hyperventilation – rapid breathing
CO2 lost at a fast rate; H+
lost so pH increases
Chemoreceptors cause depressed ventilation until normal
blood levels return
Hypoventilation
– shallow and/or slow breathing
CO2 retained in blood
Forms
carbonic acid
H+ retained so pH
decreases
Chemoreceptors cause ventilation to increase
Elevated CO2 results in:
· Confusion
· Diminished sensory acuity
· Coma
· Death
Measured
with a spirometer; measures volumes of air
Total lung capacity (TLC) – total lung volume (6 L)
Tidal volume – air inspired (or expired) during single breath at rest
(450-500 ml)
Inspiratory reserve volume (IRV) – volume of air maximally inhaled at end of tidal
respiration (1900-3300 ml)
Expiratory reserve volume (ERV) – volume of air that can be maximally exhaled at the
end of tidal expiration (700-1000 ml)
Vital capacity (VC) – total volume of air that can be forced into (or out
of) lungs (3000-5000 ml)
Residual volume (RV) – volume of gas remaining after maximal
expiration (1100-1200 ml)
|
Capacity |
Calculation |
|
Inspiratory
Capacity |
IC
= TV + IRV |
|
Expiratory Capacity |
EC = TV + ERV |
|
Functional Residual Capacity |
FRC = ERV + RV |
|
Vital Capacity |
VC = IRV + TV + ERV |
|
Total Lung Capacity |
TLC = IRV + TV + ERV + RV |
Obstructive vs. Restrictive
disorders
Obstructive
Reduced
airflow due to increased resistance
Emphysema
Bronchitis
Asthma
Show increased residual capacity
Restrictive
Actual
lung damage limiting vital capacity
Pulmonary
fibrosis
Normal
FEV
Emphysema
Decreased
FEV