Respiration

 

Respiratory System Functions

 

Provide oxygen

Remove CO2

Maintain blood pH

 

Mechanics of respiration

 

            Inspiration

            Expiration

 

            From Lung’s perspective – passive

 

Skeletal muscles contract, increasing size of thoracic cavity

            Diaphragm and external intercostals

 

            Gas exchange via passive diffusion

 

Ventilation Control (Homeostasis)

 

Regulated through the rate and depth of breathing

 

Basic rate established in respiratory centers in the medulla (12-14 cycles/min)

 

Ventilation affected by:

 

            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

 

Lung Capacities

 

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)

 

 


Pulmonary Capacities

 

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

 

Pulmonary Disorders

 

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