Chapter 19
The exchange of gases between the
blood and the tissues is called what? internal
respiration
What is another term for ventilation? Breathing -
moving air in and out of the lungs
Why (chemically speaking) do we need oxygen?
Remember that it accepts electrons at the end of the electron transport chain,
and also picks up two hydrogen ions to make water.
Why do we sound funny when we have a cold? In addition
to warming, filtering and moistening the air we breathe, our paranasal sinuses
and nasal cavity act as resonating chambers that give our voice its
characteristic sound.
We see pseudostratified ciliated columnar epithelium in the nasopharynx, but not
in the oropharynx or laryngopharynx. Why not? The last
two areas are also part of the digestive system, so rough foods (like
charbroiled hamburger) may scratch these areas . Stratified squamous epithelium
does a better job of protecting the under lying tissues against abrasion in
these areas.
Which of the cartilages that make up the larynx could you use to tell if a
decomposed body was male or female? In the male the
thyroid cartilage forms a 90 degree angle, making the “Adam’s apple” more
pronounced and making the vocal cords longer (and the voice deeper).
What is the function of the "false vocal cords"?
Along with the epiglottis, they prevent food or substances other than air, from
entering the trachea while we are swallowing.
Why does the trachea have “C” shaped rings of cartilage? If their function
is to hold the trachea open, wouldn’t “O” shaped rings be better?
The open part of the C faces posteriorly, toward the
esophagus. When a bolus of food comes down the esophagus, the esophagus can
temporarily bulge into the trachea to let the food pass.
What is the carina? This is the ridge on the inside
of the bottom of the trachea where the right and left primary bronchi branch
off. It has a very sensitive cough reflex.
You enjoy being with your best friend because he's so funny. Unfortunately, he
made you laugh while you had a small, hard candy in your mouth and you inhaled
it! Where would it probably end up? It would most
likely end up in the right lung, because the right primary bronchus is shorter,
wider and more vertical than the left, and a falling object would tend to take
the path of least resistance.
In lab, how do you tell the difference between a small bronchus and bronchiole?
Bronchi are held open by rings of cartilage.
Bronchioles do not have these rings, and so can constrict and block off air
flow, as happens in asthma.
Oh no! I’m in the lab and I have an asthma attack. I have neurotransmitters available from the
parasympathetic and sympathetic nervous system. Which should I take? I should
definitely use the norepinephrine or epinephrine from the sympathetic nervous
system, because they will dilate bronchioles. If I used acetylcholine, it could
cause my bronchioles to constrict even more.
What are the membranes surrounding the lungs? The
visceral pleura is closest to the lung itself, and the parietal pleura lines the
thoracic cavity wall.
How do the right and left lung differ and why?
The right lung has three lobes and two fissures; the
left lung has two lobes and one fissure. The right lung is shorter because of
the space taken up by the liver; the left lung is long and narrow, and contains
the cardiac notch (where the heart goes) and the lingula, a little tongue-like
flap of tissue.
What three types of cells would you find in an alveoli, and what do they do?
The majority of the cells in the alveoli are the
simple squamous epithelial cells (type I) that make up part of the respiratory
membrane across which gas exchange takes place. We also find Type II cells that
produce surfactant to lower the surface tension of the water in the lungs, and
macrophages called "dust cells" that consume foreign particles and
microorganisms that reach the alveoli.
What is respiratory distress syndrome, and what can be done to help?
This is caused by a lack of surfactant production in a
premature infant; they use up all their energy trying to expand their lungs and
exhaust themselves to the point of death. We used to administer high amounts of
oxygen to these babies, but that caused other problems. Now we can give the
surfactant until the baby makes its own.
Describe the alveolar-capillary or respiratory membrane. How is it suited to
diffusion? It is made up
of two simple squamous cells, one from the alveolus and one from the capillary,
and the basement membrane between them. This is the thinnest membrane we can
make and still keep the air in the lungs and the blood in the vessels.
Describe the muscles involved in inspiration. Which one is the most important?
We normally use the external intercostal muscles and
the diaphragm. By far, contracting the diaphragm draws in the most air. When we
want to take a deeper breath, we can also use the sternocleidomastoids, scalenes
and pectoralis minor muscles.
How does expiration occur? What additional muscles are involved in forced
inhalation and in forced exhalation? Expiration is
normally a passive process - we just relax the muscles of inspiration. For a
forceful expiration we can also contract the internal intercostals and the
abdominal muscles.
Be able to calculate minute volume of respiration.
This is the amount of air a person moves in and out in one minute. Simply
multiple the tidal volume times the number of breaths per minute.
What is the medullary rhythmicity center, and what does it controll? How is it
influenced by the pneumotaxic area of the pons? This
is the area of the brain that sets the normal pattern of breathing. The
pneumotaxic area of the pons receives information from stretch receptors in the
lungs, and will over-ride and shut off inspiration before the lungs overinflate.
What influences the central chemoreceptors, and how do they respond? The
peripheral chemoreceptors?
The central chemoreceptors look for changes in carbon
dioxide and pH (which are tied together). When pH drops, we breath faster to
eliminate CO2, and when pH rises we breath more slowly. The peripheral
chemoreceptors respond to oxygen levels, but don't respond until the oxygen
level is very low.
What is hyperventilation and how does it affect blood pH? Why?
This is breathing too fast. We blow off too much carbon
dioxide, and our pH rises. This can cause changes in the brain that can cause
fainting or dizziness.
What is the normal atmospheric pressure at sea level? What do we mean by a
partial pressure?
760 mmHg. The partial pressure is the part of the
total pressure that is due to a particular gas, such as oxygen.
How does the partial pressure of a gas influence its diffusion?
Gases diffuse from areas of high partial
pressure to areas of low partial pressue.
How is oxygen transported in the blood (be specific).
Bound to the iron in the heme portion of hemoglobin.
Why is carbon monoxide dangerous? Because it binds
to the same place as oxygen, but more tightly, so it decreases the ability of
the blood to transport oxygen.
What three ways does the blood transport carbon dioxide? How is MOST of the
carbon dioxide transported?
Dissolved in plasma (only a little), bound to the globin
part of hemoglobin (23%), but most (70%) of the carbon dioxide is transported as
bicarbonate ion.