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Anatomy of the RS :
o Lungs locations are 3 lobes right and 2 lobes left
o Upper airways : air passages in in the head and neck
Nasal cavity or oral cavity
Pharyxnx : this is a muscular tube for both food or air
Respiratory tract “: can be divided into two different component
o Conducting zone : the upperpart of the respiratory tract – from the larynx to
the lungs
o Respiratory zone : the lower most part of the respiratory tract
Contains the site of gas exchange
o Respiratory structure :
o Starts with the respiratory bronchioles : terminat in the alveoli ducts
o Alveoli ; site where gas exchange happens
o Alveoli sacs ; most of the alveoli is organised here
o Alveoli :
o Are not independent structures
o Connected to alveoli pores
o Air flows through alveoli, allowing equilibration happen within the lungs
o The structure facilitates diffusion of gases between blood and air
o Wall consist of primarily of a single layer of epithelial cells
Called type 1 alveolar cells
Overlying a basement membrane
o The capillary and alveolar walls form a barrier called respiratory membrane
This separate air from blood
The thinnes is 0.2 micro meter
Is essential for gas exchange
o Alveolar macrophages
Engulf foreign particles and pathogen
These cells roam around freely in the alveoli
By amoeboid movements
Dead macrophages move into the conducting zone where the mucus
escalator carries the macrophages to the pharynx so they can be
swallowed.
o Pulmonary pressure :
o The volume of the air in the lungs between breaths is called the Functional
residual capacity
when the lungs are at the FRC all forces across the lungs and the chest
are balanced
system is in ready state
At rest its equal to the atmospheric pressure
o Atmospheric pressure: the pressure of the outside air
Normally 760mm hg
o Intra- alveolar pressure : the pressure of air within the alveoli
when it exceed, expiration occurs
o Intrapleural pressure : pressure inside pleural space
A negative pressure in the intraplural space
o The lungs and the chest wall are both elastic and tend to recoil back to their normal
position
o At rest the chest wall is compressed but the lungs are stretched
o The intrapleural fluids keeps the parietal pleura and the visceral pleura from pulling
apart.
o The chest wall pulls outward on the intrapleural space while the lungs pull inwards.
o To maintain the negative intrapleural pressure the pleuralsac must be airtight
Mechanism of breathing
o Air flow is driven by pressure gradients
o The relationship between airflow and volume follows the boyles law
o If the volume increases the the pressure decreases
o Inspiration :
o Initiated by neural stimulation
o The skeletal muscles are stimulated by the release of acetylcholine at the
neuromuscular junction
o Contraction of the diaphragm causes it to flatten and move downward
o Increases the volume of the thoracic cavity
o As the cell wall expands, it pulls outward on the pleura causing the
intrapleural to decrease
This makes the transpulmonary pressure increase
Creates a larger dustendiung pressure accros the lungs
o Expiration :
o Passive process
o Does not need muscle contraction
o Relaxing the muscles happen when motor neurons stop firing
o It goes back to it resting position
o As the chest wall and the lungs recoil the volume of the lungs decreases
This causes the alveolar pressure to increase to value bigger than the
atmospheric pressure
o Air flows out ( expiration happens
This happens until the lungs are equal to the FRC
o Forceful activation is called active expiration
Can be produced by contraction of the expiratory muscles
It produces greater and more rapid decrease in the volume of the
thoracic cavity
This increases intra alveolar pressure and causes greater
pressure gradient for air to flow out of the alveoli
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