Respiration: 1. The Respiratory Tract A. The Upper Respiratory Tract
Respiration: 1. The Respiratory Tract A. The Upper Respiratory Tract
Respiration: 1. The Respiratory Tract A. The Upper Respiratory Tract
atelectasis
• Work of breathing
W = force X distance
Factors that affect the amount of work:
lung compliance
surface tension
airway resistance
- R L /r4
- diameter of the airways
Bronchoconstriction: histamine
Broncodilation: CO2, EP (2 receptors)
3. Pulmonary Circulation
A. Vascular pressure and blood flow
• Pulmonary circulation is a low-pressure system
pulmonary arterial systemic pressure: 25
mmHg
pulmonary arterial diastolic pressure: 10
mmHg
mean pulmonary arterial pressure: 15 mmHg
effect of the special gravity of blood on
distribution of blood flow in the lung:
- poor perfusion in the upper lung (functional
dead space volume)
• Hypoxic vasoconstriction
balances blood flow with
ventilation
regional
hypoxia/hypoxemia
hypoxic vasoconstriction -
a mechanism that
balances the perfusion of
blood with the availability
of regional ventilation
effect of hypoxic
vasoconstriction at the
high altitude
• Exercise recruits capillaries
and decreases transit time
4. Gas Uptake and Transport
A. Gases diffuse through respiratory membrane
• Factors that
affect the
oxyhemoglobin
curve
• Factors contributing to the total oxygen content
of arterial blood
C. Transport of carbon dioxide
• Dissolved in plasma: (7-10%)
• Carbaminohemoglobin: (15-30%)
• As bicarbonate: (60-70%)
CO2 + H2O H2CO3 H+ + HCO3-
catalyzed carbonic anhydrase
H+ + Hb- HHb
chloride shift
D. Control of Breathing
• Neural mechanisms
Medullary respiratory centers
inspiratory neurons: set the rhythm
expiratory neurons
receive synaptic inputs from the cortex and
pons
effects of pulmonary stretch receptors
(proprioreceptors)
failure of the respiratory center
by physical damages (concussions, cerebral
edema)
by overdose of chemical substances
(barbiturate, anesthetics)
• Reflex control of ventilation
Chemoreceptors monitor blood gases and pH
Control centers in the brain stem regulate activity
to respiratory muscles
• Chemical mechanisms
chemoreceptors
central chemoreceptors (in the medulla): monitor
only H+ in CSF
peripheral chemoreceptors (aortic bodies and
carotid bodies)
control of the alveolar ventilation by the arterial CO2
control of the alveolar ventilation by the arterial H+:
exclusively by peripheral chemoreceptors
control of the alveolar ventilation by the hypoxia:
relatively insensitive to hypoxia
Carotid body oxygen sensor Central chemoreceptor
Chemoreceptor reflex