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The Respiratory SystemGas Laws Dalton's Law (also called Dalton's Law of Partial Pressures) states that the total pressure exerted by a gaseous mixture is equal to the sum of the partial pressures of each individual component in a gas mixture. This empirical law was observed by John Dalton in 1801 and is related to the ideal gas laws. Mathematically, the pressure of a mixture of gases can be defined as the summation where P represents the partial pressure of each component.
The Respiratory SystemGas Laws • Henry's Law states that at a constant temperature, the amount of a given gas dissolved in a given type and volume of liquid is directly proportional to the partial pressure of that gas in equilibrium with that liquid.
The Respiratory SystemDiffusion of Gas • Movement of a gas in one direction is the effect of a concentration gradient • Direction of diffusion occurs from areas of high to low concentration • Rate of diffusion is dependant on pressure
The Respiratory System A Key Factor In The Amount Of Gas Exchange Is The Partial Pressure Difference Across The Gas Exchange Barrier a.k.a. the driving pressure • Across pulmonary capillaries • O2 partial pressure gradient • from alveoli to blood = 60 mm Hg • (100 –> 40) • CO2 partial pressure gradient from • blood to alveoli = 6 mm Hg • (46 –> 40) • Across tissue capillaries • O2 partial pressure gradient from blood • to tissue= 60 mm Hg • (100 –> 40) • CO2 partial pressure gradient from • tissue cell to blood = 6 mm Hg • (46 –> 40)
The Respiratory SystemAir composition Dry air is composed of a mixture of gases. • Each gas exerts a partial pressure which is the pressure it would exert if it alone occupied a given volume. • Barometric pressure [PB] is the total pressure exerted by this mixture of gases = 760 mmHg at sea level
The Respiratory SystemAir composition • Nitrogen 78.08% • Oxygen 20.94% • Argon 0.93% • Carbon Dioxide 0.03% • and trace amounts of— • Neon • Methane • Helium • Krypton • Hydrogen • Xenon
Internal Respiration Gas Exchange
The Respiratory SystemTransport of Gases Hemoglobin Molecule • HEME • four pyrrole rings with iron ion at each center • GLOBIN • two pairs of polypeptide chains
The Respiratory SystemTransport of Gases • O2 transport • 1.5% of O2 is dissolved in Plasma • 98.5% carried bound to Hemoglobin • Approximately 250 million Hemoglobin in a Red Blood Cell
The Respiratory SystemTransport of Gases • Binding Process Hb + O2 ⇌ HbO2 Deoxyhemoglobin Oxygen Hemegloblin
The Respiratory SystemHypoxia • Hypoxia • Is the inadequate delivery of oxygen to body tissues. • Anemic Hypoxia • Ischemic Hypoxia • Histotoxic Hypoxia • Hypoxemic Hypoxia • Carbon Monoxide Poisoning
The Respiratory SystemHypoxia • Anemic Hypoxia • Too few RBCs • Abnormal or too little Hb • Ischemic Hypoxia • When circulation is impaired • Congestive heart failure • Emboli • Thrombi
The Respiratory SystemHypoxia • Histotoxic Hypoxia • When body cells are unable to use O2 even though adequate amounts are delivered. • Metabolic poisons (cyanide) • Hypoxemic Hypoxia • Indicated by reduced arterial PO2 • Low V/Q • Pulmonary diseases • Breathing air with low amounts of O2
The Respiratory SystemHypoxia • Carbon Monoxide Poisoning • When Hb binds with CO instead of O2 • Hbs affinity for CO is 200 times grater than O2s • Co poisoning is the leading cause of death from fire.
The Respiratory SystemTransport of Gases • CO2 Transport • 7-10% of CO2 is simply dissolved in plasma. • 20% is bound to hemoglobin. • 70% is transported as a bicarbonate ion in plasma.
The Respiratory SystemTransport of Gases CO2 + H2O ⇌ H2CO3 ⇌ H+ HCO3- Carbon Water Carbonic Hydrogen Bicarbonate Dioxide Acid Ion Ion
The Respiratory SystemTransport of Gases • Bicarbonate ion reaction • The bicarbonate ion reaction occurs because of Carbonic Anhydrase. • The H+ ions released by this reaction bind to hemoglobin triggering the Bohr Effect. • The Bohr Effect is that more O2 is released by the enhanced loading of CO2.
The Respiratory SystemTransport of Gases • Bicarbonate ion reaction • Once generated HCO3- moves rapidly from RBC’s to the plasma. • To counter balance the influx of HCO3- ions and maintain blood pH, chloride ions (CL-) rush into the RBC’s. This is called the chloride shift. • This mix in plasma and RBC’s is then transported to the lungs, where each process reverses and releases its load of CO2.
Hb + O2 ⇌ HbO2 CO2 O2 O2 CO2 CO2 + Hb ⇌ HbCO2 CO2 + H2O ⇌ H2CO3 ⇌ H+ HCO3-
The Respiratory SystemNeural Control • Respiratory Center located in the medulla oblongata • Receives input from peripheral and central chemoreceptors
The Respiratory SystemNeural Control • CENTRAL RECEPTORS • When CO2 chronically elevated, pH returns to normal • Central receptors exhibit a decreased sensitivity to CO2 changes
The Respiratory SystemNeural Control • PERIPHERAL RECEPTORS • Primarily affected by oxygen • maximum stimulation when PaO2 decreases to 40 - 60 mm Hg
The Respiratory SystemNeural Control • PERIPHERAL RECEPTORS • with a chronically elevated CO2, organism functions on the hypoxic drive • primary stimulus to breathe is a reduced partial pressure of oxygen
The Respiratory SystemHomeostatic Imbalances • COPD • COPD consists of two diseases Emphysema and Chronic Bronchitis. • More than 80% of patients have a history of Smoking. • Coughing and frequent pulmonary infections are common. • Most COPD victims develop respiratory failure which is manifested as Hypoventilation.
The Respiratory SystemHomeostatic Imbalances • Emphysema (structural changes) • Permanent enlargement and destruction of the air spaces distal to the terminal bronchioles. • Destruction of pulmonary capillaries. • Weakening of the distal airways, primarily the respiratory bronchioles. • Bronchospasm ( with concomitant bronchitis). • Hyperinflation of the alveoli (air trapping).
The Respiratory SystemHomeostatic Imbalances • Emphysema • The structural changes lead to increased reliance on accessory muscles of inspiration. • This leads to perpetual exhaustion as 15-20% of total body energy is used to breathe. • Damage to terminal bronchioles leads to gas trapping, which in turn leads to a permanently expanded “barrel chest”. • The damage to the pulmonary capillaries increases resistance in the pulmonary circuit causing a greater work load for the right heart.
The Respiratory SystemHomeostatic Imbalances • Emphysema
The Respiratory SystemHomeostatic Imbalances • Chronic Bronchitis (structural changes) • Chronic inflammation and swelling of the peripheral airways. • Excessive mucus production and accumulation. • Partial or total mucus plugging. • Hyperinflation of alveoli (air trapping). • Smooth muscle constriction of bronchial airways (bronchospasm).
The Respiratory SystemHomeostatic Imbalances • Chronic Bronchitis • The structural changes lead to increased reliance on accessory muscles of inspiration. • This leads to perpetual exhaustion as 15-20% of total body energy is used to breathe. • Mucus plugging leads to gas trapping, which in turn leads to a permanently expanded “barrel chest”.
The Respiratory SystemHomeostatic Imbalances • Chronic Bronchitis • Is defined as a daily productive cough for at least 3 consecutive months each year for 2 years in a row.
The Respiratory SystemHomeostatic Imbalances Chronic Bronchitis
The Respiratory SystemHomeostatic Imbalances • Chronic Bronchitis
The Respiratory SystemHomeostatic Imbalances • Asthma • Asthma is characterized by episodes of coughing, dyspnea, wheezing, and chest tightness. • These symptoms can be felt alone or in combination. • One good thing it is reversible, with good drugs.
The Respiratory SystemHomeostatic Imbalances • Asthma comes in two forms. • Allergic Asthma • Hypersensitivity reaction to environmental agents. • Nonallergic Asthma • Nonspecific stimuli cause inflammatory response. • About one in ten people in North America suffer from Asthma.
The Respiratory SystemHomeostatic Imbalances • Asthma (structural changes) • Bronchospasm • Mucosal Edema • Excessive production of thick, whitish, tenacious bronchial secretions • Mucus plugging
The Respiratory SystemHomeostatic Imbalances • Lung Cancer • Lung Cancer is the leading cause of death among cancers in North America. • The “cocktail” of free radicals and other carcinogens in tobacco smoke eventually translates into Lung Cancer.
The Respiratory SystemHomeostatic Imbalances • Lung Cancer’s three most common types. • Squamous Cell Carcinoma • 25-30% of cases • Adenocarcinoma • 40% of cases • Small Cell Carcinoma • 20% of cases
The Respiratory SystemHomeostatic Imbalances • Lung Cancer (structural changes) • Inflammation, swelling, and destruction of the bronchial airways and alveoli. • Excessive mucus production. • Tracheobronchial mucus accumulation and plugging. • Airway obstruction ( either from blood, from mucus accumulation, of from a tumor projecting into a bronchus).
The Respiratory SystemHomeostatic Imbalances • Lung Cancer (structural changes) • Atelectasis • Alveolar consolidation • Cavity formation • Pleural effusion ( when a tumor invades the parietal pleura and mediastinum).
The Respiratory SystemHomeostatic Imbalances Lung Cancer