Escolar Documentos
Profissional Documentos
Cultura Documentos
RESPIRATORY
SYSTEM
Dr Saadiah Mohd Hidir
2008/2009
Biomedical / pharmacy
TOPICS
•Functions of resp. system
•Events during inspiration & expiration
•Pulmonary surfactant
•Lung compliance
•Airway resistance
•Lung volumes & capacities
•Pulmonary & alveolar ventilation
•Partial pressure of gases
•Hyperventilation & hypoventilation
•Pulmonary circulation
•O2 diffusing capacity
•Ventilation-perfusion ratio
•A-a PO2 difference
Reference books: Human Physiology; Respiratory Physiology
2 MAJOR FUNCTIONS OF OTHER FUNCTIONS OF
RESPIRATORY SYSTEM : RESPIRATORY SYSTEM :
-ve Pip
Apex of lungs
Base of lungs
•Upright position:
Pip more negative at the apex of lung
1 Intrapleural pressure
(Pip) / pleural pressure
(Ppl)
(ii) Alveolar pressure (PA) /
intra-alveolar pressure /
intrapulmonary
pressure
q pressure in alveoli
15
3 IMPORTANT PRESSURES
INVOLVED IN BREATHING
1 Intrapleural pressure
(Pip) / pleural pressure
(Ppl)
(ii) Alveolar pressure (PA) /
intra-alveolar pressure /
intrapulmonary pressure
q Pressure in alveoli
(iii) Transpulmonary
pressure (PTP) = PA
minus Pip
q Force acting to
expand the alveoli)
•Normally, no air in
pleural cavity
•If air enters pleural cavity
e.g. due to stab wound or
broken rib, hole in lung
→
qPip = Patm (0 mm
Hg)
q→ PTP = 0 mm Hg
q→ lung on that side
collapses (atelectasis)
& thoracic wall spring
outward
qCondition is called
PNEUMOTHORAX
PRESSURES AT THE END OF QUIET EXPIRATION
Pleural cavity
PTP
(0 – (-
4)
(Boyle’s law)
(Boyle’s
law)
Compliance =
Lung compliance
(
•the
magnitude of the change
in lung volume produced
by a given change in the
transpulmonary pressure
Normal CL 0.2 L / cm
H2O
•High CL eg. in
emphysema → easier
to expand the lungs
(loss of elastic tissues)
•
SOME FACTORS AFFECTING CL:
Pathological states
P
↑
4. Lung volumes
•Cigarette smoking
40
•25-40% of total resistance to airflow - in upper airways – nose, pharynx,
larynx
•In the tracheobroncial tree, most resistance in medium -sized bronchi (2-
4 mm)
•Normally, resistance is low
•Main determinant of
airway (bronchi &
bronchioles) R is
radius of airways
(R
•
↑ parasympathetic
nerve activity, smoke,
histamine, →
smooth muscles
contraction →
bronchoconstriction →