Chapter 13 – Part 3 The Respiratory System Events of Respiration The major function of the respiratory system is to supply the body with O2 and to dispose of CO2. To do this, at least four events must occur (collectively called respiration): 1. Pulmonary ventilation 2. External respiration 3. Respiratory gas transport 4. Internal respiration Events of Respiration 1. Pulmonary ventilation – moving air in and out of the lungs Commonly called breathing 2. External respiration – gas exchange between pulmonary blood and alveoli O2 loading and CO2 unloading Events of Respiration 3. Respiratory gas transport – transport of oxygen and carbon dioxide via the bloodstream to and from the lungs and body tissues 4. Internal respiration – gas exchange between blood and tissue cells in systemic capillaries Mechanics of Breathing (Pulmonary Ventilation) Completely mechanical process Depends on volume changes in the thoracic cavity Mechanics of Breathing (Pulmonary Ventilation) Volume changes lead to pressure changes, which lead to the flow of gases to equalize pressure A gas always conforms to the shape of its container In a large volume, the pressure will be low. If the volume is reduced, the gas molecules will be closer together and the pressure will rise. Mechanics of Breathing (Pulmonary Ventilation) Two phases 1. Inspiration – flow of air into the lungs 2. Expiration – air leaving the lungs Inspiration (Inhalation) Diaphragm and intercostal muscles contract resulting in the increased size of the thoracic cavity As the diaphragm contracts, it moves inferiorly and flattens out Contraction of the intercostals lifts the rib cage and thrusts the sternum forward Inspiration (Inhalation) The increased volume results in a decreased gas pressure within the lungs, which produces a partial vacuum External air is pulled into the lungs due to an increase in intrapulmonary volume Air continues to pull into the lungs until the intrapulmonary pressure equals the atmospheric pressure. Inspiration (Inhalation) Exhalation (Expiration) Largely a passive process which depends on natural lung elasticity As muscles relax, air is pushed out of the lungs Forced expiration can occur mostly by contracting internal intercostal muscles to depress the rib cage Exhalation (Expiration) Pressure Differences in the Thoracic Cavity Normal pressure within the pleural space (intrapleural pressure) is always negative Differences in lung and pleural space pressures keep lungs from collapsing If for any reason, the intrapleural pressure becomes equal to the atmospheric pressure, the lungs will collapse Atelectasis Atelectasis – lung collapse The lung is useless for ventilation Usually occurs when air enters the pleural space from: 1. A chest wound 2. A rupture of the visceral pleura Is reversed by drawing air out of the intrapleural space with chest tubes, which allows the lungs to re-inflate and resume its normal function Nonrespiratory Air Movements Can be caused by reflexes or voluntary actions Examples Cough - Clears the lower respiratory passages of debris Sneeze – Clears the upper respiratory passages of debris Laughing Crying Yawn – Increases ventilation to the lungs; May be initiated by a need to increase oxygen levels in the blood Hiccup – Sudden inspiration; Results from spasms of the diaphragm Respiratory Volumes and Capacities Tidal volume (TV) – Amount of air inhaled of exhaled with a normal breath Normal breathing moves about 500 ml of air (about a pint) with each breath Many factors that affect respiratory capacity 1. A person’s size 2. Sex 3. Age 4. Physical condition Respiratory Volumes and Capacities Inspiratory reserve volume (IRV) Amount of air that can be taken in forcibly over the tidal volume A person can inhale much more air than is taken in during a normal, or tidal, breath Usually between 2100 and 3200 ml Respiratory Capacities Respiratory Volumes and Capacities Expiratory reserve volume (ERV) Amount of air that can be forcibly exhaled After a normal expiration, more air can be exhaled Approximately 1200 ml Respiratory Volumes and Capacities Residual volume - Air remaining in the lungs after expiration Even after the most strenuous expiration, about 1200 ml of air still remains in the lungs The residual volume cannot be voluntarily expelled Is important because: 1. It allows gas exchange to go on continuously even between breaths 2. It helps to keep the alveoli open (inflated) Respiratory Capacities Respiratory Volumes and Capacities Vital capacity - the total amount of exchangeable air Vital capacity = TV + IRV + ERV Typically around 4800 ml in healthy young males Respiratory Volumes and Capacities Dead space volume - Air that remains in conducting zone and never reaches alveoli About 150 ml in a normal tidal breath Functional volume - Air that actually reaches the respiratory zone and contributes to gas exchange Usually about 350 ml Respiratory Volumes and Capacities Respiratory capacities are measured with a spirometer As a person breathes, the volumes of air exhaled can be read on an indicator Spirometer testing is useful for evaluating losses in respiratory functioning and in following the course of some respiratory diseases