Chapter 16 - Respiratory System Functions of the Respiratory System: transport of air into and out of the lungs entrapment of particles in incoming air help to control temperature and moisture content of air entering the lungs produce vocal sounds participate in the sense of smell and in the regulation of blood pH Respiration: The respiratory system consists of tubes that _filter_ incoming air and __transport_ it into the microscopic alveoli where gases are _exchanged. What are the three processes of respiration? Ventilation, external respiration, internal respiration Respiratory organs: The organs of the respiratory tract can be divided into two groups: the upper respiratory tract (nose, nasal cavity, sinuses, and pharynx), 1 and the lower respiratory tract (larynx, trachea, bronchial tree, and lungs). Nose: The nostrils, openings in the nose, provides an entrance for air in which air is filtered by coarse hairs inside the nostrils. Nasal cavity: The nasal cavity is a space posterior to the nose that is divided medially by the _nasal septum__. Nasal conchae: What are they? Bones that curl out from the lateral walls of the nasal cavity. What is their function? Divide the nasal cavities into three passageways and increase surface area to warm and filter incoming air The mucus membrane in the conchae secrete a sticky mucus that traps dust and other small particles entering with incoming air. 2 Cilia: Particles trapped in the mucus are pushed to the pharynx by ciliary action, swallowed, and carried to the stomach_ where gastric juice destroys any microorganisms in the mucus. Paranasal sinuses: What four bones are they found in? maxillary, frontal, ethmoid, sphenoid What is their function? Reduce weight of skull, serve as resonating chambers for voice quality Pharynx: The pharynx is a common passageway for _air_ and food_ and it aids in producing sounds for speech_. Air moves through the larynx, trachea, bronchial tree into the lungs. Food moves through the esophagus into the digestive tract. 3 Larynx: The larynx is an enlargement in the airway superior to the _trachea__ and inferior to the _pharynx__. It helps keep particles from entering the trachea and also houses the vocal cords. The larynx is composed of a framework of _muscles____ and _cartilage___ bound by elastic tissue. The three cartilages are the cricoids, epiglottic, and the thyroid. The largest cartilage is the thyroid cartilage_(aka Adam’s apple). Inside the larynx, two pairs of folds of muscle and connective tissue covered with mucous membrane make up the vocal cords. What are the upper pair called? False vocal cords (vestibular folds) What is their function? Help close larynx during swallowing. This keeps food out of the airways. What is the lower pair called? True vocal cords Their function? Vibrate to produce sounds when air 4 is forced between them What is the triangular slit called where air passes through? glottis What closes this space off when swallowing? epiglottis Trachea: The trachea extends downward anterior to the __esophagus_and into the thoracic cavity, where it splits into right and left bronchi. What is the inner wall lined with? Ciliated mucous membrane Why? Filters incoming air and moves trapped particles upwards into the pharynx The tracheal wall is supported by 20 incomplete cartilaginous rings. Why are the rings incomplete rather than complete? The open area at back permits of expansion of esophagus when swallowing food Bronchial tree: The bronchial tree consists of branched tubes leading from the _trachea__ to the _alveoli___. 5 The bronchial tree begins with the two primary ___bronchi____, each leading to a lung. Inside the lings the bronchi divide into secondary bronchi each of which feeds into a lobe of a lung How many are on each side? Three on right and two on left What are the smallest branches of the bronchial tree called? bronchioles Do they have cartilage in their walls? no Where does the actual gas exchange take place? In the alveoli Lungs: The right and left soft, spongy, cone-shaped lungs are separated medially by the __mediastinum and are enclosed by the _diaphragm_ and thoracic cage. The bronchus and large blood vessels enter each lung. A layer of serous membrane, the visceral _pleura__, attached to the lung, folds back to form the __parietal pleura_. 6 The __parietal__ pleura lines the thoracic cavity; serous fluid lubricates the “pleura cavity” between these two membranes. Each lobe is composed of lobules that contain air passages, alveoli, nerves, blood vessels, lymphatic vessels, and connective tissues BREATHING: _ventilation__ (breathing), the movement of air in and out of the lungs, is composed of 2 processes called inspiration_ and _expiration_. Inspiration: __Atmospheric_ pressure is the force that moves air into the lungs. As the diaphragm contracts the volume inside the thoracic cavity increases causing the pressure in the lungs to decrease. What happens when pressure on the inside of the lungs decreases?Air flows in from outside. 7 Air pressure inside the lungs is also decreased by __increasing the size of the thoracic cavity; surface tension between the two layers of pleura causes the lungs follow with the chest wall and _expand__. What are the muscles involved in expanding the thoracic cavity? diaphragm and external intercostals What keeps the alveoli from sticking to each other? A lipoprotein called surfactant Lack of surfactant in newborns may cause respiratory distress syndrome! Expiration: The forces of normal expiration are due to the elastic _recoil_ of lung and muscle tissues and from the surface tension within the alveoli. Forced expiration is aided by __thoracic ___ and abdominal wall muscles that compress the abdomen against the diaphragm. 8 Respiratory Control: Normal breathing is a rhythmic, involuntary act even though the muscles are under __voluntary___ control. The respiratory center in __medulla_ & __pons___ impulses to control respiration. Controlled primarily by levels of __carbon dioxide__ in blood (as CO2 levels increase, breathing rate increases). Levels of __oxygen__ play only a minor role, (only when levels are extremely low). List three things that affect breathing: 1)Levels of carbon dioxide in the blood, 2) levels of oxygen in the blood and 3) blood pH An inflation reflex, triggered by stretch receptors in the visceral pleura, bronchioles, and alveoli, helps to prevent overinflation of the lungs during forceful breathing. Hyperventilation lowers the amount of _carbon dioxide__ in the blood. 9 Gas Exchange: The __alveoli__ are the only sites of gas exchange between the atmosphere and the blood. They are tiny sacs clustered at the distal ends of the __alveolar ducts. The ___respiratory__ membrane consists of the epithelial cells of the alveolus, the endothelial cells of the capillary, and the two fused basement membranes of these layers. Gases diffuse from areas of __higher___ pressure to areas of __lower___ pressure. In a mixture of gases, each gas accounts for a portion of the total pressure; the amount of pressure each gas exerts is equal to its partial pressure. When the partial pressure of oxygen is higher in the alveolar air than it is in the capillary blood, oxygen will diffuse into the _blood_. When the partial pressure of carbon dioxide is greater in the blood than in the alveolar air, carbon dioxide will diffuse out of the __blood_ and into the 10 __alveoli_____. What factors favor increased diffusion? Increased surface area, increased partial pressure gradient, shorter diffusion distance O2 transport: Over 98% of oxygen is carried in the blood bound to _hemoglobin___ of red blood cells, forming oxyhemoglobin_. This chemical is unstable in areas where the concentration of oxygen is low, and gives up its oxygen molecules in those areas. More oxygen is released as 1): the blood concentration of carbon dioxide increases, 2) as the blood becomes more acidic, and 3) as blood temperature increases. A deficiency of oxygen reaching the tissues is called hypoxia_and has a variety of causes. CO2 transport: Carbon dioxide may be transported in the following ways: 11 1) _dissolved__ in blood plasma, 2) loosely bound to hemoglobin forming _carbamino hemoglobin__, or 3) as __bicarbonate_ ions. Which is most common? bicarbonate When carbon dioxide reacts with water in the plasma, _carbonic__ acid is formed slowly, but instead much of the carbon dioxide enters red blood cells, where the enzyme _carbonic anhydrase__ speeds this reaction. The resulting acid dissociates immediately, releasing bicarbonate and hydrogen ions. Diseases and Disorders of the Respiratory System Asthma –inflammation disorder of airways which causes wheezing, shortness of breath, chest tightness, and coughing Bronchitis –inflammation of the bronchial linings 12 Cystic fibrosis- a recessive genetic disorder that causes thick, sticky mucus to build up in the lungs and digestive tract. Emphysema – a progressive degenerative disease that destroys alveolar walls; this decreases the surface area of the respiratory membrane and reduces the volume of gases that can be exchanged through the membrane. Emphysema may be developed in response to prolonged exposure to respiratory irritants like tobacco smoke and air pollution. Pneumonia – infection of the lungs (either viral or bacterial) Lung cancer Some lung cancers are secondary cancers, meaning they arise from cancers elsewhere in the body that have spread (metastasized) to the lungs. Primary pulmonary cancers begin in the lungs may arise from epithelial cells, connective 13 tissue, or blood; the most common lung cancer, bronchogenic carcinoma, originates in epithelial cells and is a response to respiratory irritants like tobacco smoke. It is possible to be genetically predisposed to bronchogenic carcinoma. Non-respiratory Air Movements Usually result from reflexes but can be initiated voluntarily. Cough – produces a rapid rush of air against a closed glottis that removes the irritant from the air passage. Sneeze- a reflex that works similar to a cough but clears the upper respiratory passageways of irritants. Hiccup- a spasmodic contraction of the diaphragm while the glottis is closed causes a sudden inspiration; air striking the vocal cords causes the sound. The function of a hiccup, if there is one,, is unknown. 14 Yawn – low blood oxygen concentration triggers the yawn reflex, prompting a very deep breath that ventilates more of the alveoli. Laughing & Crying – involves taking a deep breath and releasing it in a series of short expirations 15