Transcript Respiratory System

Pulmonary System
Chapter 7
Pathology
Functions of the Respiratory
System
• Breathing process
• Exchange of Oxygen and Carbon Dioxide
• Enable speech production
Internal Respiration
• All cells require oxygen for metabolism
• All cells require means to remove carbon
dioxide
• Gas exchange at cellular level
External Respiration
• Ventilation
– exchange of air between lungs and atmosphere
• Gas Exchange in pulmonary capillaries
• Breathing largely involuntary activity
Structures of Respiratory System
• upper respiratory tract
– nose, mouth, pharynx, epiglottis, larynx and
trachea
• lower respiratory tract
– bronchial tree and lungs
Nose
• nasal cavity
• nasal septum
• mucous membrane
– mucus
– cilia
– olfactory receptors
Pharynx
• Nasopharynx
– adenoids or pharyngeal tonsils
• oropharynx
– palatine tonsils
• laryngopharynx
– larynx
Epiglottis
• oropharynx and laryngopharynx serve as a
common passageway for both food and air
• epiglottis acts as a lid or flap that covers the
larynx and trachea (airway) so food does
not enter the lungs.
Larynx
• voice box
• larynx/o
• glottis (vocal apparatus)
– vocal bands or vocal cords
Trachea
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Windpipe or airway
mucous membrane lining with cilia
smooth muscle with c-shaped cartilage rings
divides into two branches: bronchi
no gaseous exchange
Bronchi
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Bronchus, singular
c-shaped cartilage rings with smooth muscle
each bronchi divides into bronchioles
terminate in air sacs called alveoli
Thoracic Cavity
• thoracic
• thorax
• mediastinum
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heart
aorta
esophagus
bronchi
thymus
Alveoli
• air sacs
• alveolar wall membranes one cell
thick and surrounded by capillaries
• gaseous exchange takes place here
Lungs
Right-3 lobes
Left-2 lobes
trachea
Pleura
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each lung enclosed in pleura
parietal pleura (inner)
visceral pleura (outer)
pleural space or pleural cavity
lubricating fluid
Diaphragm
• muscle separating chest and abdomen
• inspiration, diaphragm contracts and
increases thoracic space
– air flows in
• expiration, diaphragm relaxes and decreases
thoracic space
– air flows out
• phrenic nerve
Respiration
• external respiration - exchange of gases in
lungs
• internal respiration - exchange of gases
within cells of the body organs and tissues
• ventilation - movement of air
Pathology
Breathing Disorders
• Chronic Obstructive Pulmonary Disease
COPD (COLD)
• Dyspnea
• Bradypnea
• Tachypnea
COPD
• Asthma
– bronchospasms, parosysmal, productive cough,
– mucolytics, bronchodilators
• Chronic Bronchitis
– mucosal swelling, productive cough, chest pain
– expectorants, bronchodilators, steroids
• Emphysema
– barrel-chest, dyspnea, orthopnea
Influenza
• Acute infectious
respiratory disease
• Viral
• Fever, chills, headache,
myalgia, anorexia
• Avoid aspirin in
children
Pleural Effusions
• Excess fluid in pleural cavity
• associated with congestive heart failure,
ascites, infectious lung diseases, trauma
• diagnosis
– auscultation, percussion
• Empyema, hydrothorax, hemothorax,
pnrumothorax, pyopneumothorax
• thoracentesis
Tuberculosis
• Infectious, highly
communicable disease
• aerosol transmission
• primary tuberculosis, tubercles
• immunocompromised
• effects other organ systems
• drug resistant strains
Bronchopneumonia
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Inflammatory disease of lungs
lobar, bilateral
hemoptyisis
consolidation
Pneumocystis carinii
lavage
Cystic Fibrosis
• Hereditary disorder, affects exocrine glands
• systemic involvement
– lungs, pancreas, digestive tract
• Viscous mucus blocks bronchioles
• Gas exchange impaired
Respiratory Distress Syndrome
• Surfactant
– decreases the surface tension of
the alveoli
– needed for alveoli to fill with air
and expand (compliance)
• Infant respiratory distress syndrome
(hyaline membrane disease)
• Adult respiratory distress syndrome
Oncology
• Primary Pulmonary Cancer
• Smoking is leading cause of ALL
TYPES OF LUNG CANCERS
• common site: epithelium of bronchi
– bronchogenic carcinoma
– masses form and block air passages
– metastasizes frequently to lymph noes,
liver, bones, brain, or kidney
Endotracheal Intubation
• passage of a tube through the mouth,
pharynx, and larynx into the trachea to
establish an airway.
Respiratory System
• End Chapter Eight