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Chapter 10 Lecture Outline See separate PowerPoint slides for all figures and tables preinserted into PowerPoint without notes. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 1 Respiratory System 2 Points to ponder • What are the parts and functions of the upper and lower respiratory system? • What is the mechanism for expiration and inspiration? • How is breathing controlled by the nervous system and through chemicals? • Where and how is exchange of gases accomplished? • What are some common respiratory infections and disorders? • What do you know about tobacco and health? 3 10.1 The Respiratory System Overview of the respiratory system Nasal cavity filters, warms, and moistens air Pharynx passage way where pathway for air and food cross Upper Respiratory Tract Glottis space between the vocal chords; opening to larynx Larynx (voice box) ; produces sound Trachea (wind pipe) ; passage of air to bronchi Bronchus passage of air to lungs Lower Respiratory Tract Bronchioles passage of air to alveoli Lung contains alveoli (air sacs); carries out gas exchange Diaphragm skeletal muscle; functions in ventilation Figure 10.1 The human respiratory tract. 4 10.1 The Respiratory System What is the pathway that air follows? nose pharynx larynx trachea bronchus bronchioles alveoli 5 10.2 The Upper Respiratory Tract What constitutes the upper respiratory tract? • Nose sinus nasal cavity • Pharynx hard palate nares sinus tonsil Pharynx nasopharynx uvula mouth • Larynx tongue oropharynx tonsils epiglottis glottis larynx laryngopharynx esophagus trachea Figure 10.2 The upper respiratory tract. 6 10.2 The Upper Respiratory Tract The nose • The nose opens at the nostrils/nares and leads into the nasal cavities. • Hairs and mucus in the nose filter the air. • The nasal cavity has a lot of capillaries that warm and moisten the air. • Specialized cells act as odor receptors. • Tear glands drain into the nasal cavities that can lead to a runny nose. 7 10.2 The Upper Respiratory Tract The pharynx • The pharynx is a funnel-shaped cavity commonly called the throat. • It has three portions based on location: nasopharynx, oropharynx, and laryngopharynx. • Tonsils provide a lymphatic defense during breathing at the junction of the oral cavity and pharynx. 8 10.2 The Upper Respiratory Tract The larynx • The larynx is a triangular, cartilaginous structure that passes air between the pharynx and trachea. • It is called the voice box and houses vocal cords. • There are two mucosal folds that make up the vocal cords with an opening in the middle called the glottis. 9 10.2 The Upper Respiratory Tract The larynx base of tongue epiglottis vocal cords glottis (left): © CNRI Phototake Figure 10.4 The vocal cords. 10 10.3 The Lower Respiratory Tract What constitutes the lower respiratory tract? • Trachea Nasal cavity filters, warms, and moistens air Pharynx passage way where pathway for air and food cross Upper Respiratory Tract • Bronchial tree Glottis space between the vocal chords; opening to larynx Larynx (voice box) ; produces sound Trachea (wind pipe) ; passage of air to bronchi Bronchus passage of air to lungs • Lungs Lower Respiratory Tract Bronchioles passage of air to alveoli Lung contains alveoli (air sacs); carries out gas exchange Diaphragm skeletal muscle; functions in ventilation Figure 10.1 The human respiratory tract. 11 10.3 The Lower Respiratory Tract The trachea • The trachea is a tube, often called the windpipe, that connects the larynx with the primary bronchi. • It is made of connective tissue, smooth muscle, and cartilaginous rings. • The trachea is lined with cilia and mucus that help to keep the lungs clean. 12 10.3 The Lower Respiratory Tract The trachea cilia goblet cell epithelial cell particle movement mucus air tracheal lumen (bottom half): © ED Reschke Figure 10.5 The cells lining the trachea. 13 10.3 The Lower Respiratory Tract The bronchial tree • The bronchial tree starts with two main bronchi that lead from the trachea into the lungs. • The bronchi continue to branch until they are small bronchioles about 1 mm in diameter with thinner walls. • Bronchioles eventually lead to elongated sacs called alveoli. 14 10.3 The Lower Respiratory Tract The lungs • The secondary bronchi, bronchioles, and alveoli make up the lungs. • The right lung has three lobes while the left lung has two lobes. • Each lobe is divided into lobules. • Each lung is enclosed by membranes called pleura. 15 10.3 The Lower Respiratory Tract The alveoli • There are 300 million alveoli in the lungs that greatly increase surface area. • Alveoli are enveloped by blood capillaries. • The alveoli and capillaries are one layer of epithelium to allow exchange of gases. • Alveoli are lined with surfactant that act as a film to keep alveoli open. 16 10.3 The Lower Respiratory Tract The alveoli pulmonary vein blood flow pulmonary artery blood flow Pulmonary arteriole contains much CO2, little O2. bronchiole Pulmonary venule contains much O2, little CO2 lobule capillary network alveoli Figure 10.6 Pulmonary circulation to and from the lungs. 17 10.4 Mechanism of Breathing Two phases of breathing/ventilation 1. Inspiration – an active process of inhalation that brings air into the lungs 2. Expiration – a typically passive process of exhalation that expels air from the lungs 18 10.4 Mechanism of Breathing Boyle’s Law • Ventilation is governed by Boyle’s Law. • At a constant temperature the pressure of a given quantity of gas is inversely proportional to its volume. Figure 10.7 The relationship between air pressure and volume. 19 10.4 Mechanism of Breathing Inspiration • The diaphragm and intercostal muscles contract. • The diaphragm flattens and the rib cage moves upward and outward. • Volume of the thoracic cavity and lungs increase. • The air pressure within the lungs decreases. • Air flows into the lungs. 20 10.4 Mechanism of Breathing Inspiration trachea Rib cage moves up and out. External intercostal muscles pull the ribs outward. lungs Diaphragm contracts and moves down. air in lung rib cage When Pressure in lungs decreases, air comes rushing in. a. Inspiration Figure 10.8a The thoracic cavity during inspiration. 21 10.4 Mechanism of Breathing Expiration • The diaphragm and intercostal muscles relax. • The diaphragm moves upward and becomes dome-shaped. • The rib cage moves downward and inward. • Volume of the thoracic cavity and lungs decreases. • The air pressure within the lungs increases. • Air flows out of the lungs. 22 10.4 Mechanism of Breathing Expiration Rib cage moves down and in. Internal intercostal muscles pull the ribs inward during forced expiration. Diaphragm relaxes and moves up. air out When pressure in lungs increases, air is pushed out. b. Expiration Figure 10.8b The thoracic cavity during expiration. 23 10.4 Mechanism of Breathing Different volumes of air during breathing • Tidal volume – the small amount of air that usually moves in and out with each breath • Vital capacity – the maximum volume of air that can be moved in plus the maximum amount that can be moved out during one breath • Inspiratory and expiratory reserve volume – the increased volume of air moving in or out of the body • Residual volume – the air remaining in the lungs after exhalation 24 10.4 Mechanism of Breathing Visualizing the vital capacity 5,800 maximum expiration Average Lung Volume (ml) 4,800 maximum inspiration inspiratory reserve volume vital capacity 3,600 2,900 2,400 tidal volume total Lung capacity expiratory reserve volume 1,200 residual volume 0 residual volume © Veronique Burger/Science Source Figure 10.9 Measuring the vital capacity of the lungs. 25 10.5 Control of Ventilation How is breathing controlled by the nervous system? • Nervous control – Respiratory control center in the brain (medulla oblongata) sends out nerve impulses to contract muscle for inspiration. – Sudden infant death syndrome (SIDS) is thought to occur when this center stops sending out nerve signals. 26 10.5 Control of Ventilation How is breathing controlled by the nervous system? brain Respiratory center: region of the brain that automatically regulates breathing Intercostal nerves stimulate the intercostal muscles to contract. External intercostal muscles help expand the thoracic cavity by contracting. Phrenic nerve stimulates the diaphragm to contract. Diaphragm helps expand the thoracic cavity by flattening when it contracts. Figure 10.10 The control of breathing by the respiratory center. 27 10.5 Control of Ventilation How is breathing chemically controlled? • Chemical control – Two sets of chemoreceptors sense the drop in pH: one set is in the brain and the other in the circulatory system. – Both are sensitive to carbon dioxide levels that change blood pH due to metabolism. 28 10.6 Gas Exchanges in the Body Exchange of gases in the body • Oxygen and carbon dioxide are exchanged. • The exchange of gases is dependent on diffusion. • Partial pressure is the amount of pressure each gas exerts (PCO2 or PO2). • Oxygen and carbon dioxide will diffuse from the area of higher to the area of lower partial pressure. 29 10.6 Gas Exchanges in the Body External respiration • Exchange of gases between the lung alveoli and the blood capillaries. • PCO2 is higher in the lung capillaries than the air, thus CO2 diffuses out of the plasma into the lungs. • The partial pressure pattern for O2 is just the opposite, so O2 diffuses the red blood cells in the lungs. 30 10.6 Gas Exchanges in the Body External respiration Carbon dioxide transport: H+ + HCO3H2CO3 Oxygen transport: Hb + O2 carbonic anhydrase H2O + CO2 HbO2 31 10.6 Gas Exchanges in the Body The movement of oxygen and carbon dioxide in the body alveolus plasma H+ + HCO–3 External respiration Hb H+ CO2 pulmonary capillary HCO–3 RBC H2CO3 CO2 Hb O2 H2O RBC O2 Hb CO2 pulmonary capillary O2 alveolus CO2 exits blood CO2 a. plasma O2 enters blood O2 lung pulmonary artery pulmonary vein heart tissue cells systemic vein systemic artery HCO–3 H+ + HCO–3 plasma plasma systemic capillary RBC Figure 10.11 Movement of gases during external and internal respiration. CO2 O2 RBC systemic capillary Hb H+ H2CO3 CO2 H2O Hb Internal respiration Hb CO2 tissue fluid CO2 enters blood b. tissue cell tissue cell tissue fluid O2 exits blood 32 10.6 Gas Exchanges in the Body Internal respiration • The exchange of gases between the blood in the capillaries outside of the lungs and the tissue fluid. • PO2 is higher in the capillaries than the tissue fluid, thus O2 diffuses out of the blood into the tissues. 33 10.6 Gas Exchanges in the Body Internal respiration Oxyhemoglobin gives up oxygen: HbO2 Hb + O2 Most CO2 is carried as a bicarbonate ion: CO2 + H2O carbonic anhydrase H2CO3 H+ + HCO3- 34 10.7 Respiration and Health Upper respiratory tract infections • Sinusitis – blockage of sinuses • Otitis media – infection of the middle ear • Tonsillitis – inflammation of the tonsils • Laryngitis – infection of the larynx that leads to loss of voice 35 10.7 Respiration and Health Lower respiratory tract disorders • Pneumonia – infection of the lungs with thick, fluid build up • Tuberculosis – bacterial infection that leads to tubercles (collections of encapsulated bacteria) • Pulmonary fibrosis – lungs lose elasticity because fibrous connective tissue builds up in the lungs, usually because of inhaled particles 36 10.7 Respiration and Health Lower respiratory tract disorders • Emphysema – chronic, incurable disorder in which alveoli are damaged, and thus the surface area for gas exchange is reduced • Asthma – bronchial tree becomes irritated causing breathlessness, wheezing, and coughing • Lung cancer – uncontrolled cell division in the lungs that is often caused by smoking and can lead to death 37 10.7 Respiration and Health Some Diseases and Disorders of the Respiratory System mucus Pneumonia Alveoli fill with pus and fluid, making gas exchange difficult. Bronchitis Airways are inflamed due to infection (a cute) or due to an irritant (chronic). Coughing brings up mucus and pus. asbestos body tubercle Pulmonary Fibrosis Fibrous connective tissue builds up in lungs, reducing their elasticity. Pulmonary Tuberculosis Tubercles encapsulate bacteria, and elasticity of lungs is reduced. Emphysema Alveoli burst and fuse into enlarged air spaces. Surface area for gas exchange is reduced. Figure 10.12 Some diseases and disorders of the respiratory system. Asthma Airways are inflamed due to irritation, and bronchioles constrict due to muscle spasms. 38 10.7 Respiration and Health Things you should know about tobacco and health • All forms of tobacco can cause damage. • Smoking increases a person’s chance of lung, mouth, larynx, esophagus, bladder, kidney, pancreatic, stomach, and cervix cancers. • Smoking also increases the chance of chronic bronchitis, emphysema, heart disease, stillbirths, and harm to an unborn child. • Passive smoke can increase a nonsmoker’s chance of pneumonia, bronchitis, and lung cancer. 39