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. Analyze the anatomy and physiology of the respiratory system. Specific Objectives: Describe the structure of the respiratory system. Analyze the function of the respiratory system. Identify characteristics and treatment of common respiratory disorders. Bell…. • Read pages 353-354 from the text. • List the function of the respiratory system and 9 structures Function • Responsible for taking in oxygen, a gas needed by all body cells. For removal of carbon dioxide, a gas that is a metabolic waste product produced by those cells. • Responsible for the production of sound • Includes the nasal cavity, sinuses, pharynx, larynx, trachea, bronchi, bronchioles, alveoli, lungs, and pleura. • NASAL SEPTUM = divides nasal cavities into R and L sides • Turbinates are bones that protrude into the nasal cavity – they increase surface area for filtering dust and dirt particles by the mucous membrane. • CILIA – the hairs in your nose, trap larger dirt particles • • – cavities in the skull, ducts connect them to the nasal cavity, lined with mucous membrane to warm and moisten the air. • Frontal • Maxillary • Ethmoid • Sphenoid • Sinuses give resonance to the voice. • Let’s label….(next slide) Bell • • • • • What are the functions? Nasal septum Turbinates Cilia Sinuses • The throat • Common passageway for air and food • 5” long • When food is swallowed, the EPIGLOTTIS closes over the opening to the larynx, preventing food from entering the lungs. • Voice box • Triangular chamber below pharynx • Within the larynx are vocal cords (GLOTTIS) • Adam’s Apple • ( see model) • Windpipe • 4 ½ in. long • walls are alternate bands of membrane and C-shaped rings of hyaline cartilage – to keep trachea open • Lined with ciliated mucous membrane • Coughing and expectoration gets rid of dust-laden mucous • • • • • • Lower end of trachea divides into R and L bronchus As they enter lungs, subdivide into bronchial tubes and bronchioles Bronchi – similar to trachea with ciliated mucous membrane and hyaline cartilage Bronchial tubes – cartilaginous plates (instead of C-shaped rings) Bronchioles – thinner walls of smooth muscle, lined with ciliated epithelium At the end, alveolar duct and cluster of alveoli • Composed of a single layer of epithelial tissue • Inner surfaces covered with SURFACTANT – to keep alveoli from collapsing • Each alveolus surrounded by capillaries • O2 and CO2 exchange takes place between the alveoli • Diffusion: Scientific principle responsible for O2 and CO2 exchange. Grater concentration to lesser concentration. Bellringer • Complete Respiratory Structures Worksheet • Do: Easy Breather • Should have labeled Sinuses and some of C • LABEL THE WRITE ON WIPE OFF RESP As the Air Goes • Read about the structure you’ve been given in your textbook. Write quick description on card. • Your cards are mark with matching colors or markings. Assemble yourselves according to color/mark, makes 2 teams. • On a signal given by the teacher, the students arrange themselves in a line in the order that air would pass through them. • Students will need to decide what to do with the mouth and nose as air comes in both, and the right and left bronchus as air goes thorough both. Leader only, tell teacher when done. Bell • Get out your outline, starting with lungs…we will resume lecture • Text page 372 • Applying practice to theory • 1-A • Fill thoracic cavity • Upper part = apex Lower part = base • Base fits snugly over diaphragm • Lung tissue porous and spongy – it floats • R lung = larger and shorter (displaced by the liver) and has 3 lobes • L lung smaller (displaced by the heart) and has 2 lobes • Thin, moist slippery membrane that covers lungs • Double-walled sac – Visceral-covers lungs and between lobes – Parietal-lines the thoracic cavity and the upper surface of the diaphragm • Space is pleural cavity – filled with pleural fluid to prevent friction • (transparency) Bell… • Make sure you have completed “Easy Breather” • Complete (with washable marker) Write on wipe off labeling • Answer questions thru 4 External respiration-Exchange (O2/CO2) between lungs and blood stream. Internal respiration-Exchange of (O2/CO2) between cells and blood stream. Cellular respiration-use of oxygen to produce energy, H2O, and carbon dioxide. • Production of sound (vocal cords) Model Lungs • • • • • • • • • • • • • • • • • • When you inhale, muscles cause the chest to expand, making the lungs do the same. When this happens, air is sucked into the lungs. Make a model to demonstrate this. You will need: Large clear, plastic bottle Three-way hose connector 2 rubber bands modeling clay plastic tube 3 small balloons scissors Directions: Push the plastic tube into one opening of the hose connector. Use modeling clay, if necessary, to make an airtight seal. Fix the balloons tightly onto the other opening with rubber bands, making sure that the joints between the connector and the balloons are airtight. Carefully cut off the bottom 1 inch from the bottle, using the scissors. Make sure the cut edge of the bottle is smooth. Place the balloons and connector inside. Seal the plastic tube into the neck of the bottle with the modeling clay to make an airtight fit. Tie a knot in the neck of the third balloon. Then carefully cut it in half, crossways. Gently stretch the knotted part of the balloon over the lower end of the bottle, and pull it around the sides. Make the balloon as taut as you can-like a drum skin. Now hold it by its knot. The lower balloon represents the diaphragm, the main breathing muscle. Pull it down, As though you were inhaling. This lowers the air pressure in the bottle. Air from outside rushes in and makes the two balloons expand just like the real lungs in your chest. Additional assignment: Read pages 334 in Body Structures and Functions. In your own words, explain the process of Bellringer • Text page 346 • Applying practice to theory • 1-A The Race Is ON • Your cards are marked with matching colors or markings. Assemble yourselves according to color/mark, makes 2 teams. • On a signal given by the teacher, the students arrange themselves in a line in the order that air would pass through them. • Students will need to decide what to do with the mouth and nose as air comes in both, and the right and left bronchus as air goes thorough both. Leader only, tell teacher when done. EXPIRATION • Opposite action takes place • Exhalation is a passive process • Diaphrgam move up/relaxes INSPIRATION • Intercostals muscles lift ribs outward, sternum rises and the diaphragm contracts and moves downward – this increases the volume of the lungs and air rushes in. Mechanics of Breathing • Breathing is due to the change in the pressure within the thoracic cavity • Normal pressure =negative, < atmospheric pressure, keeps lungs expanded • The trigger to breath will alter the pressure and a mechanical change will occur • • • • Breathing controlled by neural and chemical factors. Neural Factors Respiratory center located in MEDULLA OBLONGATA on CO2 or O2 in the blood will trigger respiratory center (pg 336) – A) PHRENIC NERVE – stimulates the diaphragm and intercostals muscles – B) VAGUS NERVE impulses from nose larynx, lungs, skin and abdominal organs • (Hering-Breuer –prevents overstretching) • Chemical Factors • Depends on the levels of CO2 in the blood (respiratory center in brain) • Chemoreceptors in aorta and carotid arteries sensitive to the amount of blood O2 • Sensory Impulses – Nerve pathways carry sensory impulses from the nose, larynx, lungs, skin and abdominal organs via the vagus nerve in the medulla. Bell • Fix question number 5 on Breathing Control Worksheet • Sensory Impulses – “Nerve pathways carry sensory impulses from the nose, larynx, lungs, skin and abdominal organs via the vagus nerve in the medulla.” – If you are on the track team…bring the completed – Breathing Control Worksheet now Bell • Define External Respirations • Define Internal Respirations Respiratory Movements • 1 inspiration + 1 expiration = 1 respiration • Normal adult = 14 - 20 respirations per minute • Increases with exercise, body temperature, certain diseases. • Age - newborn = 40-60/min • Sleep = respirations • Emotion can or rate Bell…. • Complete 2nd ½ of Breathing control worksheet • Answer all 10 questions (using notes and text…not each other) Resp. Structure worksheet • Coughing – deep breath followed by forceful expulsion of air – to clear lower respiratory tract. • Hiccups – spasm of the diaphragm and spasmotic closure of the glottis – irritation to diaphragm or phrenic nerve • Sneezing – air forced through nose to clear respiratory tract • Yawning – deep prolonged breath that fills the lungs, increases oxygen within the blood Is yawning contagious? • According to research performed at New York State University, between 40 and 60 percent of the population seems to find yawning contagious. • Researchers from the State University of New York • in Albany tested people to find out why some are susceptible to contagious yawning and deduced that self-aware or empathetic people are more likely to catch yawns. • People even yawn when watching animals, but not the other way!. Breathing controlled by neural and chemical factors. • Neural Factors • § Respiratory center located in MEDULLA OBLONGATA • § on CO2 or O2 in the blood will trigger respiratory center • Two pathways: • 1) PHRENIC NERVE – stimulates the diaphragm and intercostal muscles • 2) VEGUS NERVE-Sensory impulses-from nose, larynx,skin lung and abd. • Hering-Breuer Reflex-not overextend the lungs.(Vegus nerve too) • Chemical Factors § Depends on the levels of CO2 in the blood (respiratory center in brain) § Chemoreceptors in aorta and carotid arteries sensitive to the amount of blood O2 (Morphine) Bell… • Organ Donation/would you or would you not? – And the Essay results are in! – Of the 22 submitted 18 would donate for others to use – Of 22 submitted 4 would donate for science – Have in front of you the disease fact chart and your outline Breath In Breath Out • Cut the Boy out…leave him in the ‘frame’ • Cut the slits – – – – – – top of head a and b Diaphragm Cut out ‘pull’ strip Cut out A and B ribs Label…(L) and ® lung, pharynx, trachea, alveoli, intercostal muscles, and diaphragm Vital Lung Capacity • Total amount of air insp. And exp reserve • (page 364) COMMON COLD Contagious viral respiratory infection Indirect causes - chilling, fatigue, lack of proper food, and not enough sleep Rx – stay in bed, drink warm liquids and fruit juice, good nutrition Also called an Upper Respiratory Infection (URI) Handwashing – best preventative measure LARYNGITIS Inflammation of larynx or voice box Often secondary to other respiratory infections Symptoms – sore throat, hoarseness or loss of voice, dysphagia (difficulty swallowing) Employability Skills • Find the person in this class with the same disorder on the card. Do not trade/switch=0. Assign the following roles: respiratory therapist or doctor and patient, or family member, etc. MUST HAVE EQUAL PARTICIPATION! The patient is diagnosed with a respiratory disorder (describe their symptoms) and the therapist must explain the disease and treatment to the patient and the family. • .***You have 10 minutes to research and prepare your skits. You can use your notes during skit!*** Diseases of Respiratory System • SINUSITIS • Infection of mucous membrane that lines sinus cavities • Caused by bacteria or virus • Symptoms – headache or pressure, thick nasal discharge, loss of voice resonance • Rx – symptomatic, surgery for chronic sinusitis • PHARYNGITIS – red, inflamed throat • Inflammation of the mucous membrane of the trachea and bronchial tubes, producing excessive mucous • May be acute or chronic • Acute bronchitis characterized by cough, • fever, substernal pain and RALES (raspy sound) • Chronic bronchitis – middle or old age, cigarette smoking most common cause • Viral infection causing inflammation of the mucous membrane • Fever, mucopurulent discharge, muscular pain, extreme exhaustion • Complications – pneumonia, neuritis, otitis media and pleurisy • Rx – treat the symptoms • • • • • • Infection of the lung Caused by bacteria or virus Alveoli fill with exudates (thick fluid) Symptoms – chest pain, fever, chills, dyspnea Rx – O2 and antibiotics • Infectious bacterial lung disease • Tubercles (lesions) form in the lungs • Symptoms: cough, low grade fever in the afternoon, weight loss, night sweats • Diagnosis – TB skin test • If skin test positive – follow up with chest x-ray and sputum sample • RX – antibiotic • • • • Inflammatory airway obstruction Caused by allergen or psychological stress 5% of Americans have asthma Symptoms: difficulty exhaling, dyspnea, wheezing, tightness in chest • Rx: anti-inflammatory drugs, inhaled bronchodilator • • Alveoli become over-dilated, lose their elasticity, can’t rebound, may eventually rupture • Air becomes trapped, can’t exhale – forced exhalation required • Reduced exchange of O2 and CO2 • Dyspnea increases as disease progresses • Rx – alleviate the symptoms, decrease exposure to respiratory irritants, prevent infections, restructure activities to prevent need for O2 Bell • Fill in all blanks on the Respiratory Disorder Chart Bell….Use NC Careers book • to discover the career of Respiratory Care Practitioner – – – – – – Describe job duties H.S. class preparation List at least 5 places you could work Describe academic requirements (college) $$$$ List at least 5 colleges Bell.. • Complete P on page 224/workbook. • Review for Respiratory test/labeling • Bring (clean) write on/wipe off lungs up to the front. • Put your packet on the front table; Make sure your name is on it! • Test will start at 1:45