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Chapter 11 Respiratory System Chapter Objectives Upon completion of the chapter the participant will be able to: 1. 2. 3. 4. 5. 6. 7. Label the component parts of the respiratory system on a provided diagram. List the component parts of the respiratory system. Discuss the functions of the respiratory system. Describe the normal breathing process. Discuss the relationship between the respiratory system and the cardiovascular system. Analyze, define and spell the medical terms related to the respiratory system. Successfully complete the exercises at the end of chapter. As was discussed in the chapter on the cardiovascular system, the many cells of the body require oxygen for life as well as the elimination of CO2 from the cell. The respiratory system allows for this gas exchange to occur. The capillaries, which are the vessels that connect the arteries to the veins, have very thin walls that allow O2 and CO2 to move back and forth through their walls. This exchange of gases between tissue cells and the capillaries is known as internal respiration. Functions of the Respiratory System bring oxygen from the air outside our body into the body for delivery to body cells where it is needed. after the oxygen is used by the cells the respiratory system is then responsible for expelling the waste products, (carbon dioxide) from the body. Structures of the Respiratory System Nose: (nas/o) The external nares or nostrils of the nose allow air to enter (inspiration) and leave (expiration) the body. Inside the nose are fine hairs called cilia that filter out dust particles from the air. The nasal cavity extends from the outside nares down to the pharynx. The nose is divided into two cavities by a partition (sept/o) called the nasal septum. One of the more common problems that people experience with the nose is a nosebleed. The medical term for nosebleed is epistaxis. Sinuses (sinus/o): Air filled spaces in the facial bones that have a mucous membrane lining. They have no real function as part of the respiratory system but the mucous they produce plays a role in production of sound. Pharynx: (pharyng/o) This area is often referred to as the throat and Revised September 2001 -117- consists of: Nasopharynx (nas/o) that is posterior to the nasal cavity. The Eustachian tube from the ear opens into this area. Oropharynx (or/o) is posterior to the oral cavity and contains the tonsils. Laryngopharynx (laryng/o) opens into the larynx and esophagus Larynx (laryng/o) Often referred to as the voice box. Consists of cartilage that connects the pharynx and the trachea. The movement of air over this cartilage produces sound and the length and tension of the cords produces the pitch of our voice. Nasopharynx Oropharynx Nasal cavity Laryngopharynx Epiglottis Esophagus Right Lung Larynx Trachea Right Bronchus Left Lung Mediastinum Diaphragm Alveoli Trachea (trache/o) “windpipe”. Connects the larynx to the lungs via the bronchi. It is composed mostly of muscle fibers that are lined with mucous membranes and cilia. Thoracic Cavity (thorac/o, -thorax): The lungs are located in this cavity. Revised September 2001 -118- As well as the lungs the cavity contains the heart, aorta, esophagus, trachea, bronchial tube and thymus. Bronchi (bronchi/o, bronch/o) There are two main bronchi, each leading into a lung. These main bronchi then split into smaller bronchi and into further smaller tubes called bronchioles (bronchiol/o). Alveoli (alveol/o): “Air sacs” that are found at the ends of the bronchioles.The walls of these sacs are very thin and because they are surrounded by small capillaries gas exchange occurs here. Epiglottis (epiglott/o) A flap of tissue that is connected to the cartilage around the larynx. This flap covers the opening into the trachea when we are eating or drinking. It prevents food from entering the lungs and instead it is directed down into the esophagus. Lungs (pneum/o, pneumon/o, pulmon/o, pulm/o) Found in the thoracic cavity. The right lung has three lobes (lob/o) and the left has two. Inside each lung are about 300 million small alveoli (alveol/o) which are surrounded by pulmonary capillaries. It is here that O2 moves from the lung into the blood and CO2 moves from the blood into the alveoli to be eliminated from the body. Because the chest consists of two separate lungs there is a space that exists between the two. The space between the lungs is called the mediastinum. Pleura (pleur/o) Each lung is enclosed in a multi-layered membrane called the pleura. There are two layers to the pleura, the parietal (outside layer) and the visceral (inside layer) and the space between these layers is called the pleural space. There normally is nothing in this space except a lubricating substance that prevents friction occurring as the lungs expand and contract. Diaphragm is the muscle that separates the chest cavity from the abdominal cavity. Breathing action is caused primarily by the contracting and relaxing of this muscle. Process of Breathing Respiration is the exchange of gases that is essential for life. Breathing begins with air entering though the mouth or the nose. Air that enters through the nose is warmed and cleaned by the cilia and mucous membranes of the nose. The mouth is also lined with mucous membranes but it doesn’t have the cilia present to clean the small dirt particles from the air. The mouth also provides a means of expelling any mucous that is produced by the respiratory system. Expelled mucous from the mouth is referred to as phlegm or sputum. This process of breathing consists of an external and an internal component. External respiration is the exchange of gases in the lungs themselves. Air is inhaled into the alveoli and the oxygen passes into tiny surrounding capillaries and is carried to all Revised September 2001 -119- body cells. At the same time carbon dioxide, the waste product of metabolism, passes from the blood into the alveoli to be removed as we expire air. Internal respiration is the exchange of gases within the body cell itself. In this process the oxygen moves from the bloodstream into the cell and vice versa the carbon dioxide moves out. Most of the health problems that occur to the respiratory system are the result of a lack of oxygen or a dysfunction in the gas exchange process. When there is not enough oxygen the skin will take on a bluish color referred to as cyanosis. One of the most common conditions that people experience involving the respiratory system is a nosebleed. The medical term for a nosebleed is epistaxis. Word Parts for the Respiratory System Roots adenoid/o alveol/o atel/o bronch/i, bronch/o bronchiol/o cyan/o laryng/o lob/o muc/o nas/o, rhin/o olfact/o or/o ox/o, ox/i, ox/y pector/o, steth/o, thorac/o pharyng/o phren/o phon/o pleur/a, pleur/o pneumon/o, pulmon/o, pneumat/o, pneum/o sept/o sinus/o spir/o thorac/o tonsill/o trache/o adenoids alveolus, air sacs incomplete bronchus bronchioles, little bronchi blue larynx, voice box lobe mucus nose smell mouth oxygen chest pharynx, throat diaphragm sound, voice pleura, pleural cavity lungs, air, respiration partition sinuses breathing pleural cavity, chest tonsils trachea, windpipe Prefixes Revised September 2001 -120- eupneu- well, good lungs, air Suffixes -capnia -ectasis -graphy -meter -oxia -phonia -plegia -pnea -ptysis -thorax level of carbon dioxide stretch, dilate, enlargement process of recording, producing images measure level of oxygen voice paralysis breathing spitting pleural cavity, chest Term Analysis and Definition Word Part Term adenoid/o adenoidectomy adenoid = adenoids -ectomy = surgical removal Surgical removal of the adenoids. alveol/o alveolar alveol = air sac, alveolus -ar = pertaining to Pertaining to the air sacs alveolitis -itis = inflammation Inflammation of the alveolus bronchitis bronch = bronchus -itis = inflammation Inflammation of the bronchus bronchiectasis -ectasis = dilation, stretching Dilation of the bronchus bronchoscopy -scopy = process of visual examination Process of visually examining the bronchus bronchiol/o bronchiolitis Inflammation of the small bronchial tubes cyan/o cyanosis bronchiol = little bronchi -itis = inflammation cyan = blue -osis= condition cyanotic -ic Pertaining to bluish skin color laryngeal laryng = voice box, Pertaining to the voice box bronch/i, bronch/o laryng/o Revised September 2001 Term Analysis -121- Definition Condition where the skin takes on a bluish color because of a lack of oxygen Word Part Term Term Analysis Definition larynx -eal = pertaining to lob/o lobar lob = lobe -ar = pertaining to lobectomy -ectomy = surgical removal Pertaining to the lobe (of the lung) Surgical removal of a lobe (of the lung). muc/o mucolytic muc = mucus -lytic = breakdown Breakdown of mucus. nas/o rhin/o nasolacrimal nas = nose lacrim = lacrimal apparatus -al = pertaining to Pertaining to the nose and lacrimal apparatus nasopharyngea l pharyng = pharynx -eal = pertaining to Pertaining to the nose and pharynx rhin = nose -plasty = surgical repair Surgical repair of the nose rhinoplasty -rrhea = discharge Discharge from the nose -itis = inflammation Inflammation of the lining of the nose anoxia a = no, lack of ox = oxygen -ia = condition Condition where there is a lack of oxygen hypoxia hypo = deficiency Deficiency in oxygen pector/o pectoral pector = chest -al = pertaining to Pertaining to the chest pharyng/o oropharyngeal or = mouth pharyng = throat, pharynx -eal = pertaining to Pertaining to the mouth and throat pharyngoglossal -gloss = tongue -al = pertaining to Pertaining to the tongue and throat rhinorrhea rhinitis ox/o, ox/i, ox/y Revised September 2001 -122- Word Part Term phren/o phrenic phren = diaphragm -ic = pertaining to Pertaining to the diaphragm phrenoplegia -plegia = paralysis Paralysis of the diaphragm pleuracentesis pleur = pleura -centesis = surgical puncture to remove fluid Surgical puncture into the pleura to remove fluid pleuralgia -algia = pain Pain in the pleura pneumonectomy pneumon = lungs -ectomy = surgical excision Surgical removal of the lungs pneumonia -ia = condition Abnormal condition of the lung pulmonary -ary = pertaining to Pertaining to the lungs pneumatic pneumat = air, lungs, respiration -ic = pertaining to Pertaining to air or respiration. pneumopleuritis pleur = pleura -itis = inflammation Inflammation of the pleura and the lungs pneumorrhagia -rrhagia = bursting forth Bleeding from the lungs pansinusitis pan = all sinus = sinuses -itis = inflammation Inflammation of all the sinus. sinusotomy -tomy = Surgical incision Surgical incision into the sinus. spir/o spirometer spir = breathing -meter = meter for measuring Instrument used to measure breathing steth/o stethoscope steth = chest -scope = instrument used to examine Instrument used to listen to the chest. thorac/o thoracoplasty thorac = chest -plasty = surgical repair Surgical repair of the chest. pleur/a, pleur/o pneumon/o, pulmon/o pneumat/o pneum/o sinus/o Revised September 2001 Term Analysis -123- Definition Word Part tonsill/o trache/o Term Term Analysis Definition thoracotomy -otomy = opening into Process of cutting into the chest thoracodynia dynia = pain Chest pain. tonsillar tonsill = tonsils -ar = pertaining to Pertaining to the tonsils tonsillitis -itis = inflammation Inflammation of the tonsils tonsillectomy -ectomy = surgical removal Surgical removal of the tonsils endotracheal endo = within trache = trachea -eal = pertaining to Pertaining to within the trachea. laryngotracheobronchitis laryng = larynx bronch = bronchus -itis = inflammation Inflammation of the larynx, trachea and bronchus. tracheostomy -stomy = Create a permanent opening Creation a permanent opening into the trachea tracheotomy -tomy = Surgical incision bronch = bronchus -ectasis = dilation Surgical incision into the trachea Dilation of the bronchus. -ectasis bronchiectasis -phonia aphonia a = no, lack of phonia = voice Loss of voice dysphonia dys = difficult, painful Difficulty speaking apnea a = no, lack of -pnea = breathing No breathing bradypnea brady = slow Slow breathing dyspnea dys = difficult, painful Painful breathing eupnea eu = normal Normal breathing hyperpnea hyper = abnormal increase, excessive Abnormal increase in breathing -pnea Revised September 2001 -124- Word Part Term Term Analysis Definition oligopnea oligo = scanty, few Scanty breathing orthopnea ortho = straight Breathing only when sitting up or standing straight tachypnea tachy = fast Fast breathing hypercapnia hyper = excessive -capnia = level of carbon dioxide Excessive amount of carbon dioxide in the blood hypocapnia hypo = decrease Decrease in the carbon dioxide in the blood -graphy bronchography bronch = bronchus -graphy = process of recording Process of recording the lungs using X-Ray -ptysis hemoptysis hem = blood -ptysis = spitting Spitting up blood -thorax hemothorax hem = blood -thorax = chest Blood in the chest pneumothorax pneum = air Air in the chest pyothorax py = pus Pus in the chest -capnia Summary Exercises Chapter 11 Exercise 11.1 Fill in the blank with the appropriate word or phrase. 1. The medical term used to describe an incision or opening being made into the trachea is a(n) _____________________________________________________ 2. A condition of having a low level of oxygen present is ______________________ 3. Surgical removal of the larynx is called a ________________________________ 4. An abnormally slow rate of breathing is referred to as ______________________ 5. Paralysis of the larynx is termed _______________________________________ 6. The ________________________ is the muscle separating the chest from the Revised September 2001 -125- abdomen. 7. The ___________________________________ are the smallest branches of the bronchi. 8. Bleeding from the lungs is called ______________________________________ 9. ________________________ means absence of spontaneous breathing. 10. Surgical repair of the larynx is called a(n) ________________________________ 11. Inflammation of the pleura is _________________________________________ 12. Inflammation of both the larynx and the pharynx is ________________________ 13. Paralysis of the walls of the bronchi is called _____________________________ 14. ___________________________ means to breakdown the mucus produced by the walls of the mucus membranes. 15. Exercise 11.2 Define the following terms 1. Alveolitis _________________________________________________________ 2. Nasolacrimal ______________________________________________________ 3. Anoxia ___________________________________________________________ 4. Pharyngoglossal ___________________________________________________ 5. Pleuralgia ________________________________________________________ 6. Pneumonia _______________________________________________________ 7. Pneumorrhagia ____________________________________________________ 8. Pansinusitis ______________________________________________________ 9. Tonsillectomy _____________________________________________________ 10. Laryngotracheobronchitis ____________________________________________ Exercise 11.3 Build a medical term for the following definitions. 1. No breathing ______________________________________________________ 2. Slow breathing ____________________________________________________ 3. Excessive amounts of carbon dioxide in the blood _________________________ Revised September 2001 -126- 4. Blood in the pleural space ___________________________________________ 5. Instrument used to listen to chest sounds _______________________________ 6. Painful breathing ___________________________________________________ 7. Normal breathing __________________________________________________ 8. Abnormal increase in depth and rate of breathing _________________________ 9. Pus in the pleural cavity _____________________________________________ 10. Fast breathing _____________________________________________________ Exercise 11.4 Circle the misspelled words in the list below. Correct those that are mis-spelled. 1. alveolor _______________________________________________________ 2. pulmonary _____________________________________________________ 3. bronchiolitis ____________________________________________________ 4. mucolytic ______________________________________________________ 5. diaphram ______________________________________________________ 6. pneumorhagia __________________________________________________ 7. sperometer ____________________________________________________ 8. rhinorrhea _____________________________________________________ 9. dispnea _______________________________________________________ 10. oligopnea _____________________________________________________ Revised September 2001 -127- Exercise 11.5 Revised September 2001 Complete the crossword puzzle below -128-