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Chapter 13 – Part 4 The Respiratory System Respiratory Volumes and Capacities Respiratory capacities are measured with a spirometer As a person breathes, the volumes of air exhaled can be read on an indicator Spirometer testing is useful for evaluating losses in respiratory functioning and in following the course of some respiratory diseases Respiratory Sounds Sounds are monitored with a stethoscope Bronchial sounds – Produced by air rushing through trachea and bronchi Vesicular breathing sounds – Occur as air fills the alveoli; soft sounds that resemble a muffled breeze Diseased respiratory tissue, mucus, or pus can produce abnormal sounds such as rales (a rasping sound) and wheezing (a whistling sound) External Respiration External respiration – the actual exchange of gases between the alveoli and the blood Oxygen movement into the blood Because body cells continually remove O2 from the blood, there is always more O2 in the alveoli than in the blood Oxygen moves by diffusion towards the area of lower concentration Pulmonary capillary blood gains oxygen External Respiration Carbon dioxide movement out of the blood Blood returning from tissues has higher concentrations of carbon dioxide than air in the alveoli Pulmonary capillary blood gives up carbon dioxide Blood leaving the lungs is oxygen-rich and carbon dioxide-poor Gas Transport in the Blood Oxygen is transported in the blood in two ways: 1. Most attaches to hemoglobin molecules inside the red blood cells to form oxyhemoglobin (HbO2) 2. A very small amount of oxygen is carried dissolved in the plasma Color change in blood Oxygen-rich blood = bright red Oxygen-poor blood = dark red Gas Transport in the Blood Carbon dioxide transport in the blood 1. Most is transported in the plasma as bicarbonate ion (HCO3–) Plays a very important role in the blood buffer system 2. A small amount is carried inside red blood cells on hemoglobin, but at different binding sites than those of oxygen Internal Respiration Internal respiration - exchange of gases between blood and body cells An opposite reaction to what occurs in the lungs Carbon dioxide diffuses out of tissue to blood Oxygen diffuses from blood into tissue Internal Respiration External Respiration, Gas Transport, and Internal Respiration Summary Hypoxia Hypoxia – Inadequate oxygen delivery to body tissues Impaired oxygen transport May be the result of anemia, pulmonary disease, or impaired or blocked blood circulation Symptoms: Easy to recognize in fair-skinned people because their skin and mucosae take on a bluish cast (become cyanotic) In dark-skinned individuals, this color change can be observed only in the mucosae and nailbeds. Carbon Monoxide Poisoning Type of hypoxia Odorless, colorless gas that competes vigorously with O2 for the same binding sites on hemoglobin Crowds out or displaces O2 (hemoglobin binds to carbon dioxide more readily than to oxygen) Leading cause of death from fire Dangerous because it kills softly and quietly Does not produce the characteristic signs of hypoxia – cyanosis and respiratory distress Instead, the victim becomes confused and has a throbbing headache Neural Regulation of Respiration Activity of respiratory muscles is transmitted to the brain by the phrenic and intercostal nerves Neural centers that control rate and depth are located in the medulla The pons appears to smooth out respiratory rate Normal respiratory rate (eupnea) is 12–15 respirations per minute Hyperpnea is increased respiratory rate often due to extra oxygen needs (exercise) Suppressed Medulla Centers If the medulla centers are completely suppressed, respiration stops completely and death occurs. Can occur with an overdose of sleeping pills, morphine, or alcohol Neural Regulation of Respiration Factors Influencing Respiratory Rate and Depth 1. Physical factors (Increased body temperature, exercise, talking, coughing) 2. Conscious control (during swimming, swallowing, singing) • Voluntary control of breathing is limited and the respiratory centers will ignore messages from our wishes when the O2 supply is getting too low. 3. Emotional factors (Ever been so scared that you gasped or were nearly panting?) Factors Influencing Respiratory Rate and Depth Chemical factors Carbon dioxide levels Level of carbon dioxide in the blood is the main regulatory chemical for respiration Increased carbon dioxide increases respiration Changes in carbon dioxide act directly on the medulla oblongata Factors Influencing Respiratory Rate and Depth Chemical factors (continued) It is the body’s need to rid itself of carbon dioxide (not to take in oxygen) that is the most important stimulus for breathing in a healthy person. Factors Influencing Respiratory Rate and Depth Hyperventilation – A rapid and deep breathing pattern Occurs when carbon dioxide or other sources of acid begin to accumulate in the blood and the pH starts to drop Different breathing pattern from the hyperpnea of exercise This blows off more carbon dioxide, which returns blood pH to normal Hyperventilation When brought on by anxiety attacks, it often leads to brief periods of apnea (cessation of breathing) until the carbon dioxide builds up in the blood again If breathing stops for an extended period of time cyanosis can occur The individual may get dizzy and faint Such attacks can be prevented by having the person breath into a paper bag (raises the CO2 levels in the blood) Factors Influencing Respiratory Rate and Depth Hypoventilation – Extremely slow or shallow breathing Occurs when blood starts to become too basic Allows carbon dioxide to accumulate in the blood and brings blood pH into normal range