Handout On GAS EXCHANGE
Handout On GAS EXCHANGE
Handout On GAS EXCHANGE
GAS EXCHANGE
THE NOSE
Paranasal Sinuses
Cavities within bones surrounding the nasal cavity
Frontal bone
Sphenoid bone
Ethmoid bone
Maxillary bone
Pharynx (Throat)
Muscular passage from nasal cavity to larynx
Three regions of the pharynx
Nasopharynx – superior region behind nasal cavity
Oropharynx – middle region behind mouth
Laryngopharynx – inferior region attached to larynx
The oropharynx and laryngopharynx are common passageways for air and food
Trachea (Windpipe)
Connects larynx with bronchi
Lined with ciliated mucosa
-Beat continuously in the opposite direction of incoming air
-Expel mucus loaded with dust and other debris away from lungs
Walls are reinforced with C-shaped hyaline cartilage
Primary Bronchi
Formed by division of the trachea
Enters the lung at the hilus (medial depression)
Right bronchus is wider, shorter, and straighter than left
Bronchi subdivide into smaller and smaller branches
Lungs
Occupy most of the thoracic cavity
-Apex is near the clavicle (superior portion)
-Each lung is divided into lobes by fissures
Left lung – two lobes
Right lung – three lobes
Bronchioles
Smallest branches of the bronchi
All but the smallest branches have reinforcing cartilage
Terminal bronchioles end in alveoli
Respiratory Zone
Structures
Respiratory bronchioli
Alveolar duct
Alveoli
Site of gas exchange
Alveoli
Structure of alveoli
Alveolar duct
Alveolar sac
Alveolus
Gas exchange takes place within the alveoli in the respiratory membrane
Squamous epithelial lining alveolar walls
Covered with pulmonary capillaries on external surfaces
Gas Exchange
Gas crosses the respiratory membrane by diffusion
-Oxygen enters the blood
-Carbon dioxide enters the alveoli
Macrophages add protection
Surfactant coats gas-exposed alveolar surfaces
Events of Respiration
Pulmonary ventilation – moving air in and out of the lungs
External respiration – gas exchange between pulmonary blood and alveoli
Respiratory gas transport – transport of oxygen and carbon dioxide via the bloodstream
Internal respiration – gas exchange between blood and tissue cells in systemic capillaries
2 phases
Inspiration – flow of air into lung
Expiration – air leaving lung
Expiration
Passive process dependent up on natural lung elasticity
As muscles relax, air is pushed out of the lungs
Forced expiration can occur mostly by contracting internal intercostal muscles to depress the rib cage
Respiratory Sounds
Sounds are monitored with a stethoscope
Bronchial sounds – produced by air rushing through trachea and bronchi
Vesicular breathing sounds – soft sounds of air filling alveoli
External Respiration
Oxygen movement into the blood
-The alveoli always has more oxygen than the blood
-Oxygen moves by diffusion towards the area of lower concentration
-Pulmonary capillary blood gains oxygen
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
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
Respiratory Disorders:
> Chronic Obstructive Pulmonary Disease (COPD)
Exemplified by chronic bronchitis and emphysema
Major causes of death and disability in the United States
Features of these diseases
Patients have a history of smoking
Labored breathing (dyspnea)
Coughing and frequent pulmonary infections
Most victims retain carbon dioxide
Have hypoxic and respiratory acidosis
Those infected will ultimately develop respiratory failure
> Emphysema
Alveoli enlarge as adjacent chambers break through
Chronic inflammation promotes lung fibrosis
Airways collapse during expiration
Patients use a large amount of energy to exhale
Over-inflation of the lungs leads to a barrel chest
Cyanosis appears late in the disease
> Asthma
Chronic inflammation if the bronchiole passages
Response to irritants with dyspnea, coughing, and wheezing