Professional Documents
Culture Documents
UNIT 3
17 Mechanics of Breathing
HUMAN PHYSIOLOGY
AN INTEGRATED APPROACH FOURTH EDITION
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-1
Respiratory System
Conducting system
Alveoli
Bones and muscle of thorax
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-2a
Muscles Used for Ventilation
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-2b
The Respiratory System
The relationship between the pleural sac and the lung
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-3
Branching of Airways
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-2e
Branching of the Airways
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-4
Alveolar Structure
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-2g
Pulmonary Circulation
Right ventricle pulmonary trunk lungs
pulmonary veins left atrium
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-5
Spirometer
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-6
Lungs Volumes and Capacities
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-7
Conditioning
Warming air to body temperature
Adding water vapor
Filtering out foreign material
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-8
Air Flow
Flow P/R
Alveolar pressure or intrapleural pressure can be
measured
Single respiratory cycle consists of inspiration
followed by expiration
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-9a
Movement of the Diaphragm
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-9b
Movement of the Diaphragm
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-9c
Movement of the Rib Cage during Inspiration
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-10a
Movement of the Rib Cage during Inspiration
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-10b
Pressure Changes during Quiet Breathing
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-11
Pressure in the Pleural Cavity
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-12a
Pressure in the Pleural Cavity
Pneumothorax results in collapsed lung that can not
function normally
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-12b
Compliance and Elastance
Compliance: ability to stretch
High compliance
Stretches easily
Low compliance
Requires more force
Restrictive lung diseases
Fibrotic lung diseases and inadequate surfactant
production
Elastance: returning to its resting volume when
stretching force is released
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-13
Surfactant
More concentrated in smaller alveoli
Mixture containing proteins and phospholipids
Newborn respiratory distress syndrome
Premature babies
Inadequate surfactant concentrations
150
The first exhaled
air comes out of
mL
the dead space.
Only 350 mL leaves
1 the alveoli.
2700 mL
2 Exhale 500 mL
Dead space
2 (tidal volume).
is filled with 150
fresh air. 150 mL
Respiratory 3 At the end of
Only 350 expiration, the
350 mL cycle in 2200 mL
dead space is
of fresh air 150 an adult
filled with
reaches 2200 mL “stale” air from
alveoli. alveoli.
Dead space filled
4 with stale air
The first 150 mL 4 Inhale 500 mL
of air into the 150 of fresh air
alveoli is stale mL (tidal volume).
air from the
dead space. KEY
2200 mL 3
PO2 = 160 mm Hg
PO2 ~
~ 100 mm Hg
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-14
Ventilation
150
mL
1
2700 mL
1 End of inspiration
Respiratory
cycle in
an adult
KEY
PO2 = 160 mm Hg
PO2 ~
~ 100 mm Hg
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-14, step 1
Ventilation
2 Exhale 500 mL
2 (tidal volume).
150
mL
Respiratory
cycle in 2200 mL
an adult
KEY
PO2 = 160 mm Hg
PO2 ~
~ 100 mm Hg
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-14, steps 1–2
Ventilation
2 Exhale 500 mL
2 (tidal volume).
150
mL
Respiratory 3 At the end of
expiration, the
cycle in 2200 mL
dead space is
an adult
filled with
“stale” air from
Dead space filled alveoli.
with stale air
150
mL
KEY
2200 mL 3
PO2 = 160 mm Hg
PO2 ~
~ 100 mm Hg
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-14, steps 1–3
Ventilation
2 Exhale 500 mL
Dead space
2 (tidal volume).
is filled with 150
fresh air. 150 mL
Respiratory 3 At the end of
Only 350 expiration, the
350 mL cycle in 2200 mL
dead space is
of fresh air 150 an adult
filled with
reaches 2200 mL “stale” air from
alveoli. alveoli.
Dead space filled
4 with stale air
The first 150 mL 4 Inhale 500 mL
of air into the 150 of fresh air
alveoli is stale mL (tidal volume).
air from the
dead space. KEY
2200 mL 3
PO2 = 160 mm Hg
PO2 ~~ 100 mm Hg
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-14, steps 1–4
Ventilation
2 Exhale 500 mL
Dead space
2 (tidal volume).
is filled with 150
fresh air. 150 mL
Respiratory 3 At the end of
Only 350 expiration, the
350 mL cycle in 2200 mL
dead space is
of fresh air 150 an adult
filled with
reaches 2200 mL “stale” air from
alveoli. alveoli.
Dead space filled
4 with stale air
The first 150 mL 4 Inhale 500 mL
of air into the 150 of fresh air
alveoli is stale mL (tidal volume).
air from the
dead space. KEY
2200 mL 3
PO2 = 160 mm Hg
PO2 ~~ 100 mm Hg
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-14, steps 1–5
Ventilation
Alveolar ventilation = ventilation rate (tidal volume –
dead space volume)
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-15
Ventilation
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-16a
Ventilation
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-16b
Ventilation
Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Figure 17-16c
Ventilation
Auscultation = diagnostic technique
Obstructive lung diseases
Asthma
Emphysema
Chronic bronchitis