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Respiratory changes in Exercise
Lec 6
Dr Aqsa Mushtaq
Exercise is the most influential
physiological stress on breathing
 Exercise increases the
breaths/minute
 Exercise increases the
amount of air in each breath
(tidal volume)
How is increased ventilation accomplished?
 respiratory and cardiovascular systems make
adjustments in response to
 the intensity of exercise
 duration of exercise
 same amount of blood pumped by the heart to the lungs
as to all the rest of the body
• As cardiac output rises, the pulmonary perfusion, increases
as well.
 O2 diffusing capacity may increase threefold during
maximal exercise because more pulmonary
capillaries become maximally perfused.
 Greater surface area available for diffusion of O2 into
pulmonary blood capillaries
When muscles contract during exercise,
 they consume large amounts of O2
 produce large amounts of CO2
During vigorous exercise,
 O2 consumption and breathing both increase.
 At the onset of exercise, an abrupt increase in breathing
is followed by a more gradual increase.
 moderate exercise, the increase is due mostly to an
increase in the depth of breathing rather than to increased
breathing rate.
 When exercise is more strenuous, the frequency of
breathing also increases
During light exercise
 Ventilation increases linearly with
oxygen uptake and carbon dioxide
production
 This increase in ventilation is
accomplished more by increased tidal
volume (breathing deeper in and out)
During higher exercise levels
 Ventilation is increased more by increased
breathing frequency
 This will keep the blood saturated with oxygen
because the blood is in the alveoli capillaries
long enough for the complete diffusion of
gases
Steady rate (moderate) exercise
 sufficient oxygen is supplied to muscles
 due to increased oxygen up take, there is little, or
no, build up of lactic acid in the muscles
 some lactate will be produced and removed by
the blood stream
 lactic acid is neutralized in the blood (this
reaction produces carbon dioxide as a by-
product)
 increased carbon dioxide in the blood will
stimulate increased ventilation
 Increased ventilation is accomplished by both
increased tidal volume and frequency
How does pulmonary ventilation
(breathing) increase during exercise?
1. During light exercise (walking)?
By increasing the tidal volume (breathing deeper)
2. During intense exercise (sprinting)?
By increasing the frequency of breathing
3. During steady state exercise (jogging)?
By increasing both the tidal volume and the
frequency of breathing
• The more gradual increase in breathing during
moderate exercise is due to chemical and
physical changes in the bloodstream, including
 (1) slightly decreased PO2 , due to increased
O2 consumption;
 (2) slightly increased PCO2 , due to increased
CO2 production by contracting muscle fibers;
 (3) increased temperature due to the
liberation of more heat as more O2 is utilized.
 During strenuous exercise, HCO3 buffers react
with H+ released by lactic acid in a reaction that
liberates CO2, which further increases PCO2 .
 At the end of exercise
 The initial decrease is due to changes in neural
factors when movement stops or slows;
 the more gradual phase reflects the slower
return of blood chemistry levels and
temperature to the resting state.
Summary of Respiratory Responses to
Exercise
RESPIRATORY
DISORDERS
EFFECT OF SMOKING ON RESPIRATION
 (1) Nicotine constricts terminal bronchioles, which
decreases airflow into and out of the lungs.
 (2) Carbon monoxide in smoke binds to hemoglobin
and reduces its oxygen-carrying capability.
 (3) Irritants in smoke cause increased mucus
secretion by the mucosa of the bronchial tree and
swelling of the mucosal lining, both of which impede
airflow into and out of the lungs.
 (4) Irritants in smoke also inhibit the movement of
cilia and destroy cilia in the lining of the respiratory
system.
 (5) With time, smoking leads to destruction of elastic
fibers in the lungs and is the prime cause of
emphysema
 Chronic obstructive pulmonary disease (COPD) is a
collective term for chronic bronchitis and
emphysema.
 It is among the leading causes of disability and death
in the United States and is majorly caused by
cigarette smoking
Chronic obstructive
pulmonary disease
(COPD)
Hypoxia
 A deficiency of O2 at the tissue level.
 Based on the cause, can classify hypoxia into four
types,
 Hypoxic hypoxia
 a low PO2 in arterial blood as a result of high altitude, airway
obstruction, or fluid in the lungs.
 Anemic hypoxia
 Too little functioning hemoglobin is present in the
blood, which reduces O2 transport to tissue cells.
 Causes are hemorrhage, anemia, and failure of
hemoglobin to carry its normal complement of O2, as
in carbon monoxide poisoning.
 Ischemic hypoxia
 blood flow to a tissue is so reduced that too little
O2 is delivered to it, even though PO2 and
oxyhemoglobin levels are normal.
 Histotoxic hypoxia
 The blood delivers adequate O2 to tissues, but
the tissues are unable to use it properly because
of the action of some toxic agent.
 Cyanide poisoning, in which cyanide blocks an
enzyme required for the use of O2 during ATP
synthesis
Asphyxia
 Condition of severely deficient supply of oxygen to
the body that arises from abnormal breathing.
 An example of asphyxia is choking.
 Asphyxia causes generalized hypoxia, which
affects primarily the tissues and organs.
 Many circumstances that can induce asphyxia, all
of which are characterized by an inability of an
individual to acquire sufficient oxygen through
breathing for an extended period of time.
 Asphyxia can cause coma or death.
Asthma
 A disorder characterized by chronic airway
inflammation, airway hypersensitivity to a
variety of stimuli, and airway obstruction.
Emphysema
 Blown up or full of air
 A disorder characterized by destruction of the
walls of the alveoli, producing abnormally large
air spaces that remain filled with air during
exhalation.
 With less surface area for gas exchange, O2
diffusion across the damaged respiratory
membrane is reduced.
 Blood O2 level is somewhat lowered, and any
mild exercise that raises the O2 requirements
of the cells leaves the patient breathless.
Pneumonia
 An acute infection or inflammation of the
alveoli.
 Certain microbes enter the lungs, they release
damaging toxins, stimulating inflammation and
immune responses that have damaging side
effects.
 The toxins and immune response damage
alveoli and bronchial mucous membranes;
inflammation and edema cause the alveoli to
fill with fluid, interfering with ventilation and
gas exchange
RESUSCITATION/
ARTIFICIAL RESPIRATION
 Resuscitation method is used to improve
oxygen delivery, optimize tissue uptake of
oxygen, and preserve the metabolic rate of
oxygen.
A: Resuscitator B: Tank
respirator
Cardiopulmonary resuscitation
(CPR)
 Cardiopulmonary
resuscitation (CPR)
is a way to save the
life of someone
who’s in cardiac
arrest (when
someone’s heart is
no longer able to
pump blood) by
attempting to
restart their heart.

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Lec-06-Respiratory System.pptx

  • 1. Respiratory changes in Exercise Lec 6 Dr Aqsa Mushtaq
  • 2. Exercise is the most influential physiological stress on breathing  Exercise increases the breaths/minute  Exercise increases the amount of air in each breath (tidal volume) How is increased ventilation accomplished?
  • 3.  respiratory and cardiovascular systems make adjustments in response to  the intensity of exercise  duration of exercise  same amount of blood pumped by the heart to the lungs as to all the rest of the body
  • 4. • As cardiac output rises, the pulmonary perfusion, increases as well.  O2 diffusing capacity may increase threefold during maximal exercise because more pulmonary capillaries become maximally perfused.  Greater surface area available for diffusion of O2 into pulmonary blood capillaries
  • 5. When muscles contract during exercise,  they consume large amounts of O2  produce large amounts of CO2 During vigorous exercise,  O2 consumption and breathing both increase.  At the onset of exercise, an abrupt increase in breathing is followed by a more gradual increase.  moderate exercise, the increase is due mostly to an increase in the depth of breathing rather than to increased breathing rate.  When exercise is more strenuous, the frequency of breathing also increases
  • 6. During light exercise  Ventilation increases linearly with oxygen uptake and carbon dioxide production  This increase in ventilation is accomplished more by increased tidal volume (breathing deeper in and out)
  • 7. During higher exercise levels  Ventilation is increased more by increased breathing frequency  This will keep the blood saturated with oxygen because the blood is in the alveoli capillaries long enough for the complete diffusion of gases
  • 8. Steady rate (moderate) exercise  sufficient oxygen is supplied to muscles  due to increased oxygen up take, there is little, or no, build up of lactic acid in the muscles  some lactate will be produced and removed by the blood stream  lactic acid is neutralized in the blood (this reaction produces carbon dioxide as a by- product)  increased carbon dioxide in the blood will stimulate increased ventilation  Increased ventilation is accomplished by both increased tidal volume and frequency
  • 9. How does pulmonary ventilation (breathing) increase during exercise? 1. During light exercise (walking)? By increasing the tidal volume (breathing deeper) 2. During intense exercise (sprinting)? By increasing the frequency of breathing 3. During steady state exercise (jogging)? By increasing both the tidal volume and the frequency of breathing
  • 10. • The more gradual increase in breathing during moderate exercise is due to chemical and physical changes in the bloodstream, including  (1) slightly decreased PO2 , due to increased O2 consumption;  (2) slightly increased PCO2 , due to increased CO2 production by contracting muscle fibers;  (3) increased temperature due to the liberation of more heat as more O2 is utilized.
  • 11.  During strenuous exercise, HCO3 buffers react with H+ released by lactic acid in a reaction that liberates CO2, which further increases PCO2 .  At the end of exercise  The initial decrease is due to changes in neural factors when movement stops or slows;  the more gradual phase reflects the slower return of blood chemistry levels and temperature to the resting state.
  • 12. Summary of Respiratory Responses to Exercise
  • 14. EFFECT OF SMOKING ON RESPIRATION  (1) Nicotine constricts terminal bronchioles, which decreases airflow into and out of the lungs.  (2) Carbon monoxide in smoke binds to hemoglobin and reduces its oxygen-carrying capability.  (3) Irritants in smoke cause increased mucus secretion by the mucosa of the bronchial tree and swelling of the mucosal lining, both of which impede airflow into and out of the lungs.  (4) Irritants in smoke also inhibit the movement of cilia and destroy cilia in the lining of the respiratory system.  (5) With time, smoking leads to destruction of elastic fibers in the lungs and is the prime cause of emphysema
  • 15.  Chronic obstructive pulmonary disease (COPD) is a collective term for chronic bronchitis and emphysema.  It is among the leading causes of disability and death in the United States and is majorly caused by cigarette smoking Chronic obstructive pulmonary disease (COPD)
  • 16. Hypoxia  A deficiency of O2 at the tissue level.  Based on the cause, can classify hypoxia into four types,  Hypoxic hypoxia  a low PO2 in arterial blood as a result of high altitude, airway obstruction, or fluid in the lungs.  Anemic hypoxia  Too little functioning hemoglobin is present in the blood, which reduces O2 transport to tissue cells.  Causes are hemorrhage, anemia, and failure of hemoglobin to carry its normal complement of O2, as in carbon monoxide poisoning.
  • 17.  Ischemic hypoxia  blood flow to a tissue is so reduced that too little O2 is delivered to it, even though PO2 and oxyhemoglobin levels are normal.  Histotoxic hypoxia  The blood delivers adequate O2 to tissues, but the tissues are unable to use it properly because of the action of some toxic agent.  Cyanide poisoning, in which cyanide blocks an enzyme required for the use of O2 during ATP synthesis
  • 18. Asphyxia  Condition of severely deficient supply of oxygen to the body that arises from abnormal breathing.  An example of asphyxia is choking.  Asphyxia causes generalized hypoxia, which affects primarily the tissues and organs.  Many circumstances that can induce asphyxia, all of which are characterized by an inability of an individual to acquire sufficient oxygen through breathing for an extended period of time.  Asphyxia can cause coma or death.
  • 19. Asthma  A disorder characterized by chronic airway inflammation, airway hypersensitivity to a variety of stimuli, and airway obstruction.
  • 20. Emphysema  Blown up or full of air  A disorder characterized by destruction of the walls of the alveoli, producing abnormally large air spaces that remain filled with air during exhalation.  With less surface area for gas exchange, O2 diffusion across the damaged respiratory membrane is reduced.  Blood O2 level is somewhat lowered, and any mild exercise that raises the O2 requirements of the cells leaves the patient breathless.
  • 21.
  • 22. Pneumonia  An acute infection or inflammation of the alveoli.  Certain microbes enter the lungs, they release damaging toxins, stimulating inflammation and immune responses that have damaging side effects.  The toxins and immune response damage alveoli and bronchial mucous membranes; inflammation and edema cause the alveoli to fill with fluid, interfering with ventilation and gas exchange
  • 23.
  • 25.  Resuscitation method is used to improve oxygen delivery, optimize tissue uptake of oxygen, and preserve the metabolic rate of oxygen.
  • 26. A: Resuscitator B: Tank respirator
  • 27. Cardiopulmonary resuscitation (CPR)  Cardiopulmonary resuscitation (CPR) is a way to save the life of someone who’s in cardiac arrest (when someone’s heart is no longer able to pump blood) by attempting to restart their heart.

Editor's Notes

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