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Respiratory system
Lecture 3
Dr Aqsa Mushtaq
Dow college of Pharmacy
Factors affecting pulmonary ventilation
1. Surface tension of alveolar fluid
2. Compliance of lungs
3. Airway resistance
1. Surface tension of alveolar fluid:
• thin layer of alveolar fluid coats the luminal surface of
alveoli and exert a force known as surface tension
• It arises as liquid surround the air sphere
• It produces and inward-directed force
• Surfactant (mixture of phospholipid and lipoprotein)
present in alveolar fluid reduces the surface tension.
• Deficiency of surfactant causes respiratory distress
syndrome.
Pneumocytes
Cont.…
2. Compliance of the lungs
• How much effort is required to stretch the lungs and chest
wall
• Depends on elasticity and surface tension
• Present during
1. Tuberculosis
2. pulmonary edema
3. produce deficiency in surfactant
4. impede lung expansion e.g. paralysis of muscles
5. Emphysema: destruction of elastic fibers
Cont.…
3. Airways resistance
• Present in airways esp. bronchioles
• Rate of airflow through airways depend on both pressure
difference and the resistance
• Larger diameter airways have decreased resistance
• Signals from sympathetic divisions of autonomic nervous system
cause relaxation of smooth muscles of in the wall of airways which
result in bronchodilation and decreased resistance
• Asthma, COPD, Emphysema, chronic bronchitis
Spirometry
Definition:
• “The technique /process of recording the volume (amount) & speed
(flow) of air into & out of the lungs is known as Spirometry.”
• It is also known as pulmonary function test.
Apparatus:
• The apparatus use for Spirometry is known as Spirometer or
respirometer.
Graph:
• Graphical representation of changes in the lungs volumes is known as
spirogram.
Lung volumes and capacities
• The volume of one breath is called the tidal volume (VT).
• Minute ventilation (MV) = total volume of air inhaled and exhaled
each minute
• Normal healthy adult averages 12 breaths per minute, moving about
500 ml of air in and out of lungs (tidal volume)
• MV = 12 breaths/min x 500 ml/ breath
= 6 liters/ min
Anatomic (respiratory) dead space (30%)
70% in respiratory zone
Pulmonary volumes
• “Amount of air present in the lungs during
inspiration & expiration”
• These are of 4 types.
1. Tidal volume
2. Inspiratory reserve volume
3. Expiratory reserve volume.
4. Residual volume.
Spirogram of Lung Volumes and Capacities
Volumes of Air Exchange
Tidal volume - amount of air exhaled normally after a typical
inspiration. Normal - about 500 ml
Expiratory Reserve volume - additional amount of air forcibly
expired after tidal expiration (1000 - 1200 ml).
Inspiratory Reserve volume - (deep breath) amount of air that
can be forcibly inhaled over and above normal (1900-3100) .
Residual volume - amount of air that stays trapped in the alveoli
(about 1.2 liters).
Pulmonary capacities
• The combination of specific lung volumes is known as
pulmonary capacities
• These are of 4 types.
1. Inspiratory capacity
2. Functional residual capacity
3. Vital capacity
4. Total lung capacity
Inspiratory capacity & Functional residual
capacity
• Inspiratory capacity
• Total Inspiratory ability of lungs. Or
• Inspiratory capacity = Tidal volume + Inspiratory reserve
volume
• Value: 500+3100=3600ml in males
• 500+1900= 2400 in female
• Functional residual capacity
• Volume of air remaining in the lungs at normal expiration or
• functional residual capacity = Expiratory reserve volume+
residual volume
• Value: 1200+1200=2400ml and 110=700= 1800 in female
Vital capacity
• Max amount of air that a person can expel forcefully from lungs after
taking deep inspiration.
• Or
• Vital capacity = Tidal volume + Inspiratory reserve volume +
expiratory reserve volume
• Value: 4800ml in male and 3100 in female
Total lung capacity
• Max volume of air to which lungs can be expanded with
greatest possible Inspiratory effort
• Or
• Max volume of air present in the lungs after deep
inspiration.
• Vital capacity + residual volume
• Value:
• 4800+1200=6000ml in males
• 3100+1100=4200 in females
Ventilation
Ventilation

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Lec-3 Respiratory physiology.pptx

  • 1. Respiratory system Lecture 3 Dr Aqsa Mushtaq Dow college of Pharmacy
  • 2. Factors affecting pulmonary ventilation 1. Surface tension of alveolar fluid 2. Compliance of lungs 3. Airway resistance
  • 3. 1. Surface tension of alveolar fluid: • thin layer of alveolar fluid coats the luminal surface of alveoli and exert a force known as surface tension • It arises as liquid surround the air sphere • It produces and inward-directed force • Surfactant (mixture of phospholipid and lipoprotein) present in alveolar fluid reduces the surface tension. • Deficiency of surfactant causes respiratory distress syndrome.
  • 5. Cont.… 2. Compliance of the lungs • How much effort is required to stretch the lungs and chest wall • Depends on elasticity and surface tension • Present during 1. Tuberculosis 2. pulmonary edema 3. produce deficiency in surfactant 4. impede lung expansion e.g. paralysis of muscles 5. Emphysema: destruction of elastic fibers
  • 6. Cont.… 3. Airways resistance • Present in airways esp. bronchioles • Rate of airflow through airways depend on both pressure difference and the resistance • Larger diameter airways have decreased resistance • Signals from sympathetic divisions of autonomic nervous system cause relaxation of smooth muscles of in the wall of airways which result in bronchodilation and decreased resistance • Asthma, COPD, Emphysema, chronic bronchitis
  • 7. Spirometry Definition: • “The technique /process of recording the volume (amount) & speed (flow) of air into & out of the lungs is known as Spirometry.” • It is also known as pulmonary function test. Apparatus: • The apparatus use for Spirometry is known as Spirometer or respirometer. Graph: • Graphical representation of changes in the lungs volumes is known as spirogram.
  • 8. Lung volumes and capacities • The volume of one breath is called the tidal volume (VT). • Minute ventilation (MV) = total volume of air inhaled and exhaled each minute • Normal healthy adult averages 12 breaths per minute, moving about 500 ml of air in and out of lungs (tidal volume) • MV = 12 breaths/min x 500 ml/ breath = 6 liters/ min
  • 9. Anatomic (respiratory) dead space (30%) 70% in respiratory zone
  • 10. Pulmonary volumes • “Amount of air present in the lungs during inspiration & expiration” • These are of 4 types. 1. Tidal volume 2. Inspiratory reserve volume 3. Expiratory reserve volume. 4. Residual volume.
  • 11. Spirogram of Lung Volumes and Capacities
  • 12. Volumes of Air Exchange Tidal volume - amount of air exhaled normally after a typical inspiration. Normal - about 500 ml Expiratory Reserve volume - additional amount of air forcibly expired after tidal expiration (1000 - 1200 ml). Inspiratory Reserve volume - (deep breath) amount of air that can be forcibly inhaled over and above normal (1900-3100) . Residual volume - amount of air that stays trapped in the alveoli (about 1.2 liters).
  • 13. Pulmonary capacities • The combination of specific lung volumes is known as pulmonary capacities • These are of 4 types. 1. Inspiratory capacity 2. Functional residual capacity 3. Vital capacity 4. Total lung capacity
  • 14. Inspiratory capacity & Functional residual capacity • Inspiratory capacity • Total Inspiratory ability of lungs. Or • Inspiratory capacity = Tidal volume + Inspiratory reserve volume • Value: 500+3100=3600ml in males • 500+1900= 2400 in female • Functional residual capacity • Volume of air remaining in the lungs at normal expiration or • functional residual capacity = Expiratory reserve volume+ residual volume • Value: 1200+1200=2400ml and 110=700= 1800 in female
  • 15. Vital capacity • Max amount of air that a person can expel forcefully from lungs after taking deep inspiration. • Or • Vital capacity = Tidal volume + Inspiratory reserve volume + expiratory reserve volume • Value: 4800ml in male and 3100 in female
  • 16. Total lung capacity • Max volume of air to which lungs can be expanded with greatest possible Inspiratory effort • Or • Max volume of air present in the lungs after deep inspiration. • Vital capacity + residual volume • Value: • 4800+1200=6000ml in males • 3100+1100=4200 in females