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and exchange of gases contact 17


01

DEFINITION
Transport and exchange of oxygen and carbon dioxide
  • Blood exchanges oxygen and carbon dioxide between the body and the external environment.
  • The exchange of gases takes place in the lungs during pulmonary circulation.
  • Haemoglobin present in the blood helps in the exchange of both these gases.
02

DEFINITION
Oxyhaemoglobin and carbaminohemoglobin
Oxyhaemoglobin
  • Oxyhaemoglobin is the bright red, oxygenated form of haemoglobin in the red blood cells, in which a molecule of oxygen has attached itself reversibly to the iron atom in the haemoglobin molecule. 
  • Oxyhaemoglobin transports oxygen from the lungs to the tissues.
Carbaminohaemoglobin
  • Carbaminohaemoglobin is formed when haemoglobin binds to carbon dioxide.
  • It carries 10 % of the total carbon dioxide in the body.
  • Haemoglobin has an affinity towards both oxygen and carbon dioxide. Hence after transporting oxygen to the tissues it can bind to carbon dioxide in the tissues and carry it back to the lungs.
03

DEFINITION
Breathing tract or respiratory tract
  • The respiratory tract is a complex arrangement of organs and tissues.
  • Its main functions are taking in oxygen and getting rid of carbon dioxide.
04

DEFINITION
Alveoli
  • They are structural and functional unit of lungs is alveoli.
  • A dense network of blood capillaries is found in alveoli.
05

DEFINITION
Respiratory tree
  • The respiratory tree is the branching structure of airways supplying air to the lungs and includes the trachea, bronchi and bronchioles.
06

DEFINITION
Bronchial tree
  • When trachea enters into thoracic cavity, it divides in two branches called as primary bronchus. Branches of primary bronchus upto terminal bronchioles makes bronchial tree.
07

DEFINITION
Nose
Structure-
  • Nose is the opening that connects the environment with respiratory tract.
  • The external part of the nose have two nostrils.
  • The two nostrils opens into a pair of nasal chambers
Function-
  • It warms the air, while passing through it.
  • It adds moisture to the air.
  • It's mucous secretion traps dust particles.
08

DEFINITION
Larynx
  • The hollow muscular organ forming an air passage to the lungs and holding the vocal cords in humans and other mammals.
  • It is also called as voice box.
09

DEFINITION
Trachea
  • A large membranous tube reinforced by rings of cartilage, extending from the larynx to the bronchial tubes is called as trachea.
  • Its walls are supported  by C shaped rings of cartilage.
  • It conveys air to and from the lungs.
10

DEFINITION
Bronchi
  • Bronchi are the main passageway into the lungs, formed from trachea.
  • They are hollow tubes surrounded by cartilage rings.
  • They are lined with cilia and mucus secreting cells.
  • They carry air into the lungs.
  • Bronchi are further divided into smaller bronchioles.
11

DEFINITION
Lungs
  • Lungs are composed of the bronchi, bronchioles and alveoli.
  • The two lungs are roughly cone shaped.
  • The left lung has two lobes and the right one has three lobes.
  • The left lung is slightly small that than the right lung.
12

DEFINITION
Blood supply to the lungs
  • Pulmonary circulation is the portion of the cardiovascular system that carries oxygen-depleted blood away from the heart, to the lungs and returns oxygenated (oxygen-rich) blood back to the heart.
  • De-oxygenated blood from right ventricle is pumped to the lungs, where it releases carbon dioxide and picks up oxygen.
  • Oxygenated blood leaves the lungs through pulmonary veins, completing the pulmonary cycle.
13

DEFINITION
Structure of nose
  • Nose is an olfactory organ.
  • It mainly helps in smelling. It has several olfactory receptors which help in olfactory sensation.
  • The main parts of nose include nostrils, nasal septum and olfactory receptors.
  • The olfactory sensation generated in the nose is carried to the brain by olfactory lobe.
14

DEFINITION
Capacities of the lungs
  • Tidal volume- The amount of air breathed in and out in normal quiet breathing. It is about 500 ml.
  • Dead air space- Some of the air in the trachea and bronchi do not takes part in breathing, called as dead air space. it is about 150ml.
  • Alveolar air- The tidal volume contained in alveoli. It is about 350ml.
  • Inspiratory reserve volume- The inspiratory reserve volume (IRV), about 3,000 mL. It is the additional air that can be forcibly inhaled after the inspiration of a normal tidal volume.
  • Expiratory reserve volume- The expiratory reserve volume (ERV)is the additional air that can be forcibly exhaled after the expiration of a normal tidal volume. It is about 1,200 mL.
  • Vital capacity- The maximum amount of air a person can expel from the lungs after a maximum inhalation. It is about 4500 ml.
  • Residual volume- The volume of air that remains in the lungs even after maximum or forceful expiration. The average Residual Volume (RV) in healthy males is about 1200 ml. In females, the average RV is 1100 ml.
  • Total lung capacity- Maximum amount of air that can be held at any time in the two lungs, called as total lung capacity. It is about 6000 ml.
15

DEFINITION
Inspiratory reserve volume
  • It is the extra amount of air that can be inspired forcibly after a normal respiration.
16

DEFINITION
Diffusing capacity
  • Diffusing capacity is the volume of gas that diffuses though the membrane per minute for a difference of 1mm Hg. 
  • It is 21 ml/minute/mm Hg of .
17

DEFINITION
Expiratory reserve volume
  • The expiratory reserve volume (ERV) is the additional air that can be forcibly exhaled after the expiration of a normal tidal volume.
  • It is about 1,200 mL.
18

DEFINITION
Residual volume
  • The volume of air that remains in the lungs even after maximum or forceful expiration.
  • Residual volume is the only lung volume that cannot be measured directly using a spirometer.
  • The residual volume exists because the pleural fluid stretches and holds the lungs against the ribs.
  • The average Residual Volume (RV) in healthy males is about 1200 ml.
  • In females the average RV is 1100 ml.
  • RV may be significantly high in obstructive lung diseases.
19

DEFINITION
Inspiratory capacity
  • It is the total volume of air a person can inspire after a normal expiration.
20

DEFINITION
Expiratory capacity
  • It is the total volume of air a person can expire after a normal inspiration.
21

DEFINITION
Vital capacity
  • The maximum amount of air a person can expel from the lungs after a maximum inhalation is vital capacity.
  • It is about 4500 ml.
22

DEFINITION
Functional residual capacity
  • Lung capacities are nothing but the sum of two or more lung volumes.
  • There are four major lung capacities that can be calculated from the summation of two or more lung volumes
  • Functional residual capacity equals the sum of expiratory reserve volume (ERV) and the residual volume (RV)
  • In other words, functional residual capacity is the amount of air that remains in the lungs of an individual at the end of normal expiration.
  • It is represented by the formula FRC= ERV + RV
  • The average FRC values in males is 2400 ml [ERV(1200 ml) + RV (1200 ml)] and in females it is 1800 ml [ERV (700 ml) + RV (1100 ml)]
23

DEFINITION
Total lung capacity
  • Total lung capacity is the maximum amount of air that can be held at any time in the two lungs, called as total lung capacity.
  • It is about 6000 ml.
24

DEFINITION
Inspiration
  • Inspiration or inhalation is the process of bringing air from outside the body into the lungs.
  • It is carried out by creating a pressure gradient between the lungs and the atmosphere.
  • When air enters the lungs, the diaphragm contracts toward the abdominal
    cavity, thereby increasing the space in the thoracic cavity for accommodating the inhaled air.
  • The volume of the thoracic chamber in the anteroposterior axis increases with the simultaneous contraction of the external intercostal muscles.
  • This causes the ribs and the sternum to move out, thereby increasing the
    volume of the thoracic chamber in the dorsoventral axis.
  • The overall increase in the thoracic volume leads to a similar increase in the pulmonary volume.
  • Now, as a result of this increase, the intra-pulmonary pressure becomes
    lesser than the atmospheric pressure. This causes the air from outside
    the body to move into the lungs.
25

DIAGRAM
Human respiratory system
  • Human respiratory system helps to inhale the respiratory gas which is distributed by all through the body and the carbon dioxide is exhaled.
  • The nasal cavity, larynx, trachea, alveoli and lungs are the part of human respiratory system.
26

DEFINITION
Difference between inspiration and expiration
Part of respiratory systemInspirationExpiration
DiaphragmContracts and flattens downwardsRelaxes and moves upwards
External intercostal muscles
Internal intercostal muscles
Muscles contract
Relaxed
Muscles relax
Contracts for forced expiration
Rib cage and sternumMove upwards and outwardsMove downwards and inwards
Thoracic cavityIncreasesDecreases
Air pressureDecrease inside thorax and lungsIncrease inside thorax and lungs
Air movementExtreme air pressure drives air into lungs at low pressureAir forced out of lungs by thorax compression and elastic recoil of lungs
27

DEFINITION
Inspiratory muscle
  • Contraction of these muscles brings about inspiration.
  • For example, diaphragm muscle and external intercostal muscle.
28

DEFINITION
Expiration
  • It occurs due to reverse movements of the ribs and diaphragm.
  • The external intercostal muscles relax and thus the ribs becomes depressed.
  • The diaphragm is relaxed and moves upward to its original position.
  • Thus the thoracic cavity becomes small and lungs are compressed, which forces air out of the lungs.
29

DEFINITION
Expiration
  • It occurs due to reverse movements of the ribs and diaphragm.
  • The external intercostal muscles relax and thus the ribs becomes depressed.
  • The diaphragm is relaxed and moves upward to its original position.
  • Thus the thoracic cavity becomes small and lungs are compressed, which forces air out of the lungs.
30

DEFINITION
Exchange of gases between alveoli and blood
  • The exchange of gases between lung alveoli and pulmonary capillaries is called external respiration.
31

DEFINITION
Exchange of gases between blood and tissue cells
  • The exchange of gases between tissue blood capillaries and tissue cells is called internal respiration.
  • The partial pressure of oxygen is higher than that of the body cells and the partial pressure of carbon dioxide is lesser than that of the body cells.
32

DEFINITION
Transport of oxygen in the blood
Oxygen is transported in the following manner:
  • As dissolved gas
  • As oxyhaemoglobin
33

DEFINITION
Oxygen haemoglobin dissociation curve
34

DEFINITION
Factors affecting oxygen hemoglobin dissociation curve
Factors affecting oxygen hemoglobin dissociation curve are as follows:
  • Shift to right: It indicates dissociation of oxygen from haemoglobin.
  • Shift to left: It indicates acceptance of oxygen by haemoglobin.
35

DEFINITION
Bohr effect
  • An increase in carbon dioxide in the blood causes oxygen to be displaced from the haemoglobin. This is Bohr effect.
36

DEFINITION
Transport of carbon dioxide
It is transported in three ways:
  • Transport of CO in dissolved form
  • Transport of CO as a bicarbonate
  • Transport of CO as carbaminohaemoglobin
37

DEFINITION
Chloride shift
  • Chloride shift is a process which occurs in a cardiovascular system and refers to the exchange of bicarbonate (HCO) and chloride (Cl) across the membrane of red blood cells (RBCs).
38

DEFINITION
Release of carbon dioxide in the alveoli
  • The pulmonary arteries carry deoxygenated blood to the lungs.
  • This blood contain carbon dioxide as dissolved in blood plasma, as bicarbonate and as carbaminohaemoglobin.
39

DEFINITION
Haldane effect
  • Binding of oxygen with haemoglobin tends to displace carbon dioxide from the blood.
  • This is called Haldane effect.
40

DEFINITION
Control of breathing movements
  • Breathing is mainly controlled involuntarily. Some of it is controlled voluntarily.
  • The respiratory centre located in the medulla oblongata controls breathing.
  • The centre is stimulated by .
  • The more  in the blood, faster the breathing.
41

DEFINITION
Pleuritis
  • Pleuritis is an inflammation of the pleura.
  • There are two layers; one covering the lung and the other covering the inner wall of the chest.
  • These two layers are lubricated by pleural fluid.
  • Pleurisy is frequently associated with a pleural effusion.
42

DEFINITION
Mountain sickness
  • Physical distress from difficulty adjusting to lower oxygen pressure at high altitude.
  • In order to oxygenate the body effectively, breathing rate has to be increased.
  • The symptoms include breathlessness, headache, dizziness, nausea, vomiting, mental fatigue and bluish tinge on the skin, nails and lips.
43

DEFINITION
Emphysema
Cause:
  • Cigarette smoking
  • Inhalation of toxic substance
Symptoms:
  • Difficulty in exhaling
Prevention:
  • Avoid air pollutants
  • Avoid cigarette smoking
44

DEFINITION
Occupational respiratory disorders
Cause:
  • Exposure to silicosis and asbestoses
Symptoms:
  • Inflammation
Prevention:
  • Minimize exposure to harmful dust
  • Health workers should be regularly checked up.
45

DEFINITION
Diphtheria
Cause:
  • Corynebacterium diphtheriae
Symptoms:
  • Enlarged mucous membranes of the oropharynx, nasopharynx and larynx.
46

DEFINITION
Coryza
Cause:
  • Rhinovirus
Symptoms:
  • Sneezing
  • Excessive nasal secretion
  • Dry cough
  • Congestion
47

DEFINITION
Influenza
Cause:
  • Influenza virus
Symptoms:
  • Chills
  • Fever
  • Headache
  • Muscular pain
48

DEFINITION
Severe acute respiratory syndrome (SARS)
Cause:
  • Human coronavirus
Symptoms:
  • Hypoxia
  • Loss of appetite
  • Fever
Prevention:
  • Isolation
49

DEFINITION
Hypercapnoea
  • It is the state of reduced carbon dioxide concentration in the blood.
50

DEFINITION
Hypocapnoea
  • It is the state of reduced carbon dioxide concentration in the blood.
51

DEFINITION
Anoxia
  • It is absence of oxygen supply to the tissues.
52

DEFINITION
Dyspnoea
  • It is the state of discomfort due to difficulty in breathing.
53

DEFINITION
Apnoea
  • It is the stage of stoppage of breathing temporarily.
54

DEFINITION
Tcahypnoea
  • It is the state of fast breathing.
55

DEFINITION
Bradypnoea
  • It is the state of slow breathing.
56

DEFINITION
Eupnoea
  • It is the state of normal breathing. In man, the rate of normal breathing is 12-16 per minute. In infants, rate of breathing is 44 per minute. Rate of breathing is slowest while sleeping.
57

DEFINITION
Hiccups
  • Hiccup is an involuntary spasm of the diaphragm and respiratory organs, with a sudden closure of the glottis and a characteristic gulping sound.
58

DEFINITION
Sneezing
  • Sneezing is to make a sudden involuntary expulsion of air from the nose and mouth due to irritation of one's nostrils.
59

DEFINITION
Snoring
  • Snoring is making a snorting or grunting sound while asleep.
60

DEFINITION
Disorders of respiratory system
Disorders related to respiratory system include:
  • Bronchial asthma
  • Emphysema
  • Occupational respiratory disorder
  • Bronchitis
  • Pneumonia
  • Pulmonary tuberculosis
  • Diphtheria
  • Coryza
  • Influenza, etc

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