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Page 1: Chapter 10 Lecture Outline - napavalley.edu

1

Chapter 10

Lecture Outline

See separate PowerPoint slides for all figures and tables pre-

inserted into PowerPoint without notes.

Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display.

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Respiratory System

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Points to ponder

• What are the parts and functions of the upper and lower respiratory system?

• What is the mechanism for expiration and inspiration?

• How is breathing controlled by the nervous system and through chemicals?

• Where and how is exchange of gases accomplished?

• What are some common respiratory infections and disorders?

• What do you know about tobacco and health?

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Overview of the respiratory system 10.1 The Respiratory System

Upper Respiratory Tract

Lower Respiratory Tract

Nasal cavity filters, warms, and moistens air

Pharynx passage way where pathway for air and food cross

Glottis space between the vocal chords; opening to larynx

Larynx (voice box) ; produces sound

Trachea (wind pipe) ; passage of air to bronchi

Bronchus passage of air to lungs

Diaphragm skeletal muscle; functions in ventilation

Lung contains alveoli (air sacs); carries out gas exchange

Bronchioles passage of air to alveoli

Figure 10.1 The human respiratory tract.

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What is the pathway that air follows?

nose

pharynx

larynx

trachea

bronchus

bronchioles

alveoli

10.1 The Respiratory System

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What constitutes the upper respiratory

tract?

• Nose

• Pharynx

• Larynx

10.2 The Upper Respiratory Tract

sinus

Pharynx

nasopharynx

oropharynx

laryngo-

pharynx

esophagus

tonsil

sinus

nasal cavity

hard

palate

nares

uvula

mouth

tongue

tonsils

epiglottis

glottis

larynx

trachea

Figure 10.2 The upper respiratory tract.

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The nose

• The nose opens at the nostrils/nares and leads into the nasal cavities.

• Hairs and mucus in the nose filter the air.

• The nasal cavity has a lot of capillaries that warm and moisten the air.

• Specialized cells act as odor receptors.

• Tear glands drain into the nasal cavities that can lead to a runny nose.

10.2 The Upper Respiratory Tract

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The pharynx

• The pharynx is a funnel-shaped cavity commonly called the throat.

• It has three portions based on location: nasopharynx, oropharynx, and laryngopharynx.

• Tonsils provide a lymphatic defense during breathing at the junction of the oral cavity and pharynx.

10.2 The Upper Respiratory Tract

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The larynx

• The larynx is a triangular, cartilaginous structure that passes air between the pharynx and trachea.

• It is called the voice box and houses vocal cords.

• There are two mucosal folds that make up the vocal cords with an opening in the middle called the glottis.

10.2 The Upper Respiratory Tract

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The larynx

Figure 10.4 The vocal cords.

10.2 The Upper Respiratory Tract

(left): © CNRI Phototake

base of

tongue

epiglottis

glottis

vocal

cords

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What constitutes the lower respiratory

tract?

• Trachea

• Bronchial

tree

• Lungs

10.3 The Lower Respiratory Tract

Upper Respiratory Tract

Lower Respiratory Tract

Nasal cavity filters, warms, and moistens air

Pharynx passage way where pathway for air and food cross

Glottis space between the vocal chords; opening to larynx

Larynx (voice box) ; produces sound

Trachea (wind pipe) ; passage of air to bronchi

Bronchus passage of air to lungs

Diaphragm skeletal muscle; functions in ventilation

Lung contains alveoli (air sacs); carries out gas exchange

Bronchioles passage of air to alveoli

Figure 10.1 The human respiratory tract.

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The trachea

• The trachea is a tube, often called the

windpipe, that connects the larynx with the

primary bronchi.

• It is made of connective tissue, smooth

muscle, and cartilaginous rings.

• The trachea is lined with cilia and mucus that

help to keep the lungs clean.

10.3 The Lower Respiratory Tract

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The trachea

Figure 10.5 The cells lining the trachea.

10.3 The Lower Respiratory Tract

tracheal

lumen

air

mucus

particle

movement

epithelial

cell

goblet cell

cilia

(bottom half): © ED Reschke

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The bronchial tree

• The bronchial tree starts with two main bronchi that lead from the trachea into the lungs.

• The bronchi continue to branch until they are small bronchioles about 1 mm in diameter with thinner walls.

• Bronchioles eventually lead to elongated sacs called alveoli.

10.3 The Lower Respiratory Tract

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The lungs

• The secondary bronchi, bronchioles, and

alveoli make up the lungs.

• The right lung has three lobes while the left

lung has two lobes.

• Each lobe is divided into lobules.

• Each lung is enclosed by membranes called

pleura.

10.3 The Lower Respiratory Tract

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The alveoli

• There are 300 million alveoli in the lungs that greatly increase surface area.

• Alveoli are enveloped by blood capillaries.

• The alveoli and capillaries are one layer of epithelium to allow exchange of gases.

• Alveoli are lined with surfactant that act as a film to keep alveoli open.

10.3 The Lower Respiratory Tract

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The alveoli

Figure 10.6 Pulmonary circulation to and from the lungs.

10.3 The Lower Respiratory Tract

alveoli

capillary

network

lobule

bronchiole

blood flow blood flow

pulmonary vein

pulmonary artery

Pulmonary arteriole

contains much CO2, little O2.

Pulmonary venule

contains much O2,

little CO2

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Two phases of

breathing/ventilation 1. Inspiration – an active process of inhalation

that brings air into the lungs

2. Expiration – a typically passive process of

exhalation that expels air from the lungs

10.4 Mechanism of Breathing

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Boyle’s Law

• Ventilation is

governed by Boyle’s

Law.

• At a constant

temperature the

pressure of a given

quantity of gas is

inversely proportional

to its volume.

10.4 Mechanism of Breathing

Figure 10.7 The relationship between air pressure

and volume.

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Inspiration

• The diaphragm and intercostal muscles contract.

• The diaphragm flattens and the rib cage moves

upward and outward.

• Volume of the thoracic cavity and lungs increase.

• The air pressure within the lungs decreases.

• Air flows into the lungs.

10.4 Mechanism of Breathing

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Inspiration

Figure 10.8a The thoracic cavity during inspiration.

10.4 Mechanism of Breathing

a. Inspiration

Rib cage

moves

up and out.

lungs

lung

rib cage

Diaphragm

contracts

and moves down.

When

Pressure

in lungs

decreases,

air comes

rushing in.

trachea

air in

External intercostal

muscles

pull the ribs outward.

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Expiration

• The diaphragm and intercostal muscles relax.

• The diaphragm moves upward and becomes dome-shaped.

• The rib cage moves downward and inward.

• Volume of the thoracic cavity and lungs decreases.

• The air pressure within the lungs increases.

• Air flows out of the lungs.

10.4 Mechanism of Breathing

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Expiration

Figure 10.8b The thoracic cavity during expiration.

10.4 Mechanism of Breathing

b. Expiration

Internal intercostal muscles

pull the ribs inward during

forced expiration.

Rib cage

moves

down and

in.

Diaphragm relaxes

and moves up.

When

pressure

in lungs

increases,

air is

pushed out.

air out

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Different volumes of air during

breathing • Tidal volume – the small amount of air that usually

moves in and out with each breath

• Vital capacity – the maximum volume of air that can be moved in plus the maximum amount that can be moved out during one breath

• Inspiratory and expiratory reserve volume – the increased volume of air moving in or out of the body

• Residual volume – the air remaining in the lungs after exhalation

10.4 Mechanism of Breathing

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Visualizing the vital capacity

5,800

4,800

3,600

2,900

2,400

1,200

0

Avera

ge L

un

g V

olu

me (

ml)

maximum

inspiration

maximum

expiration inspiratory

reserve

volume

tidal

volume

expiratory

reserve

volume

residual

volume

residual

volume

vital

capacity total

Lung

capacity

© Veronique Burger/Science Source

Figure 10.9 Measuring the vital capacity of the lungs.

10.4 Mechanism of Breathing

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• Nervous control

– Respiratory control center in the brain

(medulla oblongata) sends out nerve

impulses to contract muscle for inspiration.

– Sudden infant death syndrome (SIDS) is

thought to occur when this center stops

sending out nerve signals.

10.5 Control of Ventilation

How is breathing controlled by

the nervous system?

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How is breathing controlled by

the nervous system?

10.5 Control of Ventilation

brain

Respiratory center:

region of the brain that

automatically regulates

breathing

Intercostal nerves

stimulate the intercostal

muscles to contract.

External intercostal muscles

help expand the thoracic

cavity by contracting.

Phrenic nerve

stimulates the diaphragm

to contract.

Diaphragm

helps expand the thoracic

cavity by flattening when

it contracts.

Figure 10.10 The control of

breathing by the respiratory center.

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How is breathing chemically

controlled?

• Chemical control

– Two sets of chemoreceptors sense the

drop in pH: one set is in the brain and the

other in the circulatory system.

– Both are sensitive to carbon dioxide levels

that change blood pH due to metabolism.

10.5 Control of Ventilation

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Exchange of gases in the body

• Oxygen and carbon dioxide are exchanged.

• The exchange of gases is dependent on diffusion.

• Partial pressure is the amount of pressure each gas exerts (PCO2

or PO2).

• Oxygen and carbon dioxide will diffuse from the area of higher to the area of lower partial pressure.

10.6 Gas Exchanges in the Body

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External respiration

• Exchange of gases between the lung alveoli and the blood capillaries.

• PCO2 is higher in the lung capillaries than the

air, thus CO2 diffuses out of the plasma into the lungs.

• The partial pressure pattern for O2 is just the opposite, so O2 diffuses the red blood cells in the lungs.

10.6 Gas Exchanges in the Body

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External respiration

Carbon dioxide transport: carbonic

H+ + HCO3- H2CO3

anhydrase H2O + CO2

Oxygen transport:

Hb + O2 HbO2

10.6 Gas Exchanges in the Body

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The movement of oxygen and

carbon dioxide in the body

pulmonary artery pulmonary vein

lung

External respiration

Internal respiration

heart

systemic vein systemic artery tissue cells

CO2

H+ HCO–3

CO2

O2

O2

Hb H+

Hb

Hb

Hb

+

alveolus

alveolus

plasma

plasma

plasma

pulmonary

capillary

pulmonary

capillary

a.

RBC

CO2

plasma

RBC

RBC

RBC

tissue

cell

tissue

cell

tissue

fluid

tissue

fluid

systemic

capillary

systemic

capillary

CO2 exits blood

CO2

HCO–3

CO2

H2O

H2CO3

O2 CO2

O2

O2 enters blood

O2

O2 exits blood

b.

CO2 enters blood

H+ HCO–3

Hb H+

Hb

+

CO2

H2O

H2CO3

HCO–3

Figure 10.11

Movement of gases

during external and

internal respiration.

10.6 Gas Exchanges in the Body

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Internal respiration

• The exchange of gases between the blood in

the capillaries outside of the lungs and the

tissue fluid.

• PO2 is higher in the capillaries than the tissue

fluid, thus O2 diffuses out of the blood into

the tissues.

10.6 Gas Exchanges in the Body

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Internal respiration

Oxyhemoglobin gives up oxygen:

HbO2 Hb + O2

Most CO2 is carried as a bicarbonate ion: carbonic

CO2 + H2O anhydrase H2CO3 H

+ + HCO3-

10.6 Gas Exchanges in the Body

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Upper respiratory tract

infections

• Sinusitis – blockage of sinuses

• Otitis media – infection of the middle ear

• Tonsillitis – inflammation of the tonsils

• Laryngitis – infection of the larynx that leads to loss of voice

10.7 Respiration and Health

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Lower respiratory tract disorders

• Pneumonia – infection of the lungs with thick,

fluid build up

• Tuberculosis – bacterial infection that leads to

tubercles (collections of encapsulated bacteria)

• Pulmonary fibrosis – lungs lose elasticity

because fibrous connective tissue builds up in

the lungs, usually because of inhaled particles

10.7 Respiration and Health

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Lower respiratory tract disorders

• Emphysema – chronic, incurable disorder in which alveoli are damaged, and thus the surface area for gas exchange is reduced

• Asthma – bronchial tree becomes irritated causing breathlessness, wheezing, and coughing

• Lung cancer – uncontrolled cell division in the lungs that is often caused by smoking and can lead to death

10.7 Respiration and Health

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Some Diseases and Disorders

of the Respiratory System

Pneumonia

Alveoli fill with pus and fluid,

making gas exchange difficult.

Bronchitis

Airways are inflamed due

to infection (a cute) or due to

an irritant (chronic). Coughing

brings up mucus and pus.

mucus

Asthma

Airways are inflamed due

to irritation, and bronchioles

constrict due to muscle spasms.

asbestos

body

Emphysema

Alveoli burst and fuse into

enlarged air spaces. Surface area

for gas exchange is reduced.

Pulmonary Tuberculosis

Tubercles encapsulate

bacteria, and elasticity of

lungs is reduced.

Pulmonary Fibrosis

Fibrous connective tissue

builds up in lungs, reducing

their elasticity.

tubercle

Figure 10.12 Some diseases and disorders of the respiratory system.

10.7 Respiration and Health

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Things you should know about

tobacco and health

• All forms of tobacco can cause damage.

• Smoking increases a person’s chance of lung, mouth, larynx, esophagus, bladder, kidney, pancreatic, stomach, and cervix cancers.

• Smoking also increases the chance of chronic bronchitis, emphysema, heart disease, stillbirths, and harm to an unborn child.

• Passive smoke can increase a nonsmoker’s chance of pneumonia, bronchitis, and lung cancer.

10.7 Respiration and Health