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Lungsmainfunction:moveO2fromairtovenousbloodandmoveCO2fromarterialbloodto
air
Otherfunctions:
1. inactivate,activate,metabolize,filtervarioussubstancessuchaslocallyactive
hormones
2. routeforheat/waterloss
3. respiratorypumpenhancevenousreturntoheart
4. homeostasisacidbasebalance
5. enablevocalization
FICKSLAWOFDIFFUSION:
Q=constantx(Ax P)/ x
Amountofgas(Q)thatmovesacrosssheetoftissueis
directlyproportional
to:
surfaceareaofmembrane
partialpressuredifference
diffusionconstant(dependentongasandtissue)
Amountofgas(Q)thatmovesacrosssheetoftissueis
indirectlyproportional
to:
thicknessofmembrane
DaltonsLaw
directproportionalitybetweenthecompositionofamixtureofgasesandthepressure
exerted
eachgasexertsapressureindependentofanygaspresent
eachgascanbeconsideredseparatelyandindependently
PartialPressureofair
:
N2:79%PN2~600mmHg
O2:20.9%PO2~160mmHg
CO2:0.04%PCO2~0.3mmHg
Howtooptimizegasexchange:
1. maximizesurfaceareaofairfilledspaceandbloodfilledspace
2. minimizethicknessofmembrane
3. maximizepartialpressuredifference
MaximizeAirFilledSpace
Conductingzone:nogasexchangegenerations016
Respiratoryzone(acinusorlobule):gasexchangegenerations1723
1
rapidincreaseofcrosssectionalarea
occupiesvolumeof2.53L,300millionalveolihave50100sq.mtotalsurfacearea
Maximizesurfaceareaofbloodfilled
space
:
pulmonarybloodvesselsform
branchingtubesfrompulmonaryartery
tocapillariesandbacktopulmonary
veins.
Capillariesformadensenetwork
inthewallsofalveoli.
diameterofacapillarysegment
is10mjustlargeenoughforared
bloodcell.
FineStructureofConductingAirways
:
changeat3levelsbronchus,
bronchiolus,alveolus
Bronchus
pseudostratifiedcell
layer
liningcells(ciliated)
andsecretorycells
(Goblet)
smoothmuscle
thickfibrouscoat
cartilage
smallglands
Bronchiolus
Alveolus
cuboidalcelllayer
liningcells(ciliated)
andsecretorycells
smoothmuscle
thinnerfibrouscoat
nocartilage
squamouscellpayer
liningcells(not
ciliatedEP1)and
secretory(EP2)
macrophages
nosmoothmuscle
nofibrouscoat
nocartilage
Cellandtissuetypesfoundin/onalveolarcapillarywall:
1. typeIepithelial(alveolar)cells:flat,participateinbuildingwallsofalveoli
2. typeIIepithelial(alveolar)cells:secretepulmonarysurfactantalveolar
2
3. macrophages:movefreelyoversurfaceofalveoliphagocytoseanyextraneous
materialenteringalveoli(bacteria,particulates),clearedviaairwaysandlymphatics.
4. capillaryendothelialcell
5. elasticfiberswithininterstitialspacenomusclecellsinalveolivolumechangesof
lungoccurindirectlythroughchangesinvolumeofthoraciccavity
6. Lungparenchyma(parenchyma=tissueofanorganthatisquintessentialforits
function,asopposedtosupportiveandconnectivetissue)
7. EP1,EP2,capillaryendothelialcell
RemovalofInhaledParticles
1. Largerparticlesarefilteredoutinthenosebythe
ciliatedlinings
oftherhinalcavity
(similartobronchiallinings)
2. Smallerparticlesinconductingairwaysremovedbyescalatorlikemovementof
mucus
whichcontinuouslysweepsdebristotheepiglottisswallowedor
expectorated.MucusissecretedbymucousglandsandGobletcellsinbronchialwalls
propelledbytinyciliawhichmoverhythmicallyat20Hzciliadevelopfineclaws
graspmucusblanketduringforwardbeatandonreturnmoveglidepasttheblanket
3. Alveolihavenociliaparticlesdepositedareengulfedbymacrophages
ParticulateMatter(PM)
combinationofextremelysmallsolidsandaerosolsformedin
atmospherefromgaseouscombustionbyproducts
Particles<10mindiameterareespeciallydangerousbecausetheygenerally
passthroughthethroatandnoseandenterthelungsserioushealthissues
PM10:coarseparticlesdirtanddustfromroads,farming,factories,mold,
spores,pollen
PM2.5:fineparticlessmoke,haze,toxicorganiccompounds,automobile
emissions