Académique Documents
Professionnel Documents
Culture Documents
1/10/08
5:22 PM
Page 89
Respiratory System
Mechanics
O B J E C T I V E S
1. To define the following terms:
ventilation, inspiration, expiration, forced expiration, tidal volume,
expiratory reserve volume, inspiratory reserve volume, residual
volume, vital capacity, forced expiratory volume, minute respiratory
volume, surfactant, and pneumothorax.
2. To describe the role of muscles and volume changes in the mechanics
of breathing.
3. To understand that the lungs do not contain muscle and that
respirations are therefore caused by external forces.
4. To explore the effect of changing airway resistance on breathing.
5. To study the effect of surfactant on lung function.
6. To examine the factors that cause lung collapse.
7. To understand the effects of hyperventilation, rebreathing, and breath
holding on the CO2 level in the blood.
89
07_089_104_PhyEx8_AP_Ch07
90
1/10/08
5:22 PM
Page 90
Exercise 7
tercostal muscles and abdominal wall muscles, and the expiratory reserve volume will be displayed in the Exp. Res. Vol.
window below the oscilloscope. When FVC is clicked, the
lungs will first inhale maximally and then exhale fully to
demonstrate forced vital capacity. After ERV and FVC have
been measured, the remaining lung values will be calculated
and displayed in the small windows below the oscilloscope.
The data control equipment in the lower part of the screen
records and displays data accumulated during the experiments. When you click Record Data, your data are recorded
in the computers memory and displayed in the data grid. Data
displayed in the data grid include the Radius, Flow, TV (tidal
volume), ERV (expiratory reserve volume), IRV (inspiratory
reserve volume), RV (residual volume), VC (vital capacity),
FEV1 (forced expiratory volume1 second), TLC (total lung
capacity), and Pump Rate. Clicking Delete Line allows you to
discard the data for a single run; clicking Clear Table erases
the entire experiment to allow you to start over.
If you need help identifying any piece of equipment,
choose Balloons On/Off from the Help menu, and move the
mouse pointer onto any piece of equipment visible on the
computers screen. As the pointer touches the object, a popup window will identify the equipment. To close the pop-up
window, move the mouse pointer away from the equipment.
Choose Balloons On/Off to turn off this Help feature.
A C T I V I T Y
07_089_104_PhyEx8_AP_Ch07
1/10/08
5:22 PM
Page 91
91
(a)
Atmospheric pressure
Parietal pleura
Thoracic wall
Visceral pleura
Pleural cavity
Transpulmonary
pressure
760 mm Hg
756 mm Hg
4 mm Hg
756
760
Intrapleural
pressure
756 mm Hg
(4 mm Hg)
Lung
Diaphragm
Intrapulmonary
pressure 760 mm Hg
(0 mm Hg)
(b)
07_089_104_PhyEx8_AP_Ch07
92
7.
1/10/08
5:22 PM
Page 92
Exercise 7
6. Decrease the radius of the airways in 0.50-mm decrements and repeat steps 4 and 5 until the minimum radius
(3.00 mm) is achieved. Be sure to click Record Data after
each trial. Click Clear Tracings between trials. If you make
an error and want to delete a single value, click the data line
in the data grid and then click Delete Line.
8. Now click Record Data to record the current experimental data in the data grid. Then click Clear Tracings.
Lung diseases are often classified as obstructive or restrictive. With an obstructive problem, expiratory flow is affected, whereas a restrictive problem might indicate reduced
inspiratory volume. Although they are not diagnostic, pulmonary function tests such as FEV1 can help a clinician determine the difference between obstructive and restrictive
problems. FEV1 is the forced volume exhaled in 1 second. In
obstructive disorders like chronic bronchitis and asthma, airway resistance is increased and FEV1 will be low. Here you
will explore what effect changing the diameter of the airway
has on pulmonary function.
8.
1.
4. Click FVC. As you saw in the previous test, the simulated lungs will inhale maximally and then exhale as forcefully as possible. FEV1 will be displayed in the FEV1 window below the oscilloscope.
5. When the lungs stop respiring, click Record Data to
record the current data in the data grid.
CHART 1
Radius (mm)
5.00
4.50
4.00
3.50
3.00
FEV1 as % of VC
FEV1 (ml)
FEV1 (%)
07_089_104_PhyEx8_AP_Ch07
1/10/08
5:22 PM
Page 93
93
6.
07_089_104_PhyEx8_AP_Ch07
94
7.
1/10/08
5:22 PM
Page 94
Exercise 7
8. When the lungs stop respiring, click Record Data to display the data in the grid.
What happened to the FEV1 (%) as the radius of the airways
was decreased? ___________________________________
8.
What happened to the lung in the left side of the bell jar?
A C T I V I T Y
How did the total air flow in this trial compare with that in the
previous trial in which the pleural cavities were intact?
11. Click the Reset button atop the bell jar. This action
draws the air out of the intrapleural space and returns it to
normal resting condition.
12. Click Start, and allow the run to complete.
13. When the run completes, click Record Data to display
the data in the grid.
07_089_104_PhyEx8_AP_Ch07
1/10/08
5:22 PM
Page 95
Simulating Variations
in Breathing
This part of the computer simulation allows you to examine
the effects of hyperventilation, rebreathing, and breath holding on CO2 level in the blood.
Choose Variations in Breathing from the Experiment
menu. The opening screen will appear in a few seconds
(Figure 7.3). The basic features on the screen when the program starts are the same as in the lung volumes screen. The
buttons beneath the oscilloscope control the various possi-
95
07_089_104_PhyEx8_AP_Ch07
96
1/10/08
5:22 PM
Page 96
Exercise 7
A C T I V I T Y
Breath Holding
Breath holding can be considered an extreme form of rebreathing in which there is no gas exchange between the outside atmosphere and the air within the lungs.
1. Click Start, wait a second or two, and then click Breath
Holding.
2. Let the breath-holding activity continue for about 5 seconds, and then click Normal Breathing.
3. Click Stop when the tracing reaches the right edge of the
oscilloscope.
What happened to the PCO2 during breath holding?
7.
Rebreathing
When Rebreathing is clicked, a small bag will appear over
the end of the air tube to allow the air within the lungs to be
repeatedly inspired and expired.
1.
2. Watch the breathing pattern on the oscilloscope, and notice the PCO2 during the course of the run. Click Stop when
the tracing reaches the right edge of the oscilloscope.
What happens to PCO2 during the entire time of the rebreathing activity?
Did the depth of the breathing pattern change during rebreathing? (Carefully examine the tracing for rate and
4.
5.
A C T I V I T Y
Comparative Spirometry
In Activity 1, normal respiratory volumes and capacities are
measured. In this activity, you will explore what happens to
these values when pathophysiology develops or during episodes
of aerobic exercise. Using a water-filled spirometer and knowledge of respiratory mechanics, changes to these values in each
condition can be predicted, documented, and explained.
Normal Breathing
1. Click the Experiment menu, and then click
Comparative Spirometry. The opening screen will appear
in a few seconds (see Figure 7.4).
07_089_104_PhyEx8_AP_Ch07
1/10/08
5:22 PM
Page 97
97
07_089_104_PhyEx8_AP_Ch07
98
1/10/08
5:22 PM
Page 98
Exercise 7
Emphysema Breathing
In a person with emphysema, there is a significant loss of
intrinsic elastic recoil in the lung tissue. This loss of elastic
recoil occurs as the disease destroys the walls of the alveoli.
Airway resistance is also increased as the lung tissue in general
becomes more flimsy and exerts less mechanical tethering on
the surrounding airways. Thus the lung becomes overly compliant and expands easily. Conversely, a great effort is required
to exhale as the lungs can no longer passively recoil and deflate.
A noticeable and exhausting muscular effort is required for each
exhalation. Thus a person with emphysema exhales slowly.
1. Using this information, predict what lung values will
change in the spirogram when the patient with emphysema
breathing is selected. Assume that significant disease has developed, and thus a loss of elastic recoil has occurred in this
patients lungs.
2. Select Emphysema from the drop-down menu in the
Patient Type box.
3. Select the patients breathing pattern as Unforced
Breathing from the Breathing Pattern box.
4. After these selections are made and the existing spirogram
screen clears, click the Start button and watch as the drum
starts turning and a new spirogram develops on the paper
rolling off the drum.
5. Repeat steps 57 of the Normal Breathing section in this
activity.
6. Now consider the accuracy of your predictions (what
changed versus what you expected to change). Compared to
the values for normal breathing:
it different? ______________________________________
In an acute asthma attack, the compliance of the lung is decreased, not increased as it was for emphysema, and air flows
freely through the bronchioles. Therefore, will the FEV1/
FVC percentage be less than normal, equal to normal, or higher
than normal? ______________________________________
07_089_104_PhyEx8_AP_Ch07
1/10/08
5:22 PM
Page 99
99
a.
d. During heavy exercise, what will happen to the lung volumes and capacities that have been considered thus far?
e.
5. Click the Start button and the trace will continue with
the breathing pattern for heavy exercise. The trace ends as the
paper rolls to the right-hand edge of the screen.