{"id":203,"date":"2019-11-12T16:53:10","date_gmt":"2019-11-12T16:53:10","guid":{"rendered":"https:\/\/pressbooks.publishdot.com\/nursingpharmacology\/chapter\/5-2-respiratory-basics\/"},"modified":"2021-12-07T11:10:54","modified_gmt":"2021-12-07T11:10:54","slug":"5-2-respiratory-basics","status":"publish","type":"chapter","link":"https:\/\/pressbooks.publishdot.com\/nursingpharmacology\/chapter\/5-2-respiratory-basics\/","title":{"raw":"5.2 Respiratory Basics","rendered":"5.2 Respiratory Basics"},"content":{"raw":"

Basic Concepts Related to Respiratory Medications<\/h2>\n

Overview of the Respiratory System<\/h3>\nThe purpose of the respiratory system is to perform gas exchange. Pulmonary ventilation provides air to the alveoli for this gas exchange process. At the respiratory membrane where the alveolar and capillary walls meet, gases move across the membranes, with oxygen entering the bloodstream and carbon dioxide exiting. It is through this mechanism that blood is oxygenated and carbon dioxide, the waste product of cellular respiration, is removed from the body.\n\nThe major organs of the respiratory system function primarily to provide oxygen to body tissues for cellular respiration, remove the waste product carbon dioxide, and help maintain acid-base balance. Portions of the respiratory system are also used for non-vital functions, such as sensing odors, speech production, and for straining, such as during childbirth or coughing. [footnote]This work is a derivative of Anatomy and Physiology<\/a> by OpenStax<\/a> licensed under CC BY 4.0<\/a>. Access for free at https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/1-introduction<\/a>[\/footnote]<\/sup>\n\nSee Figure 5.1[footnote]\"2301 Major Respiratory Organs.jpg<\/a>\" by OpenStax College<\/a> is licensed under CC BY 4.0<\/a> Access for free at https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/22-1-organs-and-structures-of-the-respiratory-system<\/a>[\/footnote]<\/sup> illustrating major respiratory structures.\n\n \n\n[caption id=\"attachment_202\" align=\"aligncenter\" width=\"490\"]\"Major Figure 5.1 Major Respiratory Structures: The major respiratory structures span the nasal cavity to the diaphragm[\/caption]\n\nFunctionally, the respiratory system can be divided into a conducting zone and a respiratory zone. The conducting zone of the respiratory system includes the organs and structures not directly involved in gas exchange. The gas exchange occurs in the respiratory zone.\n

Conducting Zone<\/h3>\nThe major functions of the conducting zone are to provide a route for incoming and outgoing air, remove debris and pathogens from the incoming air, and warm and humidify the incoming air. Several structures within the conducting zone perform other functions as well. The epithelium of the nasal passages, for example, is essential to sensing odors, and the bronchial epithelium that lines the lungs can metabolize some airborne carcinogens.\n\nThe cilia of the respiratory epithelium help remove the mucus and debris from the nasal cavity with a constant beating motion, thus sweeping materials toward the throat to be swallowed. Interestingly, cold air slows the movement of the cilia, resulting in the accumulation of mucus that may, in turn, lead to a runny nose during cold weather. This moist epithelium functions to warm and humidify incoming air. Capillaries located just beneath the nasal epithelium warm the air by convection.\n

Bronchial Tree<\/h3>\nThe trachea branches into the right and left primary bronchi at the carina. A bronchial tree (or respiratory tree) is the collective term used for these multiple-branched bronchi. The main function of the bronchi, like other conducting zone structures, is to provide a passageway for air to move into and out of each lung. In addition, the mucous membrane traps debris and pathogens.\n\nA bronchiole branches from the tertiary bronchi. Bronchioles, which are about 1 mm in diameter, further branch until they become the tiny terminal bronchioles, which lead to the structures of gas exchange. There are more than 1,000 terminal bronchioles in each lung. The muscular walls of the bronchioles do not contain cartilage like those of the bronchi. This muscular wall can change the size of the tubing to increase or decrease airflow through the tube.\n

Respiratory Zone<\/h3>\nIn contrast to the conducting zone, the respiratory zone includes structures that are directly involved in [pb_glossary id=\"1656\"]gas exchange[\/pb_glossary]<\/strong>. See Figure 5.2[footnote]\"2309 The Respiratory Zone.jpg<\/a>\" by OpenStax College<\/a> is licensed under CC BY 3.0<\/a> Access for free at https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/22-1-organs-and-structures-of-the-respiratory-system<\/a>[\/footnote]<\/sup> for an illustration of the respiratory zone. The respiratory zone begins where the terminal bronchioles join a respiratory bronchiole, the smallest type of bronchiole, which then leads to an alveolar duct, opening into a cluster of alveoli.\n\n[caption id=\"attachment_202\" align=\"aligncenter\" width=\"591\"]\"Image Figure 5.2 The Respiratory Zone. Bronchioles lead to alveolar sacs in the respiratory zone where gas exchange occurs[\/caption]\n

Alveoli<\/h3>\nAn alveolar duct is a tube composed of smooth muscle and connective tissue, which opens into a cluster of alveoli. An alveolus is one of the many small, grape-like sacs that are attached to the alveolar ducts.\n\nAn alveolar sac is a cluster of many individual alveoli that are responsible for gas exchange. See Figure 5.3[footnote]\"2310 Structures of the Respiratory Zone.jpg<\/a>\" by OpenStax College<\/a> is licensed under CC BY 3.0<\/a> Access for free at https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/22-1-organs-and-structures-of-the-respiratory-system<\/a>[\/footnote]<\/sup> for an illustration of the structures of the respiratory zone.\n\n[caption id=\"attachment_202\" align=\"aligncenter\" width=\"607\"]\"Image Figure 5.3 Structures of the Respiratory Zone. The alveolus is responsible for gas exchange[\/caption]\n

Respiratory Rate and Control of Ventilation<\/h3>\nBreathing usually occurs without thought, although at times you can consciously control it, such as when you swim under water, sing a song, or blow bubbles. The [pb_glossary id=\"1666\"]respiratory rate[\/pb_glossary]<\/strong> is the total number of breaths, or respiratory cycles, that occur each minute. Respiratory rate can be an important indicator of disease, as the rate may increase or decrease during an illness. The respiratory rate is controlled by the respiratory center located within the medulla oblongata in the brain, which responds primarily to changes in carbon dioxide, oxygen, and pH levels in the blood.\n\nThe normal respiratory rate of a child decreases from birth to adolescence. A child under 1 year of age has a normal respiratory rate between 30 and 60 breaths per minute, but by the time a child is about 10 years old, the normal rate is closer to 18 to 30. By adolescence, the normal respiratory rate is similar to that of adults, 12 to 18 breaths per minute.\n\nNeurons that stimulate the muscles of the respiratory system are responsible for controlling and regulating pulmonary ventilation. The major brain centers involved in pulmonary ventilation are the medulla oblongata and the pontine respiratory group. (See Figure 5.4[footnote]\"2327 Respiratory Centers of the Brain.jpg<\/a>\" by OpenStax College<\/a> is licensed under CC BY 3.0<\/a> .Access for free at https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/22-3-the-process-of-breathing<\/a>[\/footnote]<\/sup> for an illustration of the respiratory centers of the brain.)\n\n[caption id=\"attachment_202\" align=\"aligncenter\" width=\"1917\"]\"Illlustration Figure 5.4 Respiratory Centers of the Brain[\/caption]\n\n \n\nSupplementary Videos<\/strong>:\u00a0 See the supplementary videos below related to respiratory anatomy and physiology.\n
\n

Anatomy of Respiratory System<\/h3>\n[footnote]Forciea, B. (2015, May 13). Repiratory System Anatomy (v2.0). <\/em>[Video]. YouTube. All rights reserved. Video used with permission. https:\/\/youtu.be\/aqTwrdMS6CE<\/a> [\/footnote]<\/sup>\n\n[embed]https:\/\/www.youtube.com\/watch?v=aqTwrdMS6CE[\/embed]\n

Inhalation and Exhalation<\/h3>\n[footnote]Forciea, B. (2015, May 12). Anatomy and Physiology: Respriratory System: Breathing Mechanics (v2.0). <\/em>[Video]. YouTube. All rights reserved. Video used with permission. https:\/\/youtu.be\/X-J5Xgg3l6s<\/a> [\/footnote]<\/sup>\n\n[embed]https:\/\/www.youtube.com\/watch?v=X-J5Xgg3l6s[\/embed]\n

Carbon Dioxide Transport<\/h3>\n[footnote]Forciea, B. (2015, May 12). Repiratory System: C02 Transport (v2.0). <\/em>[Video]. YouTube. All rights reserved. Video used with permission. https:\/\/youtu.be\/BmrvqZoxHYI<\/a>\u00a0[\/footnote]<\/sup>\n\n[embed]https:\/\/www.youtube.com\/watch?v=BmrvqZoxHYI[\/embed]\n

Surface Tension<\/h3>\n[footnote]Forciea, B. (2015, May 13). Anatomy and Physiology: Respiratory System: Surface Tension (v2.0). <\/em>[Video]. YouTube. All rights reserved. Video used with permission. https:\/\/youtu.be\/YHTAausYA94<\/a>[\/footnote]<\/sup>\n\n[embed]https:\/\/www.youtube.com\/watch?v=YHTAausYA94[\/embed]\n\n<\/div>","rendered":"

Basic Concepts Related to Respiratory Medications<\/h2>\n

Overview of the Respiratory System<\/h3>\n

The purpose of the respiratory system is to perform gas exchange. Pulmonary ventilation provides air to the alveoli for this gas exchange process. At the respiratory membrane where the alveolar and capillary walls meet, gases move across the membranes, with oxygen entering the bloodstream and carbon dioxide exiting. It is through this mechanism that blood is oxygenated and carbon dioxide, the waste product of cellular respiration, is removed from the body.<\/p>\n

The major organs of the respiratory system function primarily to provide oxygen to body tissues for cellular respiration, remove the waste product carbon dioxide, and help maintain acid-base balance. Portions of the respiratory system are also used for non-vital functions, such as sensing odors, speech production, and for straining, such as during childbirth or coughing. [1]<\/sup><\/a><\/sup><\/p>\n

See Figure 5.1[2]<\/sup><\/a><\/sup> illustrating major respiratory structures.<\/p>\n

 <\/p>\n

\"Major
Figure 5.1 Major Respiratory Structures: The major respiratory structures span the nasal cavity to the diaphragm<\/figcaption><\/figure>\n

Functionally, the respiratory system can be divided into a conducting zone and a respiratory zone. The conducting zone of the respiratory system includes the organs and structures not directly involved in gas exchange. The gas exchange occurs in the respiratory zone.<\/p>\n

Conducting Zone<\/h3>\n

The major functions of the conducting zone are to provide a route for incoming and outgoing air, remove debris and pathogens from the incoming air, and warm and humidify the incoming air. Several structures within the conducting zone perform other functions as well. The epithelium of the nasal passages, for example, is essential to sensing odors, and the bronchial epithelium that lines the lungs can metabolize some airborne carcinogens.<\/p>\n

The cilia of the respiratory epithelium help remove the mucus and debris from the nasal cavity with a constant beating motion, thus sweeping materials toward the throat to be swallowed. Interestingly, cold air slows the movement of the cilia, resulting in the accumulation of mucus that may, in turn, lead to a runny nose during cold weather. This moist epithelium functions to warm and humidify incoming air. Capillaries located just beneath the nasal epithelium warm the air by convection.<\/p>\n

Bronchial Tree<\/h3>\n

The trachea branches into the right and left primary bronchi at the carina. A bronchial tree (or respiratory tree) is the collective term used for these multiple-branched bronchi. The main function of the bronchi, like other conducting zone structures, is to provide a passageway for air to move into and out of each lung. In addition, the mucous membrane traps debris and pathogens.<\/p>\n

A bronchiole branches from the tertiary bronchi. Bronchioles, which are about 1 mm in diameter, further branch until they become the tiny terminal bronchioles, which lead to the structures of gas exchange. There are more than 1,000 terminal bronchioles in each lung. The muscular walls of the bronchioles do not contain cartilage like those of the bronchi. This muscular wall can change the size of the tubing to increase or decrease airflow through the tube.<\/p>\n

Respiratory Zone<\/h3>\n

In contrast to the conducting zone, the respiratory zone includes structures that are directly involved in gas exchange<\/strong>. See Figure 5.2[3]<\/sup><\/a><\/sup> for an illustration of the respiratory zone. The respiratory zone begins where the terminal bronchioles join a respiratory bronchiole, the smallest type of bronchiole, which then leads to an alveolar duct, opening into a cluster of alveoli.<\/p>\n

\"Image
Figure 5.2 The Respiratory Zone. Bronchioles lead to alveolar sacs in the respiratory zone where gas exchange occurs<\/figcaption><\/figure>\n

Alveoli<\/h3>\n

An alveolar duct is a tube composed of smooth muscle and connective tissue, which opens into a cluster of alveoli. An alveolus is one of the many small, grape-like sacs that are attached to the alveolar ducts.<\/p>\n

An alveolar sac is a cluster of many individual alveoli that are responsible for gas exchange. See Figure 5.3[4]<\/sup><\/a><\/sup> for an illustration of the structures of the respiratory zone.<\/p>\n

\"Image
Figure 5.3 Structures of the Respiratory Zone. The alveolus is responsible for gas exchange<\/figcaption><\/figure>\n

Respiratory Rate and Control of Ventilation<\/h3>\n

Breathing usually occurs without thought, although at times you can consciously control it, such as when you swim under water, sing a song, or blow bubbles. The respiratory rate<\/strong> is the total number of breaths, or respiratory cycles, that occur each minute. Respiratory rate can be an important indicator of disease, as the rate may increase or decrease during an illness. The respiratory rate is controlled by the respiratory center located within the medulla oblongata in the brain, which responds primarily to changes in carbon dioxide, oxygen, and pH levels in the blood.<\/p>\n

The normal respiratory rate of a child decreases from birth to adolescence. A child under 1 year of age has a normal respiratory rate between 30 and 60 breaths per minute, but by the time a child is about 10 years old, the normal rate is closer to 18 to 30. By adolescence, the normal respiratory rate is similar to that of adults, 12 to 18 breaths per minute.<\/p>\n

Neurons that stimulate the muscles of the respiratory system are responsible for controlling and regulating pulmonary ventilation. The major brain centers involved in pulmonary ventilation are the medulla oblongata and the pontine respiratory group. (See Figure 5.4[5]<\/sup><\/a><\/sup> for an illustration of the respiratory centers of the brain.)<\/p>\n

\"Illlustration
Figure 5.4 Respiratory Centers of the Brain<\/figcaption><\/figure>\n

 <\/p>\n

Supplementary Videos<\/strong>:\u00a0 See the supplementary videos below related to respiratory anatomy and physiology.<\/p>\n

\n

Anatomy of Respiratory System<\/h3>\n

[6]<\/sup><\/a><\/sup><\/p>\n