Presented to Madam Zunaira Aziz
Presented by Group
                     Objectives
After the presentation the listeners will be able to:
 know the anatomy and physiology of respiratory system
                         Introduction
 The major goal of respiration is to maintain ventilation which
  consists of these four processes:
1. Pulmonary ventilation : which means the inflow and outflow of
  air between the atmosphere and the lung alveoli
2. Diffusion of oxygen and carbon dioxide between the alveoli
  and the blood
                        Introduction…
3. Transport of oxygen and carbon dioxide in the blood and body
fluids to and from the body’s tissue cells.
4. Regulation of ventilation and other aspects of respiration.
                                  Anatomy
 Gas-exchanging organ
 Normal human breathes 12 to 15 times a minute
 500 ml of air per breath
 250 ml of o2 enters the body per minute and 200 ml of co2 is excreted
 Traces of other gases
 Methane from the intestines
 Alcohol and acetone
 250 different volatile substances
                                          Ventilating the lungs
  External respiration is the
 process of inhaling oxygen
into the lungs, and exhaling
carbon dioxide. That process
                                  Internal respiration is the metabolic
includes the ventilation of the
                                   process by which living cells use
lungs and the exchange of air
                                       blood flowing through the
in the lungs and blood within
                                  capillaries, absorbing the oxygen (O2
 the capillaries of the alveoli
                                  )they need and releasing the carbon
         of the lungs.
                                        dioxide (CO )they create.
       When O2 level in blood decreases
   Stimulates the peripheral chemoreceptors
Transmission of impulses to respiratory centers
        Activation of respiratory centers
Increases the Activities of respiration (rate & depth)
           Increases alveolar ventilation
             Increases the uptake of O2
     Thereby increases the level of O2 in blood
    The conchae passages lead to the
passageway called the pharnyx. Here, the
 ear is connected to the sinuses, the ears
through the eustachian tubes, and even the
   eyes through the nasolacrimal ducts.
The palatine (palate) bones and maxilla
  (upper jaw bone) separate the nasal
  cavities from the mouth cavity. Cilia
(hairs) line the mucous membrane. About
   1 qt. of mucous is produced daily.
                                          Maxillae
                                      The pharynx is the correct
                                      term for the throat. It is a
                                     muscular and membranous
                                      tube that is about 5 inches
                                      long, extending downward
                                     from the base of the skull. It
                                          eventually becomes the
                                               esophagus.
The nasopharynx is behind the nose; the
  oropharynx is behind the mouth; the
 laryngopharynx is behind the larynx.
  There are 7 openings into the
            pharynx.
In the nasopharynx, there are two
  openings from the eustachian
tubes of the ear, and two openings
 from the posterior nares of the
              nose.
In the oropharnyx is one opening
         from the mouth.
  The pharynx also
 contains 3 pairs of
tissues that are part
   of the lymphatic
        system:
1. the pharyngeal tonsils… the adenoids
2. the palatine tonsils
                          3. the lingual tonsils
         The pharynx has 3 functions:
        1.serves as a passageway for air
       2.serves as a passageway for food
   3. aids in phonation by changing its shape.
                 The larynx, commonly called the
                 voicebox, is located at the upper
                end of the trachea, below the root
                of the tongue and hyoid bone. It is
                   lined with mucous membrane.
The larynx contains vocal
cords, which produce sound.
Short, tense vocal cords produce high notes;
long relaxed vocal cords produce low notes.
                                   Epiglottis
  We can see several of the
  cartilage structures of the                     Thyroid
                                                  cartilage
   larynx in this side view:
1. The thyroid cartilage or
Adam’s apple is usually
larger in the male, allowing
longer vocal cords and
                                                Cricoid
contributing to a deeper male                   cartilage
voice
2. The epiglottis covers the entrance of the
   larynx while swallowing, to avoid choking
3.The cricoid (KRY koid) cartilage contains the
vocal cords
                          The trachea or windpipe is
                           a smooth, muscular tube
                          leading from the larynx to
                              the main bronchi.
                                         C-shaped rings
           Trachea                         of cartilage
                                             provide
Cartilage rings prevent                 protection on the
crushing of the trachea                  front and sides
The trachea is the passageway for air to and from
   the lungs. It is lined with cilia (hairs), which
sweep foreign matter out of the pathway. It is only
  about 1 inch in diameter and 4 ½ inches long.
The bronchi are the
two main branches
at the bottom of the
 trachea, providing
passageway for air
  to the lungs. The
   trachea divides
     into the right
  bronchus and the        As the branches of the
 left bronchus, and     bronchial tree get smaller,
then divides further      the 2 primary bronchi
 into the bronchial     become bronchioles, and
          tree.        then very small alveolar
                            (al VEE ah ler) ducts.
   The left bronchi is
 smaller than the right
bronchi, because room
     is needed to
accommodate the heart.
                     If a foreign body is inhaled
                        or aspirated (drawn by
                      suction), it usually lodges
                      in the larger right bronchi
                      (as shown in this Xray) or
                         enters the right lung.
In the presence of infection, the bronchi sometimes become
       inflamed, resulting in a diagnosis of bronchitis.
The lungs are two spongy organs
    located in the thorax. They
  consist of elastic tissue, filled
  with an interlacing network of
tubes and sacs that carry air and
 blood vessels that carry blood.
                    Each lung is divided into lobes,
                     the right lung into 3 lobes and
                    the left lung into 2. The left lung
                      has an indentation called the
                     cardiac depression or notch…
                       for placement of the heart.
  At the end of each bronchiole
    are the alveoli. The lungs
    contain about 300 million
  alveoli sacs, which are the air
   cells where the exchange of
   oxygen and carbon dioxide
 takes place with the capillaries.
                     .
Deoxygenated blood comes
  in and drops off CO2;
oxygenated blood goes out.
Lined by two types of epithelial cells
Type I cells
Flat Cells With Large Cytoplasmic Extensions
95% of the alveolar epithelial surface area
Type II cells
Granular pneumocytes
Thicker and contain numerous lamellar inclusion bodies
Secrete surfactant
Alveolar repair & other cellular physiology
Specialized cells : pulmonary alveolar macrophages (PAMs, or AMs),
lymphocytes, plasma cells, neuroendocrinecells, and mast cells
Heparin, various lipids, histamine, and various proteases that
participate in allergic reactions
        The base of the lungs rest on the
     diaphragm, a muscular wall separating
     the thorax from the abdominal cavity. It
        is involved in respiration, drawing
          downward in the chest during
     inhalation, and pushing upward during
                    exhalation.
Tidal volume refers to the amount of air
inhaled or exhaled during normal
breathing… about 500 ml.
Total lung capacity is 5800ml in an average
male.
  Pathogens, white
  cells and immune
   proteins present
 during an infection
  may cause the air
   sacs to become
 inflamed and filled
      with fluid.
  This is characteristic of pneumonia. If both lungs
   are involved, it is termed as double pneumonia.
If someone is unconscious, it’s possible to aspirate
stomach contents into the lungs, causing aspiration
                       pneumonia.
                                Vital signs, essential
                            elements for determining
                              an individual’s state of
                                   health, include
                                temperature, pulse,
                               respiration, and blood
                               pressure. A deviation
                             from normal of any or all
                           of the vital signs indicates
The normal respiration     a state of illness, and can
rate for a 5 year old is    be used by the physician
   20-25 breaths per        in a diagnosis, prognosis
 minute; for someone       (prospects of survival and
15 years or older is 15-    recovery), and treatment.
20 breaths per minute.