Respiratory Structure & Function

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Study Tools For Respiratory Structure & Function

Upper Respiratory System (Image)
Alveoli Anatomy (Image)
Respiratory Anatomy (Image)
Gas Exchange (Cheatsheet)
Respiratory Anatomy (Picmonic)
Respiratory Tract Anatomy (Cheatsheet)
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Outline

Overview

  1. Terminology
    1. External respiration
      1. O2/CO2 exchange between blood and external environment
      2. Occurs in lungs at microscopic level
    2. Internal respiration
      1. O2/CO2 exchange between blood and body tissues/cells
    3. Cell respiration
      1. Series of complex biochemical reactions
        1. Krebs cycle
        2. Electron transport system
        3. Oxidative phosphorylation
      2. All these things involved in consumption of O2 and production of CO2
    4. Inspiration (inhalation)
      1. Pulling of air from environment into lungs
    5. Expiration (exhalation)
      1. Forcing air out of lungs to external environment

Nursing Points

General

  1. Location: head, neck, and thoracic cavity
    1. Head & Neck
      1. Oral/Nasal passages
      2. Pharynx → trachea
    2. Thoracic cavity
      1. Walls – rib cage and intercostal muscles
      2. Floor – diaphragm
        1. Skeletal muscle
        2. Innervation – L & R phrenic nerves
  2. Pathway of air
    1. Upper respiratory tract
      1. Nostrils → L&R nasal cavities (humidified, filtered, mixed) → nasopharynx (upper throat) → oropharynx (throat) → laryngopharynx
    2. Lower respiratory tract
      1. Larynx (voice box)
        1. Composition
          1. Thyroid cartilage (largest)
          2. Cricoid cartilage
        2. Epiglottis
          1. Closes opening of windpipe when swallowing
        3. Rima glottis – opening to trachea
          1. Surrounded by vocal cords
      2. Trachea
        1. Outer wall
          1. “C”-shaped cartilage rings to keep trachea open at all times
          2. Smooth muscle
      3. Primary bronchi (2)
        1. Supply left and right lungs
        2. Structure identical to that of trachea
      4. Secondary bronchi (5)
        1. Same structure of trachea but smaller
        2. Supply lobes of lungs
          1. 3 right
          2. 2 left
      5. Tertiary bronchi
        1. Cartilage rings become plates
      6. Bronchioles
        1. No cartilage—all smooth muscle
      7. Alveolar ducts
        1. Supply alveolar sacs
      8. Alveolar sacs
        1. Composed of many alveoli
      9. Alveoli
        1. Outer surface entirely covered by blood capillaries
        2. Site of external respiration in lungs
        3. Fluid on inner surface
          1. Surfactant
            1. Protein
            2. Phospholipid
            3. Function:
              1. To prevent alveoli from collapsing
        4. Macrophages inside alveoli to remove foreign particulates

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Transcript

Alright guys, in this lesson we’re going to talk about the general structure and function of the respiratory system.

Before we look at specifics, I want to talk about some general terminology that you will need to know as you’re going through these respiratory lessons. We are going to use this terminology a lot so I want to make sure that you understand what it is that we’re talking about. First, is respiration. Anytime you see the word respiration I want you to think gas exchange. So there are three types of respiration. External respiration occurs in the lungs. This is when our bodies are exchanging oxygen and carbon dioxide with the outside world. So we breathe in the oxygen and breathe out the carbon dioxide. That exchange process that occurs in the lungs is called external respiration, and we will talk about it a little bit more in just a minute. Internal respiration is the exchange of gases within the tissues. So this time we are taking the oxygen to the tissues to drop it off and we’re picking up carbon dioxide from the tissues to take it back to the lungs to be exhaled. So that exchange of oxygen for carbon dioxide in the tissues is called internal respiration. And then we have cell respiration. Cell respiration still involves seeing oxygen and carbon dioxide switch, but instead what’s happening is the cells are using the oxygen and then making carbon dioxide during their metabolic processes. All of this is one big cycle. We bring in oxygen through our lungs with external respiration, we take that oxygen to the tissues in internal respiration, then the cells use that oxygen in cell respiration. During that process, our cells make carbon dioxide, then we exchange that Carbon dioxide back into the blood and take it to the lungs where external respiration helps to get the carbon dioxide out of our bodies.

Lastly let’s define the difference between inspiration and expiration. Inspiration or inhalation is the process of pulling air into the lungs so that all of the rest of these processes can happen. Expiration or exhalation is forcing the air out of the lungs and back out to the external environment. So basically, breathing in, and breathing out. Make sure that you check out the breathing movements lesson to understand how we do that.

So let’s talk about the location of the respiratory system. We have both an upper respiratory tract and a lower respiratory tract. So, in the head and neck we see the upper respiratory tract. We have the oral and nasal passageways that lead back to the pharynx, which is the back of the throat. Then that leads into the trachea, which starts the lower respiratory tract. so, as the air comes in nasal passages against humidified filtered and mixed within the nostril then comes back through the nasopharynx oropharynx and laryngopharynx before it gets to the lower respiratory tract. You’ll notice this tube back here is the esophagus. There is a small piece of tissue here called the epiglottis that will cover the trachea when we swallow to make sure that if food goes down the right tube. We all know how it feels when the food doesn’t go down the right tube, right!?

Now, we will look at the lower respiratory tract in more detail in just a second, but what I want you to know is that the whole thoracic cavity is also involved in respiratory function. So the walls of the thoracic cavity are made up of the rib cage and the intercostal muscles, and the floor of the thoracic cavity is made of the diaphragm which is this red muscle that you see here. It is skeletal muscle that had innervations from the phrenic nerve. A fun fact here is that it is a skeletal muscle, therefore it is voluntary. However, the nerve signals sent from the phrenic nerve telling us to breathe are not always voluntary. Which is actually a good thing – that’s how we keep breathing when we’re asleep and not thinking about it! Again, check out the breathing movements lesson to see more on how these muscles get involved.

So, now let’s look at the lower respiratory tract! We saw how the pharynx brings the air down to the trachea, right? Before it gets into the trachea it has to go through the larynx or the voice box. The larynx is made up of the thyroid and cricoid cartilage. Just inside the larynx is where we find our vocal cords. Once the air passes pasta lyrics it enters the trachea. all of the air passages from here down are made up of smooth muscle. The trachea also contains c-shaped cartilage rings to help the trachea keep its shape and stay open at all times. So, when I say c-shaped that means it has a little opening on the posterior side that allows for a little bit of flexibility. the trachea then splits off into the left and right primary bronchi. bees have the same exact structure at the trachea they are just a little bit smaller. Then the primary bronchi split into the secondary bronchi. Again, same structure, just smaller. On the left, there are two secondary bronchi for the two lobes. And, on the right, we have three secondary bronchi because we have 3 lobes. You can’t actually see the third one here. The secondary bronchi then split into smaller tertiary bronchi to reach the farther areas of the lungs and now instead of rings, the cartilage is only present in plates. It still gives it a little bit of stability, but it isn’t as rigid. From there the passages split into many tiny bronchioles, which then branch into the alveolar ducts. That’s where we find our alveoli in the alveolar sacs. As you can see here, the alveolar sacs are surrounded by blood vessels and that’s how gas exchange happens.

Now, we have a whole lesson on gas exchange in the respiratory system, but I just want to give you a quick overview. Remember each alveoli is surrounded by blood vessels. The deoxygenated blood comes in and releases the CO2 into the alveoli to be exhaled, and the oxygen diffuses into the blood to be taken out to the body – this is that external respiration we were talking about. Important things to know about the alveoli is that there’s a fluid on the internal surface called surfactant that helps to keep the alveoli open and keep them from collapsing. There are also macrophages, which are a type of white blood cell, inside the alveoli to help protect us from foreign particles in the air. Again, check out the gas exchange and alveoli lessons in the respiratory course to learn more details.
So, let’s recap. Make sure you know the terminology – external versus internal versus cellular respiration – they all involve exchange of O2 and CO2, just in different locations. And of course, remember inspiration and expiration is the process of breathing in and out. We find the respiratory system in the head, neck, and thoracic cavity. The air flows from the upper respiratory tract – the oral and nasal passages plus the pharynx – into the lower respiratory tract – the trachea, bronchi, bronchioles, and then the alveoli. This is where gas exchange occurs – that’s our external respiration. And remember that the alveoli are held open with surfactant and have macrophages to try to protect us from foreign particles in the air.

So that’s the basic structure and function of the respiratory system. Make sure you check out the images and resources attached to this lesson, as well as the lessons on breathing movements, breathing control, and the respiratory functions of blood. Now, go out and be your best selves today. And, as always, happy nursing!

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Study Plan Lessons

Adult Vital Signs (VS)
Nursing Care Plan (NCP) for Infection
Nursing Care Plan (NCP) for Impaired Gas Exchange
Vitals (VS) and Assessment
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Anxiety
ABGs Nursing Normal Lab Values
Adult Vital Signs (VS)
Congestive Heart Failure Concept Map
Congestive Heart Failure (CHF) Labs
Critical Thinking
Fluid Volume Overload
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart (Heart) Failure Exacerbation
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Heart Failure Case Study (45 min)
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Isotonic Solutions (IV solutions)
Hypertonic Solutions (IV solutions)
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Respiratory Failure
Time Management
Pleural Effusion for Certified Emergency Nursing (CEN)
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care and Pathophysiology for Cardiogenic Shock
Nitroglycerin (Nitrostat) Nursing Considerations
Disease Specific Medications
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Defects of Decreased Pulmonary Blood Flow
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
Cataracts
Day in the Life of an Operating Room Nurse
Day in the Life of a Peds (Pediatric) Nurse
Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Intraoperative Nursing Priorities
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
NRSNG Live | So You Want to be a Surgical Nurse?
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Respiratory Failure
Nutrition Assessments
Perioperative Nursing Roles
Perioperative Nursing Course Introduction
Postoperative (Postop) Complications
Post-Anesthesia Recovery
Preoperative (Preop) Nursing Priorities
Preoperative (Preop)Assessment
Preoperative (Preop) Education
Procedural Terminology
Sterile Field
Surgical Incisions & Drain Sites
Surgical Prep
Strabismus
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Ventilator Settings
Intraoperative (Intraop) Complications
Informed Consent
General Anesthesia
Crash Cart
CRNA
Advanced Cardiovascular Life Support (ACLS)
Dark Skin: IV Insertion
Flight Nurse
Finding Your First Nursing Job as a New Grad
Goal Setting
Head to Toe Nursing Assessment (Physical Exam)
ICU Nurse Report to Floor Nurses
ICU Nurse Report to OR (Operating)Team
Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)
Hypovolemic Shock Case Study (OB sim) (60 min)
Intake and Output (I&O)
Introduction to Health Assessment
Interviewing for Nursing School
IV Drip Administration & Safety Checks
Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)
Levels of Consciousness (LOC)
Lung Sounds
Life Support Review Course Introduction
Male Reproductive Anatomy (Anatomy and Physiology)
Maslow’s Hierarchy of Needs in Nursing
Menstrual Cycle
Moderate Sedation
Neuro Assessment
Neuro Terminology
Nursing Care and Pathophysiology for Asthma
Nursing Care Delivery Models
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Infection
Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye
Nursing Care Plan (NCP) for Influenza
Nursing Care Plan (NCP) for Migraines
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Suicidal Behavior Disorder
Nursing Care Plan for Macular Degeneration
Nursing Case Study for Pediatric Asthma
OLD CARTS Mnemonic (OLD CARTS)
NURSING.com Assessment & Skills Checks
Phases of Nurse-Client Relationship
Pharmacology Course Introduction
R – Real-Life
Questions To Ask Before Applying To A Nursing Program
Respiratory Structure & Function
Surgical Incisions & Drain Sites
Surgical Counts for Certified Perioperative Nurse (CNOR)
Test Taking Course Introduction
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Tuberculosis (TB) Case Study (60 min)
Process of Labor – Mom Nursing Mnemonic (4 P’s)
Prealbumin (PAB) Lab Values
Pictures
Personality Disorders
Pediatric Advanced Life Support (PALS)
Patients with Communication Difficulties
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for Decreased Cardiac Output
NRSNG Live | How to Pass Any Nursing School Test
NRSNG Live | My Super Secret Note Taking Method
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
NRSNG Live | The Successful State of Mind
NRSNG Live | What Your Nursing Professors Want to Tell You But Can’t
Insulin Drips
How to Write a Nursing Care Plan
High-Risk Behaviors
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Heart (Cardiac) Failure Therapeutic Management
Fundal Height Assessment for Nurses
Emergency Drugs Nursing Mnemonic (LEAN)
Drawing Blood from the IV
Drawing Pictures
Disease Specific Medications
Disasters & Bioterrorism
Day in the Life of a NICU Nurse
Day in the Life of an ICU (Intensive Care Unit) Nurse
Congestive Heart Failure (CHF) Labs
Communication of Patient Outcomes (Continuum of Care) for Certified Perioperative Nurse (CNOR)
Common Pathogens for UTI Nursing Mnemonic (KEEPS)
Cognitive Impairment Disorders
Cataracts
Cardiopulmonary Arrest
Cardiac Terminology
Cardiac Cycle
Cardiac Anatomy
Cardiac (Heart) Physiology
Body System Assessments
Blood Flow Through The Heart
Blood Pressure (BP) Control
Attention Deficit Hyperactivity Disorder (ADHD)
Advocating For Your Patient
Advanced Cardiovascular Life Support (ACLS)
3rd Degree AV Heart Block (Complete Heart Block)
2nd Degree AV Heart Block Type 2 (Mobitz II)
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
Documentation Basics
Trusting your Gut
Overview of the Nursing Process
Nursing Process – Diagnose
Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Infection
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Syncope (Fainting)
Goal Setting
Hygiene
How to Write A Nursing Progress Note
How to Write a Nursing Care Plan
Health Promotion Assessments
Intraoperative Nursing Priorities
Hypertension (HTN) Concept Map
Maslow’s Hierarchy of Needs in Nursing
MSN (Masters) vs. DNP (Doctorate)
Nurse-Patient Relationship
Nursing Process – Plan
Nursing Process – Evaluate
Our Goals for Teaching
Nursing School Application Essay
Pain and Nonpharmacological Comfort Measures
Perioperative Nursing Roles
Phases of Nurse-Client Relationship
Preoperative (Preop) Nursing Priorities
Preoperative (Preop)Assessment
Program Planning
Purpose of Nursing Care Plans
Self Concept
Identifying Interventions per Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Health Promotion & Disease Prevention
Health Promotion Model
Erikson’s Theory of Psychosocial Development
Continuity of Care
Community Health Education
Communicating with Other Nurses
Depression Concept Map
Disease Specific Medications
Advocating For Your Patient
Access to Care
Breast Cancer Concept Map
Intro to Community Health
Depression Concept Map
Congestive Heart Failure Concept Map
Concept Map Course Introduction
Head to Toe Nursing Assessment (Physical Exam)
Maslow’s Hierarchy of Needs in Nursing
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Program Planning
Sepsis Concept Map
Stroke Concept Map
Hypertension (HTN) Concept Map
Drawing Pictures
Body System Assessments
Bowel Obstruction Concept Map
Blood Pressure (BP) Control
Asthma Concept Map
Aneurysm & Dissection
Amputation Concept Map
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
Tuberculosis for Certified Emergency Nursing (CEN)
Tuberculosis (TB) Case Study (60 min)
TB Drugs Nursing Mnemonic (RIPE)
Respiratory Infections Module Intro
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care and Pathophysiology for Tuberculosis (TB)
Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)
Isolation Precaution Types (PPE)
Communicable Diseases
Anti-Infective – Antitubercular
Airborne Precaution Diseases Nursing Mnemonic (MTV)
Casting & Splinting
Care of Vulnerable Populations
Complications of Immobility
Head to Toe Nursing Assessment (Physical Exam)
Mechanical Aids
Mobility & Assistive Devices
Musculoskeletal Terminology
Introduction to Health Assessment
Fractures
Preload and Afterload
Sympatholytics (Alpha & Beta Blockers)
Heart Failure Case Study (45 min)
Congestive Heart Failure Concept Map