Respiratory Structure & Function

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Included In This Lesson

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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Concepts Covered:

  • Cardiac Disorders
  • Musculoskeletal Trauma
  • Integumentary Disorders
  • Neurologic and Cognitive Disorders
  • Oncology Disorders
  • EENT Disorders
  • Respiratory Disorders
  • Gastrointestinal Disorders
  • Hematologic Disorders
  • Communication
  • Test Taking Strategies
  • Pregnancy Risks
  • Fundamentals of Emergency Nursing
  • Concepts of Mental Health
  • Basics of NCLEX
  • Prioritization
  • Emotions and Motivation
  • Tissues and Glands
  • Skeletal System
  • Muscular System
  • Nervous System
  • Sensory System
  • Circulatory System
  • Hematologic System
  • Respiratory System
  • Digestive System
  • Urinary System
  • Endocrine System
  • Reproductive System
  • Labor Complications
  • Disorders of Pancreas
  • Eating Disorders
  • Neurological Emergencies
  • Noninfectious Respiratory Disorder
  • Vascular Disorders
  • Upper GI Disorders
  • Lower GI Disorders
  • Liver & Gallbladder Disorders
  • Urinary Disorders
  • Sexually Transmitted Infections
  • Female Reproductive Disorders
  • Renal Disorders
  • Integumentary Disorders
  • Integumentary Important Points
  • Immunological Disorders
  • Shock
  • Endocrine and Metabolic Disorders
  • Musculoskeletal Disorders
  • Musculoskeletal Disorders
  • Neurological Trauma
  • Central Nervous System Disorders – Brain
  • Central Nervous System Disorders – Spinal Cord
  • Peripheral Nervous System Disorders
  • Emergency Care of the Neurological Patient
  • Respiratory Emergencies
  • Infectious Respiratory Disorder
  • Oncologic Disorders
  • Studying
  • Cardiovascular Disorders
  • Basic
  • Adult
  • Pediatric
  • Neonatal
  • Emergency Care of the Trauma Patient
  • Emergency Care of the Cardiac Patient
  • Emergency Care of the Respiratory Patient

Study Plan Lessons

The 5-Minute Assessment (Physical assessment)
General Assessment (Physical assessment)
Integumentary (Skin) Assessment
Neuro Assessment
Head/Neck Assessment
EENT Assessment
Heart (Cardiac) and Great Vessels Assessment
Thorax and Lungs Assessment
Abdomen (Abdominal) Assessment
Lymphatic Assessment
Peripheral Vascular Assessment
Musculoskeletal Assessment
Genitourinary (GU) Assessment
Communicating with Patients
SATA
Absolute Words
Nursing Process
What do you want me to know?
Duplicate Facts
Repeating Words
Denying Feelings
NCLEX® Question Traps
Opposites
Same
Priority
Acute vs Chronic
Hierarchy of O2 Delivery
Nutrition Assessments
Abuse
Therapeutic Communication
Nurse-Patient Relationship
Thinking Like a Nurse
Critical Thinking
Prioritization
Triage
Maslow’s Hierarchy of Needs in Nursing
Overview of the Nursing Process
Skin Structure & Function
Skeletal Anatomy
Bone Structure
Development of Bones
Joints
Muscle Anatomy (anatomy and physiology)
Muscle Cytology
Skeletal Muscle
Muscle Contraction
Muscle Physiology
Nervous System Anatomy
Membrane Potentials
Nerve Transmission
Autonomic Nervous System (ANS)
Spinal Cord
Cranial Nerves
Sensory Basics
Intro to Circulatory System
The Heart
Cardiac Cycle
Electrical Activity in the Heart
Cardiac (Heart) Physiology
Blood Vessels
Blood Pressure (BP) Control
Blood Plasma
Blood Grouping
Vessels & Fluid
Respiratory Structure & Function
Breathing Movements
Breathing Control
Respiratory Functions of Blood
Digestive System Anatomy
Mouth & Oropharynx
Esophagus
Stomach Video
Small Intestine
Large Intestine
Liver & Gallbladder
Urinary System Anatomy (Anatomy and Physiology)
Renal (Kidney) Structure & Function
Renin Angiotensin Aldosterone System (RAAS)
Formation & Excretion of Urine
Renal (Kidney) Fluid & Electrolyte Balance
Renal (Kidney) Acid-Base Balance
Pituitary Gland
Thyroid Gland
Adrenal Gland
Pancreas
Male Reproductive Anatomy (Anatomy and Physiology)
Female Reproductive Anatomy (Anatomy and Physiology)
Epithelial (Skin) Tissues
Types of Epithelial (Skin) Tissue
Glands
Connective Tissues
Membranes
Fluid Compartments
Fluid Pressures
Fluid Shifts (Ascites) (Pleural Effusion)
Isotonic Solutions (IV solutions)
Hypotonic Solutions (IV solutions)
Hypertonic Solutions (IV solutions)
Potassium-K (Hyperkalemia, Hypokalemia)
Sodium-Na (Hypernatremia, Hyponatremia)
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Chloride-Cl (Hyperchloremia, Hypochloremia)
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Phosphorus-Phos
Heart (Cardiac) Sound Locations and Auscultation
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Aortic Aneurysm
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
GERD (Gastroesophageal Reflux Disease)
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)
Nursing Care and Pathophysiology for Menopause
Nursing Care and Pathophysiology of Glomerulonephritis
Pressure Ulcers/Pressure injuries (Braden scale)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Skin Cancer
Integumentary (Skin) Important Points
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Breast Cancer
Diabetes Management
Nursing Care and Pathophysiology for Sepsis
Fluid Volume Deficit
Fluid Volume Overload
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology for Compartment Syndrome
Fractures
Casting & Splinting
Impulse Transmission
Cerebral Metabolism
Blood Brain Barrier (BBB)
Levels of Consciousness (LOC)
Routine Neuro Assessments
Adjunct Neuro Assessments
Brain Death v. Comatose
Intracranial Pressure ICP
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Parkinsons
Miscellaneous Nerve Disorders
Tension and Cluster Headaches
Migraines
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Stroke Assessment (CVA)
Stroke Therapeutic Management (CVA)
Stroke Nursing Care (CVA)
Seizure Causes (Epilepsy, Generalized)
Seizure Assessment
Seizure Therapeutic Management
Nursing Care and Pathophysiology for Seizure
Neurological Fractures
Spinal Cord Injury
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology of Pneumonia
Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)
Coronavirus (COVID-19) Nursing Care and General Information
Artificial Airways
Airway Suctioning
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Pulmonary Embolism
Lung Sounds
Alveoli & Atelectasis
Gas Exchange
Wound Care – Assessment
Aortic Aneurysm – Management Nursing Mnemonic (CRAM)
Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)
Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)
Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Cyanotic Defects Nursing Mnemonic (The 4 T’s)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Increase MAP Nursing Mnemonic (VAK)
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)
Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)
Digestion & Absorption
Nutrition-related Diseases
CPR-BLS (Basic Life Support)
Advanced Cardiovascular Life Support (ACLS)
Pediatric Advanced Life Support (PALS)
Neonatal Resuscitation Program (NRP)
Prioritizing Assessments
Triage in the ER
Critical Incident Management
Aggressive & Violent Patients
Legal & Ethical Issues in ER
EMTALA & Transfers
Trauma Survey
Blunt Thoracic Trauma
Penetrating Thoracic Trauma
Blunt Abdominal Trauma
Penetrating Abdominal Trauma
Crush Injuries
Head Trauma & Traumatic Brain Injury
Massive Transfusion Protocol
Acute Coronary Syndrome (ACS)
Aneurysm & Dissection
Cardiopulmonary Arrest
Dysrhythmia Emergencies
Heart (Heart) Failure Exacerbation
Hypertensive Emergency
Arterial Pressure Monitoring
Rapid Sequence Intubation
Pulmonary Embolism
Acute Respiratory Distress
Ventilator Settings
Acute Confusion
Intracranial Hemorrhage
Increased Intracranial Pressure
Stroke (CVA) Management in the ER
Seizure Management in the ER
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)