Note: All the notes provided us from gcvs
recomended book text book of veterinary physiology
Composed, Compiled and Presented by:
MUHAMMAD SAJJAD HUSSAIN
RESPIRATORY
SYSTEM
Respiratory
system is an important system of the body which provides O2 to each
and
every cell and removes CO2 from the blood.
“A
man can live without food for a week and without water for days but can live
only
five minutes without O2.”
► Respiration is a voluntary action but normally it works as
involuntary.
FUNCTIONS
OF RESPIRATORY SYSTEM
Following
are some important functions of the respiratory system.
► It provides oxygen to the tissues and removes carbon
dioxide.
► It helps in phonation (Phonation means voice production).
► It helps in the maintenance of pH of the body.
► It helps in the maintenance of temperature especially in
carnivores because
they
do not have sweat glands, as saliva evaporates from the surface of the
tongue.
► It helps in the removal or excretion of volatile substance
or other gases.
► It helps in water balance in some species of animals
COMPONENTS
OF RESPIRATORY SYSTEM
The
respiratory system starts from nostrils (a long passage provided with hairs),
pharynx,
larynx, trachea, bronchi and bronchioles. At the end of the bronchioles
there
are alveoli.
Trachea: is a
windpipe made up of cartilaginous rings and in between them, smooth
muscles
are there.
Alveoli: These
are air sacs around them are blood capillaries. This capillary system
around
the alveoli is responsible for the exchange of gases. Oxygen diffuses to these
capillaries
from alveoli and carbon dioxide diffuses into the alveoli in a fraction of
seconds.
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MECHANISM
OF RESPIRATION
(How Respiratory System Works?)
Respiration
is of two types;
1)
External Respiration:
Exchange
of gases at alveolar or lungs levels is called external respiration.
2)
Internal Respiration:
Exchange
of gases at tissue or cellular level is called internal respiration.
The
external respiration is also known as ventilation. In the ventilation, the air
freely
comes
into the lungs, exchange here and moves out.
The
process of respiration comprises of inspiration and expiration. These two
processes
collectively known as breathing.
INSPIRATION
The
taking of fresh air into the lungs is called inspiration.
EXPIRATION
The
taking of consumed air out from the lungs is called expiration.
Thoracic
cavity (air tight) always has negative pressure and through phrenic nerve
signals
come to the diaphragm. This diaphragm pushes the abdominal contents
backward
or towards caudal side. Thus, air moves into the lungs from outside
because
longitudinal area is increased. During expiration, abdominal contents move
upside.
During
normal respiration, only diaphragm serve in inspiration and
expiration
but during exercise, only diaphragm is not sufficient, so surface area of
thoracic
cavity (transverse area) should also increase.
This
increase in transverse area is due to movement of ribs and intercostal
muscles.
That’s why arrangement of ribs is so that ends of ribs are somewhat above
than
central.
When
ribs move upward, the area of thoracic cavity is increased. Thus, due to
increase
in surface area air comes into the lungs. Similarly when ribs move
downward
the area of thoracic cavity is decreased due to which air is expelled out
from
the lungs.
There
are two types of breathing as follows:
1.
Abdominal or Diaphragmatic Breathing
It
is a quite normal breathing in which there is a movement of abdomen due to
contraction
or relaxation of diaphragm.
2.
Costal or Thoracic Breathing:
It
is a type of breathing in which there is considerable movement of ribs.
When
there is increased rate of breathing than abdominal movement is not
sufficient
thus, ribs also move.
TERMINOLOGY
Eupnea: Quite normal breathing.
Dyspnea: Difficult breathing.
Apnea: No respiration. It is also known as cessation of
respiration.
Hyperpnea: (Hyper: more) Increased depth or rate of respiration or
both.
Polypnea: Rapid but shallow breathing
RESPIRATORY
VOLUMES AND CAPACITIES
Respiratory
system provides oxygen, removes carbon dioxide according to the body
requirements.
Sometimes body needs less oxygen and some times (esp. during
exercise)
body needs more oxygen. So, in different conditions, volume and capacities
also
vary.
A)
RESPIRATORY VOLUMES
Therefore,
there are following four important respiratory volumes.
i) Tidal Volume
The
volume of air which is inspired or expired during normal respiration or
breathing
OR The volume of air which is inspired during normal inspiration
OR
The volume of air which is expired during normal expiration
ii)
Inspiratory Reserve Volume
The
volume of air which is inspired above and beyond that is inspired during
normal
inspiration.
iii)
Expiratory Reserve Volume
The
volume of air which is expired above and beyond that is expired during
normal
expiration.
iv)
Residual Volume
The
volume of air which remains in lungs after maximum respiratory effort
B)
RESPIRATORY CAPACITIES
There
are following four respiratory capacities;
i) Vital
Capicity
The
maximum volume of air which is expired after maximum inspiration
ii)
Functional Residual Capicity
The
volume of air remaining in the lungs after normal expiration
iii)
Inspiratory Capacity
It
is the maximum inspiration after normal expiration. OR
It
is the volume of air which is inspired maximally after normal expiration.
iv)
Total Lung Capacity
It
is the volume of air contained in the lungs after maximum inspiration.
FRACTIONS
OF INSPIRED AND EXPIRED AIR
Activity
O2 CO2 N2
Inspired
Air 20.93 % 0.03 % 79.04 %
Expired
Air 16.29 % 4.21 % 79.5 %
PRESSURE
RELATIONSHIPS
Intrapulmonic
Pressure
The
pressure inside the lungs is called intrapulmonic pressure.
► This pressure is 760 mmHg. This pressure may vary from -70
to +100 mmHg.
Intrapleural
Pressure
The
pressure outside the lungs (in the pleural cavities) is called intrapleural
pressure.
► This pressure is always negative and ranges from -2 to -10
mmHg, because
pleural
cavity has always –ve pressure in contrast to atmospheric pressure.
This
is very necessary to prevent the lungs from collapse.
FORCED
INSPIRATION
Inspiratory
effort with closed glottis helps in:
i)
Return of blood to the thoracic vena cava.
ii)
Return of lymph to the thoracic cavity
iii)
Helps for vomition, eructation ( ), belching ( ), and
regurgitation
in ruminants.
FORCED
EXPIRATION
Expiratory
effort with closed glottis helps in:
i)
Micturation or urination ( )
ii)
Defecation (to pass through fecal material)
iii)
Expulsion of fetus to birth canal.
ARTIFICIAL
RESPIRATION
Sometime
there is need of artificial respiration in human being as well as in animals.
It
may be due to apnea (cessation of respiration). This condition may be very
serious
and
lead to death.
Q. When
an individual have a need of Artificial Breathing?
This
need may be due to;
► Opening of thoracic cavity
► Electric shock, accident and surgery may be the causes for
a need of art.
Breathing.
► Blow on belly
► Depression of nervous system (esp. of medulla where
respiratory center is
located)
► During anaesthesia
All
these causes may lead to apnea thus these condition may acquire artificial
breathing.
Methods
of Artificial Breathing
Following
are some methods of artificial breathing in animals and humans as well.
Put the animal (e.g. dog) on lateral
recumbency (have flexible thoracic cavity)
Open the mouth of animal and keep the
tongue on as side.
Compress and relax the thoracic cavity
according to the need.
Repeat this process four or five
times
Arm
Chest Lift Method (for human being)
Put the person on ventral recumbency
and put his hand beneath his/her chest.
Come on victim and lift him up with
his arm because thoracic cavity has
negative
(-ve) pressure thus air will move into thoracic cavity or lungs.
Put the victim back, it leads to
expiration. Thus, respiration of victim will
restart.
Mouth to
Mouth Respiration Method (Kiss to Life Method)
Put the person on dorsal recumbency.
Raise the chin, close the nose and
open the mouth
Inflate your own lungs maximally and
blow into the mouth of that person.
Then, suck back (forced expiration)
from the mouth of that person.
Repeat this process again and again
to restore normal respiration.
This
method is very effective in man, dog, cat, and small animals but not applicable
in
large animals.
EXCHANGE
OF GASES
Gases
obey all the laws while exchange in the body. This exchange is either at
alveolar
level or tissue level. Blood unloaded the oxygen and it diffuses into the
tissues.
This diffusion takes place in fraction of seconds and is usually due to
difference
of partial pressure of gases at the exchange sites. From alveoli O2 diffuses
into
the blood and CO2 from
blood to alveoli.
The
gases at the alveolar level have to cross the respiratory membrane.
Components
of Alveolar Membrane
The
respiratory membrane comprises of following six structures;
i)
Endothelial lining
ii)
Capillary basement membrane
iii)
Interstitial fluid
iv)
Alveolar fluid
v)
Alveolar epithelium
vi)
A layer of alveolar surfactants (surfactants break the surface tension)
Factors
Responsible for Gaseous Exchange
Following
are some factors which are responsible for gaseous exchange;
► Permeability of respiratory membrane
► Area of surface in contact
► Partial pressure of gases
► Volume of blood exposed
Loading
and Unloading of Oxygen
There
are some factors which favours the leading the loading and unloading of O2 to
the
hemoglobin. The loading and unloading may be affected by:
1)
Partial pressure of O2 and CO2
2)
Blood pH
3)
Amount of 2,3 diphospho-glycerate (2,3 DPG)
4)
Temperature
Partial
Pressure of O2 and CO2
If
partial pressure of O2 is
higher in alveoli than that of blood, it will favour
unloading
of O2 to Hb.
If partial pressure of CO2 is
higher in blood than that of
alveoli
then, it will favour diffusion of CO2 to alveoli.
2) Blood
pH
If
the pH of blood is low (acidosis) it will decrease the effect of unloading of
O2. It means low pH favours unloading
of O2
3) Temperature
Higher
temperature favours the unloading of O2 to Hb.
4)
Acidity
Acidity
will favour the unloading of O2 at tissue level. At alveolar level, it will
favour
the loading of O2.
5) 2,3,
DPG
More
the concentration of 2,3 DPG will favours the unloading of O2 at tissue
level.
At alveolar level, its more concentration will favour the loading
phenomenon.
6)
Bohr’s Effect
It
states as “Higher the concentration of CO2 decreases the pH or acidity of the
blood”.
This effect favours the unloading of O2.
Partial
pressure of O2:
At
alveolar level: 104mmHg
In
arterial blood: 95 mmHg
At
cellular or tissue level: 40 mmHg
Partial
pressure of CO2
At
alveolar level: 40 mmHg
In
venous blood: 40 mmHg
At
cellular/tissue level: 45 mmHg
ROLE OF
HEMOGLOBIN IN BLOOD
The
amount of hemoglobin (Hb) in the blood is 16 g/100ml of blood.
One
gram of hemoglobin can carry 1.34 ml of O2. Thus, 100ml will carry 19.6ml of O2.
► If Hb will not be responsible to carry O2 then 70 times more water will be
required
to transport the same amount of O2.
Transport
of Oxygen
O2 is transported 97% by hemoglobin (Hb)
and only 3% by dissolving in H2O.
Transport
of Carbon Dioxide
CO2
is transported in three forms in the body as follows;
i)
In the form of CO3-2 ions
ii)
In the form of H2CO3
iv)
In the form of carbonamino hemoglobin.
► Hb has 210 times more affinity for Carbon Monoxide (CO)
than oxygen (O2), thus
when
Hb combines with CO it leads to suffocation.
PATHOPHYSIOLOGY
OF RESPIRATORY SYSTEM
When
a person or animal suffers from some disease of respiratory system, then that
is
the pathophysiology of respiratory system.
Some
serious problems of respiratory system are; TB, Asthma, Pneumonia
Following
terms are frequently used in pathophysiology of respiratory system.
Auscultation
“Listening
of sound is called auscultation”. The sound of the lungs can be listen and
auscultation
is used to differentiate between the normal and abnormal sound of
lungs.
► Now a days, Stethoscope is commonly used for this purpose.
► If a person is suffering from cough, the sound of the
lungs will be like air
flowing
over dry leaves. If there is sputum in the respiratory tract, the sound
will
be dull.
Percussion
“It
is the listening of sound by striking any organ or tissue”. If there is no gas
in the
lungs,
sound will be dull but if there is gas, then the sound will be like drum beat.
Laryngioscopy
“Checking
of respiratory tract with the help of instrument”. In this case, a tube is
inserted
into the tract with a camera.
PROBLEMS
RELATED TO RESPIRATORY SYSTEM
Following
are some common problems related to respiratory system.
EPISTAXIS
“The
nose bleeding is called epistaxis”. The innerside of the nasal cavity is highly
vascular.
Due to high blood pressure, these delicate capillaries are ruptured and
bleeding
occur. This problem is very common in race horses.
Causes
i)
Blow on the nose
ii)
High blood pressure
iii)
This may occur in response to: Inflammation, irritation, deficiency of vitamin
K.
Vitamin
K is very necessary for prothrombin (clotting factor) production in the liver.
Treatment
► Cool down the nose with ice gauze
► Cool down the head
► Take vitamin K in diet
RHINITIS
“Inflammaion
of nasal cavity (esp. nasal lining) is called rhinitis.”
There
is inflammation and sloughing of nasal lining. This is commonly observed in
pigs
because of bacterial infection.
Causes
It
may be in response to bacterial or viral infection. This is known as infectious
rhinitis.
It
may be due to any irritating substances or allergens. This is known as allergic
rhinitis.
PHARYNGITIS
“Inflammation
of pharynx is called pharyngitis”. It is also termed as “sore throat”.
Symptoms
i)
Swelling ii) Redness iii) Pain iv) Irritation v) Difficulty in swallowing and
drinking.
TONSILITIS
”Inflammation
of tonsils is called tonsilitis”.
Causes
Bacterial,
viral or fungal infection or bacterial toxins
Symptoms
i)
irritation ii) Redness iii) Pain iv) Swelling v) Difficulty in swallowing and
drinking.
It
this problem persists for a longer time, pus formation may be seen there.
LARYNGITIS
“Inflammation
of Larynx is called Laryngitis”.
Causes and Symptoms
It may be in response to bacterial,
viral or fungal infection.
If it persists then, there is
difficulty in breathing or no breathing.
Diphtheria may lead to these
symptoms.
TRACHITIS
“Inflammation
of trachea is known as trachitis”.
Symptoms
i)
Redness ii) Irritation iii) Pain iv) Swelling v) Difficulty in breathing and
drinking
BRONCHITIS
“Inflammation
of bronchi or bronchiole is known as bronchitis.”
Symptoms
i)
Irritation ii) Coughing and difficulty in breathing iv) Particularly expiration
is
difficult
iv) Abnormal sound in breathing
Causes
i)
Allergic substances ii) Asthma
PNEUMONIA
“Inflammation
of alveoli (air sac) of the lungs”
Causes and Symptoms
i)
Bacterial, viral or fungal infections
“Aspiration Pneumonia”
If
any fluid or food particle goes in to the respiratory tract or ultimately to
the lungs,
it
leads to aspiration pneumonia.
PLEURITIS
“Inflammation
of pleura or lungs covering is called pleuritis”.
In
response to this infection, there is an Increase in serous fluid is known as
Hydrothorax.
Thus, it leads to infectious pleuritis.
EMPHYSEMA
Air
in subcutaneous tissues or in between alveoli leads to emphysema.
When
air enters in between alveoli, it ruptures the alveoli. Due to rupturing of
alveoli
and
escaping of air (observed in equines), a sound is produced which is known as
“Heaves”.
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