PSIO 532 Study Guide - Midterm Guide: External Intercostal Muscles, Trachea, Perfusion

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27 May 2018
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PSL Respiratory Physiology
Ventilation/Perfusion Inequality
Gas Exchange Ventilation/Perfusion Inequality
Ventilation-perfusion ratio decreases from the top to the bottom of the lung
We know that as we go from the top of the lung to the bottom, our ventilation is
greater at the bottom of the lung; the alveoli are more distended at FRC at top of the
lung they are at different points of the compliance curve
When we have that change from -5 to -7 mmHg of the intrapleural pressure (diaphragm
and external intercostal muscles contract and chest wall moves upward and outward
and diaphragm descends downward) the amount of volume that enters in the alveoli
for that change in pressure is LESS at the top of the lung compared to the bottom of
the lung
o This is how we have greater ventilation at the bottom of the lung??
o Top of the lung: High Ventilation/perfusion = mainly because there is little
perfusion at the top of the lung mainly because of gravity. Intrapleural pressure
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