2/24/2024 0 Comments Apex physiological dead spacePredict: (A) Will the patient's tidal volume be affected by the disease, and if so, in what manner? (B) Will the patient's physiological dead space change, and if so, in what manner? Assume you are healthy: When you inhale, the sheet of muscle responsible for most of this inspiration is called the diaphragm. These problems are discussed further in Chapter 40 in relation to pulmonary gaseous exchange and in Chapter 43 in relation to certain pulmonary diseases.SOLVED: What structures are NOT considered part of the anatomical dead space in the airways/lungs? Which part(s) are involved in the exchange between air and blood? Emphysema is characterized by the dilation of alveolar spaces, destruction of alveolar walls, increased compliance, and loss of elastance. In a normal person, the anatomical and physiological dead spaces are nearly equal because all alveoli are functional in the normal lung, but in a person with partially functional or nonfunctional alveoli in some parts of the lungs, the physiological dead space may be as much as 10 times the volume of the anatomical dead space, or 1 to 2 liters. When the alveolar dead space is included in the total measurement of dead space, this is called the physiological dead space, in contradistinction to the anatomical dead space. Therefore, from a functional point of view, these alveoli must also be considered dead space. On occasion, some of the alveoli are nonfunctional or only partially functional because of absent or poor blood flow through the adjacent pulmonary capillaries. The method just described for measuring the dead space (see slide 36) measures the volume of all the space of the respiratory system other than the alveoli and their other closely related gas exchange areas this space is called the anatomic dead space.
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