Page 378 - Anatomy and Physiology of Farm Animals, 8th Edition
P. 378

The Respiratory System / 363

                  In normal animals a soft rustling     alveolar air consists of the endothelial cell
                                                        of pulmonary capillaries, a type I squamous
  VetBooks.ir  sound associated with air movements      epithelial cell lining the alveoli, and a fused
               may be heard with a stethoscope.
                                                        basement membrane contributed by both
               Abnormal lungs, for example lungs with
               abnormal amounts of fluid in the air-    cells (Fig. 19‐13). Gases readily move back
               ways, may produce exaggerated sounds     and forth across this very thin and fragile
               termed  rales. Pleuritis (pleurisy), or   structure. Any abnormality that thickens
               inflammation  of  the  pleura,  may  pro-  this barrier (e.g., pulmonary edema with
               duce a rasping sound because of the      an accumulation of extracellular fluid in
               roughened surfaces rubbing together.     the alveolar wall) can greatly reduce the
               Hydrothorax (fluid in the pleural cavity)   efficiency of exchange. Oxygen exchange
               may also result from pleuritis.          is usually affected first because its
                                                        solubility is much less than that of carbon
               Gas Exchange                             dioxide.
                                                           Exchange begins as soon as blood enters
                                                        a pulmonary capillary from pulmonary
               The oxygen and carbon dioxide concentra-  arterial vessels and continues until equilib-
               tions in air can be described in two ways:   rium between alveolar air and plasma is
               partial pressures and percentages. Room   reached. Figure 19‐14 shows typical values
               air is approximately 21% oxygen and 0.3%   for partial pressures of oxygen and carbon
               carbon dioxide. The primary component    dioxide in alveolar air and a pulmonary
               of room air is the inert gas nitrogen (about   capillary. Plasma entering pulmonary cap-
               78%). The partial pressure of an individual   illaries from the pulmonary arteries con-
               gas in a mixture of gases is the product of   tains the highest concentration of carbon
               the percentage of the individual gas in the   dioxide and the lowest of oxygen. Because
               mixture  and the  total  barometric  or   of the continuous gas exchange in the pul-
               atmospheric pressure. Thus, at sea level,   monary capillaries, alveolar air contains
               where atmospheric pressure is 760 mmHg,   less oxygen and more carbon dioxide than
               the partial pressure of oxygen in room air   inspired air (PO  of 160 mmHg and PCO
               is approximately 160 mmHg.               of 0.23 mmHg for inspired air).      2
                                                                       2
                  The partial pressure of an individual gas
                                                           To be most efficient, the rate of pulmo-
               in a mixture is one factor that determines   nary artery blood flow into an area of the
               the amount of the gas that will dissolve in a   lung must be balanced with the rate of air
               liquid (such as blood plasma). The partial   movement in and out of the alveoli in the
               pressure of a gas in a mixture can be viewed   same area. To appreciate the importance of
               as the driving force that moves molecules   this balancing, consider an extreme case in
               of an individual gas from the air into the   which one lung is collapsed so that air move-
               liquid when the liquid is exposed to a gas   ment is impossible, but the collapsed lung
               mixture. Thus, because partial pressures   receives the same amount of blood flow as
               depend on both total atmospheric pressure   the inflated normal lung. The lack of airflow
               and the percentages of individual gases,   in the collapsed lung means that any alveolar
               both of these factors also determine the   air is stagnant and contains high levels of
               amount of an individual gas that can be   carbon dioxide and low levels of oxygen.
               dissolved in a liquid. The unit of measure-  Gas exchange in the collapsed lung does not
               ment of the amount of a gas dissolved in a   occur, and levels of oxygen and carbon diox-
               liquid is in millimeters of mercury.
                                                        ide are the same as those entering. The blood
               Gas Exchange in  the  Lungs.  Gas        exiting the collapsed lung mixes with an
               exchange between the blood and alveolar   equal volume of blood from the intact lung,
               air in the lungs occurs across the walls of   so that blood re‐entering the heart from the
               alveoli. At its thinnest point, the alveolar   pulmonary   circulation is deficient in oxygen
               wall barrier between blood plasma and    and has an excess of carbon dioxide.
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