\documentclass[10pt,a4paper]{article} % Packages \usepackage{fancyhdr} % For header and footer \usepackage{multicol} % Allows multicols in tables \usepackage{tabularx} % Intelligent column widths \usepackage{tabulary} % Used in header and footer \usepackage{hhline} % Border under tables \usepackage{graphicx} % For images \usepackage{xcolor} % For hex colours %\usepackage[utf8x]{inputenc} % For unicode character support \usepackage[T1]{fontenc} % Without this we get weird character replacements \usepackage{colortbl} % For coloured tables \usepackage{setspace} % For line height \usepackage{lastpage} % Needed for total page number \usepackage{seqsplit} % Splits long words. %\usepackage{opensans} % Can't make this work so far. Shame. Would be lovely. \usepackage[normalem]{ulem} % For underlining links % Most of the following are not required for the majority % of cheat sheets but are needed for some symbol support. \usepackage{amsmath} % Symbols \usepackage{MnSymbol} % Symbols \usepackage{wasysym} % Symbols %\usepackage[english,german,french,spanish,italian]{babel} % Languages % Document Info \author{zpms1207} \pdfinfo{ /Title (respiratory-system.pdf) /Creator (Cheatography) /Author (zpms1207) /Subject (Respiratory System Cheat Sheet) } % Lengths and widths \addtolength{\textwidth}{6cm} \addtolength{\textheight}{-1cm} \addtolength{\hoffset}{-3cm} \addtolength{\voffset}{-2cm} \setlength{\tabcolsep}{0.2cm} % Space between columns \setlength{\headsep}{-12pt} % Reduce space between header and content \setlength{\headheight}{85pt} % If less, LaTeX automatically increases it \renewcommand{\footrulewidth}{0pt} % Remove footer line \renewcommand{\headrulewidth}{0pt} % Remove header line \renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit % This two commands together give roughly % the right line height in the tables \renewcommand{\arraystretch}{1.3} \onehalfspacing % Commands \newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour \newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols \newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns \newcommand{\tn}{\tabularnewline} % Required as custom column type in use % Font and Colours \definecolor{HeadBackground}{HTML}{333333} \definecolor{FootBackground}{HTML}{666666} \definecolor{TextColor}{HTML}{333333} \definecolor{DarkBackground}{HTML}{32A2ED} \definecolor{LightBackground}{HTML}{F2F9FD} \renewcommand{\familydefault}{\sfdefault} \color{TextColor} % Header and Footer \pagestyle{fancy} \fancyhead{} % Set header to blank \fancyfoot{} % Set footer to blank \fancyhead[L]{ \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{C} \SetRowColor{DarkBackground} \vspace{-7pt} {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}} } \end{tabulary} \columnbreak \begin{tabulary}{11cm}{L} \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Respiratory System Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{zpms1207} via \textcolor{DarkBackground}{\uline{cheatography.com/147948/cs/32198/}}} \end{tabulary} \end{multicols}} \fancyfoot[L]{ \footnotesize \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{LL} \SetRowColor{FootBackground} \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}} \\ \vspace{-2pt}zpms1207 \\ \uline{cheatography.com/zpms1207} \\ \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}} \\ \vspace{-2pt}Published 27th May, 2022.\\ Updated 27th May, 2022.\\ Page {\thepage} of \pageref{LastPage}. \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}} \\ \SetRowColor{white} \vspace{-5pt} %\includegraphics[width=48px,height=48px]{dave.jpeg} Measure your website readability!\\ www.readability-score.com \end{tabulary} \end{multicols}} \begin{document} \raggedright \raggedcolumns % Set font size to small. Switch to any value % from this page to resize cheat sheet text: % www.emerson.emory.edu/services/latex/latex_169.html \footnotesize % Small font. \begin{multicols*}{2} \begin{tabularx}{8.4cm}{x{2.56 cm} x{5.44 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Lung Anatomy}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{Occupy all of the thoracic cavity {\emph{except}} mediastinum} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} {\bf{Root}} & site of vascular, bronchial attachments \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} {\bf{Costal surface}} & anterior, lateral, posterior surfaces \tn % Row Count 6 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Structures of the Lungs}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{8.4cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/zpms1207_1653615189_Screen Shot 2022-05-27 at 11.32.23 am.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{2.72 cm} x{5.28 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Upper Respiratory Tract}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{{\emph{conduction, filtration, humidification and warming of inhaled air}}} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} {\bf{Nasal Cavity}} & Nasal conchae, nasal vestibule, nostril \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} {\bf{Paranasal Sinuses}} & Maxillary, frontal, sphenoidal and ethmoidal sinuses \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} {\bf{Pharynx}} & Nasopharynx, oropharynx, laryngopharynx \tn % Row Count 8 (+ 2) % Row 4 \SetRowColor{LightBackground} {\bf{Larynx (superior)}} & Vocal cords, epiglottis, vestibular fold, thyroid cartilage, vocal fold, cricoid cartilage, thyroid gland \tn % Row Count 13 (+ 5) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{2.16 cm} x{5.84 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Lower Respiratory Tract}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{{\emph{conduction, gas exchange}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} {\bf{Trachea}} & cervical, thoracic \tn % Row Count 3 (+ 2) % Row 2 \SetRowColor{LightBackground} {\bf{Bronchi}} & left primary bronchus, right primary bronchus \tn % Row Count 5 (+ 2) % Row 3 \SetRowColor{white} {\bf{Bronchioles}} & respiratory bronchiole, terminally bronchiole, alveoli \tn % Row Count 7 (+ 2) % Row 4 \SetRowColor{LightBackground} {\bf{Lungs}} & left lung, right lung (larger) \tn % Row Count 9 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Functional Anatomy}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Respiratory zone: site of gas exchange}} & Microscopic structures: respiratory bronchioles, alveolar, ducts, alveoli \tn % Row Count 4 (+ 4) % Row 1 \SetRowColor{white} {\emph{Alveoli}} & \textasciitilde{}300 million alveoli account for most of the lungs' volume, {\bf{{\emph{main site for gas exchange}}}} \tn % Row Count 9 (+ 5) % Row 2 \SetRowColor{LightBackground} & Surrounded by fine elastic fibres \tn % Row Count 11 (+ 2) % Row 3 \SetRowColor{white} & Contain open pores that connect adjacent alveoli, allow air pressure throughout lung to be equalised \tn % Row Count 16 (+ 5) % Row 4 \SetRowColor{LightBackground} & House alveolar macrophages that keep alveolar surfaces sterile \tn % Row Count 20 (+ 4) % Row 5 \SetRowColor{white} {\bf{Conducting zone}} & Conduits to gas exchange sites \tn % Row Count 22 (+ 2) % Row 6 \SetRowColor{LightBackground} & {\emph{Includes all other respiratory structures}} \tn % Row Count 25 (+ 3) % Row 7 \SetRowColor{white} {\emph{Trachea}} & Windpipe: from larynx into mediastinum \tn % Row Count 27 (+ 2) % Row 8 \SetRowColor{LightBackground} & Wall composed of 3 layers: mucosa, submucosa, adventitia \tn % Row Count 30 (+ 3) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Functional Anatomy (cont)}} \tn % Row 9 \SetRowColor{LightBackground} & Carina: Last tracheal cartilage, point where trachea branches into two bronchi \tn % Row Count 4 (+ 4) % Row 10 \SetRowColor{white} {\emph{Conducting zone structures}} & Trachea\{\{fa-arrow-right\}\}right and left primary bronchi \tn % Row Count 7 (+ 3) % Row 11 \SetRowColor{LightBackground} & Primary bronchus\{\{fa-arrow-right\}\}secondary bronchi\{\{fa-arrow-right\}\}3rd, 4th etc. \tn % Row Count 12 (+ 5) % Row 12 \SetRowColor{white} & Bronchioles: \textless{} 1mm diameter \tn % Row Count 14 (+ 2) % Row 13 \SetRowColor{LightBackground} & Terminal bronchioles: \textless{} 0.5mm diameter \tn % Row Count 16 (+ 2) % Row 14 \SetRowColor{white} {\bf{Respiratory muscles}} & Diaphragm and other muscles that promote ventilation \tn % Row Count 19 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{p{0.76 cm} x{3.648 cm} x{3.192 cm} } \SetRowColor{DarkBackground} \mymulticolumn{3}{x{8.4cm}}{\bf\textcolor{white}{Respiratory Volumes}} \tn % Row 0 \SetRowColor{LightBackground} & {\bf{Adult Male average}} & {\bf{Adult Female average}} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{3}{x{8.4cm}}{{\bf{Tidal volume (TV)}}} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} & 500mL & 500mL \tn % Row Count 4 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{3}{x{8.4cm}}{{\emph{amount of air inhaled/exhaled each breath at rest}}} \tn % Row Count 6 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{3}{x{8.4cm}}{{\bf{Inspiratory reserve volume (IRV)}}} \tn % Row Count 7 (+ 1) % Row 5 \SetRowColor{white} & 3100mL & 1900mL \tn % Row Count 8 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{3}{x{8.4cm}}{{\emph{amount of air during forceful inhalation after normal TV}}} \tn % Row Count 10 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{3}{x{8.4cm}}{{\bf{Expiratory reserve volume (ERV)}}} \tn % Row Count 11 (+ 1) % Row 8 \SetRowColor{LightBackground} & 1200mL & 700mL \tn % Row Count 12 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{3}{x{8.4cm}}{{\emph{amount of air during forceful exhalation after normal TV exhalation}}} \tn % Row Count 14 (+ 2) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{3}{x{8.4cm}}{{\bf{Residual volume (RV)}}} \tn % Row Count 15 (+ 1) % Row 11 \SetRowColor{white} & 1200mL & 1100mL \tn % Row Count 16 (+ 1) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{3}{x{8.4cm}}{{\emph{amount of air remaining in lungs after forced exhalation}}} \tn % Row Count 18 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}---} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{p{0.76 cm} x{3.648 cm} x{3.192 cm} } \SetRowColor{DarkBackground} \mymulticolumn{3}{x{8.4cm}}{\bf\textcolor{white}{Respiratory Capacities}} \tn % Row 0 \SetRowColor{LightBackground} & {\bf{Adult Male average}} & {\bf{Adult Female average}} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{3}{x{8.4cm}}{{\bf{Total lung capacity (TLC)}}} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} & 6000mL & 4200mL \tn % Row Count 4 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{3}{x{8.4cm}}{{\emph{max amount of air contained in lungs after max inspiratory effort: TLC = TV+IRV+ERV+RV}}} \tn % Row Count 6 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{3}{x{8.4cm}}{{\bf{Vital capacity (VC)}}} \tn % Row Count 7 (+ 1) % Row 5 \SetRowColor{white} & 4800mL & 3100mL \tn % Row Count 8 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{3}{x{8.4cm}}{{\emph{max amount of air that can be expired after max inspiratory effort: VC = TV+IRV+ERV}}} \tn % Row Count 10 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{3}{x{8.4cm}}{{\bf{Inspiratory capacity (IC)}}} \tn % Row Count 11 (+ 1) % Row 8 \SetRowColor{LightBackground} & 3600mL & 2400mL \tn % Row Count 12 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{3}{x{8.4cm}}{{\emph{max amount of air that can be inspired after normal expiration: IC = TV+IRV}}} \tn % Row Count 14 (+ 2) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{3}{x{8.4cm}}{{\bf{Functional residual capacity (FRC)}}} \tn % Row Count 15 (+ 1) % Row 11 \SetRowColor{white} & 2400mL & 1800mL \tn % Row Count 16 (+ 1) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{3}{x{8.4cm}}{{\emph{volume of air remaining in lungs after normal TV expiration: FRC = ERV+RV}}} \tn % Row Count 18 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}---} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{3.44 cm} x{4.56 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Pulmonary Function Tests}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{{\bf{Spirometer}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{{\emph{instrument used to measure respiratory volumes/capacities}}} \tn % Row Count 3 (+ 2) % Row 2 \SetRowColor{LightBackground} Can distinguish between & Obstructive pulmonary disease: increased airway resistance e.g. bronchitis, asthma \tn % Row Count 7 (+ 4) % Row 3 \SetRowColor{white} & Restrictive disorders: reduction in TLC due to structural/functional lung changes e.g. fibrosis, tuberculosis (TB) \tn % Row Count 13 (+ 6) % Row 4 \SetRowColor{LightBackground} Minute ventilation & Total amount of gas flow into/out of respiratory tract in 1 minute \tn % Row Count 16 (+ 3) % Row 5 \SetRowColor{white} Forced vital capacity (FVC) & Gas forcibly expelled after taking a deep breath \tn % Row Count 19 (+ 3) % Row 6 \SetRowColor{LightBackground} Forced expiratory volume (FEV) & Amount of gas expelled during specific time intervals of FVC \tn % Row Count 22 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{3.84 cm} x{4.16 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Partial Pressure Gradient}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Dalton's Law of Partial Pressures}} & Total pressure exerted by mixture of gases is the sum of pressures exerted by each \tn % Row Count 5 (+ 5) % Row 1 \SetRowColor{white} & Partial pressure of each gas is directly proportional to its percentage in the mixture \tn % Row Count 10 (+ 5) % Row 2 \SetRowColor{LightBackground} {\bf{Example:}} & Atmospheric pressure is 760mmHg at sea level \tn % Row Count 13 (+ 3) % Row 3 \SetRowColor{white} & Oxygen constitutes \textasciitilde{}21\% of the atmosphere \tn % Row Count 16 (+ 3) % Row 4 \SetRowColor{LightBackground} & {\emph{21\% x 760 = 159mmHg}} \tn % Row Count 18 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Mechanisms of Breathing: Pulmonary Ventilation}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Inspiration and expiration}} & Inspiration: gases flow into lungs \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} & Expiration: gases exit the lungs \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} {\bf{Mechanical processes dependant on volume changes in thoracic cavity}} & Volume changes\{\{fa-arrow-right\}\}pressure changes \tn % Row Count 8 (+ 4) % Row 3 \SetRowColor{white} & Pressure changes\{\{fa-arrow-right\}\}gases flow to equalise pressure \tn % Row Count 12 (+ 4) % Row 4 \SetRowColor{LightBackground} {\bf{Boyle's Law}} & Relationship between pressure and volume of a gas \tn % Row Count 15 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Mechanics of Breathing: Inspiration}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Inspiration}} & {\bf{Expiration}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{{\emph{Sequence of events}}} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} 1. Inspiratory muscles contract \{\{fa-arrow-right\}\}diaphragm descends, rib cage rises & 1. Inspiratory muscles relax\{\{fa-arrow-right\}\}diaphragm rises, rib cage descends due to costal cartilage recoil \tn % Row Count 8 (+ 6) % Row 3 \SetRowColor{white} 2. Thoracic cavity volume increases & 2. Thoracic cavity volume decreases \tn % Row Count 10 (+ 2) % Row 4 \SetRowColor{LightBackground} 3. Lungs are stretched\{\{fa-arrow-right\}\}intrapulmonary volume increases & 3. Elastic lungs recoil passively\{\{fa-arrow-right\}\}intrapulmonary volume decreases \tn % Row Count 15 (+ 5) % Row 5 \SetRowColor{white} 4. Intrapulmonary pressure drops \{\{fa-arrow-right\}\}-1mmHg & 4. Intrapulmonary pressure rises\{\{fa-arrow-right\}\}+1mmHg \tn % Row Count 18 (+ 3) % Row 6 \SetRowColor{LightBackground} 5. Air flows into lungs down its pressure gradient until intrapulmonary volume = 0 {\emph{(equal to atmospheric pressure)}} & 5. Air flows out of lungs down its pressure gradient until intrapulmonary pressure is 0 \tn % Row Count 24 (+ 6) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Internal Respiration}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{{\bf{Capillary gas exchange in body tissues}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} {\emph{Partial pressures and diffusion gradients are reversed compared to external respiration}} & pO2 in tissue is always lower than in systemic arterial blood \tn % Row Count 6 (+ 5) % Row 2 \SetRowColor{LightBackground} & pO2 of venous blood in 40mmHg \tn % Row Count 8 (+ 2) % Row 3 \SetRowColor{white} & pCO2 is 45mmHg \tn % Row Count 9 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{2.32 cm} x{5.68 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{External Respiration}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{{\bf{Exchange of O2 and CO2 across the respiratory membrane}}} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} {\emph{Influenced by:}} & Partial pressure gradients \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} & Gas solubilities \tn % Row Count 5 (+ 1) % Row 3 \SetRowColor{white} & Ventilation-perfusion (V/Q) coupling \tn % Row Count 7 (+ 2) % Row 4 \SetRowColor{LightBackground} & Structural characteristics of the respiratory membrane \tn % Row Count 9 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{2.584 cm} x{2.508 cm} x{2.508 cm} } \SetRowColor{DarkBackground} \mymulticolumn{3}{x{8.4cm}}{\bf\textcolor{white}{Control of Respiration}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Medullary Respiratory Centres}} & {\bf{Pontine Respiratory Centres}} & {\bf{Chemical Factors}} \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} {\emph{Involves neurons in the reticular formation of the medulla and pons}} & Influence and modify activity of the VRG & {\bf{Influence of pO2}} \tn % Row Count 9 (+ 6) % Row 2 \SetRowColor{LightBackground} {\bf{1. Dorsal respiratory group (DRG)}} & Smooth out tradition between \seqsplit{inspiration/expiration} and vice versa & \{\{fa-caret-right\}\}Peripheral \seqsplit{chemoreceptors} in the aortic and carotid bodies are O2 sensors \tn % Row Count 16 (+ 7) % Row 3 \SetRowColor{white} \{\{fa-caret-right\}\}Near the root of cranial nerve IX & & {\emph{(when excited, they cause respiratory centres to increase ventilation)}} \tn % Row Count 22 (+ 6) % Row 4 \SetRowColor{LightBackground} \{\{fa-caret-right\}\}Integrates input from peripheral stretch and \seqsplit{chemoreceptors} & & \{\{fa-caret-right\}\}Substantial drops in arterial pO2 (to 60mmHg) must occur in order to stimulate increased ventilation \tn % Row Count 32 (+ 10) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{8.4cm}{x{2.584 cm} x{2.508 cm} x{2.508 cm} } \SetRowColor{DarkBackground} \mymulticolumn{3}{x{8.4cm}}{\bf\textcolor{white}{Control of Respiration (cont)}} \tn % Row 5 \SetRowColor{LightBackground} {\bf{2. Ventral respiratory group (VRG)}} & & {\bf{Influence of arterial pH}} \tn % Row Count 3 (+ 3) % Row 6 \SetRowColor{white} \{\{fa-caret-right\}\}Rhythm-generating and integrative centre & & \{\{fa-caret-right\}\}Can modify respiratory rate/rhythm even if CO2 and O2 levels are normal \tn % Row Count 10 (+ 7) % Row 7 \SetRowColor{LightBackground} \{\{fa-caret-right\}\}Sets eupnea (12-15 breaths/min) & & \{\{fa-caret-right\}\}Decreased pH may reflect CO2 retention, accumulation of lactic acids, excess ketone bodies in diabetic Pts \tn % Row Count 20 (+ 10) % Row 8 \SetRowColor{white} \{\{fa-caret-right\}\}Inspiratory neurone excite the inspiratory muscles via the phrenic and intercostal nerves & & \{\{fa-caret-right\}\}Respiratory system controls will attempt to raise the pH by increasing respiratory rate and depth \tn % Row Count 29 (+ 9) % Row 9 \SetRowColor{LightBackground} \mymulticolumn{3}{x{8.4cm}}{\{\{fa-caret-right\}\}Expiratory neurone inhibit the inspiratory neurone} \tn % Row Count 31 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}---} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Oxygen Transport}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Molecular O2 is carried in the blood}} & 1.5\% dissolved in plasma \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} & 98.5\% loosely bound to each Fe of haemoglobin (Hb) in RBCs \tn % Row Count 6 (+ 3) % Row 2 \SetRowColor{LightBackground} & 4x bound O2 per Hb \tn % Row Count 7 (+ 1) % Row 3 \SetRowColor{white} {\bf{O2 and Hemoglobin}} & Oxyhemoglobin (HBO2): hemoglobin-O2 combination \tn % Row Count 10 (+ 3) % Row 4 \SetRowColor{LightBackground} & Reduced hemoglobin (HSB): haemoglobin that has released O2 \tn % Row Count 13 (+ 3) % Row 5 \SetRowColor{white} {\bf{Influence of pO2 on Hemoglobin Saturation}} & Oxygen-hemoglobin dissociation curve \tn % Row Count 16 (+ 3) % Row 6 \SetRowColor{LightBackground} & Shows how binding and release of O2 is influenced by the pO2 \tn % Row Count 19 (+ 3) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{{\bf{Hemoglobin Saturation Influencing Factors}}} \tn % Row Count 20 (+ 1) % Row 8 \SetRowColor{LightBackground} Increases in temperature, H+, pCO2, and 2,3-biphosphoglycerate (BPG) & Modify Hb structure decreasing affinity for O2 \tn % Row Count 24 (+ 4) % Row 9 \SetRowColor{white} & Occur in systemic capillaries \tn % Row Count 26 (+ 2) % Row 10 \SetRowColor{LightBackground} & Increases O2 unloading \tn % Row Count 28 (+ 2) % Row 11 \SetRowColor{white} & Shifts HbO2 dissociation curve to the right \tn % Row Count 31 (+ 3) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Oxygen Transport (cont)}} \tn % Row 12 \SetRowColor{LightBackground} & {\emph{Decreases in these factors shift the curve to the left by decreasing O2 unloading}} \tn % Row Count 5 (+ 5) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Carbon Dioxide Transport}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{CO2 is transported in the blood in three forms}} & 7-10\% dissolved in plasma \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} & 20\% bound to globin of Hb {\emph{(carbaminohemoglobin)}} \tn % Row Count 6 (+ 3) % Row 2 \SetRowColor{LightBackground} & 70\% transported as bicarbonate ions {\emph{(HCO3-)}} in plasma \tn % Row Count 9 (+ 3) % Row 3 \SetRowColor{white} {\bf{CO2 combines with water to form carbonic acid (H2CO3), which quickly dissociates}} & CO2 + H2O \{\{fa-arrows-h\}\} H2CO3 \{\{fa-arrows-h\}\} H+ + HCO3- \tn % Row Count 14 (+ 5) % Row 4 \SetRowColor{LightBackground} {\bf{In systemic capillaries}} & HCO3- quickly diffuses from RBCs into plasma \tn % Row Count 17 (+ 3) % Row 5 \SetRowColor{white} & Chloride shift occurs when outrush of HCO3- from the RBCs is balanced as Cl- moves in from plasma \tn % Row Count 22 (+ 5) % Row 6 \SetRowColor{LightBackground} {\bf{In pulmonary capillaries}} & HCO3- moves into RBCs, binds with H+ to form H2CO3 \tn % Row Count 25 (+ 3) % Row 7 \SetRowColor{white} & H2CO3 is split by carbonic anhydrase into CO2 and H2O \tn % Row Count 28 (+ 3) % Row 8 \SetRowColor{LightBackground} & CO2 diffuses into the alveoli \tn % Row Count 30 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} % That's all folks \end{multicols*} \end{document}