Key Takeaways

  • Air pathway: nose/mouth → pharynx → larynx → trachea → bronchi → bronchioles → alveoli
  • Gas exchange occurs in alveoli through simple diffusion
  • Inhalation: diaphragm contracts (moves down), chest expands, pressure decreases
  • Most oxygen is carried by hemoglobin in red blood cells
  • Rising CO₂ levels are the primary trigger for increased breathing rate
Last updated: January 2026

The Respiratory System

The respiratory system facilitates gas exchange—bringing oxygen into the body and removing carbon dioxide. This is tightly linked to the cardiovascular system.

Respiratory Anatomy

Upper Respiratory Tract:

StructureFunction
Nose/Nasal cavityFilters, warms, humidifies air
Pharynx (throat)Passageway for air and food
Larynx (voice box)Contains vocal cords, prevents food entry
EpiglottisCovers trachea during swallowing

Lower Respiratory Tract:

StructureFunction
Trachea (windpipe)Main airway to lungs
BronchiTwo main branches into lungs
BronchiolesSmaller airways in lungs
AlveoliTiny air sacs for gas exchange

The Pathway of Air

  1. Air enters through nose or mouth
  2. Passes through pharynx (throat)
  3. Through larynx (voice box)
  4. Down the trachea (windpipe)
  5. Splits into left and right bronchi
  6. Into progressively smaller bronchioles
  7. Reaches alveoli (gas exchange occurs)

Gas Exchange

External respiration: Exchange in the lungs

  • Oxygen diffuses from alveoli → blood (capillaries)
  • Carbon dioxide diffuses from blood → alveoli

Internal respiration: Exchange at body tissues

  • Oxygen diffuses from blood → tissues
  • Carbon dioxide diffuses from tissues → blood

The Mechanics of Breathing

PhaseDiaphragmChestPressureAir Movement
InhalationContracts (moves down)ExpandsDecreasesAir enters
ExhalationRelaxes (moves up)ContractsIncreasesAir exits

Key muscles:

  • Diaphragm: Primary breathing muscle
  • Intercostal muscles: Between ribs, assist breathing
  • Accessory muscles: Neck and shoulder muscles (used in labored breathing)

Lung Volumes and Capacities

TermDefinition
Tidal volumeNormal breath volume (~500 mL)
Inspiratory reserveExtra air you can inhale
Expiratory reserveExtra air you can exhale
Residual volumeAir remaining after forced exhale
Vital capacityMaximum air that can be exhaled after maximum inhale
Total lung capacityVital capacity + residual volume

Control of Breathing

Medulla oblongata: Primary respiratory control center Pons: Helps regulate breathing rhythm

Chemical factors that affect breathing rate:

  • ↑ CO₂ (most important) → ↑ breathing rate
  • ↓ O₂ → ↑ breathing rate
  • ↓ Blood pH (acidosis) → ↑ breathing rate

Oxygen Transport

  • 98.5% bound to hemoglobin in red blood cells
  • 1.5% dissolved in plasma

Hemoglobin: Protein in RBCs containing iron; each molecule carries up to 4 oxygen molecules

Carbon Dioxide Transport

MethodPercentage
Bicarbonate ions (HCO₃⁻)~70%
Bound to hemoglobin~23%
Dissolved in plasma~7%

Common Respiratory Terms

TermDefinition
HypoxiaLow oxygen in tissues
HypoxemiaLow oxygen in blood
HypercapniaHigh CO₂ in blood
HypocapniaLow CO₂ in blood
ApneaAbsence of breathing
DyspneaDifficulty breathing
TachypneaRapid breathing
Test Your Knowledge

Where does gas exchange between air and blood occur?

A
B
C
D
Test Your Knowledge

What happens to the diaphragm during inhalation?

A
B
C
D
Test Your Knowledge

Which factor most strongly influences the body's breathing rate?

A
B
C
D