Chapter 103 Lungs Flashcards

1
Q

Describe the position of the arteries and veins in relation to the bronchus in the lungs (cranial vs. caudal, ventral vs. dorsal)

A

Pulmonary arteries cranial dorsal aspect of each bronchus
Pulmonary veins caudal and ventral aspect of each bronchus

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2
Q

Label

A
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3
Q

Right lung

A
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4
Q

Left lung

A
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5
Q

Name the 7 lung lobes and the side they’re on

A

Left side: Left cranial and caudal lung lobes
Left cranial lung lobe – cranial and caudal portions
Right side: Right cranial, middle, caudal, and accessory lung lobes

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6
Q

Describe the location of the accessory lung lobe

A

Within the dorsal opening of the mediastinal recess
Right accessory lung lobe passes dorsal to caudal vena cava and is medial to plica vena cava

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7
Q

Inspiration is ____ and expiration is ____

A

active - pressure in alveoli is sub atmospheric during inspiration

passive

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8
Q

The lowest lung compliance is at ___ and ___ volumes

A

Lowest compliance at high and low lung volumes – need more energy to expand the lungs

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9
Q

What can effect lung compliance

A

fibrosis or edema

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10
Q

Define elastance vs compliance

A

Elastance: degree to which the lung can recoil
Compliance: measure lung distensibility

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11
Q

What is surfactants role

A

Surfactant indirectly increases lung compliance* by lowering surface tension and reduces the amount of work needed to inflate the lungs
Prevents collapse of small alveoli and thus atelectasis

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12
Q

Ventilation is controlled by what

A

The respiratory center in the medulla that generates breathing rhythm and regulation of tidal volume

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13
Q

What has the greatest influence on peripheral and central chemoreceptors on the medulla

A

Changes in PaCO2

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14
Q

Can CO2 diffuse across blood-brain barrier

A

yes

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15
Q

What is the hypoxic ventilation drive

A

When PaO2 drops below 60mmHg then ventilation increases - important for when response to CO2 is altered

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16
Q

Define the oxygen carrying capacity

A

Amount of oxygen that can bind to hemoglobin

17
Q

Oxygen-hemoglobin dissociation curve

A

describes interactions between dissolved oxygen and heme

18
Q

What shifts the O2-hb dissociation curve to the right

A

Acidosis
Increased temp
Increased 2,3 DPG in RBC
Increased CO2

19
Q

What causes a high V/Q mismatch

A

PTE

20
Q

What causes a low V/Q

A

Pneumonia, Alveolar collapse (pulmonary mass or pneumothorax or atelectasis), severe pulmonary edema

21
Q

Hypoventilation, low fraction of inspired oxygen (FiO2), and diffusion impairment respond ______ to oxygen supplementation

A

Very well

22
Q

Low V/Q has a ______ response to oxygen supplementation

A

limited

23
Q

Increased V/Q has a _________ response to oxygen supplementation

A

Good

24
Q

Which hypoxic circumstance does not respond to oxygen supplementation

A

Right to left shunting

25
Q

Define cheyne-stokes respiration

A

Increase in rate and depth, then becomes slower, followed by brief apnea.