E1 : Asthma & COPD Flashcards

1
Q

term that refers to the maximum volume a patient can exhale after full inspiration

A

vital capacity

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2
Q

term that refers to the volume of air that remains in the lung following maximum expiration ; anatomic dead space

A

residual volume

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3
Q

TLC =

A

RV + VC

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4
Q

volume of air that is forcefully exhaled in 1 second, starting at TLC

A

FEV-1

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5
Q

term that refers to mid-expiratory flow rate at 50% VC

A

MEF-50

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6
Q

describe RV, VC, and TLC w/obstructive pulmonary disease

A

high, low, slight increase

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7
Q

what type of pulmonary disease is asthma and COPD?

A

obstructive

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8
Q

describe, RV, VC and TLC w/restrictive pulmonary disease

A

low, low, low

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9
Q

what type of pulmonary disease is scleroderma?

A

restrictive

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10
Q

what type of pulmonary disease involves a decreased FEV-1?

A

obstructive

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11
Q

which measurement indicates earliest signs of small airway disease (e.g. early asthma)?

A

MEF-50

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12
Q

in non-smokers w/no lung disease, what is the partial pressure of oxygen in arterial blood (PaO2) vs. elderly?

A

100 tor, 80 tor

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13
Q

low PaO2 is secondary to :

A
  • low FIO2 (high altitude)

- lung disease (also CNS) ; HYPOXEMIA

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14
Q

clinical states of hypoxemia

A
  • hypoventilation

- diffusion abnormalities

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15
Q

describe PO2, PCO2 w/hypoventilation

A

low, normal/high

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16
Q

describe PO2, PCOT w/diffusion abnormalities

A

low, normal

17
Q

causes of hypoventilation

A
  • COPD (R to L shunt)

- asthma

18
Q

causes of diffusion abnormalities

A

DESTRUCTION OF ALVEOLAR - CAPILLARY MEMBRANES

  • emphysema
  • inflammation
  • pneumonia
19
Q

how does low PaO2 stimulate ventilation?

A

arterial chemoreceptors (slow response)

20
Q

how does low PaCO2 stimulate ventilation

A

CNS chemoreceptors in brain (fast response)