Exam 2, L3 Flashcards

(34 cards)

1
Q

What is the partial pressure of water vapor in inspired air at body temperature?

A

47 mmHg at 37°C.

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2
Q

How does water vapor affect inspired O₂ pressure?

A

It displaces O₂, reducing inspired PO₂ from 159 mmHg to about 149 mmHg.

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3
Q

What is the equation for inspired oxygen pressure (PIO₂)?

A

PIO₂ = FIO₂ × (Patm − PH₂O)

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4
Q

What are normal values for pulmonary arterial blood?

A

PO₂ ≈ 40 mmHg, PCO₂ ≈ 45 mmHg.

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5
Q

What are normal values for systemic arterial blood?

A

PO₂ ≈ 100 mmHg, PCO₂ ≈ 40 mmHg.

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6
Q

Why does arterial PO₂ decrease with age?

A

Due to decreased lung elasticity and gas exchange efficiency — typically declines after age 20.

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7
Q

What is bronchiolar admixture and how does it affect PaO₂?

A

Systemic bronchial circulation returns slightly deoxygenated blood to pulmonary veins, reducing PaO₂ by a few mmHg.

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8
Q

What is anatomical dead space?

A

Air in the conducting airways (≈150 mL) that does not participate in gas exchange.

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9
Q

What is alveolar dead space?

A

Alveoli that are ventilated but not perfused — often due to disease or embolism.

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10
Q

What is physiologic dead space?

A

The sum of anatomical + alveolar dead space.

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11
Q

How does dead space change with age?

A

Alveolar dead space increases due to loss of perfusion and elastic recoil.

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12
Q

What is tidal volume (VT) in a healthy adult?

A

500 mL per breath.

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13
Q

How much of a tidal breath is used for gas exchange?

A

About 350 mL.

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14
Q

How much is anatomical dead space in a tidal breath?

A

150 mL.

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15
Q

What is minute ventilation (VE)?

A

VE = VT × RR = 500 × 12 = 6 L/min.

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16
Q

What is alveolar ventilation (VA)?

A

VA = (VT − deadspace) × RR = (500 − 150) × 12 = 4.2 L/min.

17
Q

What is dead space ventilation per minute?

A

VD = 150 × 12 = 1.8 L/min.

18
Q

What is the normal alveolar PO₂ and PCO₂ at rest?

A

PO₂ ≈ 104 mmHg, PCO₂ ≈ 40 mmHg.

19
Q

What happens to alveolar PO₂ with increased ventilation?

A

It increases — more fresh air dilutes alveolar gases.

20
Q

What happens to alveolar PCO₂ with hyperventilation?

A

It decreases — more CO₂ is exhaled.

21
Q

What happens to alveolar PO₂ and PCO₂ with hypoventilation?

A

PO₂ decreases, PCO₂ increases — poor gas exchange.

22
Q

What is pulmonary capillary hydrostatic pressure?

A

About 7 mmHg.

23
Q

What is interstitial hydrostatic pressure in the lungs?

A

–8 mmHg, due to pleural pressure and lymphatic suction.

24
Q

What is the interstitial oncotic pressure in the lungs?

A

About 14 mmHg — higher than systemic tissues.

25
What is the oncotic pressure in the pulmonary capillaries?
28 mmHg.
26
What is the net filtration pressure in pulmonary capillaries?
7 + 14 + 8 − 28 = +1 mmHg ## Footnote Slight filtration, cleared by lymphatics.
27
What is the threshold for pulmonary edema from left atrial pressure?
Edema risk rises when LAP exceeds 23 mmHg.
28
What are major contributors to pulmonary edema?
High capillary pressure (LHF, volume overload), low oncotic pressure (hypoalbuminemia), increased permeability (ARDS, infection, O₂ toxicity), lymphatic obstruction.
29
What triggers HPV?
Low alveolar PO₂ — directs blood away from poorly ventilated alveoli.
30
What is a secondary trigger for pulmonary vasoconstriction?
High alveolar CO₂, but it is less important than low O₂.
31
Why is HPV important for V/Q matching?
It minimizes perfusion to poorly ventilated areas, improving gas exchange.
32
How do volatile anesthetics affect HPV?
They inhibit it, worsening V/Q mismatch under general anesthesia.
33
How do airways respond to poor perfusion and high PO₂ (e.g., dead space)?
They constrict, redirecting ventilation to better perfused areas.
34
What can excessive O₂ administration cause?
Airway reactivity and edema due to oxidative injury and vascular changes.