Lectures 5 and 6: Respiratory Flashcards

(38 cards)

1
Q

Hypoxia causes production of what factor?

A

Hypoxia-inducible factor 1a

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2
Q

Hypoxia-inducible factor causes production of what?

A

Erythrocytes (red blood cells)

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3
Q

Three forms of CO2 in blood

A

Dissolved CO2
Carbaminohemoglobin
Bicarbonate

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4
Q

What is the most important form of CO2 in the blood?

A

HCO3, bicarbonate

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5
Q

CO2 and H2O form what weak acid?

A

H2CO3

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6
Q

H2CO3 dissociates into what?

A

H+ and HCO3

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7
Q

5 ways an animal can become hypoxemic

A

High altitude
Hypoventilation
Diffusion defect
V/Q defect
Right to left shunt

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8
Q

All of the causes of hypoxemia lead to what happening with PaO2

A

Decrease

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9
Q

A-a gradient for high altitude and hypoventilation

A

Normal

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10
Q

A-a gradient for diffusion defect, V/Q defect, right to left shunt

A

Increased

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11
Q

Which of the causes of hypoxemia is supplemental O2 not helpful?

A

Right to left shunt

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12
Q

Hypoxia

A

Decreased O2 delivery to the tissues

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13
Q

Hypoxemia

A

Decrease in arterial PO2

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14
Q

Distribution of pulmonary blood flow within the lung is

A

Uneven

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15
Q

Ventilation/perfusion ratio (V/Q)

A

Ratio of alveolar ventilation to pulmonary blood flow

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16
Q

Ratio between which two things is important for ideal gas exchange?

A

Alveolar ventilation and pulmonary blood flow

17
Q

Blood flow in Zone 1 is

18
Q

Alveolar ventilation in Zone 1 is

19
Q

V/Q in Zone 1 is

20
Q

PaO2 in Zone 1 is

21
Q

PaCO2 in Zone 1 is

22
Q

Blood flow in Zone 3 is

23
Q

Alveolar ventilation in Zone 3 is

24
Q

V/Q in Zone 3 is

25
PaO2 in Zone 3 is
Lowest
26
PaCO2 in Zone 3 is
Higher
27
Zone 1, lowest or highest perfusion?
Lowest
28
Zone 3, lowest or highest perfusion?
Highest
29
In Zone 3 the alveoli are
Smaller and more compliant
30
In Zone 1 the alveoli are
Larger, less compliant
31
Zone 3, intrapleural pressure is
Less negative compared to Zone 1
32
What is the major factor regulating pulmonary blood flow?
Partial pressure of O2 in alveolar gas, PAO2
33
Decreases in PAO2 produce
Pulmonary (Hypoxic) vasoconstriction
34
Pulmonary vasoconstriction causes blood flow to be directed away from
Poorly ventilated regions of the lung where gas exchange would be inadequate
35
Pulmonary vasoconstriction encourages blood flow toward
Well-ventilated regions of the lung, where gas exchange would be better
36
In pulmonary vasoconstriction, NO activates guanlyl cyclase which leads to production of (and what effect)?
cGMP and relaxation of smooth muscle
37
38
Inhibition of nitric oxide synthase enhances
Pulmonary vasoconstrction