LEO CHEAT SHEET Flashcards

1
Q

Larynx innervation is by the

A

Vagus nerve

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2
Q

Motor innervation of larynx: 2 parts

A

External Superior Laryngeal

Recurrent Laryngeal

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3
Q

the SLN (external branch) innervates the

A

Cricothyroid muscle, which tenses and adducts the vocal cords.

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4
Q

Which muscle TENSES the vocal cords

A

CricoThyroid muscle (add)

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5
Q

Which muscle RELAXES the vocal cords

A

ThyroaRytenoids

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6
Q

Muscle ADDUCT cord

A

Lateral Cricoarytenoids (bring it in from the side)

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7
Q

Muscle ABDUCT cord

A

Posterior Cricoarytenoids (You take it out back)

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8
Q

Sensory ABOVE VOCAL CORDS

A

Internal Superior Laryngeal

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9
Q

Sensory BELOW ABOVE LOCAL Cords

A

Recurrent Laryngeal

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10
Q

Pharynx: Motor provided by

A

Spinal Accessory

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11
Q

Pharynx: Sensory provided by

A

Glossopharyngeal

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12
Q

Normal P50 =

A

26-27 mm Hg

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13
Q

Factors shifting Oxygen Dissociation curve to the right

A
CADET faces RiGHT
Increase CO2
Increase [H+] (Acidosis)
Decrease pH
Increase Temp
Increase 2-3 DPG
Sickle cell
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14
Q

Factors shifting Oxygen Dissociation curve to the LEFT

A
Decrease CO2
Decrease [H+] (Alkalosis)
Increase pH
Decrease Temp
Increase CO poisoining(Carboxyhemoglobin)
Fetal Hemoglobin
Methemoglobin 
Sickle cell
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15
Q

Right shift significance

A

Release (RR) Decrease O2 affinity (increase RELEASE of O2 to the tissues)

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16
Q

Left shift significant

A

Love O2 (LL) Increase O2 affinity

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17
Q

Bohr effect” PaCO2 affects Oxyhemoglobin dissociation curve

A

A decrease in pH shifts the standard curve to the right, while an increase shifts it to the left.Carbon dioxide affects the curve in two ways: first, it influences intracellular pH, known as the Bohr Effect,
Co2 and H+ Affect O2 delivery

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18
Q

The oxyhemoglobin dissociation curve shows the relationship between the

A

hemoglobin saturation (SO2) at different oxygen tensions (PO2).

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19
Q

The P50

A

is the oxygen tension at which hemoglobin is 50% saturated.

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20
Q

The haldane effect states that

A

PaO2 affects the dissociation curve

21
Q

Hamburger shift is

A

Also known as Chloride shift. Cl- exchange for HCO3 in RBCs,, HCO2 out , Cl in ; non-pulmonary

22
Q

SaO2 of 90 is PaO2 of

23
Q

SaO2 of 70 is PaO2 of

24
Q

Dissolved O2 formula

A

0.003 x PaO2

25
O2 bound to HgB =
(1.34 x HgB) (SaO2)
26
Total O2 Content =
(0.003 X PaO2) + (1.34 X HgB) (SaO2)
27
O2 consumption formula
250 ml/min which is 3-4 ml/kg/min
28
Dissolved Co2
0.067 x PaCO2
29
Control of ventilation is in the
Brainstem
30
Primary Respiratory Center are
Dorsal Respiratory Group (Pacemaker) | Ventral Respiratory Group
31
Primary Respiratory Center located in the
Medulla
32
What are the 2nd respiratory Centers? where are they located ?
Apneustic Pneumotaxic PONS
33
Receptors in medulla
Central chemoreceptors
34
Peripheral Chemoreceptors,
The aortic and carotid bodies,
35
Central chemoreceptors located in the Medulla respond to
Located within the medulla, they are sensitive to the pH of their environment. peripheral chemoreceptors:
36
Role of Peripheral Chemoreceptors
which act principally to detect variation of the oxygen concentration in the arterial blood, also monitor arterial carbon dioxide and pH.
37
Why are central and peripheral receptors important?
This is an important mechanism for maintaining arterial blood pO2, pCO2, and pH within appropriate physiological ranges.
38
Hering-Breuer reflex:
Vagus nerve, prevents over- stretching prevent the over-inflation of the lung.
39
Physiologic Dead Space =
Anatomic DS + Alveolar DS
40
Anatomic DS =
Conducting air passageways + ETT≈ 2ml/kg
41
Alveolar DS =
Ventilation without perfusion
42
Compliance =
Δ V/ Δ P
43
Lateral Decubitus Un-anesthesized: V is
Nondependent Decrease | Dependent Increase
44
Lateral Decubitus Un-anesthesized: Q is
Nondependent Decrease | Dependent Increase
45
Lateral Decubitus Anesthesized: V
Non dependent increase | Dependent Decrease
46
Lateral Decubitus Anesthesized: Q
Non dependent decrease | Dependent Increase
47
Jackson-REESE
Minimuim flow 5L/min | 2.5-3 x MV
48
Bain Circuit min flow
70ml/kg for CV, or 100-300ml/kg For SV