RE Chapter 14 Flashcards

(93 cards)

0
Q

Graham’s Law

A

The rate of gas diffusion through an orifice (effusion) is inversely proportional to the square route of its molecular weight

r=1/√ mw
*faster diffusion for smaller molecules

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1
Q

Henry’s Law

A

At a constant temp, the amount of gas dissolved in a liquid is directly proportional to the partial pressure of the gas at equilibrium above the gas-liquid interface

p=kc
**(p is partial pressure, k is henry’s constant, c is concentration of solute in solution)

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2
Q

What five factors determine diffusion?

A

Directly proportional: concentration gradient, tissue area, fluid tissue solubility

indirectly proportional: membrane thickness, molecular weight

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3
Q

What is osmosis?

A

The movement of water across a semipermeable membrane to equilibrate a concentration gradient

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4
Q

What is osmotic pressure?

A

The force needed to stop osmosis

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5
Q

What is oncotic pressure?

A

The osmotic pressure by plasma proteins & electrolytes in capillaries.

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6
Q

What is normal oncotic pressure?

A

28 mmhg

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7
Q

Fick’s Law

A

Diffiusion of a gas across a semipermeable membrane is directly proportional to the partial pressure gradient, membrane solubility of the gas, & membrane area. It is inversely proportional to the membrane thickness and molecular weight.

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8
Q

Fick equation for diffusion of respiratory gases

A

J=αD/∆x(Pao2 - Pacapo2)

J - diffusion flux
α - solubility constant for o2
D - diffusivity
∆x - membrane thickness
(Pao2-Pcapo2) - alveolar-capillary o2 partial pressure difference
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9
Q

What is the force of gravity?

A

9.81 m/sec/sec

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10
Q

One newton =

A

1/9.81 kg wight or 102 g weight

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11
Q

What is the formula for force?

A

F=ma

m-mass
a-acceleration

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12
Q

What is a dyne?

A

1/1000th of a newton

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13
Q

Normal PVR

A

100 - 200 dyne sec/cm^5

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14
Q

Formula for calculating SVR

A

80 x (MAP-CVP)/CO

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15
Q

Normal SVR

A

900-1200 dyne sec/cm^5

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16
Q

Definition of pressure

A

force over area

P = f/a

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17
Q

What is a pascal?

A

Standard unit of measurement

Pa=1 N/ 1 m²

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18
Q

1 torr = _____ mmHg

A

1

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19
Q

1 kPa = ______ cm H2O = _______ mmHg

A

1 kPa = 10.2 cm H2O = 7.5 mmHg

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20
Q

gage pressure =

A

absolute pressure - atmospheric pressure

at sea level, 760-760= 0

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21
Q

What is absolute zero?

A

0º K

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22
Q

Celsius to kelvin

A

K = C + 273

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23
Q

Celsius to Fahrenheit

A

F = 1.8(C) + 32

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24
What is standard temperature?
273.15 K (0º C)
25
What are the 4 primary mechanisms of body heat loss?
1. Radiation 2. Convection 3. Conduction 4. Evaporation
26
What is the most common source of heat loss? The least?
Most common is radiation, least is evaporation
27
What is latent heat of vaporization?
the amount of heat energy per unit mass required to convert a liquid into the vapor phase.
28
The rate of vaporization depends on what three things?
1. Temperature 2. Vapor pressure of the liquid 3. Partial pressure of the vapor above the evaporating liquid
29
Vapor pressure of isoflurane
238 mmHg
30
Vapor pressure of sevoflurane
160 mmHg
31
Vapor pressure of desflurane
660 mmHg
32
Universal Gas Law
PV=nrT ``` P-pressure V-volume n-number of moles r-constant T - temp in K ```
33
r (constant in universal gas law) =
0.08221 L x atm / K / mol
34
One mole of any gas at 0º C will expand to _____ liters volume
22.4 (standard molar volume)
35
With n held constant the universal gas law is....
P1V1/T1 = P2V2/T2
36
Boyle's law
Pressure & Volume are indirectly proportional P1V1=P2V2
37
Charles law
Temperature and volume are directly proportional V1/T1 = V2/T2
38
Gay-Lussac's Law
Pressure and Temperature are directly proportional P1/T1 = P2/T2
39
Avagadro's number shows that a mole of any gas has ________ molecules
6.023 x 10^23
40
Dalton's gas law
The total pressure of a system is the additive pressures of each individual gas in a mixture Pgas = Pa+Pb+Pc...
41
How do you determine the partial pressure of a gas based on dalton's law?
P(gas) = (volume %) x Ptotal ex: medical air (79% nitrogen& 21% air) Ptotal is 760 mmHg Pnitrogen = .79 x 760 = 600.4 mmHg Po2 = .21x760 = 159.6 mmHg
42
What is the definition of flow?
The quantity of fluid passing a point per unit time F = Q/t
43
What is laminar flow?
type of flow in which all molecules of a fluid travel in parallel within the tube. The molecules in the center move at a velocity twice as fast compared to flow at the walls.
44
In what part of the airways do you see laminar flow?
The terminal bronchioles (smallest airways)
45
What type of flow does poiselle's law describe?
Laminar
46
Equation for poiselle's law
F=(πr⁴∆P)/(8nl) r⁴ - radius to the 4th power n - viscosity of fluid ∆P - pressure gradient l - length of tube
47
According to poiselle's law _____ will have the most dramatic effect on flow.
radius
48
doubling the radius will result in a ____-fold increase in flow, tripling the radius will result in a ______-fold increase in flow.
doubling - 16-fold increase | tripling - 81-fold incerase
49
What does reynolds number determine?
Whether a given flow will be laminar or turbulent.
50
What is the equation for reynolds number?
vpd/n v-velocity p-density d-diameter n-viscosity
51
What does a reynolds number of greater than 2000 indicate? less than 2000?
>2000 = turbulent flow <2000 = laminar flow
52
What does the bernoulli principle describe?
In a tube containing a constriction, at the constriction the velocity of flow increases and there is a corresponding decrease in pressure at the narrowing.
53
What does Laplace's law describe?
The relationship of wall tension to pressure and radius in cylinders & spheres
54
Laplace's law equation for a cylinder
T = Pr T-tension P-pressure r-radius
55
Laplace's law for a sphere
2T=Pr
56
What unit is tension measured in?
N/cm
57
100mmHg=______N/cm²
1.33
58
What are transverse waves? Name an example.
Composed of up-and-down movement | ex. electromagnetic radiation waves
59
What are longitudinal waves? Name an example.
composed of back-and-fourth movements along the direction of the wave. These are pressure fluctuations ex. sound waves
60
What is impedance?
The total of all forces that impede electrical flow
61
What is capacitance?
The capacity to store charge
62
What is electromagnetic inductance?
transfer of electric current between circuits without physical contact, using magnetic waves.
63
What is macroshock?
large amounts of current conducted though a patient's skin.
64
macroshock of ___ -___mA can cause ventricular fibrillation
100-300
65
What is microshock?
The delivery of small amounts of current directly to the heart.
66
What level of microshock may cause ventricular fibrillation in humans?
100 μA
67
In pulse oximetry oxygenated hemoglobin absorbs ________(infrared/visible red) to a wavelength of _____ nanometers.
infrared / 940 nanometers
68
In pulse oximetry deoxygenated hemoglobin absorbs _______(infrared/visible red) frequency at a wavelength of _____ nanometers
visible red / 660
69
SaO2 of 90% corresponds with a PaO2 of ______ mmHg
60
70
SaO2 of 70% corresponds with a PaO2 of ________ mmHg and cyanosis is apparent
40
71
The physical sharing of electrons between atoms is called a ______ bond.
covalent
72
What are isomers?
Molecules that have the same chemical formula but different structural formulas.
73
What are hydrocarbons?
Molecules composed entirely of carbon atoms with hydrogen atom attached
74
What are alkanes?
hydrocarbons containing only single-bonded carbon atoms.
75
What is a saturated hydrocarbon?
Single-bonded carbon chains with all available carbon bonds attached to hydrogen
76
What is an unsaturated hydrocarbon?
One or more double/triple bonds between carbon atoms.
77
What is an alkene?
Hydrocarbon containing double bonded carbons.
78
What is an alkyne?
triple-bonded hydrocarbons
79
Amine
NR3 (only 1 or two of the Rs may be hydrogen) | Derivatives of ammonia (NH3)
80
Alcohols
ROH - R represents an alkyl group
81
Phenols
ROH - R represents an aryl group (benzene)
82
Ethers
ROR' - where R and R' are alkyl groups attached by O2
83
Carbonyl group
C=O key component in aldehydes, ketones, carboxylic acids, esters, and amides
84
Aldehydes
RCHO
85
Ketones
RCOR'
86
Carboxylic acids
RCOOH
87
Esters
RCOOR
88
Amides
RCONH2, RCONHR, or RCONR2
89
Normal Axis Deviation
-30º to +90º Lead I = positive Lead aVF = positive
90
Left Axis Deviation
-30º to -90º Lead I = positive Lead aVF = negative
91
Right Axis Deviation
+90º to +/- 180º Lead I = Negative Lead II = Positive
92
Superior Right Axis Deviation
-90º to +/-180º Lead I = negative Lead aVF = negative