Respiratory III Flashcards

(47 cards)

1
Q

why is PO2 in the pulmonary capillaries after gas exchange 95mmHg

A

because of bronchial circulation

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2
Q

what is the partial pressure of a gas

A

the pressure of one gas in a mix of gases

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3
Q

what is the formula for partial pressure of a gas

A

Patm x fractional concentration of a gas

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4
Q

what is atmospheric gas partial pressures

A

600mmHg nitrogen and 160 mmHg oxygen

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5
Q

what is the partial pressure of water in the lungs

A

47mmHg

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6
Q

what is the result of the generation of a partial pressure of water in the lungs

A

air is humidified and decreases the partial pressure of the other gases

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7
Q

what is the partial pressure of O2 in the lungs

A

149 mmHg

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8
Q

at normal alveolar ventilation and O2 absorption rates what is PAO2

A

100mmHg

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9
Q

what does increasing alveolar ventilation do to PAO2

A

increase it

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10
Q

what is the solubility coefficient

A

attractability of molecules to water

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11
Q

what does the solubility coefficient tell you if it is high

A

the gases diffuse quickly

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12
Q

what is henrys law

A

partial pressure = concentration of dissolved gases/solubility coefficient

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13
Q

which is more soluble: CO2 or O2

A

CO2

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14
Q

what is the formula for concentration of dissolved gas

A

= solubility coefficient x partial pressure

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15
Q

what does gas exchange at the respiratory membrane depend on

A

-transport rate through the respiratory membrane
-the rate of alveolar ventilation

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16
Q

what does an increase in alveolar ventilation do to PAO2 and gas exchange

A

increases both with an upper limit of 150 mmHg

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17
Q

what does transport through the respiratory membrane depend on

A

-difference in partial pressures across the membrane
- solubility of gas in fluid
-cross sectional area of membrane
- distance of diffusion
-molecular weight of gas

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18
Q

what is the formula for volume of gas diffusing through the tissue barrier per unit time

A

V = change in pressure x A x S/ (d X square root of MW)

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19
Q

what will be the PO2 of a tissue with high metabolic activity

20
Q

which diffuses more rapidly: O2 or CO2

21
Q

if more pulmonary capillaries are recruited what happens to surface area for diffusion

A

it increases such as converting from zone 2 to zone 3

22
Q

what does an increase in thickness of the diffusion barrier do to diffusion

23
Q

what are the components of the respiratory membrane

A

-surfactant
-alveolar epithelium
-alveolar basement membrane
-interstitial space
- endothelial basement membrane
- capillary endothelium

24
Q

under normal conditions, O2 transport into pulmonary capillaries is _____

A

perfusion limited

25
under fibrosis, emphysema, strenuous exercise O2 transport into pulmonary capillaries is
diffusion limited
26
what does the diffusion capacity of the lung measure
respiratory membranes functional integrity. - if lung impairment is perfusion limitation or diffusion limitation
27
what is the diffusion capacity of the lung measured by
amount of a gas entering pulmonary blood per unit of time
28
what do you need to know in order to calculate diffusion capacity of the lung
gas's alveolar pressure, pulmonary capillary pressure, and rate of uptake by the blood
29
why cant DLCO2 be calculated
because of its rapid diffusion
30
why is DLO2 difficult to calculate
most of O2 binds to hemoglobin
31
why is carbon monoxide idea for DL
because it is diffusion limited
32
what would an abnormally low DLCO test indicate
-thickening of the barrier (increased d) - decreased surface area (low A) -decreased uptake
33
what would cause thickening of the barrier
interstitial edema or fibrosis
34
what would cause decreased surface area
-emphysema - low CO - tumors -ventilation perfusion mismatch
35
what would cause decreased uptake
anemia and decreased blood volume in pulmonary capillaries
36
what is the normal A-a gradient in a young non smoker
5-10mmHg
37
how much does the A-a gradient increase with with age
increases by 1 mmHg for each decade
38
what is the formula for normal A-a gradient
age/4 +4
39
what is PAO2 predicted based on
-partial pressure of O2 inspired - the PaCO2 -ratio of CO2 produced/O2 consumed - the respiratory quotient
40
what does a large difference in PAO2 and PaO2 tell you
diffusion problem
41
what is PvO2 (veins
40 mmHg
42
what is PAO2 (alveoli)
100 mmHg
43
what is PaO2 (arteries)
95 mmHg
44
what is FiO2 (definitiion and number)
percentage of inspired O2 - 21%
45
what is PH2O
47 mmHg
46
what is PaCO2 (arterial CO2)
40 mmHg
47
what is the respiratory quotient and number
CO2 produced (200 ml/min) divided by the O2 consumed (250 ml/min) = 0.8