Special Diagnostic Testing in Cardiopulmonary Disease Flashcards

(95 cards)

1
Q

process by which air moves from the atmosphere into the lungs and into the alveoli

A

ventilation

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2
Q

what does V represent

A

ventilation

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3
Q

in most general terms, ventilation is ____ and ____

A

inspiration and expiration

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4
Q

pressure difference exists between the trachea and alveoli from ____

A

terminal bronchioles

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5
Q

during ventilation, there is a contraction of ________

A

inspiratory muscles

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6
Q

the inspiratory muscles are ______ and ______

A

diaphragm and intercostals

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7
Q

the contraction of inspiratory muscles during ventilation leads to a ____ of intrathoracic pressure

A

decrease

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8
Q

alveoli expand which will ____ their pressure

A

decrease

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9
Q

inspiration occurs resulting from….

A

negative pressure from intrathoracic cavity by muscles contracting and space getting bigger

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10
Q

definition: when gas exchange across alveoli increases

A

hyperventilation

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11
Q

definition: movement of blood through an area

A

perfusion

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12
Q

perfusion is represented by _

A

Q

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13
Q

perfusion is _______ dependent

A

gravity

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14
Q

how long does it take to oxygenate?

A

a fraction of a second

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15
Q

during perfusion, the right ventricle moves blood to ______

A

pulmonary artery

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16
Q

during perfusion, the left ventricle moves blood to ____ and then to ____

A

bronchial branch –> bronchial tree

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17
Q

what is the V-Q Scan

A

uses radioactive gas and dye delivered via injection and inspiration

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18
Q

when is the V-Q Scan performed

A

when a pulmonary embolism is suspected

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19
Q

what does the V-Q Scan measure

A

ventilation and perfusion

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20
Q

what is the normal V/Q ratio

A

0.8-1.2

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21
Q

must V and Q be matched at the alveolar-capillary level?

A

yes

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22
Q

where is the V-Q Scan optimal

A

mid-portion of the lung

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23
Q

why is the mid-portion of the lung most optimal for the V-Q Scan

A

good balance of gravity affecting lung

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24
Q

what occurs simultaneously as V and Q

A

diffusion

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25
what does diffusion determine
a patient's oxygenation status
26
what is diffusion
movement of gases between alveoli, plasma, and RBC
27
how is diffusion assessed (2)
partial arterial pressure of oxygen and oxygen saturation of hemoglobin
28
what does PaO2 mean
partial arterial pressure of oxygen
29
what does SaO2 mean
oxygen saturation of hemoglobin
30
how much O2 is extracted by cells?
25% of arterial O2
31
cautions of Pulse Oximetry (6)
1. Abnormal Hgb 2. Jaundice 3. Anemia 4. Low Perfusion 5. Dark skin 6. Nail Polish
32
what is the general goal of pulse oximetry
SpO2 > 90% with exercise
33
what does ABG stand for
Arterial Blood Gases
34
what do ABG measure
acid-base balance
35
what does pH measure
acidity
36
normal values of pH
7.35-7.45
37
what pH is acidemia
below 7.35
38
what pH is alkalemia
above 7.45
39
definition of PaCO2
arterial pressure of CO2
40
normal values of PaCO2
35-45 mmHg
41
what PaCO2 is hyperventilation
below 35
42
what paCO2 is hypoventilation
above 45
43
definition of PAO2
arterial pressure of O2 in alveoli
44
normal values of PaO2
75-100 mmHg
45
a PaO2 of 60-75 is indicative of
mild hypoxemia
46
a PaO2 of 40-60 is indicative of
moderate hypoxemia
47
a PsO2 of below 40 is indicative of
severe hypoxemia
48
definition of HCO3
serum bicarbonate
49
normal values of HCO3
22-26 mEq/L
50
HCO3 value outside of the norms is indicative of...
possible metabolic problem
51
what is repiratory acidosis (H+, pH)
- increased H+ ion | - pH decreased
52
what happens to CO2 in respiratory acidosis
CO2 retained
53
what is respiratory alkalosis (H+, pH)
- decreased H+ | - pH increased
54
what happens to CO2 in respiratory alkalosis
blowing off CO2
55
what is metabolic acidosis (H+/HCO3-, pH)
- increased H+/ridding of HCO3- | - pH decreased
56
what is a common symptom of metabolic acidosis
diarrhea
57
why is diarrhea common with metabolic acidosis
lost HCO3-
58
what is metabolic alkalosis (H+, pH)
- increased H+ ion | - pH increased
59
what is a common symptom with metabolic alkalosis
excessive vomitting
60
why is excessive vomiting common with metabolic alkalosis
loss of stomach acid
61
is the renal system fast or slow
slow (48 hours)
62
is the renal system weak or powerful
powerful
63
what does the renal system regulate
the excretion or retention of HCO3-
64
during acidemia, what happens in the kidneys regarding bicarbonate
kidneys retain bicarbonate
65
during alkalemia, what happens in the kidneys regarding bicarbonate
kidneys excrete bicarbonate
66
is the respiratory system fast or slow
fast
67
is the respiratory system weak or strong
weak
68
what does the respiratory system do
regulates excretion or retention of carbonic acid
69
during alkalemia, what happens to rate & depth of breath and why
decrease rate & depth of breath to retain CO2
70
during acidemia, what happens to rate & depth of and why
increase rate & depth to blow off CO2
71
are blood buffers: 1. slow or fast 2. weak or strong
1. fast | 2. weak
72
Hypoventilation (high PaCO2) is indicative of...
respiratory acidosis
73
Hyperventilation (low PaCO2) is indicative of...
respiratory alkalosis
74
a low HCO3- is indiactive of...
metabolic acidosis
75
a high HCO3- is indicative of...
metabolic alkalosis
76
if HCO3 or PaCO2 is normal, is a compensation present?
no
77
if HCO3 or PaCO2 is high or low, is compensation present?
yes
78
what is compensation
process by which abnormal trend in pH is corrected by change in HCO3 and/or PCO2
79
early acidemia clinical signs
headache, tachypnea
80
late signs of acidemia
confusion, asterixis
81
early signs of alkalemia
dizziness
82
late signs of alkalemia
twitching, carpopedal spasm
83
early signs of hypoxemia
anxious, restless
84
late signs of hypoxemia
confused, cyanosis
85
typical view of a chest x-ray
P-A
86
why are chest x-rays taken posteriorly
the heart sits anteriorly
87
what is the costophrenic angle
where diaphragm matches the chest wall
88
what does Spirometry screen for
subclinical lung disease
89
what does the REV1 look at
air expired in first second
90
what is normal FEV1
80% of VC
91
on the FEV1, what is emphysema present as
40% of VC
92
what does FVC stand for
Forced Vital Capacity
93
what is normal on FVC
at least 70%
94
what is bronchoscopy
use of a fiberoptic scope used o diagnose and treat pulmonary conditions
95
what can be obtained with a bronchoscopy (3)
1. biopsies 2. secretions 3. upper airway