Ventilation Perfusion Relationships Flashcards

1
Q

What is the alveolar gas equation?

A

PAO2 = PIO2 - (PaCO2)/R

ex: PIO2 = (760-47).21
barometric pressure - water vapor pressure
multiplied by percentage oxygen

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2
Q

What is a normal alveolar-arterial O2 gradient?

A

less than 20 mm Hg

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3
Q

What is implied if the alveolar-arterial oxygen gradient is larger than 20 mm Hg?

A

diffusion isn’t happening the way it should be

sthg wrong w/ the alveoli

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4
Q

List the zones of the lung in order of least intrapleural fluid to most intrapleural fluid.

A

Apex (Zone 1)
Middle (Zone 2)
Base (Zone 3)

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5
Q

List the zones of the lung in order of least negative intrapleural pressure to most negative intrapleural pressure.

A

Base (Zone 3)
Middle (Zone 2)
Apex (Zone 1)

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6
Q

List the zones of the lung from smallest alveoli at rest to largest alveoli at rest.

A

Base (Zone 3)
Middle (Zone 2)
Apex (Zone 1)

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7
Q

List the zones of the lung from smallest change in size of alveoli during inhalation to greatest change in size of alveoli during inhalation.

A

Apex (Zone 1)
Middle (Zone 2)
Base (Zone 3)

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8
Q

What is meant by the ventilation perfusion ratio (V/Q)?

A

volume of air inhaled per minute divided by cardiac output per minute

ex: 4L/min / 5L/min

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9
Q

What is an average ventilation perfusion ratio?

A

0.8

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10
Q

Is PaO2 high or low in a tissue with a high V/Q ratio?

A

high

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11
Q

Is PaCO2 high or low in a tissue with a high V/Q ratio?

A

low

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12
Q

Is the pH high or low in a tissue with a high V/Q ratio?

A

high

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13
Q

Is the volume of blood high or low in a tissue with a high V/Q ratio?

A

low

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14
Q

Is the PaO2 high or low in a tissue with a low V/Q ratio?

A

low

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15
Q

Is the PaCO2 high or low in a tissue with a low V/Q ratio?

A

high

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16
Q

Is the pH high or low in a tissue with a low V/Q ratio?

A

low

17
Q

Is the volume of blood flow high or low in a tissue with a low V/Q ratio?

A

high

18
Q

List the zones of the lungs in order from lowest V/Q ratio to highest V/Q ratio.

A

Base (Zone 3)
Middle (Zone 2)
Apex (Zone 1)