7: Hypoxia Flashcards

1
Q

What is hypoxia?

A

deficient amount of oxygen to tissues of the body

and therefore altered/insufficient cardiac or respiratory function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is hypoxemia?

A

deficient amount of oxygen in the blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is anoxia?

A

lack of oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How long does it take for anoxia to cause damage?

A

a few minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are 5 medical conditions or situations that can result in hypoxia?

A

1) COPD
2) Obstructive sleep apnea
3) acute respiratory distress syndrome (ARDS)
4) high altitude
5) COVID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does COPD lung damage look like? (3)

A

1) hard to exhale
2) air gets trapped in the lungs
3) thick mucus causing chronic cough

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How many pts with mild hypoxemia due to COPD have some degree of cognitive impairment?

A

27%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How many pts with severe hypoxemia due to COPD have some degree of cognitive impairment?

A

61%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are 6 brain damage issues that can result from hypoxemia due to COPD?

A

1) encoding/retrieval memory
2) problem solving
3) verbal fluency
4) working memory
5) psychomotor speed
6) simple motor skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is OSA?

A

obstructive sleep apnea: repeated obstruction of upper airway during sleep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are 2 symptoms of OSA?

A

1) periodic oxygen desaturations

2) sleep fragmentations (frequent awakenings)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What percent of older people have OSA?

A

56-70%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are 8 negative side effects/deficits of sleep apnea in adults?

A

1) sustained/selective attention
2) psychomotor speed/fine motor coordination
3) planning
4) initiation
5) mental flexibility
6) working memory
7) verbal fluency
8) learning/memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Neuroimaging on sleep apnea pts shows what?

A

reductions in prefrontal cortex, subcortical gray matter, hippocampus, and white matter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is CPAP?

A

continuous positive airway pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Use of CPAP for sleep apnea after 3 weeks showed what? (3)

A

improvements in verbal memory, cognitive flexibility, and processing speed

17
Q

What percent of pts with COVID exhibited neurologic manifestations at the outset?

A

36-40%

18
Q

What percent of pts with COVID who were hospitalized showed cognitive and motor deficits upon discharge?

A

1/3

19
Q

What are the neurologic consequences of COVID?

A

mild but real brain damage due to encephalitis, strokes, and systemic inflammation

20
Q

What is encephalitis?

A

acute inflammation of the brain

21
Q

What is the cause of encephalitis?

A

viral infections

22
Q

Stroke in individuals for people 70+ years old is ___x more likely than in young people.

A

7

23
Q

What neurological damage does a stroke cause?

A

damage to white matter connections

24
Q

Systemic inflammation is associated with ____________ decline with ______________/_____________ affects.

A

cognitive

ongoing/lasting

25
Q

Systemic inflammation of the brain leads to an increase in _______________ ____________, which are associate with _________ _________

A

proinflammatory cytokines

hippocampal atrophy