Blood Gas Flashcards

0
Q

What is tidal volume?

A

The volume of gas displaced during normal breathing

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1
Q

What is the functional residual capacity (FRC)?

A

The gas left in the lung after quiet expiration

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2
Q

What is the inspiratory reserve volume (IRV)?

A

The extra gas involved in forced inspiration, as opposed to quiet inspiration

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3
Q

What is the expiration reserve volume?

A

The has involved in forced expiration as opposed to quiet expiration

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4
Q

What is the vital capacity?

A

The amount of gas in the tidal volume, IRV & ERV combined

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5
Q

What is the ‘residual volume’?

A

The amount of gas left in the respiratory system after maximum expiration.
(Gas left in the dead space and the alveoli)

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6
Q

What is the total lung capacity?

A

The tidal volume, IRV, ERV and the Residual volume combined.

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7
Q

What is the conducting zone?

A

The parts of the respiratory system where there is no gas exchange

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8
Q

What is ‘alveolar ventilation’ (VA)?

A

VA = (tidal volume - dead space) x rate

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9
Q

Is it better to increase depth or rate in order to increase ventilation?

A

Depth, because fresh air has to get through the conducting zone to get to the alveoli to allow gas exchange.

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10
Q

Which is higher: the PO2 in the lungs or the PO2 in the atmosphere? Why?

A

In the atmosphere. The air is diluted with water when it is humidified upon inspiration.

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11
Q

What is the respiratory quotient?

A

CO2 production / O2 consumption.

Normally 0.8

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12
Q

What is the alveolar gas equation for?

A

T calculate the partial pressure of O2 in the alveoli

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13
Q

What is the alveolar gas equation?

A

PAO2 = PIO2 - (PaCO2/R)

Where PIO2 is the partial pressure of inspired air.
PaCO2 is the arterial pressure of CO2
R is the respiratory quotient

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14
Q

What is a VQ mismatch?

A

A ventilation perfusion mismatch is where there is reduced ventilation to part of the lung, so the blood here is not being oxygenated.

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15
Q

What is a shunt?

A

Where pulmonary arterial blood reaches the systemic circulation without being properly oxygenated.

16
Q

What are some possible causes of a VQ mismatch or a shunt?

A

Tumour, Asthma, Pneumothorax, Bronchitis, Emphysema, Pulmonary Oedema, broken ribs etc.

17
Q

Will adding extra O2 help with a VQ mismatch or a shunt?

A

Shunt - no

VQ mismatch - a little

18
Q

How do you interpret ABGs?

A
  1. Acidaemia or alkalaemia?
  2. PaCO2: high = resp acidosis, low = resp alk
  3. HCO3-: high = metabolic alk, low = met acid
  4. Compensation?
  5. Is the compensation complete?