Breathing Circuits Flashcards

1
Q

2 types of Dead space

A

Anatomic

Physiological

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2
Q

Tidal volume (Vt) - in the adult male.

A

volume of air inspired or expired with each normal breath -

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3
Q

Normal TV in adult male

A

about 500 cc

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4
Q

Inspiratory Reserve Volume–>

A

volume of air that can be inspired over and above the normal VT when the person inspires with full force

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5
Q

Normal IRV

A

about 3000 cc.

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6
Q

Expiratory reserve volume (ERV) -

A

maximum extra volume of air that can be expired by forceful expiration after the end of a normal tidal expiration

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7
Q

Normal ERV

A

about 1100 cc.

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8
Q

Residual Volume (RV) -

A

volume of air remaining in the lungs after the most forceful expiration

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9
Q

Normal RV is

A

about 1200 cc.

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10
Q

What is a capacity?

A

It is a combination of 2 or more volumes

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11
Q

Inspiratory capacity =

A

VT + IRV = amount of air a person can breathe in. beginning at the normal expiratory level and distending the lungs to the maximum amount.

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12
Q

Normal Inspiratory Capacity

A

about 3500 mL

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13
Q

FRC (functional residual capacity) =

A

ERV + RV. The amount of air that remains in the lungs at the end of normal expiration

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14
Q

Normal FRC

A

About 2300 mL

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15
Q

VC vital capacity equals the ______

A

inspiratory reserve volume plus the tidal volume plus the expiratory reserve volume.

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16
Q

Vital Capacity is the

A

maximum amount of air a person can expel from the lungs after first filling the lungs to their maximum extent and then expiring to the maximum extent

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17
Q

What is a normal capacity ?

A

about 4600 mL

18
Q

TLC total lung capacity =

19
Q

TLC definition

A

The maximum volume to which the lungs can be expanded with the greatest possible effort (about 5800 cc); it is equal

20
Q

Normal TLC

21
Q

Formula for VE (minute ventilation)

22
Q

IRV + VT + ERV =

23
Q

VC + RV =

24
Q

ERV + RV =

25
IC + ERV =
VC
26
IC + FRC
TLC
27
PaO2
Partial pressure of Oxygen in arterial blood
28
PAO2
Partial pressure of Oxygen in ALVEOLAR GAS
29
PACO2
Partial pressure of CO2 in ALVEOLAR GAS
30
PAH2O
Partial pressure of H2O in ALVEOLAR GAS
31
Closed Circuit system Reservoir Rebreathing Examples
Yes Yes Circuit with APL valve closed
32
Open Circuit system Reservoir Rebreathing Examples
No No Open drop
33
SEMI- Open Circuit system Reservoir Rebreathing Examples
Yes No (APL valve open) Non-rebreathing circuit OR Circle at HIGH FGF (>Ve)
34
SEMI- CLOSED Circuit system Reservoir Rebreathing Examples
Yes Yes PARTIAL (APL partial open) CIRCLE AT LOW FGF (
35
NonRebreathing systems Characteristics
Highly dependent on fresh gas flow No unidirectional valves No CO2 absorber Little resistance to breathing
36
Gas flows for Bain/ Mapleson D
FGF 2-3 * VE or 5 l/m, whichever is greater
37
Advantages of the circle systems
1. .constant inspired concentrations 2. conserve respiratory heat and humidity 3. useful for all ages (may use down to 10 kg, about one year of age, or less with a pediatric disposable circuit) 4. useful for closed system or low-flow 5. low resistance (less than tracheal tube, but more than a NRB circuit)
38
Circle disadvantage
1. increased dead space | 2. malfunctions of unidirectional valves
39
Circuit still being used in
Mapleson
40
Preoxygenation patients
DE-NITROGEN | Residual VOLUME -->
41
Severe SCOLIOSIS
Low Inspiratory Reserve volume NO INSPIRATORY RESERVE , Partially inflated lung on one side, low volume FRC fast desaturation