Ch. 11 ventilation Flashcards

1
Q

What is the primary function of lungs

A

Supply the body with oxygen and remove carbine dioxide aka gas exchange

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2
Q

Ventilation vs respiration

A

Ventilation: process of moving gas in and out of lungs. Cyclic

Respiration: physiologic processes of oxygen use at the cellular level

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3
Q

Tidal volume

A

Volume of gas measured during normal inspiration and expiration

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4
Q

In order to ventilate, the respiratory muscles must generate changes in ___ _____ so that gas will flow in and out of lungs

A

Pressure gradient

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5
Q

Elastance vs compliance vs resistance formulas

A

Elastance: P/V
Compliance: V/P
Resistance: P/V•

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6
Q

What is pressure gradient

A

Pressure difference among gases, gas moves due to pressure gradient

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7
Q

Transrespiratory pressure PTR

A

Allows for actual gas flow in and out of long
PTR= PAO-PBS

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8
Q

Transpulmonary pressure difference PTP

A

Maintains alveolar inflation
PTP= PAO-Ppl
Ppl remains negative ( aka sub atmospheric) during quiet breathing

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9
Q

At the beginning of normal inspiration, what widens and is less than PAO

A

The transpulmonary PG ( pressure gradient) widens and the Palv is less than PAO

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10
Q

At the beginning of normal expiration, what flows out

A

Gas flows out because the Palv is now greater than PAO

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11
Q

A difference in pressure gradients (PG) must

A

Exist between alveoli and capillaries

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12
Q

Pressure gradients describe the movement of what

A

Gas between lungs and body tissues aka gas diffusion

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13
Q

A decrease in surfactant will significantly oppose what

A

Lung inflation

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14
Q

What is hysteresis

A

Difference between inspiratory lung volumes and expiratory lung volume

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15
Q

What is Elastance

A

Natural ability to stretch and return to original shape

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16
Q

What is compliance

A

A measure of the lungs ability to stretch and expand

17
Q

Emphysema and fibrosis

A

Emphysema: obstructive lung disease increases compliance and loss in elastic fibers
Fibrosis: restrictive lung disease. Decrease compliance and increase elastic tissue

18
Q

What is RAW

A

Airway resistance impedes ventilation
Increased turbulent = increased RAW

19
Q

Resistance is highest where

A

Nose, mouth and large airways

20
Q

What 3 factors affect resistance

A

1 type of flow
2 characteristics of gas
3 diameter and length

21
Q

What technique should a patient with WOB use

A

Pursed lip to minimize airway resistance

22
Q

What could potentially block pulmonary circulation

A

Pulmonary embolism