Distribution of inspired gases and gas transfer (self directed) Flashcards

1
Q

How does airway resistance changed in supine position compared to upright position

A

Airway resistance is increases in supine compared to upright position

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

What is the compliance like in high pressures and why

A

At high pressure, the lung is stiffer, hence compliance is lower (eg like a balloon)

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

Which part of the lung are more compliant and what does this mean

A

Lung bases are more compliant (>volume) than the apex so there is better ventilation

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

What is decreased compliance because of

A

pulmonary fibrosis and alveolar oedema

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

What is increased compliance due to

A

Normal ageing of lung

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

What happens to lung compliance as you age, and why

A

Compliance increases with age due to a loss in elastic recoil

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

What does a loss in elastic recoil prevent

A

complete exhalation

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

What is characteristic of emphysema and what does this prevent

A

increased compliance and decreased elastic recoil

-prevents complete exhalation

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

What is characteristic of pulmonary fibrosis and what does this mean

A

Decreased compliance

-Extra work required for ventilation

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

What does oedema fluid in the interstitial space or fibrosis of the lung mean

A

Increased diffusion resistance which means there’s an interference with normal gas exchange

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

Out of oxygen and Co2, which moves faster through gas and why

A

O2 moves faster because larger molecules diffuse more slowly

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

Out of O2 and Co2, which moves faster in liquid and why

A

Co2 diffuses faster because it is more soluble than O2

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

How is gas transfer and respiration controlled

A

Neural regulation

Chemical regulation

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

Where is voluntary breathing controlled

A

Cerebral cortex

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

Where is involuntary breathing controlled

A

Pons

Medulla

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

Where does chemical regulation of gas transfer and respiration take place

A

Central chemoreceptors

Peripheral chemoreceptors

17
Q

Where are central chemoreceptors found

A

Medulla

18
Q

Where are peripheral chemoreceptors found

A

Carotid arteries and aortic arch

19
Q

What is perfusion ratio

A

ratio of alveolar ventilation to blood flow

20
Q

What are the normal values for perfusion ration

A

Va=normal=5
Q=normal=1
Va/Q=normal=1

21
Q

What is the normal partial pressure of o2 in alveoli

A

13.3kPa

22
Q

What is the normal partial pressure of Co2 in alveoli

A

5.3kPa

23
Q

What happens in dead space in relation to ventilation

A

No capacity to carry O2 away or to bring CO2 to the alveoli

No gas exchange between the alveoli and the blood; alveoli equilibrates with atmosphere

24
Q

What happens in shunt in relation to ventilation

A

No ventilation, normal perfusion

No new O2 into the system; alveoli equilibrates with venous blood

25
Q

Why is there regional variation for Va/Q ratio in different areas of the lung

A

Due to gravity

26
Q

In the apex, what Is blood flow and ventilation like

A

Decreased blood flow

Increased ventilation

27
Q

In the base, what is the blood flow and ventilation like

A

Increased blood flow

Decreased ventilation

28
Q

How would you diagnose a pulmonary embolism and how is this measured

A

Va/Q

-measured by V/Q scan using radioisotopes

29
Q

What does hypoxia do to vessels

A

Low O2 constricts pulmonary arterioles

30
Q

What does High O2 do to vessels

A

Dilates pulmonary arterioles

31
Q

What does high CO2 (caused by lung disease) do to vessels

A

Dilates bronchioles

32
Q

What does low O2 (hypocapnia) do to vessels

A

Constricts bronchioles