Gas Exchange 2 Flashcards

1
Q

What is a characteristic of pulmonary arteries and arterioles?

A

Thin
Compliant
Radius and length depends on inflation
Exposed to atmospheric (alveolar) pressure

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2
Q

What happens as pressure increases in pulmonary system?

A

Resistance decreases

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3
Q

What does decreased resitance faciliatte?

A

Large CO to lung for exercise

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4
Q

What makes the lung vulnerable to oedema formation?

A

Very large, thin walled, alveolar capillary bed to facilitate rapid gas exchange

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5
Q

How do you calculate perfusion pressure?

A

Pa - Pv

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6
Q

What happens when effective perfusion pressure = 0?

A

Capillaries collapse - negative pressure ventilation, not available for gas exchange

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7
Q

What part of the lung receives most blood flow?

A

Bottom of lung

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8
Q

What is a zone 2 region?

A

Pa > PA > Pv

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9
Q

Where is zone 2 found?

A

From apex down to approx 6cm above hilum

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10
Q

What gives gradient of pressure from top to bottom of lung?

A

Resistance increases at top as vessels are distensible and collapsible and the PA is low

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11
Q

What 3 things cause flow distribution?

A

Thin walled, collapsible vessels
Low intravascular pressures
Exposure of vessels to atmospheric pressure

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12
Q

What makes lung susceptible to oedema?

A

Thin walled and large surafce area

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13
Q

What are preventions to pulmonary oedema?

A

Low pressure circulation
Pulmonary lymphatic system - constant flow of lymph fluid

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14
Q

What course to lymphatic vessels follow?

A

Pulmonary veins to hilum

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15
Q

What contractile cells are present in pulmonary circulation?

A

Pericytes

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16
Q

Is there a basal tone in the lung?

A

No

17
Q

How is blood flow regulated in lung?

A

Passive features - hypoxic pulmonary vasoconstriction
- vasoconstriction in response to hypercapnia/acidosis
No autoregulation

18
Q

What are 4 non-respiratory functions of pulmonary circulation?

A

Filtration
Fibrinolysis
Activation/inactivation of hormones and transmitters
Defence