Intro Flashcards
What is hiccups?
involuntary contraction of the inspiratory muscles and diaphragms
The sound is due to the glottis closing
How to treat hiccups?
haloperidol or chlorpromazine
alternately baclofen or domperidone
Oxygenated blood absorbs red or IR light?
red light
deoxygenated blood absorbs red or IR light
IR
What can cause a high V/Q mismatch? (the average value is 0.8)
Pulmonary embolism
Due to the clot disrupting the amount of blood getting to the alveolar capillaries. The Q values gets smaller.
Define FEV1
forced volume of expiration at 1 second from
the point of maximal inspiration
Define FVC
volume of air that can
be expelled, from the point of maximal inspiration
to the point of maximal expiration
That is DLco?
diffusing capacity of carbon monoxide
CO binds to erythrocytes, so the higher the DLco value the better the pulmonary blood volume.
What is TV
Tidal volume
the amount of air inspired or expired during a single breath
What is IRV/ERV
inspiratory/expiratory reserve volume
What is FRC
Functional residual volume=RV (residual volume)+ERV
What is vital capacity (VC)?
maximum amount of air that
can be expelled after maximal inspiration (VC =
IRV + TV + ERV)
What is minute ventilation?
The amount of air inhaled
or exhaled per minute. TV x RR
The higher the minute ventilation the lower the blood CO
What are the cardinal resp symptoms?
CHWD
Chest pain
Cough
Haemoptysis
Wheeze
Dyspnoea
Normal ABG pH range
7.35-7.45
Normal ABG PaO2 range
10.5-13.5 kPa
Normal ABG PaCO2 range
4.7-6 kPa
Normal ABG HCO3 range
21-26
Normal ABG base excess range
-2 to +2
Normal ABG H+ range
35-47
Why is lactate an important test in resp?
Lactate (and lactic acidosis, by extension) is built up as a result of anaerobic respiration through the glycolytic
pathway.
Conditions such as sepsis and
volume depletion may adversely affect cellular
metabolism, increasing lactate levels,
Anion gap formula
Na-(Cl+HCO3)
16 ± 4 mEq/L (if the calculation employs potassium)
12 ± 4 mEq/L (if the calculation does not employ potassium)
Causes of a high anion gap
MUD PILES
methanol
Ureamia
DKA
Paraldehyde Isoniazid Lactic acidosis Ethylene glycol Salicylates (aspirin)