Lecture 5: Ventilation and Gas Exchange Flashcards

1
Q

What are the two types of ventilation? Definitions and what are their respective equations? UNITS!

A

1.Minute Ventilation= Frequency X Tidal Volume (total air moved into lung in one minute). Units: liters/min 2. Alveolar ventilation= frequency X (tidal volume- dead space) (total air moved into respiratory zone in one minute) Units: Liters/min

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

What are the two types of dead space? (definition)

A

Anatomic dead space: the air in the conductive zone of the airways that does not contribute to gas exchange Physiological dead space: total effective dead space. Same as anatomic dead space in normal individuals but increases in disease

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

The pressure of expired CO2 depends on what? What equation is this?

A

ratio of (dead space/tidal volume) Bohr equation

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

When you change diction of your breathing (normal vs slow,deep vs quick,shallow vs. increased dead space) which ventilate changes and which one is constant?

A

Constant: Minute Ventilation Change: Alveolar Ventilation

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

Of the following variables, what changes and how by a) slow, deep breaths b)quick shallow breaths c) increased dead space compared to normal -f, Vt, VE, Vd, Vt-Vd, VA

A

A. freq down, Vt up, Ve same, Vd same, Vt-Vd up, VA up B. freq up, Vt down, Ve same, Vd same, Vt-Vd down, VA down C. freq same, Vt same, Ve same, Vd up, Vt-Vd down, VA down

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

Work done by Respiratory Muscles is equal to what?

A

PressureXVolume

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

What force are the lungs working against in a static compliance curve? Dynamic compliance curve?

A

-Static: Elastic recoil and surface tension -Dynamic: elastic recoil, surface tension, and additional work against airway resistance

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

What is the relationship between work and ventilation rate? 1) At rest (FRC) 2) at increased ventilation rates 3) emphysema

A

1) consume about 3 ml O2/min (units for work) and this is small 2) at very high respiratory rates, you are using up a lot of O2/min 3) during emphysema, a small increase in ventilation leads to a large increase in work

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

Why does the work against elastic recoil greatest when you are taking fewer breathes (at a constant alveolar ventilation)?

A

When you are taking deeper breathes, larger tidal volumes means that you are working a lot harder against elastic recoil (remember compliance curve for system)

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

What is the relationship between airway resistance and work? Does it matter if flow is turbulent or laminar?

A

-linear. increased airway resistance means increased work -Yes, turbulent flow is less efficient and required more work

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

In restrictive disease, what work is a lot greater? What does this do to breathing? Same question for obstructive disease/

A

Restrictive: work against elastic recoil elevated. More breathes/min and shallower Obstructive: work against airway resistance elevated. Less breathes/min

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

What are the approximate composition of the elements found in our atmosphere?

A

Nitrogen: 78% Oxygen: 21% Argon: 1% CO2: 0%

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

What is the partial pressure equation? Units Calculate Partial pressure of nitrogen and oxygen?

A

Pgas= Total pressure X fraction of gas composition to the total Example: PO2= 760*0.21= 160 torr PN2= 760*.78= 600 torr

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

What is Henry’s Law trying to show? Equation?

A

-The quantity of gas that dissolves in a unit volume of liquid is determined by the solubility of the gas in that liquid and its partial pressure gas concentration= partial pressure of gas X solubility of gas

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

What is the partial pressure of water vapor in the body?

A

47 torr

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

What are the partial pressures of oxygen and CO2 in the following: ambient air, tracheal air, alveolar, arterial blood, mixed venous blood? YOU NEED TO KNOW THIS!

A

Ambient Air: Oxygen (160 torr) CO2(0) Tracheal air: Oxygen (150) CO2 (0) Alveolar air: Oxygen (100) CO2 (40) Arterial blood: Oxygen (95) CO2(40) Mixed Venous Blood: oxygen (40) CO2(45)

17
Q

What factors affect diffusion and how? (Fick’s Law of Diffusion)

A

Diffusion constant (prop), Area (prop), pressure gradient (prop), distance (inver prop)

18
Q

When looking at O2 and CO2 diffusion in the blood, what partial pressures of O2 and Co2 do we look at?

A

O2: ratio between alveolar pressure and mixed venous (100 and 40) CO2: ratio between alveolar pressure and mied venous (40 and 45)

19
Q

What variable dictates diffusion of Co2 and O2 from the blood to the alveoli?

A

CO2: solubility constant is high O2: pressure gradient (driving force) is high

20
Q

What is the diffusing capacity of the lung (definition)? What is the equation?

A

Diffusing capacity is the how good is the lung at diffusing oxygen from the alveoli into the capillary bed. Equation: Dl= V dot O2/ (PAO2-PVO2)

21
Q

Why is carbon monoxide used as a surrogate for oxygen in the diffusion capacity equation? equation?

A

Oxygen has a large driving force so it is not a great marker for disease. CO is more sensitive detector. Dl(CO)= V dot CO/ PA CO

22
Q

What determines alveolar gas content?

A

PO2

23
Q

What two forces are working in opposition to control alveolar gas content?

A

Metabolism and ventilation

24
Q

Increasing ventilation have a larger/smaller/or similar affects on CO2 than O2? Think about why you know this

A

larger When you hyperventilate, you are making your blood more basic (you know this from physiology class)