O2 Delivery and Extraction Flashcards

1
Q

How do you calculate the DO2?

A

CO x CaO2

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2
Q

How do you calculate CO?

A

HRT x SV

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3
Q

SV is dependent on?

A

Preload
Contractility
After load

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4
Q

How do you calculate the cardiac Index (CI)?

A

CO x body surface area

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5
Q

What does the ejection fraction reflect?

A

Contractility (volume of blood for each squeeze).

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6
Q

What does the preload reflect?

A

The heart stretch prior to contraction.

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7
Q

Preload occurs at what stage of the BP?

A

End diastole.

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8
Q

What does after load represent?

A

The force that resists contractions.

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9
Q

What does the ejection fraction reflect?

A

Contractility

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10
Q

Define contractility?

A

The ability of the heart to contract and eject blood into right ventricle and vasculature.

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11
Q

What calculation is this?
(Hb x 1.36 x SaO2) + (PaO2 x 0.003)?

A

Arterial O2 concentration.

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12
Q

What is CaO2?

A

Arterial O2 content

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13
Q

What is SaO2?

A

Arterial saturation of O2 and Hb.

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14
Q

What is PaO2?

A

Partial pressure of O2 in blood.

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15
Q

How do you calculate the oxygen extraction ratio (OER).

A

VO2/ DO2

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16
Q

What is the O2ER in the brain?

17
Q

What is the O2ER in normal tissue?

18
Q

When DO2 fails to meet VO2, this is known as?

A

Critical O2 delivery.

19
Q

Which does not contribute to DO2?
BP or CO

20
Q

What type of hypoxia has a decreased DO2 from a decreased CaO2 secondary to Hypoxaemia from decreased PaO2 and SaO2.

A

Hypoxemic hypoxia.

21
Q

With Hypemic hypoxia, what is decreased that leads to a decrease in CaO2, thus decreased DO2?

22
Q

What is Haemoglobinopathy?
What time of hypoxia is it?

A

Effects the function of Hb.
Hypemic hypoxia

23
Q

What happens to Hb with methemoglobinemia?
What type of hypoxia is it?

A

Hb normal, Dysfunctional Hb.
Hypaemic hypoxia.

24
Q

What type of hypoxia is also termed circulatory shock?

A

Stagnant hypoxia.
Low CO
Low blood flow
Low DO2

25
What type of hypoxia has normal DO2?
Histiotoxic hypoxia
26
What type of hypoxia does cyanide toxicity cause?
Histiotoxic Hypoxia
27
What type of hypoxia does carbon monoxide toxicity cause?
Histiotoxic hypoxia.
28
What disease causes mitochondrial dysfunction leading to hystiotoxic hypoxia?
Sepsis
29
Sepsis increases VO2. What hypoxia does this cause?
Metabolic hypoxia.
30
Name a toxin that causes Haemoglobinopathy.
Carbon monoxide
31
Name three causes of Hypoxemic hypoxia.
Ventilation mismatch Pulmonary diffusion Low O2 R to L shunt Hyperventilation
32
Stroke volume occurs at what stage of BP?
Systole
33
How do you calculate the shock index?
HRT divided by BP
34
What is the shock index in dogs and cats?
Dog: > 1 Cat: > 1.6