Oxygenation Chp 30 Flashcards
Diffusion
The movement of gases between spaces and the bloodstream.
Cardiopulmonary function
Primary function: to provide oxygen to the tissues and remove CO2 and waste.
Primary function of the lungs?
~ventilation
~diffusion
~respiration
~perfusion
Ventilation
Movement of air in and out the lungs
Respiration
Exchange of O2 and CO2 during cellular metabolism
Perfusion
Movement of blood into and out of the lungs to the organs and tissues of the body
Surfactant
Phospholipid-rich substance; prevents the alveoli form collapsing on expiration; essential for normal breathing
Neural & chemical regulation of respiration
-Neural regulation
~maintains rhythm and depth of respiration and the balance of inspiration & expiration
-cerebral cortex
~voluntary control of respiration; eating, speaking, swimming
-medulla oblongata
~automatic respiration; continuous
-chemical regulation
~maintains appropriate rate and depth of respirations based on CO2, O2, H+ concentration of the blood
Chemoreceptors
Located in the medulla, aortic body, & carotid body; stimulated by O2, CO2, H+; this stimulates neural regulators to adjust rate & depth of ventilation to a maintain norm blood gas levels; occurs during exercise & in some illness; short-term adaptive mechanism
Regulation of ventilation
Ventilation depends on neuroreceptors & chemoreceptors in lungs & central nerves system (CNS)
Provides for adequate oxygen to meet metabolic demands
Both control ventilation
Oxygen transport
Depends on oxygenation; ventilation allows O2 & co2 in and out of lungs; diffusion occurs in alveoli
Factors affecting oxygenation
Hypoxia
Hypoxemia
Hypoventilation
Hyperventilation
Hypoxia (causes of, signs & symptoms, treatment)
Inadequate tissue oxygenation with a deficiency in oxygen utilization at cellular level Causes: -lowered oxygen-carry capacity, as in anemia or CO2 poisoning -diminished air (high altitude) -airway restriction or obstruction -impairment from injury -poor tissue oxygenation -failure of hemoglobin to release O2 S&s: -tachycardia -per phial vasoconstriction dizziness -mental confusion Treatment -cardiac & respiratory stimulant drugs -O2 therapy -mechanical ventilation -analysis of blood gases
Hypodermic
Abnormal deficiency in concentration of O2 in arterial blood, a low partial pressure of O2
Causes:
-decreased diffusion of O2 from the lung into the blood eg. pneumonia, atelectasis
-decreased alveolar oxygen tension
-by passing of blood from right side of heart to the left w/o diffusion in he lungs
Symptoms:
-tachycardia
-dysphasia
-hypertension
-hypotension
-pallor, cyanosis