P36 - Gases Flashcards

1
Q

excess CO2 in blood

A
  • hypercapnia
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2
Q

deficiency of CO2

A
  • hypocapnia
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3
Q

deficient of dissolved O2 in blood

A
  • hypoxemia
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4
Q

deficiency of O2 reaching tissues or defective use of O2 by tissues

A
  • hypoxia
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5
Q

H2CO3 is a reflection of __

A
  • Pco2
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6
Q

almost no free CO2 in ____

A
  • red cells
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7
Q

CO2 goes into red cells and immediately converts to ___

A
  • bicarb
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8
Q

most CO2 in plasma is carried in the form of ___

A
  • bicarbonate
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9
Q

blood sample for blood gas and pH analysis

A
  • heparinized whole blood
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10
Q

arterial blood is for assessment of

A
  • pulmonary functions
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11
Q

venous blood is adequate for

A
  • metabolic disorders
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12
Q

venous or arterial blood is more acidic

A
  • venous

- H from cellular metabolism in venous blood being transported to lungs for removal

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13
Q

should not use what blood sample to asses for pulmonary function

A
  • venous Pco2
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14
Q

plasma [HCO3] is dependent on both __ and ___

A
  • pH

- Pco2

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15
Q

venous ___ = arterial ____

A
  • [HCO3]

- [HCO3]

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16
Q

exposure of air (or excess heparin in sample) does what to

  • Po2
  • Pco2
  • [H]
  • [HCO3]
A
  • increase Po2
  • decrease Pco2
  • decrease [H] - increase pH
  • decrease [HCO3]
17
Q

delayed sample analysis does what to

  • Po2
  • [H]
A
  • decrease Po2

- increase [H] - decrease pH

18
Q

decrease [HCO3] and [H] increases

A
  • metabolic acidosis
19
Q

increase Pco2 and [H] increase

A
  • respiratory acidosis
20
Q

increase [HCO3] and [H] decrease

A
  • metabolic alkalosis
21
Q

decrease Pco2 and [H] decrease

A
  • respiratory alkalosis
22
Q
  • decrease renal loss of H
  • increase H production
  • increase HCO2 loss
    all can cause _______
A
  • metabolic acidosis
23
Q

respiratory response of metabolic acidosis

A
  • respiratory alkalosis (decrease Pco2; increase pH)
24
Q
  • impaired gas exchange
  • decrease respiratory center
  • upper airway obstruction
  • decrease respiratory muscles
  • mechanical hypoventilation
    all can caused ______
A
  • respiratory acidosis
25
Q
  • excess loss H (gastric or renal)
  • excess generation of HCO3
    all can caused _____
A
  • metabolic alkalosis
26
Q

respiratory response of metabolic alkalosis

A
  • respiratory acidosis

alkalemia; raise PCO2; lower pH

27
Q
  • increase alveolar ventilation
  • hypoxia
  • pain, anxiety
  • mechanical hyperventilation
  • all can cause ____
A
  • respiratory alkalosis
28
Q

expected Po2 only ____ _____ sample acceptable

A
  • heparinized arterial
29
Q

SO2 is a measure of __ saturation of ___

A
  • O2

- Hgb

30
Q

tidal hypoxia

A
  • air not getting to alveoli
31
Q

alveolar hypoxia

A
  • O2 not diffusing to blood
32
Q

anemia can cause ____ but does not create ____

A
  • hypoxia

- hypoxemia

33
Q

ventilation

A
  • amount of air getting to alveoli
34
Q

perfusion

A
  • amount of blood getting to alveoli