pulm Flashcards
FRC calc
ERV + residual volume. about.40cc/kg
vital capacity calc
ERV _ TV + IRV. about 70cc/kg
conditions that decrease FRC
PANGOS: preggo, ascites, neonate, GA, obesity, supine position
la place law
Pressure= 2 x surface tension / radius. alveoli
poiseuille law
flow = pressure x radius to 4 / length x viscosity
ratio of dead space to tital volume equation
(PaCO2-PEtCO2)/PaCO2=Vd/Vt. normal is under 0.3
where we see increased dead space ventilation
GA: hyperventilation(rate or volume), muscle relaxants. also decreased perfusion state(down CO, PE, adding PEEP
ventilation w/o perfusion is what
dead space: anatomic, alveolar(PE), physiologic(anatomic + alveolar) is 0.3L
five causes of hypoxemia
hypoventilation, low FiO2, diffusion limitation, shunt, v/q mismatch
normal A-a gradient hypoxemia
hypoventilation and low FiO2
PAO2=
FiO2(Pbar-PH2O)-(PaCO2)/0.8
causes of shunt physiologic
atelectasis, mucous plug, thebesian veins
shunt equations
(CcO2-CaO2)/(CcO2-CVO2)
PaO2 of 90% saturation
60
p50 adult
- 30 if pregnant b/c 2,3dpg