Pulmonary circulation Flashcards

1
Q

PVR

A

pulmonary vascular resistance

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2
Q

pulmonary vascular resistance (PVR) - equation

A

(Ppulm arter - P left atrium) / cardiac output

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3
Q

resistance - equation

A

(8 x viscosity x vessel length) / (πr4)

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4
Q

pulmonary circulation - resistance - low or high

A

low

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5
Q

pulmonary circulation - compliance - low or high

A

high

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6
Q

pulmonary circulation vs systemic circulation according PO2

A

in pulmonary circulation, a decreasing in PAO2 causes a HYPOXIC VASOCONSTRICTION

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7
Q

decreased PAO2 associated vasoconstriction in pulmoary circulation - purpose

A

it shifts blood away from poorly ventilated regions of lung to well-ventilated regions of lung

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8
Q

A consequence of pulmonary hypertension is

A

cor pulmonale and subsequent right ventricular failure (jugular venous distention, edema, hepatomegaly)

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9
Q

pulmonary circulation - perfusion limited (definition)

A

Gas equilibrates early along the length of the capillary

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10
Q

pulmonary circulation - perfusion limited –> perfusion can be increased ….

A

only by blood flow increasing

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11
Q

pulmonary circulation - perfusion limited - example gases

A
  1. O2 (NORMAL HEALTH)
  2. CO2
  3. N20
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12
Q

pulmonary circulation - diffusion limited (definition)

A

gas does not equilibrate by the time blood reaches the end of the capillary

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13
Q

pulmonary circulation - diffusion limited - example gases

A
  1. O2 (under emphysema, fibrosis)

2. CO

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14
Q

pulmonary circulation - diffusion vs perfusion limited in exercise

A

normally gas EQUILIBRATES but at the end of the capillary

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15
Q

diffusion equation

A

Vgas = (A/T) x DK (P1-P2)

DK (P1-P2) is the difference in partial pressures
A:area
T:alveolar wall thickness

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16
Q

pulmonary circulation - diffusion is decreased in (and why)

A
  1. pulmonary fibrosis (increased alveolar wall thickness)

2. emphysema (decreased area)

17
Q

Vgas = (area/alveolar wall thickness) x DK (P1-P2) - situation of decreased A

A

emphysema

18
Q

Vgas = (area/alveolar wall thickness) x DK (P1-P2) - situation of increased T

A

pulmonary fibrosis