Pulmonary Diseases Flashcards

1
Q

What does happen in early stages, the pneumonia process?

A

alveolar ventilation reduced while blood flow through the lung continues normally.

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2
Q

. Early pneumonia.two major pulmonary
abnormalities:?

A

(1) reduction in the total available surface
area of the respiratory membrane
(2) decreased ventilation-perfusion ratio
( Hypoxemia and hypercapnia)

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3
Q

Atelectasis ?

A

collapse of the alveoli

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4
Q

Causes of atelectasis are?

A

(1) total obstruction of the airway
(2) lack of surfactant in the fluids lining the alveoli.

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5
Q

Reasons for hypoxia?
.

A
  1. Inadequate oxygenation of the blood in the lungs
  2. Pulmonary disease
  3. Venous-to-arterial shunts(“right-to-left”cardiac
    shunts)
  4. Inadequate O2 transport to the tissues by the blood
  5. Inadequate tissue capability of using O2
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6
Q

Extrinsic reason for hypoxia?

A

a. Deficiency of O2 in the atmosphere
b. Hypoventilation (neuromuscular disorders)

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7
Q

Extrinsic reason for hypoxia?

A

a. Deficiency of O2 in the atmosphere
b. Hypoventilation (neuromuscular disorders)

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8
Q

pulmonary diseases cause hypoxia?

A

a. Hypoventilation caused by increased airway
resistance or decreased pulmonary compliance
b. Abnormal alveolar ventilation-perfusion ratio
(including either increased physiological dead
space or increased physiological shunt)
c. Diminished respiratory membrane diffusion

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9
Q

Type I respiratory failure
PaO2
PaCO2
.

A
  • low
    normal / low
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10
Q

Type II respiratory failure
PaO2
PaCO2

A

low
high

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11
Q

Reasons for Type I respiratory failure ?

A

due to lung tissues

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12
Q

other name for Types I RF?

A

‘acute hypoxaemic

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13
Q

Reasons for Hypoxaemia?

A

right-to-left shunts or
V/˙ Q˙ mismatch.

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14
Q

Types I respiratory failure causes?

A

pneumonia,
acute lung injury,
cardiogenic pulmonary oedema,
pulmonary embolism and
lung fibrosis.

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15
Q

Type II BF other name?

A

‘ventilatory failure’

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16
Q

What happen in Type II RF ?

A

alveolar ventilation is
insufficient to remove the volume of carbon dioxideby tissue metabolism

17
Q

Most common cause for Type 11 RF ?

A

COPD.

18
Q

In airway obstruction in what is more difficult ? Why?

A

Expiration
closing tendency of the airways is greatly increased by the extra positive pressure required in the chest to cause expiration.

19
Q

How polycythaemia vera occur cyanosis ?

A

great excess of available hemoglobin that can become deoxygenated leads frequently to cyanosis,

20
Q

Cyanosis?

A

.blueness of the skin, and its
cause is excessive amounts of deoxygenated hemoglobin
in the skin blood vessels, especially in the capillaries.

21
Q

Dyspnea?

A

mental anguish associated with inability to ventilate enough to satisfy the demand for air.

22
Q

What are the dynamic lung volumes?

A

FVC
FEV 1

23
Q

What are the dynamic lung volumes?

A

FVC
FEV 1

24
Q

What are the dynamic lung volumes?

A

FVC
FEV 1

25
Q

FVC ?

A

volume of expired air forcefully after maximum inspiration .

26
Q

FEV1 ?

A

Fraction of vital capacity expired during the 1 st second of a forced expiration.

27
Q

What is the 2 main types of RSP diseases?

A

Obstructive LD
Restrictive LD

28
Q

Obstructive LD?

A

reduction in airflow and airway limitation.

29
Q

Restrictive LD?

A

reduction in lung size
or
increase in lung stiffness
decrease in the maximum volume of air that is able to in or out from lungs.

30
Q

obstructive LD examples?

A

Bronchial Asthma
COPD
Bronchiectasis

31
Q

Obstructive LD
FEVI -
FVC -
FEVI/ FVC -

A

very low
Normal/low
low

32
Q

Obstructive LD
FEVI -
FVC -
FEVI/ FVC -

A

very low
Normal/low
low

33
Q

Restrictive LD
FEV 1 -
FVC-
FEVI /FVC -

A

normal/ increase
reduced
normal / reduced