Pulmonary Overview Flashcards

(54 cards)

1
Q

Name how many lobes each lung has

A

3 - Right lung: upper, middle, and lower lobes

2 - Left lung: upper and lower lobes

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2
Q

The trachea bifurcates into its mainstem bronchi at the levels of the ____ anteriorly and the _____ posteriorly

A

sternal angle

T4 spinous process

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3
Q

What are serous membranes that cover the outer surface of
each lung?

A

The pleurae

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4
Q

the pleura that cover the outer surface of each lung

A

visceral pleura

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5
Q

the pleura that cover the inner rib cage and upper surface of the diaphragm

A

parietal pleura

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6
Q

The main buffer system utilized by the body is the what?

A

bicarbonate buffer system

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7
Q

What is the major Respiratory Component because it depends upon the rate of respiration?

A

pCO2

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8
Q

The bicarbonate buffer system is unique because why?

A

It has a huge buffering capacity because it communicates with air – it is an open system

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9
Q

What is the major Metabolic Component because its plasma concentration is maintained by the kidney, and is affected by amount of nonvolatile acids made?

A

HCO3

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10
Q

Increase in pCO2 (and decrease in pH) results in what?

A

increase in respiratory rate

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11
Q

Receptors in carotid bodies and in the aortic arch are sensitive to what?

A

arterial pO2 (the partial pressure of oxygen)

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12
Q

Decrease in pO2 level of what then results in the respiratory rate increasing?

A

pO2 < 60mmHg

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13
Q

Central chemoreceptors in the Medulla are sensitive to what?

A

pCO2 and pH

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14
Q

On pulse oximetry, a level less than what requires oxygen?

A

Less than 88%,

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15
Q

Pulmonary function testing measures what?

A

how well you are breathing

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16
Q

Pulmonary function testing provides objective data on what four factors?

A

Type of disease
Severity of disease
Changes in the disease
Response to treatment

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17
Q

Pulmonary function testing will give what three categories of information?

A

Lung volumes
Flow rates
Diffusing capacity

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18
Q

Volume of gas in the lungs at the end of maximum inspiration/amount of air contained in the fully expanded lung

A

Total lung capacity

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19
Q

The amount of air breathed in (inspired) or out (expired) during normal respiration (spontaneous breath)

A

Tidal volume

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20
Q

The additional air that can be inhaled after a normal tidal breath in

A

Inspiratory reserve volume

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21
Q

The amount of air left in the lung at end of normal breathing exhalation

A

Functional residual capacity

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22
Q

The amount of air that can be forced out of the lungs after a maximal inspiration

A

Vital capacity

23
Q

The amount of air left in the lung after a maximal exhalation (never expired)

A

Residual volume

24
Q

The volume that can be inhaled after a tidal breath – out

A

Inspiratory capacity

25
The amount of additional air that can be breathed out after normal expiration
Expiratory reserve volume
26
How much air you can blow out (very important)
Forced vital capacity
27
If someone had fluid in their lungs for example, this would be reduced
Forced vital capacity
28
During a forced vital capacity, the amount exhaled in the first second of a forced expiration
Forced expiratory volume 1 second
29
Normal lungs can get about what percentage of our FVC out in the first second?
80%
30
Extremely important to determine if they have obstructive disease (can’t get the air out)
Forced expiratory volume 1 second
31
Indicates both large and small airway function
Forced expiratory volume 1 second
32
Measures flow generated during the mid-portion of the forced expiratory maneuver
Forced expiratory flow
33
Indicates large airway patency Measures the highest flow that can be generated by the patient forcefully blowing after fully inflating the lungs
PEP
34
The ratio of FEV1 and FVC is an indication of what?
obstruction to air flow
35
What is the most important parameter to use?
FEV1/FVC
36
Tests airflow rates and lung volumes Ability of lungs to transfer gas across the alveolar-capillary membrane Can be used to diagnose lung disease
Spirometry
37
In interpreting PFTs, “normal” is considered anything ____ of predicted based on age? (what percentage)
>79%
38
ABGs look at which two categories?
oxygenation and acid/base balance
39
It is necessary for the body to maintain the blood pH within a very narrow range of what?
7.35-7.45
40
pH < 7.35
Acidosis
41
pH >7.45
Alkalosis
42
What are the four major components of the ABG?
pH PaO2 PaCO2 HCO3⁻
43
What is a measure of the respiratory component of ABGs?
PaCO2
44
What is a measure of the metabolic component of ABGs?
HCO3-
45
What are the four types of Acid-Base abnormalities?
Metabolic Acidosis – decrease in plasma HCO3⁻ Metabolic Alkalosis– increase in plasma HCO3⁻ Respiratory Acidosis – increase in pCO2 Respiratory Alkalosis – decrease in pCO2 If pCO2 is cause = respiratory If HCO3 is cause = metabolic
46
Caused by any process which decreases the ability of lungs to exchange CO2 for O2 pH decreases; pCO2 increases; hyperkalemia
Respiratory Acidosis
47
Caused by any process which increases respiratory rate pH increases; pCO2 decreases; hypokalemia
Respiratory Alkalosis
48
Caused by any process that decreases acid or increases bicarbonate
Metabolic alkalosis
49
Caused by any process that increases accumulation of acids or decreases amount of bicarbonate
Metabolic acidosis
50
Compensation is by adjusting respiratory rate and pCO2 (occurs over minutes/hours)
Metabolic acidosis = decrease in pCO2 Metabolic alkalosis = increase in pCO2
51
This is normally <15 mm Hg but will increase with age
Alveolar-Arterial Oxygen Gradient
52
What is 20x more soluble in plasma than oxygen?
CO2
53
The greater the oxygenation of hemoglobin in the capillaries the ____ ability to bind CO2
less
54
CO2 is carried in the blood as? (3 answers)
HCO3⁻ CO2 dissolved in plasma Carbaminohemoglobin