Pulmonary Ventilation/ pulmonary circulation Flashcards

0
Q

What does the carina produce?

A

Strong cough reflex

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1
Q

Where is the carina located?

A

At the bifurcation of the trachea into the two primary bronchi

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2
Q

What do bronchioles lack?

A

Cartilaginous plates

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3
Q

Like bronchi, bronchioles lack cartilaginous plates

True or False

A

False

True statement is, Unlike bronchi, “ “

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4
Q

What is vital lung capacity?

A

Sum of the
inspiratory reserve volume
Tidal volume
and expiratory reserve volume

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5
Q

What is the volume of air that is inspired or expired with each breath at rest?

A

Tidal volume 500ml

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6
Q

What is the volume of air that can be inspired in addition to tidal volume with forceful inspiration?

A

Inspiratory reserve volume 3000ml

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7
Q

What is the additional volume of air that can be expired at end of tidal volume by forceful expiration?

A

Expiratory reserve volume 1100ml

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8
Q

what is the volume of air remaining in lungs after forceful expiration

A

Residual volume 1200 ml

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9
Q

What is the sum of all volumes that can be inspired or exhaled?

A

Vital capacity 4600 ml

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10
Q

what is the sum of all volumes that = vital capacity plus residual volume?

A

Total lung capacity 5800 ml

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11
Q

What is the total volume of gases that enter spaces participating in gas exchange per minute?

A

Alveolar ventilation (Va)

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12
Q

What does anatomic dead space include?

A

Space in the trachea, bronchi, and bronchioles

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13
Q

What does physiological dead space include?

A

Anatomic dead space + venitalated alveoli with poor or absent perfusion

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14
Q

The total dead space in a normal individual is about?

A

.15 liters

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15
Q

What does alveolar ventilation = ?

A

(tidal volume - dead space) x breathing rate = .35 x breathing rate

16
Q

What is pleural pressure?

A

The pressure of the fluid between parietal pleura and the visceral pleura

17
Q

What is alveolar pressure

A

Pressure of the air inside the alveoli

18
Q

What is transpulmonary pressure?

A

Difference between the alveolar pressure and the pleural pressure

19
Q

During inspiration pleural pressure =

A

-5 to -7.5 cm H2O.

20
Q

During expiration pleural pressure =

A

= -7.5 to -5 cm H2O.

21
Q

During inspiration alveolar pressure =

A

= 0 to -1 cm H2O.

22
Q

During expiration alveolar pressure

A

= 0 to +1 cm H2O.

23
Q

What is equal to tidal volume x respiration rate?

A

Minute ventilation

24
Q

For the average size alveolus (radius about 100 micrometers) the surface tension pressure is

A

about 4 cm of water pressure with surfactant and 18 cm of water pressure without surfactant.

25
Q

Compliance is

A

directly proportional to distensibility and volume and indirectly proportional to pressure.

26
Q

Compliance is the volume by which

A

the lungs and thorax increase for each unit pressure change in the transpulmonary pressure.

27
Q

How much of total blood volume is found in the lungs.

A

About 9% (450 ml)

28
Q

The pulmonary artery and its branches can be described as ….

A

a low pressure/high flow system

29
Q

the bronchial arteries (supplying the lung tissue itself) can be described as ….

A

a high pressure/low flow system.

30
Q

What is the pressure gradient in the pulmonary system.

A

The difference between the mean pulmonary arterial pressure and the diastolic pressure in the left atrium. This gradient is approximately 7 mm Hg.

31
Q

The mean normal pressure in the left atrium is ….?

A

2 mm Hg.

32
Q

In order to increase blood flow to the lungs during exercise what happens?

A

the number of open capillaries increases as much as 3x normal, the capillaries become more distended, and there is an increase in pulmonary arterial pressure.

33
Q

Normally at rest, the apices of the lungs show what?

A

zone 2 pattern of pulmonary blood flow

34
Q

Normally at rest, the remainder of the lungs show what?

A

zone 3 pattern

35
Q

What happens Because of the physiologic shunt?

A

blood in the systemic arteries contains less oxygen per deciliter than blood that has equilibrated with the alveolar air.

36
Q

What does the Reduction of blood flow to a portion of the lung cause?

A

lowers alveolar pCO2 and results in a constriction of the bronchi supplying that portion of the lung.