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
For the average size alveolus (radius about 100 micrometers) the surface tension pressure is
about 4 cm of water pressure with surfactant and 18 cm of water pressure without surfactant.
25
Compliance is
directly proportional to distensibility and volume and indirectly proportional to pressure.
26
Compliance is the volume by which
the lungs and thorax increase for each unit pressure change in the transpulmonary pressure.
27
How much of total blood volume is found in the lungs.
About 9% (450 ml)
28
The pulmonary artery and its branches can be described as ....
a low pressure/high flow system
29
the bronchial arteries (supplying the lung tissue itself) can be described as ....
a high pressure/low flow system.
30
What is the pressure gradient in the pulmonary system.
The difference between the mean pulmonary arterial pressure and the diastolic pressure in the left atrium. This gradient is approximately 7 mm Hg.
31
The mean normal pressure in the left atrium is ....?
2 mm Hg.
32
In order to increase blood flow to the lungs during exercise what happens?
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
Normally at rest, the apices of the lungs show what?
zone 2 pattern of pulmonary blood flow
34
Normally at rest, the remainder of the lungs show what?
zone 3 pattern
35
What happens Because of the physiologic shunt?
blood in the systemic arteries contains less oxygen per deciliter than blood that has equilibrated with the alveolar air.
36
What does the Reduction of blood flow to a portion of the lung cause?
lowers alveolar pCO2 and results in a constriction of the bronchi supplying that portion of the lung.