RESP 111 A&P Part 2 Flashcards

(41 cards)

1
Q

How does ventilation differ from respiration

A

ventilation is mechanical and involves the movent of air.
Respiration is physiologic and involves the exchange of gases in the Alveoli.(external respiration) and in the cells ( Internal respiration)

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2
Q

What causes air to flow into and out of the lungs

A

The diaphragm

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3
Q

Define the terms static and dynamic

A

At rest , To show little to no change.
Lung elastic properties
surface tension of the alceolar fluid
These forces cause elastic recoil in the lung

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4
Q

what is the normal lung compliance and how do the numbers change when it improves/worsens

A

-Normal lung compliance is about 200 milliliters per centimeter of water pressure
- A decrease in lung compliance causes the lung to become stiffer, whereas an increase in lung compliance causes the lung to become more expandable.

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5
Q

What is compliance and what is elastance

A

Compliance is volume/pressure
Elastance is Reciprocal of compliance, Pressure/volume , lung collapse causes elastance to increase

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6
Q

Are large alveoli more or less likely to collapse when compared to a small one

A

NO
critical opening pressure is the high pressure needed to initially open a bubble by over coming surface tension

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7
Q

What saves the small alveoli form collapse

A

Surfactant

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8
Q

What type of cell creates surfacestant and what does surfactant do for the lung

A

Alveolar beta 2 cells
Finite amount of surfactant enhances ventilation

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9
Q

Dose length or radius have more effects on Raw

A

The length and radius of tubes affect the flow.
Radius (r4) much greater effect than length

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10
Q

What is Raw and What is the normal range

A

The pressure difference between the mouth and the alveoli divided by the flow rate
.5-2.5 cm H2O/L/Sec

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11
Q

A time constant is

A

Time necessary to inflate an alveolus to 60 % of potential filling capacity

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12
Q

What is the normal Vt,f and I:E ratio

A

Vt-7-9 mL/kg
F-12/20bpm
I:E-1/2

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13
Q

What is minute ventilation and what is the calculation for it

A

(AKA Minute Volume)
The amount of air that moves in 1 min. Either in or out of the lungs.
MV=VtXf

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14
Q

How does the equation for alveolar ventilation differ from the equation for minute ventilation and what is the definition of alveolar ventilaion

A

MV- Dose not include Vd in the equation
Av- Reguires it to be subtracted in the equation when determining the Vt

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15
Q

What is the definition of deadspace

A

A volume of gas that doesn’t take place in air exchange.

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16
Q

What are the three types of deadspace

A

Anatomic-Upper airways
Alveolar-non perfused alveoli
Physiologic-Sum of the above two

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17
Q

Normal Anatomic deadspace is

A

NORMALLY equal to about 1ml/lb of ideal body weight

18
Q

In the upright lung, where dose more perfusion take place? Ventilation?

19
Q

What are the seven different ventilatory patterns that were reviewed and what are the definitions for each

A

Eupnea-normal breathing
Apnea- not breathing
Hyperpnea- breathing volume is increased with or without increased RR
Hyperventilition-Breathing off more Co2
Hypoventilition-Not breathing off enough Co2
Tachypnea-Increased RR
Dyspnea- difficulty breathing.(subjective)

20
Q

Normal barametric pressure is what ? and the Is abbreviated as what

A

760 above sea level
BP

21
Q

How dose barometric pressure change with increased and decreases in Alitude

A

it increases when going below altitude.and decreases when going in a higher alitude

22
Q

What dose the alveolar air equation tell us

A

The amount of air that takes place in gas exchange at the alveoli
The partial pressure of water vapor is removed from this gas pressure.
The R factor is a constant and represents the respiratory exchange ratio.

23
Q

How long dose it take to diffuse O2 and Co2 across the alveolar-capililary membrane and what causes that diffusion to decrease.

A

.25 Sec

decreased alveolar surface area.
decreased partial pressure of gas.
Increased alveolar capillary membrane thickness.

24
Q

How much of the blood is blood cells and what is the blood hematocrit

25
What are the four major valves in the heart
Tricuspid valve Aortic valve Pulmonary valve Mitral Valve
26
How does the electrical signal travel through the heart
They travel travel from the sinus node to the AV node
27
What are the four major chambers in the heart
Right atria Left atria Right ventricels Left ventricels
28
Be able to label both the heart chamber/valve location and the blood flow through the heart
Left ventracle Right ventracle Right Atrium Left Atrium Pulmonary Artery
29
What are the TWO main arteries that provide the heart muscle with nutrients
The left and right coronary artery
30
What is the heart doing during systole and diastole
Systole-during ventricular contraction Diastole-during ventricular relaxation
31
What is the cardiac output and what is the equation
Bloodpressure in the pulmonary and systemic vascular system Heart rate (x) the stroke volume
32
What are the THREE things that affect the stroke volume
1. Ventricular preload- amount in the chamber before the next contraction 2. Myocardial contractility- measurement of force 3.Ventricular afterload - The amount of force nessecarry to eject the blood.
33
What dose rule of 4,5,6 and 7,8,9 mean
Oxygen Dissociation Cuve. Measurement of PO2 made of plasma. Saturation of hemoglobin made via pulse oximeter
34
What are shunts and shunt effects
Blood that crosses from the right to the left without exsperiencing gas exchange. Anatonic shunt accounts for 2-5 % atelectasis- refractory hypoxemia Dose not respond to increased oxygenation
35
Define Hypoxia and Hypoxemia...Can a patient be one without the other?
Decreased oxygen available to the tissues. Decreased Oxygen available to the blood. NO
36
What is cyanosis
Blueness of the tissue Polycythemia- the bodys response to chronic cyanosis
37
What is polycythemia and what causes it
the bodys response to chronic cyanosis Thickened blood
38
What are the THREE function of the kidney
To regulate blood volume and pressure Regulate electrolyte concentration
39
What is a normal V/Q reatio (VQ= Ventilation perfusion)
4L a min of air and 5L per min of blood
40
Where is ventilation controlled in the body
Medulla Oblongata
41
Define the term dynamic
Relating to change or productivity