Respiratory Flashcards

1
Q

Inspiratory Reserve Volume

A

-the amount of air that could be inhaled past a tidal breath with maximal inspiratory effort
-around 3L

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2
Q

Tidal Volume

A

-inspired from the resting lung volume reahced at end-expiration
-around 0.5L

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3
Q

Expiratory Reserve Volume

A

-the amount of air that remains in the lungs after a tidal breath but could be forcefully exhaled
-around 1100 mL

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4
Q

Residual Volume

A

-the air left in the lung after maximum expiratory effort
-around 1200 mL

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5
Q

Inspiratory Capacity

A

-tidal volume + inspiratory reserve volume
-the maximum amount of air inhaled from the end of a tidal breath
-3500 mL

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6
Q

Functional Residual Capacity

A

-expiratory reserve volume + residual volume
-the amount of air remaining in the lungs at the end of a tidal breath
-2300 mL

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7
Q

Vital Capacity

A

-the maximum volume that can be inhaled and then exhaled is the vital capacity
-around 4-6 L

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8
Q

Total Lung Capacity

A

-the gas volume in the lung after a maximum inspiration
-around 6-8 L

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9
Q

Conducting Zone

A

-does not participate in gas exchange (anatomic deadspace)
-begins at nares and mouth
-ends with terminal bronchioles

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10
Q

Respiratory Zone

A

-gas exchange takes place here
-begins at alveolar ducts
-ends at alveolar sacs
-gas exchange occurs across type 1 pneumocytes by diffusion

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11
Q

Turbulent flow

A

trachea, main bronchus, lobar bronchi, segmental bronchi
-has cartilage
-highest Reynolds number
-most resistance to flow

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12
Q

Laminar flow

A

conducting bronchioles to alveolar sacs
-has smooth muscle

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13
Q

T/F: The compliance reading on the ventilator is only for the tidal volume breath.

A

True, only for the breath that we see

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14
Q

FRC volume affects…

A

lung compliance
resistance to air flow
gas exchange

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15
Q

Ohm’s Law

A

Flow = pressure / resistance
Pressure = flow x resistance
Resistance = pressure / flow

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16
Q

Equation of motion of the respiratory system

A

Paw = (volume x 1/ compliance) + (resistance x flow)

17
Q

Peak Airway Pressure

A

dynamic compliance of the tidal volume
-with air flow
-convection of gas
-high resistance
-can control size with airway size

18
Q

Plateau Pressure

A

static compliance of the FRC
-no flow
-diffusion of gas
-low resistance
-can control size with drugs

19
Q

T/F: If the size of the tube for ventilation is decreased, the increase in resistance is magnified.

A

True, halving the radius = 16x resistance (Pousielle’s Law)

20
Q

PFTs Obstructive

A

increased forced vital capacity
increased residual volume
FEV1/FVC <75%

21
Q

PFTs Restrictive

A

decreased forced vital capacity
decreased residual volume
FEV1/FVC >85%

22
Q

T/F: The ETT is the location with the highest resistance to airflow in healthy lungs.

A

True, we put a smaller tube inside a larger one that already had high resistance

23
Q

Dead space

A

-ventilation with no gas exchange
-conducting zone
-about 2 ml/kg
-emphysema/bronchitis cannot increase RR enough to keep up with PaCO2

24
Q

Minute ventilation

A

-total volume breathed
-TV x RR
-5 to 6 L

25
Alveolar ventilation
-total volume in gas exchange -(Vt-Vd) x RR -4 to 5 L
26
Dead space changes
increase: mask, glyco/atropine decrease: ETT, trach
27
Anatomic dead space
fraction of Tv that remains in the conducting airways
28
Physiologic dead space
any part of a Vt that does not participate in gas exchange
29
Instrumental dead space
volume of external tubing connected to patient
30
Dead space equation
Vdphys / VT = (PaCO2 - EtCO2) / PaCO2
31
FRC supine/anesthetized/paralyzed
supine -1L FRC anesthesia -0.5L FRC
32
FRC calculation
34 ml/kg
33
Apneic time calculation
(FRC x FiO2) / 250 mL/min 2400 mL (FRC) x 1.0 (FiO2) / 250 mL/min (O2 consumption) = 9.6 minutes
34
Compliance
Volume / Pressure =elastance in healthy lungs -Geriatric/COPD: increased alveolar, decreased chest wall -neo/pulm fib: decreased alveolar, increased chest wall
35
Elastance
Pressure / Volume =compliance in healthy lungs -geriatric/COPD: decreased alveolar, increased chest wall -neo/pulm fib: increased alveolar, decreased chest wall