Respiratory Flashcards

1
Q

Poiselles law

A

Airway inversely proportional to radius to the power of 4

Flow proportional to pressure gradient and radius

Flow inversely proportional to viscosity and length

However many more small airways so overall resistance less in bronchioles

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2
Q

Measured by spirometry

A

Tidal volume and vital capacity

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3
Q

Measuring residual volume

A

Helium dilution
Nitrogen washout
Body plethysmography

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4
Q

Measuring dead space

A

Fowler single breath nitrogen - anatomical dead space
Bohr - physiological art co2 minus expired co2

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5
Q

Compliance

A

Volume change (L) / pressure change (cmH2O)

Max at mid insp - 200ml/cm h2o
Greater compliance at base

Measured exp

2/3 due to surface tension alveoli, 1/3 elastin and collagen

Hysteresis - different compliance insp and exp

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6
Q

Increased and decreases compliance

A

Increase - surfactant, age, emphysema
Decrease - oedema, fibrosis, pulmonaru venous hypertension

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7
Q

Pulmonary pressure

A

15mmhg

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8
Q

Lung metabolises

A

Surfactant
Synth - pg, histamine
Removes from blood - seratonin, pg, norad, bradykinin, ach
Activates - angiotensin

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9
Q

Po2 and sats

A

27.5mmhg - 50 %
40 - 75
60 - 90
90 - 98

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10
Q

bohr effect

A

Decrease o2 affinity of hb when pH falls
(Curve to right)

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11
Q

Causes oxygen dissociation curve to right

A

Harder for O2 to bind
Increased heat, co2 and 23 dpg
Decreased pH

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12
Q

Haldane effect

A

Decreased affinity for co2 on hb when oxygen attached
Deoxyhb increased affinity co2 therefore more in venous

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13
Q

Ficks law

A

Passive Diffusion of gas across membrane dependant on:
Thickness
Area
Pressure gradient
Diffusion constant

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14
Q

Henrys law

A

Amount of gas dissolved in liquid directly proportional to its partial pressure

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15
Q

CO

A

Shifts curve to the left
240 x affinity hb than 02

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16
Q

V/Q

A

Normally 0.8
4/5
Lower at bottom due to more blood flow

17
Q

Brain breathing centres

A

Pneumotaxic (inhib) and apneustic in pons
In medulla:
Pre BÖTC pace maker to phrenic
Drg insp
Vrg exp (DIVE)

18
Q

Chemoreceptors for breathing

A

Ventral medulla to inc co2 tension and H (H+ most important)
Aortic and cortid bodies same plus hypoxia
Aortic via x to medulla
Carotid via sinus and IX to medulla

19
Q

Respiratory quotient

A

Co2 released/ o2 consumed
Carbs 1
Brain 0.97
Fat 0.7

20
Q

Altitude pO2

A

0.21(mmhg-47)

21
Q

Long term changes at altitude

A

Decreased bicarb (renal excretion)
Low PaCO2
Increased pulm art pressure
Increased alveolar vent

22
Q

Diffusion vs perfusion limited

A

Diffusion CO and CO2 unable to fully transfer in time blood flows through
Perfusiom limited O2 and NO saturate within 0.75s

23
Q

La place law

A

Pressure = 2*surface tension/radius
In Alveoli pressure reduced when surface tension reduced with surfactant

24
Q

Age and lung function

A

Reduced elastic more air trapped - increased compliance, RV and FRC
Air trapping decreased FEV1
Vq mismatch decreased paO2 and decreased total capacity

25
Q

Pregnancy changes to breathing

A

Increased TV and minute vent (progest mediated)
Decreased rr, rv and frc

26
Q

CO2 and O2 utilisation

A

CO2 production 200ml/m
O2 consumption 250ml/m

Co2 best marker ventilation (99% excreted lungs)

27
Q

Pulmonary Vasoconstriction and dilation

A

Constriction - hypoxia and serotonin
Relaxation - prostacyclin (prostaglandin I2)

28
Q

Dead space

A

Anatomic 150ml
Functional disease caused
Physiological - added together

29
Q

resp changes excercise

A

pulm blood flow 5.5Lm -> >20
O2 uptake 250ml/m to 4000
CO2 excretion 200 -> 8000

30
Q

Solubility CO2 vs O2

A

x20

31
Q

Carriage of CO2 by law of mass action

A

allows CO2 to combine deoxygenated through buffer H+

32
Q

Oxygen carrying capacity blood

A

Hb x 1.34

33
Q

Expired co2

A

28mmHg

34
Q

Increase CO2 and O2 during excercise

A

Co2 200ml/m to 8000
O2 250 to 4000

35
Q

Factors increasing 2,3 DPG

A

Hypoxia (chronic)
Thyroid hormones
Growth hormones
Androgens

36
Q

Synthesized in lung

A

PGs
Histamine
Kallikrein

37
Q

Affinity hb for CO

A

200x that for oxygen
Shifts dissociation curve to left
Reduces O2 carrying capacity Hb