Respiratory Flashcards
Poiselles law
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
Measured by spirometry
Tidal volume and vital capacity
Measuring residual volume
Helium dilution
Nitrogen washout
Body plethysmography
Measuring dead space
Fowler single breath nitrogen - anatomical dead space
Bohr - physiological art co2 minus expired co2
Compliance
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
Increased and decreases compliance
Increase - surfactant, age, emphysema
Decrease - oedema, fibrosis, pulmonaru venous hypertension
Pulmonary pressure
15mmhg
Lung metabolises
Surfactant
Synth - pg, histamine
Removes from blood - seratonin, pg, norad, bradykinin, ach
Activates - angiotensin
Po2 and sats
27.5mmhg - 50 %
40 - 75
60 - 90
90 - 98
bohr effect
Decrease o2 affinity of hb when pH falls
(Curve to right)
Causes oxygen dissociation curve to right
Harder for O2 to bind
Increased heat, co2 and 23 dpg
Decreased pH
Haldane effect
Decreased affinity for co2 on hb when oxygen attached
Deoxyhb increased affinity co2 therefore more in venous
Ficks law
Passive Diffusion of gas across membrane dependant on:
Thickness
Area
Pressure gradient
Diffusion constant
Henrys law
Amount of gas dissolved in liquid directly proportional to its partial pressure
CO
Shifts curve to the left
240 x affinity hb than 02