Respiratory Failure Flashcards

1
Q

What is respiratory failure

A

-it’s the failure of the gas exchage as
-O2 intake
-CO2 elimination

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2
Q

What is types respiratory failure

A

-type I (hypoxemic)
-type II (hypecapnic)

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3
Q

What is the criteria of type I respiratory failure

A

-hypoxic
-PaO2 < 60mmHg

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4
Q

What is the criteria of type II respiratory failure

A

-hypercapnic
-PCO2 > 50mmHg

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5
Q

What are types of respiratory failure based on pathological

A

-ventilatory
-gas exchanged

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6
Q

What are the example of ventilatory pathological respiratory failure

A

-obstructive
-restrictive

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7
Q

What are the example of gas exchange pathological respiratory failure

A

-diffuse disorder
-v/q mismatch

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8
Q

What are the types of shunting

A

-pulmonary
-intracardiac

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9
Q

What are the cause pulmonary shunting for type I

A

Pulmonary Filling
-pneumonia
-edema
-hemorrhage

Pulmonary Collapse
-etelectasis

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10
Q

What are the cause pulmonary shunting for type II

A

Pulmonary Obstruction
-COPD and asthma

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11
Q

What are the cause cardiac shunting

A

-blood from right to left
-congenital heart disease; Fallot’s, Eisenmenger

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12
Q

What are the types V/Q mismatched

A

-dead space ventilation
-anatomical dead space

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13
Q

What is dead space ventilation

A

-alveolar is ventilated but less perfused

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14
Q

What is the cause of dead space ventilation

A

-destroyed alveolar interphase (emphysema)
-reduce blood flow (pulmonary embolism, CHF)
-overdistention (positive pressure)

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15
Q

What is anatomical dead space

A

-failure of the gas from conducting zone to reach the capillary

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16
Q

What is the cause of diffusion abnormality

A

-ARDS
-fibrotic lung disease

17
Q

What are the signs of respiratory failure based on respiratory

A

-increased of RR
-nasal flaring

18
Q

What are the other signs

A

-sympathetic: >HR and >BP
-tissue hypoxia: deranged mental status
-Hb desaturation

19
Q

What is the manangement

A

-treat underlying cause
-O2
-mechanical ventilation
-noninvasive ventilation
-airway patent