Respiratory: Gas Exchange Flashcards

1
Q

What is pulmonary ventilation?

A

The volume of air breathed in and out per minute

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2
Q

What is alveolar ventilation?

A

The volume of air exhnace between the atmospher and the alveoli per minute

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3
Q

Why is alveolar ventilation less than pulmonary ventilation

A

Due to the presence of anatomical dead space

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4
Q

What is the volume of anatomical dead space?

A

150ml

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5
Q

What is meant be the term ‘dead space’

A

the gas is not available for gas exchange

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6
Q

Which area of the lung is generally better ventilated?

A

The bottom (slight)

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7
Q

What area of the lung is generally better perfused?

A

Bottom

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8
Q

What is alveolar dead space?

A

Alveoli which are well ventilated but poorly perfused

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9
Q

What is the physiological dead space?

A

Alveolar dead space + anatomical dead space

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10
Q

What can increase alveolar dead space?

A

Disease

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11
Q

What happens if there is an accumulation of CO2 in the alveoli?

A

This indicates increased perfusion.

This results in a decrease in airway resistance and thus an increase in airflow.

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12
Q

What hapens if there is an increase in alveolar O2/

A

this indicated that this area of the lung is well ventilated

Vasodilation will now occur to direct blood flow to the well ventilated area

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13
Q

What happens if there is a decreased CO2 in the alveoli

A

this indicated poorly perfused lung tissue

Airway resistance will thus increase to limit airflow to that area

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14
Q

What happens if there is an decrease on oxygen

A

this indicates poor ventilation

Vasocontriction will occur to direct blood away from this area

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15
Q

What four factors influence the rate of gas exchange?

A

Partial pressure gradient
Diffusion Coefficient
Surface Area
Thickness of the alveolar membrane

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16
Q

What is Daltons law of partial pressures?

A

Total pressure exerted by a gaseous mixture= sum of the partial pressures of each of the individula components

17
Q

What is the partial pressure of a gas?

A

The pressure that one gas in a mixture would exert if it were the only gas present in the whole volume occupied by the mixture

18
Q

What is the alveolar gas equation

A

PAO2= PiO2- [PaCO2/0.8]

19
Q

What is atmospheric pressure?

20
Q

What is the water pressure in the lungs

21
Q

What is the pressure of inspired air

22
Q

What is the partial pressure of inspired oxygen

23
Q

What is the partial pressure of carbon dioxide in the capillaries

24
Q

What is the partial pressure of oxygen in alveolar air

25
What offsets the fact that the partial pressure gradient for oxygen is so much higher than that of carbon dioxide
the diffusion coeeficient for carbon dioxide is twenty times that of oxygen
26
What is the diffusion coefficient
the solubility of gas in membranes
27
What would a big gradient between PAO2 and PaO2 indicate
Problems with gas exchange or a left to right shunt in the heart
28
What is ficks law of diffusion
the amount of gas that moves across a sheet of tissue in a unit time is proportional to the area of the sheet but inversely proportional to its thickness