V/Q mismatch Flashcards
Which situations are perfusion limited?
O2, CO2 and N2O=>normal situations
Which situations are diffusion limited?
Emphysema, fibrosis and CO
In fibrosis what happens to the Thickness? then what happens to the Diffusion?
Increased
Decreased
In Emphysema what happens to the SA? then what happens to the Diffusion?
Decreases
Decreases
How do you calculate the Pulmonary vascular resistance?
R=∆P/Q=>(P artery-PWCP)/CO)
Increased A-a gradient is seen in what three disease states?
- V/Q mismatch
- Diffusion limitation
- Right-to-left shunt
Which one does not respond to O2?
Right-to-left shunt
Examples of Right-to-left shunt?
ARDS/Pulm. Edema
Normal A-a gradient is seen in what 2 states?
- High Altitude
2. Hypoventilation
Give an example of Hypoventilation?
Opioid Use
Normally, both ventilation and perfusion are greater at the?
base
With Exercise=>V/Q reaches?
1
In tracheal obstruction, V/Q is?
0
In PE, V/Q is?
∞
if V/Q is ∞, can it improve with O2 100%?
Yes