V/Q mismatched Flashcards
1
Q
V
A
- ventilation
2
Q
Q
A
- volume/ perfusion
3
Q
ventilatory flow air we inhaled goes to
A
- mostly reached the base
- BASE due to gravity
4
Q
normal values
A
- pH= 7.4
- PO2= 100
- PCO2= 40
5
Q
BASE V/Q matching
is for CARBON DIOXIDE
is for SHUNT LIKE SITUATION e.g. ATELECTASIS
A
- 100/150= >ventilation
- more blood is going to the lung than air coming to the lung
- deoxygenated and venous blood rich CO2
- increase CO2 due to excess in perfusion of deoxygenated blood
- decrease PO2
- decrease pH due to increase PCO2
6
Q
APEX V/Q matching
is for OXYGEN
is for PHYSIOLOGICAL DEAD SPACE LIKE SITUATION
A
- ventilation(V)»_space; perfusion(Q)
- 75/50= >1
- increase PO2 (PTB)
- decrease PCO2
- increase pH
7
Q
CASE: V/Q 1 apex patient A .49 apex patient B . 41 base which of the ff has higher PO2 which of the ff has the higher PCO2 which of the ff has the higher pH
A
base is to CARBON DIOXIDE
apex is to OXYGEN
- patient A
- patient B
- patient A
8
Q
PEANUT INHALATION affecting the BASE
A
- is affecting/obstructing ventilation
- ratio will decrease towards the base
9
Q
AIR NOT USED
A
- dead space
- conducting zone