V/Q mismatched Flashcards

1
Q

V

A
  • ventilation
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2
Q

Q

A
  • volume/ perfusion
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3
Q

ventilatory flow air we inhaled goes to

A
  • mostly reached the base

- BASE due to gravity

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4
Q

normal values

A
  • pH= 7.4
  • PO2= 100
  • PCO2= 40
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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
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6
Q

APEX V/Q matching
is for OXYGEN
is for PHYSIOLOGICAL DEAD SPACE LIKE SITUATION

A
  • ventilation(V)&raquo_space; perfusion(Q)
  • 75/50= >1
  • increase PO2 (PTB)
  • decrease PCO2
  • increase pH
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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
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8
Q

PEANUT INHALATION affecting the BASE

A
  • is affecting/obstructing ventilation

- ratio will decrease towards the base

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9
Q

AIR NOT USED

A
  • dead space

- conducting zone

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