Ventilation and perfusion Flashcards
Respiratory function- what do lungs need to function
Lungs require adequate ventilation of alveoli and adequate blood supply to exchange and transport oxygen and carbon dioxide
What is ventilation and perfusion matching
For gas exchange to occur ventilation and perfusion need to be in the same place at the same time
This is,,,
- ventilation and perfusion matching
- perfect ratio 1/1
Regions of lungs
Dependant (lower regions of the lung) are better ventilated because alveoli in the non dependant (upper regions) are already inflated because of weight of the hanging lung
What is ventilation
Ventilation is the movement of air in and out of the lungs
Perfusion
Blood flow in the capillary beds
Regional differences in ventilation
Lower ventilate better than upper as interpleural pressure is less negative at the bottom than the top of the lung
Lower lung has greater potential for increased ventilation
Factors affecting ventilation
Pleural pressure
Altered airway resistance
Lung volume
Use of body position to…
Maximise ventilation.
Maximise diaphragmatic function
Optimise v/q matching
And to decrease WOB and drain sputum
Mechanical ventilation
Positive pressure ventilation reverses ventilation away from the dependent lung because:
•The diaphragm is pushed down passively
•Airflow takes the path of least resistance
TLC (total lung capacity)
Total volume of gas in the lungs after maximum inspiration
Vital capacity
is the volume of gas that can be exhaled after a full inspiration
Residual volume
volume of gas that remains in the lungs after a full expiration
Expiratory reserve volume
extra volume of gas that you can exhale forcefully when you reach a end of expiratory tidal volume
Functional residual capacity
volume of gas remaining at the end of a tidal volume exhalation
Inspiratory reserve volume
extra volume of gas that can be inhaled voluntary at the end of a inspiration tidal volume