Ventilation and perfusion Flashcards

1
Q

Respiratory function- what do lungs need to function

A

Lungs require adequate ventilation of alveoli and adequate blood supply to exchange and transport oxygen and carbon dioxide

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2
Q

What is ventilation and perfusion matching

A

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

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3
Q

Regions of lungs

A

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

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4
Q

What is ventilation

A

Ventilation is the movement of air in and out of the lungs

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5
Q

Perfusion

A

Blood flow in the capillary beds

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6
Q

Regional differences in ventilation

A

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

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7
Q

Factors affecting ventilation

A

Pleural pressure
Altered airway resistance
Lung volume

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8
Q

Use of body position to…

A

Maximise ventilation.
Maximise diaphragmatic function
Optimise v/q matching

And to decrease WOB and drain sputum

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9
Q

Mechanical ventilation

A

Positive pressure ventilation reverses ventilation away from the dependent lung because:
•The diaphragm is pushed down passively
•Airflow takes the path of least resistance

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10
Q

TLC (total lung capacity)

A

Total volume of gas in the lungs after maximum inspiration

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11
Q

Vital capacity

A

is the volume of gas that can be exhaled after a full inspiration

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12
Q

Residual volume

A

volume of gas that remains in the lungs after a full expiration

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13
Q

Expiratory reserve volume

A

extra volume of gas that you can exhale forcefully when you reach a end of expiratory tidal volume

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14
Q

Functional residual capacity

A

volume of gas remaining at the end of a tidal volume exhalation

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15
Q

Inspiratory reserve volume

A

extra volume of gas that can be inhaled voluntary at the end of a inspiration tidal volume

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16
Q

Tidal volume

A

volume of air inhaled and exhaled during one respiratory cycle

17
Q

What causes variations in lung volume

A

Body size
Age
Sex

18
Q

Closing volume

A

Volume at which alveoli start to collapse

19
Q

Dead space

A

is the volume of air that is inhaled but is not used within gas exhchange

20
Q

Alveolar dead space

A

air within alveoli that should be involved with gas exchange but there’s a lack of blood supply so it isn’t involved

21
Q

Physiological dead space

A

sum of both alveoli and anatomical dead space

22
Q

Anatomical dead space

A

gas left in the mouth or trachea when we breath