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Paramedic Care Vol. 2 Chp5
Airway Management and Ventilation
29
Medical
Professional
01/30/2013

Additional Medical Flashcards

 


 

Cards

Term
Ventilation
Definition
the mechanical process of moving air and gases in and out of the lungs
Term
Respirations
Definition

is the exchange of gases between a living organism and its enviroment


0for CO2

Term
Upper airway
Definition
  • from the mouth and nose to and including the larynx
  • includes the nasal cavity, oral cavity, larynx, and pharynx
  • warms filters and humidifies the air intake
Term
Carina
Definition
is where the trachea biforcates to each lung
Term

Keisselbach's Plexus


(littles area)

Definition
  • most common place for epistaxis (nasal hemorage)
  • 4 arteries come together and anastomose
  • Anterior ethmoid artery, posterior ethmoid artery, Sphenopalatine artery, and the Greater palantine artery
Term
Atelectasis
Definition
alveolar colapse
Term
visceral pleura
Definition
inner liner around the lungs no nerve fibers
Term
Perietal pleura
Definition
outer liner thoracic cavity contains nerve fibers
Term
Hilum
Definition
where the main bronchus comes into the lungs
Term
Respiratory cycle
Definition
coordinated interaction among respiratory system, central nervous system, and musculo skeletal system
Term
Chemoreceptors
Definition

moniter pH and CO2 in the CSF (cerebral spinal fluid) triggers breathing located at the aortic arch and corotic arteries


Term
Hypoxic drive
Definition
uses O2 levels in the body to trigger breathing
Term

Stretch receptors



(Hering-Breuer reflex)

Definition
prevents over expansion of the lungs
Term
Expiration
Definition
passive process (No energy used)thoracic pressure and atmospheric pressure are equal
Term
Inspiration
Definition
active process muscles expand cavity creating negative pressure in lungs allowing air to fill
Term
Phrenic nerve
Definition
signals diaphram to contract
Term
major respiratory gases
Definition
  • Nitrogen (N2)
  • Oxygen (O2) PaO2 average 80-100
  • Carbon Dioxide (CO2) PaCO2 average 35-45
  • Water (H2O)
Term
VQ mis-match
Definition

ventillation to profusion mis-match

decreased diffusion across polmonary membrane

Term

Total Lung Capacity


(TLC)

Definition

maximum lung capacity the total amount of air contained in the lungs at the end of maximal inspiration

about 6 liters in the average adult

Term
Tidal volume VT
Definition

the average volume of gas inhaled or exhaled in a respiratory cycle

adult approx. 500ml's  (5-7 ml/kg)

Term
Dead Space Volume VD
Definition

the amount of gas in the tidal volume that remains in the air passageway unavailable for gas exchange

approx 150ml's adult

anatomic dead space includes trachea and bronchi

Term
Alveolar Volume VA
Definition

the amount of gas in the tial volume that reaches the alveoli for gas exchange

the difference between tidal volume and dead space approx 350ml's adult

Term
Minute Volume Vmin
Definition

the amount of gas moved in and out of respiratory tract in 1 min

* Vmin =VT X respiratory rate (RR)

Term
Alveolar Minute Volume VA-min
Definition

the amount of gas that reaches the alveoli for gs exchange in 1 min

*VA-min =(VT-VD) X RR or VX RR

Term
Inspiratory Reserve Volume IRV
Definition
maximum amount of air that can be maximally inhaled after normal inspiration
Term
Expiratory Reserve Volume ERV
Definition
amount of air that can maximally exhaled after a normal expiration
Term
Risidual Volume RV
Definition
the amount of air that remains in the lungs at the end of maximal expiration
Term
Forced Expiratory Volume FEV
Definition
amount of air that can be expired after maximal inspiration
Term
CO2 Concentrations in the blood
Definition
  • blood transports CO2 in the form of bicarbonate ion about 70%
  • the other in the hemoglobin about 23%
  • the rest is dissolved in the plasma about 7%
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