Shared Flashcard Set

Details

Systems Exam III (L)
Pulmonary Physiology Introduction
39
Medical
Graduate
04/07/2009

Additional Medical Flashcards

 


 

Cards

Term
What are the two stages of Respiration?
Definition

1. Gas Exchange

2. Cellular Respiration

Term
What is the process of ventilation?
Definition
Bringing gas from the atmosphere through the conducting airways into the alveoli and back into the environment.
Term
Gas exchange of both O2 and CO2 occurs through the passive force of __________.
Definition
diffusion
Term
What is Cellular Respiration?
Definition
Oxidation of nutrients coupled to the generation of high energy compounds (ATP) in the mitochondria.
Term
T/F: In a healthy lung, rate of ventilation is greater than that of perfusion.
Definition
False. Ventilation must match perfusion in a healthy lung
Term

1. What is hypoxemia?

2. Hypoxia?

3. Hypercarbia?

 

Definition

1. Inadequate level of blood oxygen content

2. Inadequate delivery of oxygen to tissues

3. Elevated levels of CO2 due to inadequate ventilation.

Term
T/F: The lung has the richest capillary network of any organ in the body and the largest blood flow.
Definition
True
Term
What are the first 16 generations of airways called?
Definition
 The Conducting Zone
Term
What are the characteristics and functions of the conducting zone?
Definition

1. Function to warm and humidify the air

2. Ciliated cells move mucous toward the glottis for clearance

3. No gas exchange

4. Cartilagenous C-Rings in the first 4 generations that prevent airway collapse.

Term
What are the last 7 generations of airways called?
Definition
Respiratory Zone
Term
What structures does the Respiratory Zone comprise of?
Definition
Respiratory Bronchioles, Alveolar Ducts, Alveoli
Term
What is the Terminal Respiratory Unit composed of?
Definition

Type 1 alveolar pneumocytes

Interstitial Tissue

Capillary Endothelial Cells

Term
What is Dalton's Law?
Definition

Total Pressure is the sum of the partial pressures of the individual gases in the atmosphere.

 

Partial pressures of gases are found by the fraction of each gas in the mixture

Term

1. What is the normal fraction of O2 in the atmosphere?

2. Of N2?

Definition

1. 21%

2. 79%

Term
What is the partial pressure of water vapor in humidified inspired air?
Definition
47mmHg
Term

1. What is PAO2?

2. PIO2?

3. FIO2?

4. PaO2

Definition

1. Alveolar Oxygen Pressure

2. Sea Level Inspired Partial Pressure of Oxygen

3. Fraction of Oxygen

4. Pressure of Oxygen in arterial blood

Term
Hypoventiation will lead to ______ levels of alveolar carbon dioxide and _________ levels of alveolar oxygen.
Definition
Increased, Decreased
Term
What is the Respiratory Quotient?
Definition

Carbon Dioxide Production/Oxygen Consumption

 

Averages 0.8 since oxygen consumption is more than CO2 production.

Term

1. Why is the PaO2 less than PAO2?

2. What is the normal value of difference between the two and what is the term for it?

Definition

1. Since matching of perfusion and ventilation in the lungs is not perfect. Also due to the fact that a small amount of venous blood bypasses the pulmonary capillaries and enters into the arterial circulation without being exposed to alveoli.

2. 7-10mmHg, Alveolar-Arterial Oxygen Gradient

Term

1. What is a normal value for PaO2?

2. What is a normal value for PaCO2?

Definition

1. 85-95 mmHg

2. 35-45 mmHg

Term
What will cause the PaCO2 to increase?
Definition

1. Increase in CO2 production (increased metabolism).

2. When total alveolar ventilation is decreased

Term
What are the two ways that O2 is carried in the blood and which of the two is the major carrier?
Definition

Dissolved in Plasma (Minor)

Hemoglobin (Major -98%) - Thus amount of hemoglobin can largely determine the amount of oxygen in the blood

Term
When fully saturated, how much oxygen can 1 gram of Hb hold?
Definition
1.34 ml
Term
The amount of oxygen delivery to tissues is determined by which two major factors?
Definition

1. Arterial Oxygen Content

2. Cardiac Output

Term

1. What is the value of normal resting oxygen consumption?

2. Delivery?

Definition

1. 250 ml O2/min

2. 635 ml O2/min; only 25-25% of oxygen is consumed by tissues at rest

Term
What are two ways that increased oxygen demand for tissues can be met?
Definition

1. Increased respiration and cardiac output

2. Tissues can extract more oxygen

 

Term

1. What is the normal blood gas value for mixed venous blood?

2. What can cause this to fall?

Definition

1. PVO2 = 40 mmHg

2. Conditions with decreased oxygen delivery which will lead to increased extraction of oxygen by tissues will cause this to fall.

Term

1. What is the normal tidal volume?

2. What is the normal minute volume?

Definition

1. 500 ml

2. (500)(12 breaths/minute) = 6L

Term
The volume of expired gas is (less/more) than inspired gas.
Definition
less
Term

1. What is PaCO2 during hypoventilation?

2. Hyperventilation?

Definition

1. >45 mmHg

2. <35 mmHg

Term

1. What is Tidal Volume?

2. What is the normal value?

3. Can it be measured with a spirometer?

Definition

1. Volume of air inspired per normal breath

2. 0.5 L

3. Yes

Term

1. What is Residual Volume?

2. What is the normal value?

3. Can it be measured with a spirometer?

Definition

1. Volume of air remaining in lungs after maximal forced expiration

2. 1-1.2 L

3. No

 

Term

1. What is Inspiratory Reserve Volume?

2. What is the normal value?

3. Can it be measured with a spirometer?

Definition

1. Volume of gas that can be inspired following a normal breath

2. 1.9 - 3.1 L

3. Yes

Term

1. What is Expiratory Reserve Volume?

2. What is the normal value?

3. Can it be measured with a spirometer?

Definition

1. Volume of gas that can be expired following a normal expiration

2. 0.8 - 1.2 L

3. Yes

Term

1. What is Functional Residual Capacity?

2. What is the normal value?

3. Can it be measured with a spirometer?

Definition

1. Volume of gas remaining in lung following a normal quiet expiration.

2. 1.8 - 2.4 L

3. No

Term

1. What is Vital Capacity?

2. What is the normal value?

3. Can it be measured with a spirometer?

Definition

1. Volume of gas that can be forcefully expired following a maximal inspiration

2. 3.2 - 4.8 L

3. Yes

Term

1. What is Total Lung Capacity?

2. What is the normal value?

3. Can it be measured with a spirometer?

Definition

1. The total volume of gas that is in the lungs following a maximal inspiration

2. 4.2 - 6.0 L

3. No

Term

1. What is Forced Expiratory Volume 1 Sec?

2. What is the normal value?

3. Can it be measured with a spirometer?

Definition

1. Volume of air that can be expired in one second

2. FEV1/VC = >80%

3. Yes

Supporting users have an ad free experience!