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Final Review 240
Final Review 240
68
Medical
Professional
04/29/2012

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Cards

Term
Common cause of metabolic acidosis
Definition

lactic acidosis

ketoacidosis

renal failure

Term
Common causes of metabolic alkalosis
Definition

hypokalemia

hypochloremia

gastric suction or vomiting

excessive adminstration of corticorsteriods

excessive admin of sodium bicarbinate

Term
In response to a metabolic acidosis condition, the ventilatory rate?
Definition
increases
Term
when metabolic alkalosis is present, the HCO3 and pH readings are?
Definition
greater than expected for a particular PaCO2
Term
chronic ventilatory failure, the kidneys work to correct the pH status by?
Definition
retaining HCO3
Term
During acute ventilatory failure (hypoventilation), the PCO2?
Definition
increases
Term
During acute ventilatory failure (hypoventilation), the H2C03?
Definition
increases
Term
During acute ventilatory failure (hypoventilation), the HCO3?
Definition
increases
Term
During acute ventilatory failure (hypoventilation), the pH?
Definition
decreases
Term
chronic alveolar hyperventilation, the kidneys work to correct pH status by?
Definition
excreting HCO2
Term
During acute alveolar hyperventilation the PCO2?
Definition
decreases
Term
During acute alveolar hyperventilation the HCO3
Definition
decreases
Term
During acute alveolar hyperventilation the pH
Definition
increases
Term
In chronic alveolar hyperventilation, partial or complete renal compensation can be verified when the HCO3 and pH readings are:
Definition
less than expected for a particular PaCO2
Term
When metabolic acidosis is present, the HCO3 and pH readings are:
Definition
less than expected for a particular PaCO2
Term
hypoventilation your CO2 does what
Definition
increases
Term
Normal values for PVR
Definition
1.5 - 3
Term
Normal values of SVR
Definition

1200-1600 dynes

 

15-20 mmHg/L/min

Term
What is SVR
Definition
afterload in left ventrical
Term
Where would you find the best mixed venous blood
Definition
pulmonary arterie
Term
Which arteries supply oxygenated blood to the lung tissue
Definition
Bronchial arteries
Term
resistance vessels
Definition
arterioles
Term
capacitance vessels
Definition
veins
Term
Increased metabolic rate, increased cardiac output result in what?
Definition
increase PvO2
Term
Aids to return the blood to the rt heart
Definition

valves in perpheral venous vessels

thoracic pump

skeletal muscle contraction

Term
PVR is the?
Definition
right ventricular afterload
Term
Electrical impulses originates in a location other than the SA node
Definition
ecotopi foci
Term
If hypoxemia occurs what would you expect in the system
Definition

pulmonary arterial constriction

system arterial constriction

Term
If increase in PVR what happens
Definition
Increase right ventricular afterload
Term
Increase in PVR causes
Definition
hypoxia, hypercapnia
Term
A decrease in cerebral vascular resistance (CVR)
Definition
hypoxia and hypercapnia
Term
What would indicate V/Q ratio above normal
Definition
increased deadspace
Term
positive pressure ventilation does what on urinary output
Definition
decreases
Term
negative pressure ventilation does what on urinary output
Definition
increases
Term
causes of hypoventilation (resp. acidosis)
Definition

drug overdose

general anesthesia

head trauma

neurologic disorder

COPD, emphysema, chronic bronchitis

Term
causes of hyperventilation resp. alkalosis
Definition

hypoxemia

hypoxia

pain/ anxiety

fever

brain inflammation

stimulant drugs

Term
metabolic acidosis
Definition

lactic acidosis

PaO2 decrease

ketaoacidosis associated w/ diabetes

aspirin overdose

renal failure

chronic diarrhea

Term
causes of metabolic alkalosis
Definition

hypokalemia

hypochloremia

gastric suctioning

vomiting

excessive sodium bicarbonate

diurect therapy

Term
O2 electodes
Definition
clark
Term
CO2 electrodes
Definition
severing haus
Term
pH electrodes
Definition
Sanz
Term
K+ values
Definition
3.5- 4.8
Term
Na+
Definition
137- 147
Term
Cl- values
Definition
98-106
Term
Influences on ADH production
Definition
increases pressure (increase plasma volume)
Term

Normal values for venous

pH

PCO2

HCO3

PO2

Definition

  pH     7.30-7.40 

PCO2      42-48

HCO3      24-30

PO2        35-45

Term
Chronotripic drugs affect on heart
Definition
increase or decrease Heart rate
Term
If positive inotropic medication does what
Definition
increase muscular contraction of the heart
Term
diaphragm is a major of inspiration, innervated by?
Definition
phrenic nerve
Term
What ruptured cell releases histamines
Definition
mast cell
Term
Sternum consists of
Definition
manibrim, body, xiphoid process
Term
Measureable physciologic factors could cause ventilation to increase in humans?
Definition

↑ PaCO2

 

↓ PaO2

Term
What is the function unit (acinus) of lung
Definition
alveoli
Term
Where does gas exchange begin in respiratory tract?
Definition
respiratory brochioles
Term
The junction of lower external border of left and rt thorax and diaphragm is called?
Definition
costrophrenic angle
Term
Diameter of trachea
Definition
2.0- 2.5 cm
Term
What happens with airtrapping in a COPD pt?
Definition

↑ airway resistance

↓ elastance

↑ compliance

equal pressure pt moving closer to alveoli

Term
Hair follicle located in first anterior third of nose
Definition
vibissae
Term
What lines the lungs
Definition
visceral pleura
Term

CO2 produced

O2 consumed

is your what?

Definition
respiratory quotient (RQ)
Term
Hysteresis curve relates to?
Definition
compliance
Term
Receptors that are stimulated to cause rapid shallow breathing
Definition

J-receptors

C-fibers

Term
What would cause ↑ airway resistance?
Definition
asthma, epiglotitis, bronchoitis, larynospasms
Term
Your breath cycle when pressure in alveoli and mouth are equal it is
Definition
end inspiration
Term
pulmonary artiery Oxygenated or not oxygenated
Definition
not oxygenated
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