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Elmo Lungs - Week 1
os1 test 2 week 1 highlights
24
Physiology
Professional
10/26/2008

Additional Physiology Flashcards

 


 

Cards

Term
What is the respiratory exchange ratio at rest and during exercise?
Definition

respiratory exchange ratio = CO2 production/ O2 consumption

 

at rest = 0.8

 

during exercise = 1.0

Term
What is the O2 consumption at rest and during exercise?
Definition

at rest VO2 = 250 ml/min

 

during exercise VO2 =  3000 ml/min

Term
What are some substances that will cause bronchodilation?
Definition

Beta 2 agonists

 

1) EPI

 

2) albuterol - in asthma inhalers

 

3) isoproterol

Term
Explain the relationships between pressure, volume, and temperature
Definition

Boyle's Law

P1V1 = P2V2

 

P and V are inversely related

 

Charles' Law

 

P and V are directly related to T

 

General Gas Law

P1V1/T1 = P2V2/T2

Term
How is O2 partial pressure calculated?
Definition

PO2 = PB*FO2

 

PB = barometric pressure = 760 mm HG

 

FO2 = fractional concentration of oxygen, normally 21%

Term
What is the partial pressure of water vapor?
Definition

47 mm Hg

 

*must be taken into account when doing calculations with inspired air

Term
What is the partial pressure of O2 at different parts of the respiratory system?
Definition

Air - 160 mm Hg

 

Trachea - 150 mm Hg

 

Alveoli - 100 mm Hg

 

Arterial - 100 mm Hg

 

Mixed venous - 40 mm Hg

Term
What are the partial pressure values of CO2 at different parts of the respiratory system?
Definition

Air - 0 mm Hg

 

Alveoli - 40 mm Hg

 

Arterial - 40 mm Hg

 

Mixed venous - 46 mm Hg

Term
What is tidal volume?
Definition
The volume inspired or expired in a single normal breath - normally 500 mL
Term
What is inspiratory reserve volume?
Definition
The additional volume to the tidal volume that can be maximally inspired
Term
What is expiratory reserve volume?
Definition
The volume additional to tidal volume that can be maximally expired
Term
What is residual volume?
Definition

The volume left in the lungs after maximum expiration

 

NOTE - cannot be measured directly by spirometer

Term
What is inspiratory capacity?
Definition
The maximum volume that can be inspired in a single breath - tidal volume + inspiratory reserve volume
Term
What is functional residual capacity?
Definition

The amount of volume left in the lung after a normal expiration

 

Equilibrium point

 

NOTE - cannot be measured directly by spirometer

 

 

 

 

Term
What is vital capacity?
Definition

AKA forced vital capacity

 

the maximum volume of air that can be exhaled after a maximum inspiration

 

expiratory reserve volume + tidal volume + inspiratory reserve volume

Term
What is total lung capacity?
Definition

the total volume of the lung

 

NOTE - cannot be measured directly by spirometer

Term
What are the lung volumes that cannot directly measured by spirometry?
Definition

1) residual volume

 

2) functional residual capacity

 

and

 

3) total lung capacity - both based off residual volume

Term
What is FEV1?
Definition

Forced expiratory volume of air exhaled in 1 second

 

normal FEV1/FVC ratio = 0.8 or 80%

 

*obstructive diseases (asthma) - FEV1/FVC ratio decreased, FEV1 decreased, FVC decreased

 

*restrictive diseases (fibrosis) - FEV1/FVC ratio the same or increased, FEV1 decreased, FVC decreased

 

FEF25-75% is affected the same as FEV1/FVC ratio

 

Term
What is the alveolar ventilation equation?
Definition

PACO2 = (VCO2 * K)/ VA

 

very important relationship. K is constant so alveolar ventilation must increase when CO2 production increases to maintain a constant partial pressure of CO2 in the alveoli

Term
How can PAO2 be calculated using the alveolar gas equation?
Definition

PAO2 = PIO2 - (PACO2/R)

 

PIO2 = partial pressure of inspired oxygen

 

PACO2 = partial pressure of carbon dioxide in alveoli

 

R = respiratory exchange ratio

Term
What is transmural pressure?
Definition

Includes two types

 

Transpulmonary pressure (PL) = PA (alveolar pressure) - Ppl (pleural pressure)

 

Transairway pressure (Pta) = Paw (airway pressure) - Ppl (pleural pressure)

 

*before inspiration Ppl = -5

 

*during inspiration  Ppl= -8

 

during expiration Ppl = -5

Term
How can diseases affect lung compliance?
Definition

*increase compliance - pulmonary emphysema - the exception

 

*decrease compliance

pulmonary fibrosis

pulmonary vascular congestion

pneumonia

pleural effusion

decreased surfactant

spine deformity

obesity

Term
How does surface tension relate to alveolar stability?
Definition

P = 2T/r

 

P - pressure in the alveoli

 

T - surface tension

 

r - alveolar radius

 

*surfactant reduces surface tension thus reducing pressure and promoting alveolar stability

Term
What are the causes of reduced surfactant activity?
Definition

1) neonatal respiratory distress syndyome

 

2) adult respiratory distress syndrome

 

3) post cardio-pulmonary bypass

 

4) pulmonary embolus

 

5) oxygen toxicity and other agents

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