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49 Cards in this Set

  • Front
  • Back
drugs for dilation of airway
Beta 2 agonists
Epinephrine
Isoproterenol
Albuterol
Surfactant
DPPC (Dipalmitoyl PhosphatidylCholine)

Type II Pneumocytes
Atelectasis
alveoli collapse due to incrase surface tension
Tidal Volume
500mL
normal volume of breath
Insiratory Reserve Volume
3000mL

Max inhale above Tidal Volume
Expiratory Reserve Volume
1200mL
maximal exhale past normal exhale
Residual Volume
1200mL

left after max exhale
Inspiratory Capacity
3500mL
Tidal + inspriatory reserve
Functional Residual Capacity
2400mL
amount left after normal exhale
Vital Capacity
4700mL
max exhale after max inhale
Total lung capacity
5900mL
Anatomic Dead Space
150mL

volume of conducting zone
Min Ventilation
volume in & out/min
Alveolar Ventilation
volume of gas exchanged/min
Muscle of inspiration
External Intercostals & Accessory (exercise)
Diaphragm (primary)
Muscle of Expiration
Passive (normal)

Abs & Internal Intercostal Muscles (forced exhale)
Parasympathetic airway drug
Muscarine

Carbachol

binds muscarinic receptors
Parasympathetic airway hormone
Ach

binds muscarinic receptors
radial traction on airways
changes with Volume

causes inverse Resistance
Sympathetic airway drug agonist
Epinephrine

Isoproterenol

Albuterol

Binds Beta-2 receptors
Sympathetic airway antagonists
Propranolol

beta-2 antagonists
parasympathetic airway Antagonists
Atropine

Muscarinic antagonists
What is Transmural pressure
pressure on wall of lungs

difference btw alveolar & intrapleural pressure
When is Transmural negative
Chronic Obstructive pulmonary disease
partial pressure of O2 going to lung
40
partial pressure of O2 in Alveolar
100
partial pressure of CO2 going to lung
46
partial pressure of CO2 leaving lung
40
Physiological Shunt
deoxygenated blood into left ventrical

Bronchial blood flow

Coronary venous
Fe3+ hemeglobin
Methemoglobin
causes of Methemoglobin
sulfonamides

Nitrites

ethemoglobin reductase deficiency

less O2 binding cappacitiy
Fetal hemoglobin
alpha2, gamma2

less affinity for DPG--> higher O2 binding capacity
Partial O2 pressure for 50% saturation
25 mm Hg
Partial O2 pressure for 100% saturation
100 mm Hg
Causes Hb less affinity for O2 (shifts graph right)
Increase Partial CO2 pressure
Increase Temp
Increase DPG
Increase H+ (less pH)

Bohr Effect- Exercise/high Alt Hypoxemia
Exercise causes the partial pressure for 50% Hb saturation
increase

less affinity for O2 needs more to get 50% saturated
CO causes what shift in the Hb saturation curve
down & left

decreased capacity (down)

higher affinity (left)
CO2 in blood
Bicarbonate (most)

CO2 in solution

Carbaminohemoglobin
Medulla breathing centers
Inspiratory: dorsal neurons

Expiratory: Ventral neurons
Inspiratory Center
dorsal neurons of Medulla

spontaneously activates diaphragm in rhythmic fashion
Expiratory Center
Ventral neurons of medulla

lack of activation of diaphragm
Apneustic center
lower pons

Prolongs duration of AP from Dorsal medulla neurons (Inspiratory Center) --> Diaphragm
These stimulate Inspiratory Center via CN-X
peripheral/Central chemoreceptors

Lung Stetch receptors
Stimulate Inspriatory Center via CN-IX & CNX
Chemoreceptors Centeral & Peripheral
lower pons regulates breathing
Apneustic Center

prolonged inspiratory gasps
causes prolonged inspiratory gasps
Apneustic Center (lower pons)

--> Stimulates Inspiratory center
Ventral Medulla
Expiratory center

Central Chemoreceptors
Inhibits Dorsal neurons in Medulla
Pneumotaxic Center (Upper pons)
senses drop in O2 & pH
increase in CO2
Carotid Bodies