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17 Cards in this Set

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Objective:

What is alveolar ventilation?
VA (ml/min) = RR (breaths/min) x [Vt (ml/breath) - Vd (ml/breath)]

dead space in a normal unsedated dog is about 35%
Objective:

How does CO2 diffuse across the respiratory membrane?
easily reaches equilibrium between blood and alveoli

we can estimate atrial CO2

O2 levels must be calculated (due to lake of easy diffusion)
Objective:

What is the idea V/Q ratio?
1 (normal is .8)

difference between perfusion and ventilation is V/Q mismatch
Objective:

What forms is oxygen carried in the blood?
CO2?
97% bound to Hb 3% dissolved

Bicarb, dissolved, bound to Hb
Objective:

How does anesthesia affect ventilation?
depresses respiratory ventilation (muscle relaxation and CNS depression)
What are functions of respiratory physiology?
-gas exchange
-metabolic function (angiotension 1 to 2)
-synthesis of surfactant
Objective:

What are the five respiratory monitoring tools?
-mucus membrane color
-respiratory effort
-capnograph (end tidal CO2)
-Pulse oximetry (% of Hb saturated by O2)
-blood gas analysis
What are the five causes of hypoxemia? (<80mmHg)
-Low insired O2
-hypoventilation
-V/Q mismatch
-Right to left anatomic shunt
-Diffusion impairment
Objective:

What composes the upper respiratory tract?
Lower?
Mouth and trachea

Bronchi, conducting bronchioles
terminal Brochioles*, alveoli*

* = responsible for gas exchange
What is dead space measure in?
How think is the respiratory membrane?
measured in mLs
.6 micrometers
What vessel are used for gas exchange?
Lung Nutrients?
pulmonary vessels
bronchial vessels
Which phase of breathing is passive?
Expiration

involvement of intercostal muscles and intercostal nerves
Which phase of breathing is active?
inspiration

innervated by phrenic nerve and uses intercostal muscles
What is the parasympathetic effect on respiratory function?
sympathetic?
Bronchoconstriction, VD, Increase resp secretions

Bronchodilation, decrease in respiratory secretions
What does a V/Q less than one indicate?
increased shunt fraction

due to airway impairment such as mucous, fluid or a foreign body
What does a V/Q greater than one indicate?
increased alveolar dead space

due to blockage of blood flow
What is ventilation controlled by?

What are the chemoreceptors sensitive to?
Medulla

hydrogen ions due to changes in CO2