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11 Cards in this Set

  • Front
  • Back
digital clubbing <-- hypoxia
assoc'd w/ 4 types of disease
ccip
cirrhosis
cyan. congenital heart dis
Inflam Bowel dis
chronic Pulmonary dis.
central cyanosis involves...
skin; mucous membranes

Look at the tongue or sublingual mucosa.
Peripheral cyanosis
-physiology
-cause
implies peripheral vasoconstriction,
usually due to cold exposure or shock, PVD, severe CHF.
Argyria is a bluish-gray skin discoloration due to accumulation of __ in the skin. Unlike true cyanosis, this discoloration does not __ with pressure.
silver; blanch
In hypoxemia the arterial O2 saturation is __. If the cause of cyanosis is cardiopulmonary disease, the arterial P(O2) is __, whereas with an abnormal hemoglobin, methemoglobinemia or sulfhemoglobinemia, the P(O2) is __.
decreased; decreased; normal
methemoglobinemia
-appearance of arterial blood
-Tx
chocolate brown; methylene blue
to differentiate hypoxia caused by V/Q mismatching from that caused by shunting, place the child on 100% oxygen for a short period of time. In V/Q mismatching, the patient's PaO2 or SaO2 will ___, whereas those with fixed right-to-left intracardiac shunts will___.
rise; show no improvement
Cyanosis is a bluish discoloration of the skin and mucous membranes due to the presence of more than 5 grams of reduced hemoglobin [or hemoglobin derivatives] per dL of blood.
Therefore, cyanosis is difficult to detect in the ___ but easy to detect in the ___.
anemic; polycythemic
Causes of methemoglobinemia and/or sulfhemoglobinemia include:
CHNS
benzocaine, lidocaine
her. methgb reductase deficiency
NO, nitrates, nitrites, naphthalene(moth balls), benzene
sulfonamides, dapsone, primaquine, Phenazopyridine(AZO)
Which type of disorder is primarily associated with decreased respiratory effort?
examples x 5
CNS
stroke, concussion
elevated ICP
spinal cord injury
drugs/organophosphate poisoning
Definition of massive hemoptysis
100-600mL in a 24-hour period or >50 mL for a single cough.