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16 Cards in this Set
- Front
- Back
A passage between two natural body channels, such as blood vessels, especially one created surgically to divert or permit flow from one pathway or region to another; a bypass.
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GENERAL MEDICAL DEFINITION OF SHUNT
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WHAT ARE THE 3 COMMON CAUSES OF A CAPILLARY SHUNT
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1 ATELECTASIS (ALVEOLAR COLLAPSE)
2 ALVEOLAR FLUID ACCUMULATION 3 ALVEOLAR CONSOLIDATION |
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A PT WITH AN INCREASED VQ RATIO IS SAID TO HAVE? WHAT ARE SOME DISEASES THAT MAY HAVE THIS
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DEAD SPACE VENTILATION
BECAUSE THE EXCESS WILL BE WASTED |
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SHUNT IN RESPIRATORY REFURS TO? COMMON DISEASES?
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DECREASED VQ RATIO (VENTILATION TO PURFUSION)
ASTHMA, PNEUMONIA DECREASE VENTILATION IN BLOOD FLOW |
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NORMAL VQ RATIO AND WHAT IT REFURS TO
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4:5 OR.8
VENTILATION TO PREFUSION REFURS TO THE ALVEOLAR VENTILATION 4LPM TO PULMONARY CAPILLARY BLOOD FLOW 5LPM |
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PHYSIOLOGICAL DEAD SPACE IS THE COMBINATION OF WHAT TWO TYPES OF DEAD SPACE'S
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ANATOMICAL AND ALVEOLAR
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DEAD SPACE IN SHORT MEANS
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WASTED VENTILATION
DOESN'T PARTICIPATE IN GAS EXCHANGE |
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EXPLAIN SHUNT AS FAR AS RESPIRATORY WISE, IN THE TWO BROAD BRANCHES
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BRANCH 1 RIGHT TO LEFT
A BYPASS BETWEEN THE VENOUS (RIGHT) AND ARTERIAL (LEFT) SIDES OF THE CIRCULATION. POORLY OXYGENATED VENOUS BLOOD INTO THE ARTERIAL BLOOD CAUSING A DECREASE IN OXYGENATION. BRANCH 2 LEFT TO RIGHT OXYGEN CONTENT OF THE ARTERIAL BLOOD IS NOT AFFECTED. HOWEVER CARDIAC WORKLOAD IS SIGNIFICANTLY INCREASED. |
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THE TWO RIGHT TO LEFT ANATOMICAL SHUNTS WHICH EXIST IN THE NORMAL HUMAN BEING
AND HOW DO THESE SHUNTS WORK |
1THE BRONCHIAL VENOUS DRAINAGE
2THE THEBESAIN VENOUS DRAINAGE BY DIVERTING POORLY OXYGENATED VENOUS BLOOD INTO THE ARTERIAL CIRCULATION CAUSING LOWER OXYGEN CONTENT IN THE ARTERIAL BLOOD |
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EXPLAIN SHUNT AS FAR AS RESPIRATORY WISE IN THE TWO BROAD BRANCHES
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RIGHT TO LEFT BRANCH 1
A BYPASS BETWEEN THE VENOUS (RIGHT) AND ARTERIAL (LEFT) SIDES OF THE CIRCULATION. POORLY OXYGENATED VENOUS BLOOD INTO THE ARTERIAL BLOOD CAUSING A DECREASE IN TOTAL OXYGENATION. LEFT TO RIGHT BRANCH 2 OXYGEN CONTENT OF THE ARTERIAL BLOOD IS NOT AFFECTED. HOWEVER CARDIAC WORKLOAD IS SIGNIGICANTLY INCREASED |
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SHUNT EXPLAINED IN ITS SIMPLEST FORM
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A PATH
SURGICALLY A PHYSICIAN WILL REROUTE FOR A NEW PATH FOR FLUID ETC |
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DEADSPACE: RESPIRED GAS VOLUME THAT DOES NOT PARTICIPATE IN GAS EXCHANGE (THE PORTION THAT IS RE-ENTERED NOT FRESH) CAN BE EITHER ANATOMIC, ALVEOLAR, OR MECHANICAL. EXPLAIN ALVEOLAR
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ANATOMICAL-NORMAL FOR EVERYONE
FOR EVERY POUND A PT WEIGHS, IS HOW MANY ML OF OXYGEN THAT DOESN'T PARTICIPATE IN GAS EXCHANGE AS IT IS REBREATHED EX: 150POUND PT 150ML DEAD SPACE |
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EXPLAIN THE ALVEOLAR DEADSPACE
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THE ALVEOLI ARE NOT PREFUSING WITH VENOUS BLOOD. PULMONARY EMBOLISM WILL CAUSE THIS BY BLOCKING A PORTION OF THE PULMONARY CIRCULAION
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WHAT TYPES OF SHUNTING IS REFRACTORY TO OXYGEN THERAPY AND WHY
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CAPILLARY SHUNT
BECAUSE THE ALVEOLI ARE UNABLE TO PROVIDE ANY 02/CO2 EXCHANGE FUNTION. IN OTHER WORDS NO BENIFIT |
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THE SUM OF WHICH TWO SHUNTS IS CONSIDERED A TRUE OR ABSOLUTE SHUNT
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ANATOMIC SHUNT
2-5% |
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ALVEOLAR- A SECOND KIND OF DEAD SPACE MEANS
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THAT THE ALVEOLI ARE NOT PERFUSING WITH VENOUS BLOOD. A PULMONARY EMBOLIS WILL CAUSE THIS BY BLOCKING A PORTION OF THE PULMONARY CIRUCULATION
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