Cardiopulmonary Anatomy & Physiology
7th Edition
ISBN: 9781337794909
Author: Des Jardins, Terry.
Publisher: Cengage Learning,
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Question
Chapter 6, Problem 2CAQ2
Summary Introduction
To review:
The patient’s intrapulmonary shunting, oxygen extraction ratio, and total oxygen delivery upon the worsening of her condition.
Introduction:
An 18-year-old woman came to the hospital due to respiratory distress. She had asthma throughout her life. She appeared fatigued and cyanotic and used her accessory muscles for inspiration. She was suffering an acute ventilatory failure with severe hypoxemia. Her blood pressure was 177/110 mm Hg, the partial pressure of oxygen in arterial blood (
Please refer to Clinical Application Case- 2 for further information.
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Cardiopulmonary Anatomy & Physiology
Ch. 6 - Prob. 1RQCh. 6 - Prob. 2RQCh. 6 - Prob. 3RQCh. 6 - Prob. 4RQCh. 6 - The normal calculated anatomic shunt is about A....Ch. 6 - 6. In which of the following types of hypoxia is...Ch. 6 - 7. If a patient normally has a 12 g/dL Hb,...Ch. 6 - Prob. 8RQCh. 6 - Assuming everything else remains the same, when an...Ch. 6 - 10. Under normal conditions, the is about
A. 10...
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Case 1
2. As a result of the previously described condition, the patient's right lung__________,
which in turn caused an acute (decreased ______; increased_____) lung compliance condition.
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Case 2 1. This patient demonstrated both obstructive and restrictive lung disorders. During the first part of the case, which pulmonary function studies verified that the patient had an obstructive pulmonary disorder? _______________________ ________________________
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Case 1 The pathophysiologic process that developed in this case was corrected with______. During each breath, the patient's chest wall (caved inward_____________; moved outward __________) and then returned to normal ___________at the end of each expiration.
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Case 1 As a result of the severe left heart failure and increased pulmonary blood pressure in the case, fluid moved out of the pulmonary capillaries and into the extracapillary spaces. The pathologic process caused the thickness of the alveolar-capillary membrane to______
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Case 2 The patient's fatigue and respiratory rate of 6 breaths/min further caused the ventilation- perfusion ratio to (______rise;________ fall).
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Case 2 As fluid accumulated in the patients alveoli, the diffusion of oxygen into the pulmonary capillaries decreased. This was verified by the __________________________________.
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Case 2 As the airway resistance increased in this case, the alveoli distal to the bronchial constriction required (shorter______; longer_______) time to inflate. These alveoli are said to have a (short______; long _________) time constant.
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Case 2 Because of the lung hyperinflation described in question 1, the patient was generating (small_________; large_____) pleural pressure changes with (little or no ________ moderate to large_________) volume changes.
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Case 2 As a result of the hyperinflation, the patient's work of breathing increased because her lungs were inflated to the very top of their pressure- volume curve. As the pressure-volume curve illustrates, lung compliance is very (high __________; low_______) on the upper, flat portion of the pressure-volume curve.
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Case 1 As a result of the gunshot wound to the chest, the patient lost a large amount of blood. Because of the excessive blood loss, the patient was
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If a patient is receiving an FIO2 of 0.60 on a day when the barometric pressure is 725 mm Hg, and if the Paco2 is 50 mm Hg, what is the patients alveolar oxygen tension (PAo2)? A. 177 mm Hg B. 233 mm Hg C. 344 mm Hg D. 415 mm Hg
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