Cardiopulmonary Anatomy & Physiology
7th Edition
ISBN: 9781337794909
Author: Des Jardins, Terry.
Publisher: Cengage Learning,
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Question
Chapter 6, Problem 2CAQ3
Summary Introduction
To review:
The shift of the oxyhemoglobin dissociation curve due to decreased pH (potential of hydrogen) and increased
Introduction:
An 18-year-old woman came to the hospital due to respiratory distress. She had suffered from asthma all her life. She appeared fatigued and cyanotic and used her accessory muscles for inspiration. She was in 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.
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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 2 The fact that the initial pH (7.10) and HCO3- (21 mEq/L) were both lower than expected for an acute increase in the Paco2(70 mm Hg) suggested that there were additional ____________ present in the patients blood.arrow_forwardCase 1 4. The negative trans mural pressure in this case was offset by (1) ______________________________________ and (2) _______ ____________________________________________________ ____________________________________________________arrow_forwardCase 2 The patient's fatigue and respiratory rate of 6 breaths/min further caused the ventilation- perfusion ratio to (______rise;________ fall).arrow_forward
- 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.arrow_forwardCase 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.arrow_forwardCase 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.arrow_forward
- 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.arrow_forwardCase 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.arrow_forwardCase 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______arrow_forward
- Case 2 5. A product of the time constants is the measurement called dynamic compliance, which is the change in volume of the lungs divided by the change in the transpulmonary pressure during the time for one breath. During an asthmatic episode, the patient's dynamic compliance (increases _________; decreases ___________________; remains the same____________________).arrow_forwardAt sea level, the alveolar water vapor pressure in normally about A. 0.2 mm Hg B. 47 mm Hg C. 0.0 mm Hg D. 40 mm Hgarrow_forward
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