RCT II - FINAL! (summer 2012)
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Created by:
Kholloway1119 on June 14, 2012
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39 terms
Terms | Definitions |
|---|---|
the movement of air into and out of the lungs | ventilation |
exchange of gas between blood and air | respiration |
measurement between parietal and visceral pleurae | intrapleural pressure (Ppl) |
intrapleural pressure (Ppl) is normally ____ cmH2O at the end of exhalation during spontaneous breathing | -5 |
intrapleural pressure (Ppl) is about ____ cmH2O at the end of inspiration | -10 |
transairway pressure (Pta) | Pm - Palv (difference between mouth and alveoli) |
Pm (mouth pressure) is also called | airway pressure (Paw) |
transthoracic pressure (Pw) | Palv - Pbs (difference between alveoli and body surface pressure) |
transpulmonary pressure (Pl) | Palv - Ppl (difference between alveoli and intrapleurae) |
transrespiratory pressure (Ptr) | Pm - Pbs (difference between mouth and body surface pressure) |
normal baseline pressure is 0 on monometer and indicated | during expiration and before inspiration |
volume left in the lungs after exhalation | PEEP |
extrinsic PEEP | set by operator |
intrinsic PEEP | volume left in lungs accidentally, usually when the patient does not have enough time to exhale before the next breath |
the highest pressure recorded at the end of inspiration | peak pressure |
peak pressure is also called | PIP or PAP |
measurement taken after a breath has been delivered and before exhalation has begun | plateau pressure |
plateau pressure is like holding your breath at the end of ________ | inspiration |
tendency of a structure to return to its original form after being stretched by an outside force | elastance |
compliance is defined as | change in volume/change in pressure |
compliance is measured in | L/cmH2O |
in spontaneous breathing individuals, the total compliance is about _____ L/cmH2O (or 100 ml/cmH2O) | 0.1 |
compliance can range from ____-____ L/cmH2O | 0.05-0.17 |
for intubated and mechanical ventilated male patients with normal lungs and normal chest wall movement, compliance varies from _____-_____ L/cmH2O, up to 0.1 L/cmH2O | 0.04-0.05 |
for intubated and mechanical ventilated female patient with normal lungs and normal chest wall movement, compliance varies from ____-_____ L/cmH2O, up to 0.1 cmH2O | 0.035-0.045 |
compliance is usually measured under conditions of no gas flow, it is referred to as _______ compliance | static |
to obtain a static compliance, a _______ pressure is measured at static (no flow); also, the exhaled tidal volume from the patient's lungs is measured | plateau |
static compliance represents | lung and thoracic compliance |
calculations for static compliance (Cs) | Vt / plateau - eep |
this is done during air movement | dynamic compliance |
dynamic compliance represents | lung and thoracic compliance and airway resistance |
calculation for dynamic compliance (Cd) | Vt / PIP - eep |
normal resistance in a conscious patient is ____-____ cmH2O/L/sec | 0.6-2.4 |
with artificial airways in place, normal Raw is _______ | increased |
the smaller the ET tube, the greater the _____ | Raw (airway resistance) |
Raw in intubated patients is around ___ cmH2O/L/sec | 6 |
some diseases such as _____ or ______ can increase Raw | asthma or emphysema |
calculation for airway resistance (Raw) | (PIP-Plat) / flow |
attempts to mimic the actual function of the respiratory muscles to allow breathing through normal physiological mechanisms | negative pressure ventilation |
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