RCT II - FINAL! (summer 2012)

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Kholloway1119  on June 14, 2012

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RCT II - FINAL! (summer 2012)

the movement of air into and out of the lungs
ventilation
1/39

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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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