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Module 2_ Oxygen Supply & Demand Framework _

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Module 2_ Oxygen Supply & Demand Framework _

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Module 2_ Oxygen Supply & Demand Framework _
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Module 2_ Oxygen Supply & Demand Framework _

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1 of 90

Term



What are the three main determinants of oxygen supply



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- AVC membrane thickness
- Surface Area
- Driving Pressure
- Diffusion Coefficient




- vasodilation
- PP>40mmHg (wide)
- DBP<80mmHg (low)
- Flushed, warm
- Bounding pulses
- Quick Cap refill




- amount of oxygen present in the arterial blood when it leaves the lungs
- the capacity of blood to transport oxygen to cells

, - the effectiveness of the pump that circulates the blood throughout the
body


maximum air that can be exhaled after maximum inhalation.
useful indicator of persons ability to protect their airway
used for determining whether or not a person can be extubated


Don't know?




2 of 90

Term



What components should be included in your assessment of
alveolar gas exchange



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- decreased PaCO2 - increased PaCO2
- alkalosis (ex; hyperventilation) - acidosis
- decreased temp - increased temp




- Vasoconstriction
- PP<40mmHg (narrow) - diffusion (4 factors)
- DBP>80mmHg (high) - V/Q match
- Cool, clammy, pale skin - PaO2, SaO2
- Weak pulses - Use of supplemental oxygen
- Decreased Cap refill


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3 of 90

,Term



What cause a left shift on the oxyhemoglobin dissociation curve


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- Hgb level
Decreased mobility, abdo pain,
- Affinity (Shifts on the
nausea, vomiting, ischemic bowel
Oxyhemoglobin dissociation curve)




- circumferential chest burns - decreased PaCO2
- trauma - alkalosis (ex;
- rib fracture hyperventilation)
- spinal deformities - decreased temp


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4 of 90

Term



What are specific assessment data that indicate decreased after load



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- AVC membrane thickness
Neurological: SNS
- Surface Area
Hormonal: RAAS
- Driving Pressure
Chemical: Chemoreceptors
- Diffusion Coefficient

, - vasodilation
- Slows down the rate of impulse
- PP>40mmHg (wide)
generation at the sinoatrial (SA)
- DBP<80mmHg (low)
node
- Flushed, warm
- Slows transmission of impulses
- Bounding pulses
through the AV node
Don't know?
- Quick Cap refill




5 of 90

Term



What chemical are central chemoreceptors triggered by
where are they located
what is their response



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- Norepinephrine [levophed] exerts its strongest action on alpha receptors
producing vasoconstriction
- it is a drug of choice for patients experiencing excessive vasodilation as a result
of sepsis for this reason




- PaCO2 levels
- their location in the brain puts them in close contact with CSF- CO2
diffuses rapidly across the BBB into the CSF
- stimulate the nearby respiratory centre (medulla and pons) to increase
ventilation (respiratory rate and tidal volume)




- PaO2 levels (only below 60mmHg)
- located in the carotid body and aortic arch
- receptors send a signal to stimulate increase in response rate and tidal volume

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Module 2_ Oxygen Supply & Demand Framework _
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Module 2_ Oxygen Supply & Demand Framework _

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