NUR 622 (Adult_Gero Acute) MOD #7, Ventilators, Acid_Base Imbalances Questions with
CORRECT Answers (Grade A+)
Question 1:
active contraction of diaphragm and intercostals, creates a negative intrathoracic pressure,
bringing in air from atmosphere
Answer:
inspiration
Question 2:
passive process, elastic recoil of lungs
Answer:
exhalation
Question 3:
again, the total air inspired and expired during a normal breath
Answer:
tidal volume (Vt) *4-8 ml/kg, 500ml avg
Question 4:
amount of air inspired and expired over a minute formula: RR x Vt (average 5-10L/min)
Answer:
minute ventilation
Question 5:
amount of pressure right ventricle must overcome to push blood through pulmonary circulation to
lungs formula: PA pressure - LA pressure/CO
Answer:
Pulmonary vascular resistance (PVR)
Question 6:
examples of high and low lung compliance (ability of lungs to fill with air)
Answer:
, high - emphysema, old age low - fibrosis, PNA
Question 7:
normal V/Q in apex vs base of lungs
Answer:
apex - ventilation is greater, normal apex V/Q ratio is 3.3 base - due to gravity, perfusion is greater,
normal base V/Q ratio is 0.6
Question 8:
In general, a normal lung V/Q ratio is
Answer:
8
Question 9:
examples of low V/Q mismatch (poor ventilation)
Answer:
-PNA -asthma -COPD -pulmonary edema -aspiration
Question 10:
examples of high V/Q mismatch (poor perfusion)
Answer:
-PE/PAH (prevents blood flow) -emphysema (damage to alveoli reduce functional capillaries)
Question 11:
reduced oxygen delivery to tissues
Answer:
hypoxia
Question 12:
reduced partial pressure of O2 in blood
Answer:
hypoxemia
Question 13:
CORRECT Answers (Grade A+)
Question 1:
active contraction of diaphragm and intercostals, creates a negative intrathoracic pressure,
bringing in air from atmosphere
Answer:
inspiration
Question 2:
passive process, elastic recoil of lungs
Answer:
exhalation
Question 3:
again, the total air inspired and expired during a normal breath
Answer:
tidal volume (Vt) *4-8 ml/kg, 500ml avg
Question 4:
amount of air inspired and expired over a minute formula: RR x Vt (average 5-10L/min)
Answer:
minute ventilation
Question 5:
amount of pressure right ventricle must overcome to push blood through pulmonary circulation to
lungs formula: PA pressure - LA pressure/CO
Answer:
Pulmonary vascular resistance (PVR)
Question 6:
examples of high and low lung compliance (ability of lungs to fill with air)
Answer:
, high - emphysema, old age low - fibrosis, PNA
Question 7:
normal V/Q in apex vs base of lungs
Answer:
apex - ventilation is greater, normal apex V/Q ratio is 3.3 base - due to gravity, perfusion is greater,
normal base V/Q ratio is 0.6
Question 8:
In general, a normal lung V/Q ratio is
Answer:
8
Question 9:
examples of low V/Q mismatch (poor ventilation)
Answer:
-PNA -asthma -COPD -pulmonary edema -aspiration
Question 10:
examples of high V/Q mismatch (poor perfusion)
Answer:
-PE/PAH (prevents blood flow) -emphysema (damage to alveoli reduce functional capillaries)
Question 11:
reduced oxygen delivery to tissues
Answer:
hypoxia
Question 12:
reduced partial pressure of O2 in blood
Answer:
hypoxemia
Question 13: