complete solutions graded A+.
Apex - Respiratory Pathophysiology 107
complete solutions graded A+.
Chemicals that contribute to increased airway resistance include: (Select 3)
a. Vasoactive intestinal peptide
b. Cyclic adenosine monophosphate
c. Leukotrienes
d. Nitric oxide
e. Phospholipase C
f. Inositol triphosphate - ANSWER c, e, f
What chemicals are associated with bronchodilation? - ANSWER Adenylate cyclase, cAMP, nitric oxide,
cGMP, VIP
What chemicals are associated with bronchoconstriction? - ANSWER Phospholipase C, IP3
Beta agonists - ANSWER -ol
Anticholinergics - ANSWER Atropine, glyco, ipratropium
Cromolyn - ANSWER mast cell stabilizer
Methylxanthines - ANSWER Theophylline
Methylxanthine MOA - ANSWER PDE inhibitor (increases cAMP)
Which of the respiratory medications require a blood level to monitor side effects? - ANSWER
Theophylline
, Apex - Respiratory Pathophysiology 107
complete solutions graded A+.
Theophylline - Cp >20 mcg/ml - ANSWER N/v, diarrhea, HA, disrupted sleep
Theophylline - Cp >30 mcg/ml - ANSWER Seizures, tachydysrhythmias, CHF
Which PFT is MOST sensitive indicator of small airway disease? - ANSWER FEF 25-75
FEV1 - normal value - ANSWER 80% predicted value
FVC - normal value (males, females) - ANSWER 4.8, 3.7
FEV1/FVC ratio - ANSWER 75-80%
FEF 25-75% - normal value - ANSWER 100 +/- 25% predicted value
Max voluntary ventilation - normal value (males, females) - ANSWER 140-180, 80-120
Which PFT is the best test of endurance? - ANSWER Max voluntary ventilation
Diffusing capacity - normal value - ANSWER 17-25 ml/min/mmhg
All of the following are independent risk factors for postop pulm complications EXCEPT:
a. CHF
b. asthma
c. age >65 years
d. COPD - ANSWER b