Dynamic Lung Characteristics and Capacities
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Questions and Answers

Which of the following conditions are classified as obstructive lung diseases?

  • Lung cancer
  • Chronic bronchitis (correct)
  • Pulmonary fibrosis
  • Sarcoidosis

    • What is the primary characteristic of restrictive lung diseases?

  • Inability to fully expand lungs (correct)
  • Airway constriction
  • Overinflation of the lungs
  • Increased lung compliance

    • Which of these gases has a partial pressure of 47 mmHg under standard conditions?

  • Nitrogen
  • Carbon Dioxide
  • Water Vapor (correct)
  • Oxygen

    • What effect can oxygen toxicity have on the pulmonary system?

    <p>Atelectasis</p> Signup and view all the answers

    What defines a pressure gradient in the context of lung function?

    <p>The force causing gases to move due to pressure differences</p> Signup and view all the answers

    Which of the following is NOT a characteristic of obstructive lung diseases?

    <p>Inability to expand fully</p> Signup and view all the answers

    At what pressure do central nervous system effects from oxygen toxicity typically occur?

    <p>Above 1 atm</p> Signup and view all the answers

    What role does diffusion play in gas exchange in the lungs?

    <p>Movement of gases from high to low concentrations</p> Signup and view all the answers

    What is the primary driving force responsible for diffusion in gases?

    <p>Kinetic energy</p> Signup and view all the answers

    What gas law states that the total pressure exerted by a mixture of gases is equal to the sum of the partial pressures of individual gases?

    <p>Dalton's Law</p> Signup and view all the answers

    In normal resting conditions, how long does it take for blood to transit through the alveolar capillary system?

    <p>0.75 seconds</p> Signup and view all the answers

    What is the normal thickness range of the alveolar capillary membrane?

    <p>0.36-2.5 mm</p> Signup and view all the answers

    Which of the following conditions can lead to an increase in the thickness of the alveolar capillary membrane?

    <p>Pulmonary edema</p> Signup and view all the answers

    Which condition is NOT an indication for hyperbaric oxygen therapy?

    <p>Cystic fibrosis</p> Signup and view all the answers

    What effect does increasing altitude have on the partial pressure of oxygen in the atmosphere?

    <p>It decreases the partial pressure of oxygen.</p> Signup and view all the answers

    Which of the following is used in the formula to calculate PAO2?

    <p>$(PB-PH20)$</p> Signup and view all the answers

    What is the normal total lung capacity for adult males?

    <p>6000 mL</p> Signup and view all the answers

    In terms of lung volumes, which capacity is defined as the amount of air remaining after a normal exhalation?

    <p>Functional residual capacity</p> Signup and view all the answers

    Which change is NOT associated with obstructive lung disease?

    <p>Decreased tidal volume</p> Signup and view all the answers

    What is the normal residual volume for adult females?

    <p>1000 mL</p> Signup and view all the answers

    Which lung volume represents the air that can be forcibly exhaled after a normal exhalation?

    <p>Expiratory reserve volume</p> Signup and view all the answers

    What is the effect of restrictive lung disease on inspiratory capacity?

    <p>Decreased inspiratory capacity</p> Signup and view all the answers

    What is the normal expiratory reserve volume for males?

    <p>1200 mL</p> Signup and view all the answers

    Which combination correctly describes the changes in lung capacities in restrictive lung disease?

    <p>Decreased TLC, VC, and FRC</p> Signup and view all the answers

    What effect does high airway resistance have on the time constant in the lungs?

    <p>It increases the time constant.</p> Signup and view all the answers

    Which type of gas flow is characterized by smooth and streamlined movement?

    <p>Laminar flow</p> Signup and view all the answers

    How does a decrease in the radius of an airway affect airflow and pressure?

    <p>It decreases airflow while increasing pressure.</p> Signup and view all the answers

    When lung compliance decreases, what is the expected impact on the time constant?

    <p>The time constant decreases.</p> Signup and view all the answers

    What does the time constant measure in relation to lung regions?

    <p>The rate at which the lungs can inflate to a certain percentage of capacity.</p> Signup and view all the answers

    Study Notes

    Dynamic Characteristics of the Lungs

    • Airway resistance refers to the opposition to airflow in the respiratory tract, impacting ease of breathing during inhalation and exhalation.
    • Flow patterns include:
      • Laminar flow: Streamlined and smooth gas movement.
      • Turbulent flow: Chaotic gas movement with collisions against airway walls.
      • Transitional flow: Gas movement that shifts between laminar and turbulent patterns.
    • Time constant indicates the duration required to inflate a lung region to around 60% of its capacity, influenced by airway resistance and compliance:
      • High resistance increases time constant, while low resistance decreases it.
      • High compliance (stretched lungs) increases time constant, whereas low compliance (stiff lungs) decreases it.
    • Decreased tube radius results in diminished airflow, increased effort to push gas through, similar to drinking through a thin straw.

    Lung Volumes and Capacities

    • Total Lung Capacity (TLC): Maximum air the lungs can hold (6000 mL for males, 4200 mL for females).
    • Vital Capacity (VC): Maximum air exhaled after a deep breath (4800 mL for males, 3200 mL for females).
    • Residual Volume (RV): Air remaining in lungs post-exhalation (1200 mL for males, 1000 mL for females).
    • Inspiratory Capacity (IC): Maximum air inhaled after normal exhalation (3600 mL for males, 2400 mL for females).
    • Functional Residual Capacity (FRC): Air remaining in lungs after normal exhalation (2400 mL for males, 1800 mL for females).
    • Inspiratory Reserve Volume (IRV): Extra air inhaled following a normal breath (3100 mL for males, 1900 mL for females).
    • Tidal Volume (TV): Air exchanged per normal breath (500 mL for males, 400-500 mL for females).
    • Expiratory Reserve Volume (ERV): Extra air exhaled post-normal breath (1200 mL for males, 800 mL for females).

    Obstructive vs. Restrictive Lung Disease

    • Obstructive lung disease: Constriction leads to difficulty in air movement, characterized by:
      • Increased TLC and RV.
      • Decreased VC and IC.
      • Increased FRC and RV, decreased ERV, increased TV, decreased IRV.
      • Conditions include cystic fibrosis, chronic bronchitis, emphysema, bronchiectasis.
    • Restrictive lung disease: Difficulty expanding lungs, characterized by:
      • Decreased TLC, RV, VC, IC, FRC, ERV, IRV, TV.
      • Conditions include obesity, pregnancy, mesothelioma, sarcoidosis, pulmonary fibrosis, lung cancer, pneumothorax.

    Diffusion of Pulmonary Gases

    • Partial pressure of water vapor: 47 mmHg; Barometric pressure: 760 mmHg.
    • Oxygen toxicity effects:
      • Pulmonary: Tracheobronchitis, substernal chest pain, atelectasis, decreased vital capacity, decreased lung compliance, decreased diffusing capacity.
      • Central Nervous System: Tremors, twitching, convulsions, coma, death; severe effects occur at pressures above 1 atm.
    • Diffusion gradient: Movement of gas from high to low concentration; pressure gradient is the pressure difference driving this movement.
    • Kinetic energy is the driving force behind diffusion.
    • Atmospheric oxygen (PO2) is diluted in alveoli due to CO2 and H2O, affecting gas pressure.

    Hyperbaric Oxygen Therapy Indications

    • Effective for: Gas embolism, decompression sickness, radiation necrosis, diabetic wounds, non-healing skin grafts, crush injuries, acute traumatic ischemia, thermal burns, clostridial gangrene, necrotizing infections, refractory osteomyelitis, carbon monoxide poisoning, cyanide poisoning, severe blood loss, or anemia.

    Gas Laws and Alveolar Dynamics

    • Dalton's Law states total pressure of a gas mixture equals the sum of individual pressures.
    • Increasing altitude decreases atmospheric pressure and gas density.
    • Normal transit time through alveolar capillary system is approximately 0.75 seconds.
    • PAO2 calculation: [(PB - PH2O) x FIO2 - (PaCO2/R)].
    • Conditions increasing alveolar-capillary membrane thickness: Pulmonary edema, pneumonia, interstitial lung disease, ARDS, RDS in newborns.
    • Normal thickness of the alveolar-capillary membrane: 0.36-2.5 mm.

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    RCP 110 Exam II Study Guide PDF

    Description

    Explore the dynamic characteristics of the lungs, focusing on airway resistance, flow patterns, and time constants. This quiz covers the essential concepts of lung volumes and capacities, providing insight into respiratory mechanics. Perfect for students in respiratory physiology or related fields.

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