Gases Equilibration and Partial Pressure in Anesthesia

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Questions and Answers

What is the driving force for movement of anesthetic agent into the blood?

  • Blood solubility
  • Alveolar to mixed venous partial pressure difference (correct)
  • Cardiac output
  • Concentration gradient

How does increasing cardiac output affect the rate of rise of the anesthetic agent FA/FI?

  • Has no effect on the rise of FA/FI
  • Slows down the rise of FA/FI (correct)
  • Stops the rise of FA/FI
  • Speeds up the rise of FA/FI

What factor decreases the volume in the volume/flow equation, resulting in a shorter time constant for the rise of FA/FI?

  • Low blood solubility
  • Decreased FRC (correct)
  • Increased alveolar ventilation
  • High fresh gas flows

How does overpressurization affect the rate of rise of the anesthetic agent FA/FI?

<p>Speeds up the rise of FA/FI (A)</p> Signup and view all the answers

What is clinically insignificant with volatiles but makes a difference with agents given in high concentrations like nitrous oxide?

<p>Concentration effect (A)</p> Signup and view all the answers

Which factor initially produces a rapid change in PA-PV, resulting in a rapid reduction in PA-PV and a greater change in FA/FI?

<p>Increased alveolar to mixed venous partial pressure difference (B)</p> Signup and view all the answers

What is typically described as the ratio of FA/FA0?

<p>FA0 (B)</p> Signup and view all the answers

Why does the washout of anesthetic happen much more rapidly with desflurane, sevoflurane, and N2O?

<p>Due to decreased solubility (C)</p> Signup and view all the answers

What is required for emergence during recovery from anesthesia?

<p>80-90% reduction in FA (A)</p> Signup and view all the answers

During the washout of nitrous oxide, what can potentially worsen due to hypoxia?

<p>Respiratory drive (D)</p> Signup and view all the answers

What happens during Stage II of anesthesia described in Miller's stages?

<p>Eyelash reflex reappears (A)</p> Signup and view all the answers

What is the main factor that leads to washout of large volumes of nitrous oxide causing diffusion hypoxia?

<p>Reduction in alveolar partial pressures of oxygen (B)</p> Signup and view all the answers

What is the main reason why washout of less-soluble inhaled anesthetics is more rapid than that of more-soluble agents?

<p>Faster diffusion across alveoli to blood (D)</p> Signup and view all the answers

How does the vapor pressure of a volatile anesthetic relate to temperature?

<p>Is directly proportional to temperature (E)</p> Signup and view all the answers

What does the boiling point of an anesthetic indicate?

<p>The energy required for conversion to vapor (B)</p> Signup and view all the answers

What is the function of an anesthetic vaporizer?

<p>To allow transfer of the anesthetic to the vaporizer without atmospheric exposure (D)</p> Signup and view all the answers

At equilibrium, what is true about the partial pressure of inhaled anesthetics in alveoli, blood, and CNS (central nervous system)?

<p>They are all equal (B)</p> Signup and view all the answers

Why can anesthetizing concentrations of volatile anesthetic be rapidly achieved in the CNS?

<p>Rapid delivery and removal from lungs compared to metabolism and redistribution effects (A)</p> Signup and view all the answers

What is the relationship between the rate of induction of inhaled anesthetic and the ratio of FA to FI?

<p>They are directly proportional (A)</p> Signup and view all the answers

How is FA defined in the context of measuring the concentration of inhaled anesthetic in the brain?

<p>FA = PA/Pbarometric (D)</p> Signup and view all the answers

Which formula represents how the concentration of a substance in a given volume approaches that of the flow entering it according to first-order kinetics?

<p>FI = FFGO(1-e-T/Ï„) (C)</p> Signup and view all the answers

What does the time constant (Ï„) represent in the context of volume and flow?

<p>It represents volume divided by flow (C)</p> Signup and view all the answers

In the example given with a flow rate of 2 l/min and a volume of 8 liters, how long would it take to achieve a 95% change in concentration based on the time constant?

<p>12 minutes (B)</p> Signup and view all the answers

What is the most effective method mentioned to increase the rate of rise of FA/FI?

<p>Decrease the time constant by increasing the flow rate (D)</p> Signup and view all the answers

How does respiratory depression impact the rate of rise of FA?

<p>Decreases the rate of rise of FA (D)</p> Signup and view all the answers

What effect does reducing cardiac output have on the rate of rise of FA/FI?

<p>Increases the rate of rise of FA/FI (D)</p> Signup and view all the answers

What is a consequence of cardiovascular depression related to high concentrations of volatile agents?

<p>Increases the alveolar partial pressure (D)</p> Signup and view all the answers

What occurs when there is a right-to-left shunt in terms of FA and arterial partial pressure?

<p>Increase in FA and decrease in arterial partial pressure (D)</p> Signup and view all the answers

What is the impact of metabolic pathways being rapidly saturated for inhalation anesthetics?

<p>Minimal metabolism of the drug (A)</p> Signup and view all the answers

How are the pharmacokinetics of inhalational agents best described according to the text?

<p>5 compartment model (B)</p> Signup and view all the answers

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