Pulmonary Physiology and V/Q Ratio Quiz
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Questions and Answers

What effect does an increase in pH have on the oxygen dissociation curve?

  • It shifts to the right.
  • It remains unchanged.
  • It shifts to the left. (correct)
  • It causes hemoglobin to lose affinity for carbon dioxide.

Which of the following diseases is NOT known to affect the V/Q ratio?

  • Bronchitis
  • Pneumonia
  • Pulmonary fibrosis (correct)
  • Asthma

In an upright position, where is the V/Q ratio typically higher?

  • In the diaphragm area.
  • Throughout the entire lung equally.
  • In the lower bases of the lungs.
  • In the upper parts of the lung. (correct)

If a patient's V/Q ratio trend is downward, what can be inferred about the ratio?

<p>It is becoming lower. (C)</p> Signup and view all the answers

What is the Respiratory Quotient (RQ) value indicating the relationship between air and blood flow?

<p>0.8 (C)</p> Signup and view all the answers

What is the formula used to calculate the arterial content of oxygen (CaOâ‚‚)?

<p>CaO₂ = (Hb × 1.34% × s) + (PaO₂ × 0.003) (D)</p> Signup and view all the answers

What is the normal value for the difference in arterial and venous oxygen content ((Cla-v)Oâ‚‚)?

<p>5 v/o (D)</p> Signup and view all the answers

In a scenario where the alveolar ventilation is 10 LPM and pulmonary blood flow is 12 LPM, what can be inferred about the V/Q ratio?

<p>The V/Q ratio is less than 1. (A)</p> Signup and view all the answers

What is the normal value for oxygen delivery (DOâ‚‚) in mL?

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

When the pH decreases and the oxygen dissociation curve shifts to the right (P50 increase), which of the following is most likely affected?

<p>Increased oxygen unloading from hemoglobin. (B)</p> Signup and view all the answers

Flashcards

V/Q Ratio

The ratio of ventilation (air flow) to perfusion (blood flow) in the lungs.

V/Q Ratio Calculation

Calculated by dividing alveolar ventilation rate (in liters per minute) by pulmonary blood flow rate (in liters per minute).

V/Q Ratio Trend (Downwards)

A pattern of decreasing V/Q ratio during monitoring suggests the ratio might be lower.

V/Q Ratio in Upright Position

The V/Q ratio is lower in the bases of the upright lung due to gravity affecting blood flow more in the lower areas.

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Respiratory Quotient (RQ)

A ratio used in respiratory function, specifying that for every unit of air reaching the lungs, there is slightly more than one unit of blood flow to the capillaries.

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V/Q Ratio

The ratio of ventilation (air movement) to blood flow in the lungs.

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V/Q ratio calculation

Ventilation rate (L/min) divided by blood flow rate (L/min).

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Respiratory Quotient (RQ)

Ratio of CO2 production to O2 consumption.

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Oxygen Transport Equation

CaO₂ = (Hb × 1.34% × s) + (PaO₂ × 0.003).

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Normal CvOâ‚‚

15 v/o (volume percent oxygen).

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Study Notes

Example Calculation

  • Alveolar ventilation is 10 LPM
  • Pulmonary blood flow is 12 LPM
  • The V/Q ratio is about?

Ratio Explanation

  • RQ = 0.8: for every unit of air reaching alveoli, there's slightly more than 1 unit of blood flow to the capillaries
  • When pH ↑, O2 diss curve shifts to the right
  • When pH ↓, O2 diss curve shifts to the left
  • ↑ P50 ↓

Conditions Causing Hypoxia

  • Know conditions that cause 4 Hypoxia Types

Diseases & V/Q Ratio

  • Diseases that ↑ V/Q = asthma, PNA, bronchitis
  • Which way will CO2 + HCO3 move in relation to pH?

V/Q Ratio and Position

  • Ratio is lower in bases (in upright position) due to gravity
  • V/Q ratio is higher in apices (upright posture)
  • More ventilation relative to perfusion
  • If I trend my pt.’s ratio now would be lower

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Description

Test your understanding of pulmonary physiology, specifically the V/Q ratio and its implications in different conditions. This quiz covers alveolar ventilation, blood flow, and factors affecting hypoxia. Determine how various diseases influence the V/Q ratio and explore the relationship between pH and oxygen dissociation.

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