Respiratory Insufficiency Overview

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

What is a consequence of increasing hypoxemia in the body?

  • Stabilized acid-base balance
  • Enhanced oxygen delivery to tissues
  • Increased anaerobic metabolism (correct)
  • Improved central nervous system function

Which type of respiratory failure develops rapidly, usually within hours or days?

  • Chronic respiratory failure
  • Acute respiratory failure of hypoxemic type (correct)
  • Acute asthmatic episode
  • Chronic obstructive pulmonary disease

What is the primary mechanism that compensates for the acid-base imbalances during chronic respiratory failure?

  • Increased lung hyperventilation
  • Cardiovascular system impairment
  • Activation of erythropoiesis
  • Renal compensation over time (correct)

What happens to the cardiovascular system in response to chronic respiratory failure?

<p>Myocardial hypertrophy occurs (C)</p> Signup and view all the answers

In acute respiratory failure of the hypercapnic type, what is the primary disturbance in the body?

<p>Excessive carbon dioxide retention (C)</p> Signup and view all the answers

Which of the following is NOT a condition associated with chronic respiratory failure?

<p>Episodic asthma (A)</p> Signup and view all the answers

What is one of the early signs of hypoxia as described in the content?

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

What leads to the development of respiratory alkalosis during acute hypoxemic respiratory failure?

<p>Hyperventilation of the lungs (A)</p> Signup and view all the answers

What is the PaO2 range that defines the first degree of respiratory failure?

<p>Above 70 mm Hg (C)</p> Signup and view all the answers

Which of the following indicates the second degree of respiratory failure?

<p>PaO2 between 70-50 mm Hg (A)</p> Signup and view all the answers

What is the tidal volume (TV) during normal respiratory movements?

<p>500-600 ml (A)</p> Signup and view all the answers

What happens when a patient experiences third degree respiratory failure?

<p>Cyanosis of the skin at rest (B)</p> Signup and view all the answers

How is pulmonary ventilation primarily assessed?

<p>Spirography and pneumotachography (D)</p> Signup and view all the answers

Which volume of air remains in the lungs after maximum exhalation?

<p>Residual volume of lungs (RVL) (D)</p> Signup and view all the answers

What is the vital capacity of lungs (VCL)?

<p>Maximum volume of air that can enter after maximum exhalation (B)</p> Signup and view all the answers

What defines external respiration?

<p>Air exchange between the external environment and the lungs (C)</p> Signup and view all the answers

What physiological condition can cause hypoventilation by reducing excitability in the respiratory center?

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

Which condition is NOT associated with hypoventilation due to damage to the respiratory muscles?

<p>Cerebral arteriosclerosis (A)</p> Signup and view all the answers

What breathing pattern is characterized by paradoxical movement of the diaphragm during respiration?

<p>Dissociation of breathing (B)</p> Signup and view all the answers

Which of the following pathologies could result in hypoventilation due to thoraco-diaphragmatic issues?

<p>Acquired curvature of the spine (D)</p> Signup and view all the answers

In premature infants, what primarily contributes to hypoventilation?

<p>Underdevelopment of peripheral chemoreceptors (B)</p> Signup and view all the answers

What type of injuries can inhibit the respiratory center leading to hypoventilation?

<p>Traumatic brain injuries (C)</p> Signup and view all the answers

Which condition is directly associated with increased inhibitory afferent influences leading to hypoventilation?

<p>Chest injuries with severe pain (C)</p> Signup and view all the answers

What role does the phrenic nerve play in breathing, and how does its paralysis affect respiration?

<p>It controls inspiration, and its paralysis causes paradoxical breathing. (C)</p> Signup and view all the answers

What condition can lead to increased resistance in the pulmonary vessels?

<p>Decreased capillary network area (D)</p> Signup and view all the answers

Which form of pulmonary hypertension results from obstruction of blood flow to the left side of the heart?

<p>Postcapillary pulmonary hypertension (A)</p> Signup and view all the answers

What significantly increases the work of the respiratory muscles during exhalation in bronchial asthma?

<p>Narrowing of the lumen of bronchioles (A)</p> Signup and view all the answers

What term describes the hypertrophy of the right part of the heart associated with pulmonary hypertension?

<p>Cor-pulmonary (B)</p> Signup and view all the answers

What type of hypersensitivity reaction is primarily involved in the pathogenesis of atopic asthma?

<p>Type I hypersensitivity (A)</p> Signup and view all the answers

What factor can contribute to precapillary pulmonary hypertension?

<p>Thromboemboli of pulmonary vessels (A)</p> Signup and view all the answers

Which of the following does NOT typically contribute to postcapillary pulmonary hypertension?

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

Which of the following allergens is NOT commonly associated with asthma?

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

What is a common feature of non-atopic asthma compared to atopic asthma?

<p>Normal levels of IgE synthesis (D)</p> Signup and view all the answers

What triggers bronchospasm in non-atopic asthma?

<p>Hyperergic inflammatory reactions to respiratory tract infections (C)</p> Signup and view all the answers

Which of the following is true about the pathogenesis of atopic asthma?

<p>It is associated with IgE mediated responses. (D)</p> Signup and view all the answers

Which form of asthma is characterized by the absence of a hereditary predisposition to allergies?

<p>Non-atopic asthma (D)</p> Signup and view all the answers

What happens to the subepithelial parasympathetic receptors in bronchial asthma?

<p>They decrease the threshold of irritation. (A)</p> Signup and view all the answers

What is a major factor contributing to emphysema in individuals with a hereditary defect in a1-antitrypsin synthesis?

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

Which of the following conditions is NOT a pulmonary pathology associated with restrictive type alveolar hypoventilation?

<p>Diaphragm damage (A)</p> Signup and view all the answers

What primary breathing issue arises in patients experiencing restrictive hypoventilation?

<p>Inspiratory dyspnea develops (A)</p> Signup and view all the answers

Which of the following respiratory measurements is likely to decrease due to restrictive hypoventilation?

<p>Tidal volume (A), Vital capacity (B)</p> Signup and view all the answers

What directly results from the development of gas acidosis in the context of hypoventilation?

<p>Decreased brain oxygen absorption (A)</p> Signup and view all the answers

Which extrapulmonary cause is associated with restrictions in diaphragm mobility?

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

Which physiological change occurs in the cardiovascular system as a result of hypoventilation?

<p>Changes in vascular permeability (C)</p> Signup and view all the answers

How does chronic exposure to cigarette smoke affect the lungs' antioxidant reserve?

<p>It leads to oxidative stress and antioxidant depletion (D)</p> Signup and view all the answers

Flashcards

Respiratory Failure

A condition where the lungs cannot adequately supply the body with oxygen or remove carbon dioxide.

Acute Respiratory Failure

Rapid onset of respiratory failure, often due to sudden events, like an asthma attack or a collapsed lung.

Chronic Respiratory Failure

Slow, gradual development of respiratory failure, often caused by long-term lung diseases like fibrosis.

Hypoxemia

Low levels of oxygen in the blood.

Signup and view all the flashcards

Hypercapnia

High levels of carbon dioxide in the blood.

Signup and view all the flashcards

Respiratory Acidosis

A disturbance in the body's acid-base balance caused by increased carbon dioxide in the blood.

Signup and view all the flashcards

Respiratory Alkalosis

A disturbance in the body's acid-base balance caused by decreased carbon dioxide in the blood.

Signup and view all the flashcards

Compensatory Mechanisms

The body's natural responses to maintain a stable internal environment during respiratory failure.

Signup and view all the flashcards

Myocardial Hypertrophy

Increase in the size of the heart muscle, often a response to increased workload.

Signup and view all the flashcards

Erythropoiesis

Production of red blood cells, which carry oxygen.

Signup and view all the flashcards

Respiratory failure, degree 1

PaO2 (partial pressure of oxygen in arterial blood) is not below 70 mmHg. Mild/moderate exertion causes dyspnea, but recovery of respiration is slow.

Signup and view all the flashcards

Respiratory failure, degree 2

PaO2 is between 70-50 mm Hg. Body compensates for oxygen needs at rest, but dyspnea occurs with light activity.

Signup and view all the flashcards

Respiratory failure, degree 3

PaO2 is below 50 mmHg. Dyspnea and cyanosis present even at rest; severe hypoxia develops.

Signup and view all the flashcards

External Respiration

The process involving gas exchange between the environment and the lungs' alveoli. It includes ventilation and diffusion.

Signup and view all the flashcards

Pulmonary Ventilation

The process of air entering and leaving the lungs.

Signup and view all the flashcards

Tidal Volume (TV)

Normal volume of air inhaled or exhaled during a breath at rest.

Signup and view all the flashcards

Inspiratory Reserve Volume (IRV)

Air taken into the lungs beyond normal inspiration.

Signup and view all the flashcards

Expiratory Reserve Volume (ERV)

Air expelled from the lungs beyond normal expiration.

Signup and view all the flashcards

Residual Volume (RV)

Air remaining in lungs after maximal exhalation.

Signup and view all the flashcards

Vital Capacity (VC)

Maximum volume of air that can be expelled from the lungs after taking the deepest possible breath.

Signup and view all the flashcards

Hypoventilation Causes

Conditions that reduce breathing depth and/or rate, leading to insufficient oxygen intake and carbon dioxide removal.

Signup and view all the flashcards

Respiratory Center Damage

Impairment of the brain region controlling breathing, causing reduced respiratory drive.

Signup and view all the flashcards

Peripheral Chemoreceptors

Sensory receptors in blood vessels detecting changes in blood chemistry, particularly oxygen and carbon dioxide levels.

Signup and view all the flashcards

Paralysis of Phrenic Nerve

Loss of function in the nerve stimulating the diaphragm, leading to diaphragm paralysis and paradoxical breathing.

Signup and view all the flashcards

Paradoxical Breathing

Diaphragm moves in the opposite direction during breathing, hindering air exchange.

Signup and view all the flashcards

Dissociation of Breathing

Asymmetric chest movement during breathing due to phrenic nerve damage.

Signup and view all the flashcards

Thoraco-Diaphragmatic Pathology

Conditions affecting chest wall and diaphragm mobility, restricting lung expansion.

Signup and view all the flashcards

Respiratory Muscle Damage

Conditions causing weakness or paralysis of muscles involved in breathing, restricting airflow.

Signup and view all the flashcards

Inhibitory Influences

Signals that slow down or suppress the respiratory activity.

Signup and view all the flashcards

Pulmonary Hypertension Causes

Increased resistance in pulmonary vessels due to reduced capillary network area, high blood-active substances, or thickened blood.

Signup and view all the flashcards

Precapillary Pulmonary Hypertension

Increased pressure in capillaries and pre-capillaries, caused by pulmonary arteriole spasms, clots, or compression.

Signup and view all the flashcards

Postcapillary Pulmonary Hypertension

Impaired blood flow from pulmonary veins to the heart due to obstructions like tumors or scar tissues; or left heart problems.

Signup and view all the flashcards

Mixed Pulmonary Hypertension

Initially precapillary, later postcapillary hypertension, or vice versa.

Signup and view all the flashcards

Cor Pulmonale

Right heart hypertrophy due to long-term pulmonary hypertension.

Signup and view all the flashcards

Bronchial Asthma

A disease causing narrowing of bronchioles, making exhalation difficult, often linked to allergies and hereditary predisposition.

Signup and view all the flashcards

Hereditary Predisposition (Asthma)

A genetic tendency to develop bronchial asthma.

Signup and view all the flashcards

Allergic Component (Asthma)

The role of allergies in causing and worsening bronchial asthma symptoms.

Signup and view all the flashcards

Type I Hypersensitivity Reaction (Asthma)

An immune response, a key component in atopic asthma, causing inflammation of airways.

Signup and view all the flashcards

Atopic Asthma

Type of asthma triggered by a type I hypersensitivity reaction and allergies.

Signup and view all the flashcards

Non-Atopic Asthma

Asthma not attributed to allergies but to other factors, such as infections or irritants.

Signup and view all the flashcards

Bronchospasm

Contraction of the bronchial muscles, narrowing airways.

Signup and view all the flashcards

Bronchial Obstruction

Blockage of the airways.

Signup and view all the flashcards

Allergens (Asthma)

Substances that trigger allergic reactions and asthma attacks.

Signup and view all the flashcards

Eosinophils (Asthma)

Immune cells that release substances causing bronchial damage and inflammation.

Signup and view all the flashcards

IgE (Asthma)

An antibody associated with allergic reactions in atopic asthma.

Signup and view all the flashcards

Alpha-1 antitrypsin deficiency

A hereditary condition affecting lung function, predisposing individuals to emphysema.

Signup and view all the flashcards

Emphysema

A lung disease leading to the destruction of air sacs, making breathing difficult.

Signup and view all the flashcards

Smoking and Lung Function

Smoking depletes the lungs' antioxidant reserves, which can lead to lung damage.

Signup and view all the flashcards

Restrictive Hypoventilation

Lung condition where the lungs' ability to expand is compromised, impairing breathing.

Signup and view all the flashcards

Pulmonary Causes of Restrictive Hypoventilation

Lung diseases like pneumonia, tumors, and lung tissue resection causing restrictive hypoventilation.

Signup and view all the flashcards

Extrapulmonary Causes of Restrictive Hypoventilation

Conditions outside the lungs, such as pleural problems and respiratory muscle issues, contributing to restrictive breathing issues.

Signup and view all the flashcards

Inspiratory Dyspnea

Difficulty in inhaling air due to restriction.

Signup and view all the flashcards

Tidal Volume, IRV, MCL, and VCL

Lung volumes reduced due to restrictive hypoventilation, except expiratory, resulting in normal or increased Tiffno index.

Signup and view all the flashcards

Respiratory Acidosis

A condition arising from inadequate breathing, leading to elevated carbon dioxide and reduced blood pH.

Signup and view all the flashcards

Cerebral Edema

Fluid build-up in the brain tissue due to respiratory acidosis and low blood oxygen, damaging brain function.

Signup and view all the flashcards

Cardiovascular Effects of Hypoventilation

Hypoventilation leads to changes affecting the cardiovascular system as a consequence of the body struggling to overcome low breathing ability.

Signup and view all the flashcards

Study Notes

Respiratory Insufficiency

  • Respiration is a complex process involving external, transport, and internal respiration.
  • Respiratory insufficiency occurs when the respiratory system fails to maintain normal oxygen and carbon dioxide levels in the arterial blood. This leads to hypoxia and depletion of the body's energy.
  • Causes include airway obstruction, reduced lung surface area, impaired lung perfusion, or problems with the respiratory centre, innervation, or thoracodiaphragmatic pathologies.
  • Types of respiratory failure are hypoxemic (low oxygen) and hypercapnic (high carbon dioxide).
  • Hypoxia is the main symptom of hypoxemic respiratory failure.
  • Hypercapnia is the main symptom of hypercapnic respiratory failure.
  • Compensatory mechanisms in early stages involve increased, and deepened breathing, increased ventilation, and increased heart rate.

Disorders of Pulmonary Ventilation

  • Spirometry, pneumotachography are methods for assessing pulmonary ventilation.
  • Key indicators include tidal volume (TV), inspiratory reserve volume (IRV), expiratory reserve volume (ERV), residual volume (RV), vital capacity (VC), and total lung capacity (TLC).
  • Dynamic indicators like minute volume of respiration (MVR), and maximal ventilation of lungs (MVL) measure the intensity of changes in pulmonary ventilation.
  • Maximum vital capacity of lungs (MVCL) determines the volume of air exhaled with the maximum force after the deepest inhalation.
  • Forced expiratory volume in the first second (FEV-1) shows the volume of air exhaled in the first second after maximal inhalation.
  • Tiffno index is calculated by dividing FEV-1 by MVCL and multiplying by 100.

Disorders of Pulmonary Perfusion

  • Pulmonary perfusion (blood supply to the lungs) can be impaired by decreased right ventricular pressure, increased left atrial pressure, and increased resistance in the pulmonary vessels.
  • Precapillary, postcapillary, and mixed pulmonary hypertension are different types of hypertension occurring with increased pulmonary vessel resistance.
  • Pulmonary edema is characterized by fluid build-up in the interstitial and alveolar spaces of the lungs, resulting from increased hydrostatic pressure or decreased oncotic pressure in the pulmonary capillaries.

Disorders of Alveolar Diffusion

  • Alveolar diffusion is the exchange of oxygen and carbon dioxide between the alveolar air and pulmonary capillaries.
  • Key factors affecting alveolar diffusion include gradients of oxygen and carbon dioxide, surface area of the lung, membrane thickness, and the solubility of gases.
  • Decreased surface area, thickened membranes, or abnormal conditions can impair alveolar diffusion.

Acute Lung Injuries

  • Acute respiratory distress syndrome (ARDS) is a severe lung injury resulting in diffuse damage with the inflammation and leakage of fluid into the alveoli and surrounding tissues.
  • Common causes include, sepsis, aspiration, and trauma.
  • ARDS is a severe and often life-threatening condition.

Asphyxia

  • Asphyxia is a condition of inadequate oxygen supply to the tissues.
  • It can be caused by obstruction of the airway, oxygen deprivation, or impaired respiration.
  • The condition is classified into stages based on progressive deterioration in respiratory functions.

Other Respiratory Pathologies

  • Atelectasis is a collapse of the lungs, resulting from blockage, compression, or contraction.
  • Pneumonia is an inflammation of lung tissues. Common types are typical (bacterial) and atypical (viral).
  • Pleurisy is an inflammation of the pleura, often accompanied by fluid buildup.
  • Emphysema involves enlargement of air spaces in the lungs.
  • Bronchiectasis involves dilation of the airways.
  • Chronic bronchitis is persistent inflammation of the airways.
  • Bronchial asthma is an allergic inflammatory disorder.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Use Quizgecko on...
Browser
Browser