Cardiopulmonary Anatomy & Physiology
7th Edition
ISBN: 9781337794909
Author: Des Jardins, Terry.
Publisher: Cengage Learning,
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Question
Chapter 4, Problem 2CAQ3
Summary Introduction
To review:
The factor in Fick’s law that has caused the patient’s oxygenation status to acutely worsen in this case.
Introduction:
A 78–year-old woman is admitted to the hospital. She has a medical history of chronic interstitial lung disease, alveolar fibrosis, and thickening. Her X-ray reports were taken and they showed signs of higher alveolar density. When brought into the hospital, she was found agitated and anxious. Her respiration rate was noted as 24 breaths per minute and heart rate as 105 beats per minute.
Please refer to Clinical Application Case-2 for further information.
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Check out a sample textbook solutionStudents have asked these similar questions
Match the Law/Effect with its definition/description
A. Boyle’s Law
B. Henry’s Law
C. Dalton’s Law
D. Haldane Effect
E. Bohr Effect
1. The pressure of a gas is inversely proportional to its volume
2. A lower, more acidic pH promotes oxygen dissociation from hemoglobin
3. Hemoglobin saturated with oxygen has a low affinity for carbon dioxide
4. The concentration of a gas in a liquid is directly proportional to the solubility and partial pressure of that gas
5. The total pressure exerted by a mixture of gases is the sum of the partial pressures of the gases in the mixture
Scenario three
I was working evenings in the emergency department of a seaside hospital. We admitted a 54-year-old man, whom I'll call Mr. Schmidt. He told me, “I just got here
for vacation, and I'm not feeling so great. I had pneumonia at home, got treated, and thought I was better. Now my breathing feels lousy again." A check of his vital
signs while he was sitting quietly revealed the following: T 99° C, P 138 beats/min, R 36 breaths per minute, BP 168/80 mm Hg. As I helped him to the stretcher, he
became significantly more short of breath. I checked his lung sounds and heard a lot of congestion. I notified the doctor and voiced my concern that Mr. Schmidt
seemed quite ill. The doctor examined him and ordered an electrocardiograph and chest x-ray study. During this time we got very busy. I was helping another patient
when the doctor came to me and said, "I want you to give Mr. Schmidt 80 mg of furosemide (a diuretic) IV now and discharge him." I looked at him skeptically and
said,…
A common laboratory test for a patient is to measure blood gases—that is, the partial pressures of O 2 and CO 2 in oxygenated blood. Normal values are 100 mm Hg for O 2and 40 mm Hg for CO 2. A high or low level of one or both readings has some underlying cause. Offer an explanation for each of the following situations. a. If a patient comes in agitated and hyperventilating—breathing very rapidly—the partial pressure of O 2 is normal but the partial pressure of CO 2 is 22 mm Hg. b. A patient with chronic lung disease has a partial pressure of O 2 of 60 mm Hg and a partial pressure of CO 2of 60 mm Hg.
Chapter 4 Solutions
Cardiopulmonary Anatomy & Physiology
Ch. 4 - Prob. 1RQCh. 4 - Prob. 2RQCh. 4 - Prob. 3RQCh. 4 - 4. At sea level, the normal percentage of carbon...Ch. 4 - At sea level, the alveolar water vapor pressure in...Ch. 4 - If a patient is receiving an FIO2 of 0.60 on a day...Ch. 4 - Prob. 7RQCh. 4 - Under normal resting conditions, the diffusion of...Ch. 4 - 9. Which of the following states that the rate of...Ch. 4 - According to Ficks law, gas diffusion is 1....
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Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.Similar questions
- Case 1 When the patient was in the emergency department what pulmonary function measurement served as an important clinical indicator of the severity of the patient's asthma attack?arrow_forwardCase 1 As a result of the severe left heart failure and increased pulmonary blood pressure in the case, fluid moved out of the pulmonary capillaries and into the extracapillary spaces. The pathologic process caused the thickness of the alveolar-capillary membrane to______arrow_forwardCase 2 Because of the lung hyperinflation described in question 1, the patient was generating (small_________; large_____) pleural pressure changes with (little or no ________ moderate to large_________) volume changes.arrow_forward
- Case 1 2. As a result of the previously described condition, the patient's right lung__________, which in turn caused an acute (decreased ______; increased_____) lung compliance condition.arrow_forwardCase 1 The pathophysiologic process that developed in this case was corrected with______. During each breath, the patient's chest wall (caved inward_____________; moved outward __________) and then returned to normal ___________at the end of each expiration.arrow_forwardIf the pressure in the pulmonary artery is 34 mm Hg and the pressure in the left atrium is 9 mm Hg, what is the driving pressure? A. 9 mm Hg B. 17 mm Hg C. 25 mm Hg D. 34 mm Hgarrow_forward
- Which of the following forced expiratory measurements reflects the status of medium-sized to small-sized airways? A. FEF200-1200 B. PEFR C. MVV D. FEF25%-75%arrow_forwardThe mean intraluminal pressure in the pulmonary capillaries is A. 5 mm Hg B. 10 mm Hg C. 15 mm Hg D. 20 mm Hgarrow_forwardCase 2 As a result of the hyperinflation, the patient's work of breathing increased because her lungs were inflated to the very top of their pressure- volume curve. As the pressure-volume curve illustrates, lung compliance is very (high __________; low_______) on the upper, flat portion of the pressure-volume curve.arrow_forward
- 9. Which of the following states that the rate of gas diffusion is inversely proportional to the weight of the gas? A. Graham’s law B. Charles’ law C. Henry’s law D. Gay-Lussac’s lawarrow_forwardCase 2 As fluid accumulated in the patients alveoli, the diffusion of oxygen into the pulmonary capillaries decreased. This was verified by the __________________________________.arrow_forwardCase 1 As a result of the gunshot wound to the chest, the patient lost a large amount of blood. Because of the excessive blood loss, the patient wasarrow_forward
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