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Created by
Jayalakshmi Alackan
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Cards (88)
What is the primary focus of Lecture 1 in the respiratory disorders course?
Revise
Gas Laws
that influence breathing
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What is Type 1 respiratory failure defined as?
Failure of
oxygenation
of blood (
hypoxaemia
)
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What characterizes Type 2 respiratory failure?
Failure to remove
CO2
from the blood (
hypercapnia
)
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What is the aim when addressing inadequate ventilation?
Increase ventilation by adjusting O2 and CO2 levels
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What determines alveolar ventilation?
Respiratory rate
and
tidal volume
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What is hypoxaemia?
Abnormally low level of
oxygen
in the blood
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What are the consequences of hypoxaemia?
Causes
tissue hypoxia
and
cyanosis
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What is the normal PO2 level in mmHg?
100
mmHg
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What PO2 level indicates severe hypoxaemia?
Below 80%
saturation
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What can cause hypoxaemia?
High
altitude
,
lung disease
,
heart disease
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What is hypercapnia?
Inadequate
ventilation
leading to
CO2
retention
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What PCO2 level indicates hypercapnia?
Over
50
mmHg
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What triggers reflex breathing in hypercapnia?
Increased
CO2
levels in the blood
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What is the relationship between CO2 and blood pH?
High CO2 drives down pH, causing
acidosis
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What is obstructive respiratory failure?
Resistance of
airways
to
airflow
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What diseases are associated with obstructive respiratory failure?
Asthma
,
bronchitis
,
COPD
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What is restrictive respiratory failure?
Damage to
alveolar
membranes
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What diseases are associated with restrictive respiratory failure?
Sarcoidosis
,
acute interstitial pneumonia
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What is asthma characterized by?
Airway hyper-reactivity
and
inflammation
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What percentage of the UK population is affected by asthma?
8-10%
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What are the clinical features of asthma?
Wheezing
, chest tightness, cough,
shortness of breath
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When do asthma symptoms typically worsen?
At
night
or upon
waking
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What relieves asthma symptoms?
Inhalation of a
reliever medication
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What can lead to severe asthma episodes?
Worsening
symptoms
over hours or minutes
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What are the two major types of asthma?
Intrinsic
and
extrinsic
asthma
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What triggers intrinsic asthma?
Viral infections
and
cold air shock
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What are common allergens for extrinsic asthma?
House dust mites
, animal dander,
certain foods
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What is the main feature of allergic asthma?
Reactive hyper-responsiveness
leading to
broncho-constriction
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What happens during the early phase of an asthma attack?
Allergen
binds to
IgE antibodies
, releasing
histamine
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What is the role of eosinophils in the late phase of asthma?
Attract
accumulation and
increase
mucus production
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What can trigger asthma attacks over time?
Nonspecific
factors like cold air and
exercise
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What is the normal pH of blood?
7.4
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What happens to blood pH during hypocapnia?
pH rises to
~7.6
, causing alkalosis
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What happens to blood pH during hypercapnia?
pH decreases to
~7.2
, causing acidosis
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What characterizes respiratory acidosis?
Increased
PCO2
and decreased
pH
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What characterizes respiratory alkalosis?
Decreased
PCO2
and increased
pH
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What happens to blood gases during a mild asthma attack?
Respiratory alkalosis with low
PCO2
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What happens during a moderate asthma attack?
Normal pH with decreased
PO2
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What characterizes a severe asthma attack?
Respiratory acidosis
with high
PCO2
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What is crucial to monitor during a severe asthma attack?
PO2
levels to assess severity
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