HUMAN PHYSIOLOGY: AN INTEG ACCESS C
HUMAN PHYSIOLOGY: AN INTEG ACCESS C
8th Edition
ISBN: 9780134714837
Author: Silverthorn
Publisher: PEARSON
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Chapter 18, Problem 24RQ
Summary Introduction

To determine: The reason why a patient will stop breathing if he is supplied with pure oxygen when the patient is suffering from severe chronic obstructive lung disease.

Introduction: Carbon dioxide is the most important chemical controller of ventilation. It enters the blood-brain barrier and activates the receptors. The peripheral and chemoreceptors mediate the process of ventilation. These receptors provide a continuous input into the network which controls the ventilation.

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A 14-year-old girl with cystic fibrosis has complained of an increased cough productive of green utum over the last week. She also complained of being increasingly short of breath, and she is noticeably wheezing on physical examination. Arterial blood was drawn and sampled. revealing the following values: pH PCO2 pO2 7.30 50 mm Hg 55 mm Hg 45 % Hemoglobin - O2 saturation [HCO3-] 24 meq / liter Answer the following Questions: 1. What causes cystic fibrosis? Describe the pathophysiologic mechanisms of the disease. 2. How would you classify this girl's acid-base status?
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.
"Compute for the Expiratory reserve volume, given residual volume is 1L, Tidal volume is 0.5L, Total lung volume is 5L, Functional residual capacity is 2L, inspiratory reserve volume is 2.5L."   a 4L   b 3L   c 1L   d not in the choices

Chapter 18 Solutions

HUMAN PHYSIOLOGY: AN INTEG ACCESS C

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