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nevinjoshy2001 nevinjoshy2001
wrote...
Posts: 481
Rep: 1 0
6 years ago
Which of the following could cause hypercapnic respiratory failure? 1. Smoke inhalation 2. Opiate drug overdose 3. Chronic obstructive pulmonary disease 4. Hypothyroidism
 
  a. 1 and 3 only
  b. 1, 2, and 3 only
  c. 3 and 4 only
  d. 2, 3, and 4 only



Q. 2  Which of the following are associated with hypercapnic respiratory failure due to decreased ven-tilatory drive? 1. Brainstem lesions 2. Encephalitis 3. Hypothyroidism 4. Asthma
 
  a. 1, 2, and 3 only
  b. 2 and 4 only
  c. 3 and 4 only
  d. 2, 3, and 4 only



Q. 3  A patient with an opiate drug overdose is unconscious and exhibits the following blood gas re-sults breathing room air: pH = 7.19; PCO2 = 89; HCO3 = 27; PO2 = 48. Which of the following best describes this patient's condition?
 
  a. Chronic hypoxemic respiratory failure
  b. Chronic hypercapnic respiratory failure
  c. Acute hypoxemic respiratory failure
  d. Acute hypercapnic respiratory failure



Q. 4  What is the most common cause of low mixed venous oxygen?
 
  a. Liver disease
  b. Cardiac disease
  c. Neuromuscular disease
  d. Vascular disease
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wrote...
6 years ago
(Answer to Q. 1)  ANS: D
This ventilatory drive can be diminished by various factors such as drugs (overdose/sedation), brainstem lesions, diseases of the central nervous system such as multiple sclerosis or Parkinson's disease, hypothyroidism, morbid obesity (e.g., obesity-hypoventilation), and sleep apnea.

(Answer to Q. 2)  ANS: A
This ventilatory drive can be diminished by various factors such as drugs (overdose/sedation), brainstem lesions, diseases of the central nervous system such as multiple sclerosis or Parkinson's disease, hypothyroidism, morbid obesity (e.g., obesity-hypoventilation), and sleep apnea.

(Answer to Q. 3)  ANS: D
Hypercapnic respiratory failure (pump failure, ventilatory failure) is characterized by an ele-vated PaCO2, creating an uncompensated respiratory acidosis (whether acute or acute-on-chronic).

(Answer to Q. 4)  ANS: B
Congestive heart failure with low cardiac output is the most common cause of low mixed venous oxygen, due to increased peripheral extraction of oxygen.
wrote...
6 years ago
I know you spent a lot of time finding this because I swear it wasn't in my textbook
wrote...
6 years ago
You're partially right, it's found midway in the chapter, but not at all easy to find. Good luck with the rest
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