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ebonyadams ebonyadams
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Posts: 553
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6 years ago
The expected PaO2 for an 80-year-old man who is otherwise in good health and breathing room air is approximately what level?
 
  a. 50 mm Hg
  b. 75 mm Hg
  c. 80 mm Hg
  d. 90 mm Hg



Q. 2  What is the most common cause of hypoxemia in patients with lung disease?
 
  a. Diffusion defect
  b. Hypoventilation
  c. Right-to-left shunt
  d. mismatch



Q. 3  In the presence of an acutely reduced arterial O2 content (hypoxemia), normal O2 delivery to the tissues can be maintained by which of the following?
 
  a. Hyperventilation (increased VA)
  b. Increased RBC production
  c. Increasing the cardiac output
  d. Peripheral vasoconstriction



Q. 4  Hypoxia is best defined as a condition in which what occurs?
 
  a. Blood Hb levels are less than normal (15 g/dl).
  b. The arterial PCO2 is greater than normal (45 mm Hg).
  c. The arterial PO2 is greater than normal (100 mm Hg).
  d. Tissue O2 delivery is inadequate to meet cellular needs.



Q. 5  Which of the following are potential causes of hypoxia? 1. Decrease in arterial PO2 2. Decrease in available Hb 3. Decrease in cardiac output
 
  a. 1 and 2 only
  b. 1 and 3 only
  c. 2 and 3 only
  d. 1, 2, and 3



Q. 6  A patient breathing room air at sea level has the following arterial blood gases: PaO2 = 62 mm Hg; PCO2 = 75 mm Hg. When the FIO2 is raised to 0.28, the PaO2 rises to 95 mm Hg. What is the most likely cause of the hypoxemia?
 
  a. Hypoventilation
  b. Impaired diffusion
  c. Right-to-left shunt
  d. V/Q imbalance
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wrote...
6 years ago
(Answer to Q. 1)  ANS: B
One may estimate the expected PaO2 in older adults by using the following formula:
Expected PaO2 = 100.1  (0.323  age in years)

(Answer to Q. 2)  ANS: D
Ventilation-perfusion () imbalances are the most common cause of hypoxemia in patients with lung disease.

(Answer to Q. 3)  ANS: C
Oxygen delivery (O2) to the tissues is a function of arterial O2 content (CaO2) times cardiac out-put (t):
O2 = CaO2  t
If arterial O2 content falls an increased cardiac output will compensate.

(Answer to Q. 4)  ANS: D
When O2 delivery falls short of cellular needs, hypoxia occurs.

(Answer to Q. 5)  ANS: D
Hypoxia occurs if (1) the arterial blood O2 content is decreased (hypoxemia), or (2) cardiac out-put or perfusion is decreased (shock or ischemia).

(Answer to Q. 6)  ANS: A
In the case of simple hypoventilation, a rise in the alveolar PCO2 is always accompanied by a proportionate fall in alveolar PO2. The P(Aa)O2 is normal in such cases. The hypoxemia will re-spond readily to O2 therapy.
ebonyadams Author
wrote...
6 years ago
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6 years ago
Don't forget to rate the answer too
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