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RCP 450 - Week 9 | Chapter 20 Flashcards | StudBud
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RCP 450 - Week 9 | Chapter 20
RCP 450 - Week 9 | Chapter 20
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Answers
1
No more than _________ maneuvers should be performed in one testing session to avoid back-pressure from increased COHgb.
5 single breath
3 single breath
4 single breath
2
Healthy patients and those with airway obstruction should be able to inspire at 90% of their VC within ____ seconds.
4
8
5
3
During helium dilution and nitrogen washout, when do you connect the patient to the system to begin the test?
Nope 🥴
Got it!
4
There are several techniques to measure the diffusing capacity of the lung for CO:
• Re-breathing techniques
• BUT single-breath is most common technique (quick & reproducible)
• Steady state
5
Factors known to affect test should be controlled or standardized:
• Activity
• PaO2
• Hb and carboxyhemoglobin (COHb)
• Pulmonary blood volume
• Body position
6
An interval of at least _____ minutes should elapse between repeated tests to allow clearance of the CO gas from lungs.
3
2
4
7
Measuring LUNG VOLUMES uses a closed, rebreathing circuit
Vital capacity
Helium dilution technique
PFT
8
What Law does the body box use?
Boyle’s Law
Dalton’s Law
Charle’s Law
9
What is Nitrogen Washout used for? 🔝
Nope 🥴
Got it!
10
Is the amount of AIR in the lungs after normal expiration
FRC
VC
RV
TLC
11
Tests how much inflammation a patient has in their lungs.
Nitrogen washout
Fractional exhaled nitric oxide
12
What are DLco indications? 🔝
Got it!
Too much 🥴
13
DLco maneuvers should be performed after the patient has been seated for at least 5 minutes.
False
True
14
What are DLco contraindications?
• Large meal or vigorous exercise immediately before the test
• Smoking within 24 hours of test administration
• Mental confusion
15
Decreased DLco (decreased diffusion) occurs in patients with:
• Pulmonary fibrosis
• Pulmonary edema
• Anemia
• Emphysema (only obstructive disease)
• Sarcoidosis
• ARDS
16
Is measuring the ability of the lungs to transfer gases across the alveolar-capillary membrane.
FeNO
DLco
17
______ is used as the transfer gas because is similar to O2 in many ways.
CO
DL
18
What is an average DLco range from?
40mL CO/min/mmHg (STPD)
20mL CO/min/mmHg (STPD)
30mL CO/min/mmHg (STPD)
19
What techniques are used to measure residual volume?
• PFT
• Helium dilution
• Body Plethysmography
• MVV
20
🔝 Read 🔝
Not important 🥴
Good to know!
21
DLco is often _______ in RESTRICTIVE lung diseases – Especially those with pulmonary fibrosis
Increased
Decreased
22
Is an AIRTIGHT chamber in which the patient sits during the procedure.
PFT
MVV
Plethysmography (body box)
23
This takes about _______ minutes, but patients with severe pulmonary disease take longer (up to 20 minutes).
2 - 5
5 - 10
10 - 15
24
A helium analyzer reads ____ when calibrated on room air.
2
0
1
3
25
Complete Nitrogen washout occurs in about ____ minutes (maybe 2-5 minutes).
10
7
5
26
• DLCO tests are done with computerized DLCO equipment, this allows for test results that are:
• Easy calculations
• Fast
• Simple
• Automated
• Highly standard
27
A novel medical technology used to aid in the diagnosis of asthma.
DLco test
FeNO test
28
How is a Helium Dilution test done? 🔝
Got it!
Not important 🥴
29
Factors that increase DLco:
• Polycythemia-high red blood cells
• CHF
• Exercise
• ARDS
30
Carbon monoxide (CO) is the gas normally used to measure the ______.
DL
CO
31
Spirometer is normally filled w/ about (1)_______ mL of gas with about (2)______ Helium added to volume.
(1) 10%
(1) 600
(2) 600
(2) 10%