Respiratory Physiology: The Essentials by John B. West MD PhD

By John B. West MD PhD

Widely thought of the most advantageous for the educating and studying of respiration body structure, this absolutely up-to-date 9th variation contains key issues for every bankruptcy and multiple-choice evaluation questions and solutions with complete causes. on hand on-line through thePoint, animations aid to elucidate really tricky techniques and supply a visible part to be used in the course of guideline or review.

 

--NEW offers rationales for all questions, in addition to factors for every solution choice

--Provides eighty two essential-to-know, multiple-choice overview questions which seem on the finish of every chapter

--Features an Appendix of significant equations

--Supports studying via chapter-opening studying targets and introductory fabric, in addition to Key techniques summaries on the finish of every chapter

--Includes on-line assets resembling query financial institution, animations, and entire textual content for students

--Includes animations online--8 in total--via thePoint to demonstrate rather demanding concepts

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The partial pressures of nitrous oxide in alveolar gas and end-capillary blood will be very different. C. Carbon monoxide is transferred into the blood along the whole length of the capillary. D. Little of the nitrous oxide will be taken up in the early part of the capillary. E. The uptake of nitrous oxide can be used to measure the diffusing capacity of the lung. indd d 34 34 6/18/ 6/ 8/2 /2011 1 9:49:20 AM Diffusion 35 5. Concerning the diffusing capacity of the lung, A. It is best measured with carbon monoxide because this gas diffuses very slowly across the blood-gas barrier.

Other measurements show that when the subject is in the supine position, this difference disappears, with the result that apical and basal ventilations become the same. However, in that posture, the ventilation of the lowermost (posterior) lung exceeds that of the uppermost (anterior) lung. Again, in the lateral position (subject on his side), the dependent lung is best ventilated. The cause of these regional differences in ventilation is dealt with in Chapter 7. indd d 21 21 6/18/2011 6/18/ 8/2 /2011 9:48:4 9:48:49 9 AM AM Chapter 2 133Xe Radiation counters 100 Ventilation / unit volume 22 80 60 40 20 0 Lower zone Middle zone Upper zone Distance Figure 2-7.

The reaction rate of CO can be altered by changing the alveolar PO2. In this way, the separate contributions of the diffusion properties of the blood-gas barrier and the volume of capillary blood can be derived. ▲ Interpretation of Diffusing Capacity for CO It is clear that the measured diffusing capacity of the lung for CO depends not only on the area and thickness of the blood-gas barrier but also on the volume of blood in the pulmonary capillaries. Furthermore, in the diseased lung, the measurement is affected by the distribution of diffusion properties, alveolar volume, and capillary blood.

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