Respiratory Insufficiency—Pathophysiology, Diagnosis, Oxygen Therapy
50 questions available
Questions
Assuming a lung Po2 of about 3000 mm Hg (4 atm pressure), what is the approximate total oxygen content in each 100 ml of blood, as represented by point A in Figure 45-2?
View answer and explanationWhat is the primary danger associated with breathing oxygen at 4 atm pressure for a period of 30 to 60 minutes?
View answer and explanationWhat is the primary mechanism that causes nervous system oxygen toxicity when tissue PO2 levels become extremely high?
View answer and explanationUnder what condition can a person develop chronic oxygen poisoning, leading to pulmonary disability such as lung passageway congestion and pulmonary edema?
View answer and explanationAccording to the text, why does chronic oxygen poisoning primarily affect the lungs and not other body tissues when breathing 1 atm O2?
View answer and explanationWhat is the maximum alveolar CO2 pressure (PCO2) a diver can typically tolerate before the situation becomes intolerable and the respiratory center begins to be depressed?
View answer and explanationWhat is the primary gas responsible for causing decompression sickness when a diver ascends too quickly?
View answer and explanationHow many times more soluble is nitrogen in body fat than it is in body water?
View answer and explanationWhich tissue in the body takes the longest to become saturated with nitrogen during a deep dive?
View answer and explanationWhat is the volume of nitrogen dissolved in the body of a diver saturated at a depth of 100 feet?
View answer and explanationPain in the joints and muscles, known as 'the bends', affects what percentage of individuals who experience decompression sickness?
View answer and explanationWhat is the condition called 'the chokes' in the context of decompression sickness?
View answer and explanationAccording to the example decompression schedule for a diver at 190 feet for 60 minutes, how much time is spent at the 10-feet depth stop?
View answer and explanationWhich of the following is NOT a reason for using helium instead of nitrogen in gas mixtures for very deep dives?
View answer and explanationAt a depth of 700 feet (22 atm pressure), what percentage of oxygen in the breathing mixture is sufficient to provide all the O2 required by a diver while avoiding toxicity?
View answer and explanationWhat is the function of the 'demand' valve in an open-circuit SCUBA system?
View answer and explanationWhat is the most significant limiting factor for the amount of time a SCUBA diver can remain at a depth like 200 feet?
View answer and explanationWhat is a major physiological problem a person must prevent during an escape from a submerged submarine?
View answer and explanationFor which of the following conditions has hyperbaric oxygen therapy been shown to be particularly successful, often converting a previously fatal condition into one that is cured?
View answer and explanationAt what PO2 pressure do the clostridial organisms that cause gas gangrene stop growing?
View answer and explanationWhat is the critical alveolar PO2 level above which the hemoglobin-O2 buffer mechanism fails, leading to a rapid rise in tissue PO2?
View answer and explanationAccording to Figure 45-1, what is the atmospheric pressure experienced by a diver at a depth of 100 feet (30.5 meters)?
View answer and explanationWhat happens to a gas volume of 1 liter at sea level when it is taken down to a depth of 233 feet, according to Figure 45-1?
View answer and explanationWhich factor greatly increases a diver's susceptibility to acute oxygen toxicity, causing symptoms to appear much earlier and with greater severity?
View answer and explanationWhy are nervous tissues especially susceptible to the lethal effects of acute oxygen toxicity?
View answer and explanationIf a diver remains underwater at a deep level for only a few minutes, what is the expected level of nitrogen dissolution in their tissues?
View answer and explanationWhat is the collective term for the multiple problems, including 'the bends' and 'the chokes,' that arise from the removal of nitrogen from tissues during ascent?
View answer and explanationApproximately what percentage of the total dissolved nitrogen in the body is liberated within the first hour of a diver being brought to the surface slowly?
View answer and explanationWhat is the primary purpose of 'saturation diving'?
View answer and explanationWhat is the primary component of the gas inside the bubbles that form during decompression sickness?
View answer and explanationThe open-circuit demand type of SCUBA is used in what percentage of all sports and commercial diving?
View answer and explanationWhat action must a person take to prevent air embolism when escaping from a submerged submarine?
View answer and explanationWhat is believed to be responsible for both the toxicity and the therapeutic benefits of hyperbaric oxygen therapy?
View answer and explanationIn hyperbaric oxygen therapy, at what typical PO2 values is the oxygen administered to the patient?
View answer and explanationWhat is the primary difference between the effect of depth on CO2 partial pressure versus O2 partial pressure in a diver breathing compressed air?
View answer and explanationWhen a diver experiences CO2 toxicity due to buildup in a rebreathing apparatus, what is the eventual effect on the respiratory center at very high PCO2 levels?
View answer and explanationWhen treating a patient with decompression sickness who has already surfaced, what is the immediate and crucial first step in tank decompression?
View answer and explanationWhat is the primary reason that fat tissue reaches equilibrium with dissolved nitrogen much slower than the water of the body?
View answer and explanationWhich of the following conditions is NOT listed as being valuable or possibly valuable for treatment with hyperbaric oxygen therapy?
View answer and explanationWhat is the total pressure of gases inside the body fluids of a diver equilibrated at a depth where the outside pressure is 5000 mm Hg?
View answer and explanationWhen a diver suddenly ascends from a depth with 5000 mm Hg external pressure to sea level (760 mm Hg), what happens to the gases dissolved in their body?
View answer and explanationWhich tissue's high susceptibility to damage from oxidizing free radicals is the primary cause of the acute lethal effects of oxygen toxicity?
View answer and explanationWhat is the normal, safe range for tissue PO2 that the hemoglobin-O2 buffer mechanism is responsible for maintaining?
View answer and explanationAccording to Figure 45-2, the oxygen-hemoglobin dissociation curve shows that beyond a certain PO2, the amount of oxygen combined with hemoglobin plateaus. What happens to the amount of dissolved oxygen as PO2 continues to increase to 3040 mm Hg?
View answer and explanationWhat is the approximate volume of nitrogen dissolved in the entire body at sea level?
View answer and explanationWhat causes the symptoms of decompression sickness, such as joint pain or 'the chokes'?
View answer and explanationWhat is the third reason provided for using helium instead of nitrogen in gas mixtures for very deep dives?
View answer and explanationWhat is the primary physiological principle that limits dive time on an open-circuit SCUBA system at increasing depth?
View answer and explanationWhat is the theoretical escape depth from a submarine that could be achieved using a proper rebreathing device with helium?
View answer and explanationWhat happens to the tissue PO2 once the alveolar PO2 rises above a critical level like 2 atm?
View answer and explanation