NORMAL VERSUS ABNORMAL TYPES OF PULMONARY VENTILATION in .NET

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NORMAL VERSUS ABNORMAL TYPES OF PULMONARY VENTILATION
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Quite frequently, a nurse will take the vital (VEYE-tal), or pertaining to (-al) life (vit) signs of a patient Such vital signs typically include the pulse (heart rate), body temperature, and respiratory rate (RR) The RR is customarily measured in units of number of breaths per minute [Thinking probe: Is RR in breaths per minute an anatomical parameter or a physiological one Try to explain your reasoning] Now, because the nurse is generally counting the number of times that the patient s chest rises per minute, he or she is really counting the number of inspirations taken every minute In short, the nurse is really measuring the patient s ventilatory (VEN-tih-lah-tor-ee) rate Therefore, the respiratory rate (ventilatory rate) can be described using medical terms involving ventilation Speci cally, these are normoventilation (nor-moh-ven-tih-LAY-shun),
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Respiratory Disorders
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Fig 94 Body acid (H+ ion) creation from CO2 within RBCs
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hyperventilation (high-per-ven-tih-LAY-shun), and hypoventilation (high-pohven-tih-LAY-shun)
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Connection of ventilation to acid-base balance and oxygenation
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Acid-base balance represents the proper or optimal state of balance between various acids and bases or alkali (AL-kah-lie) within the bloodstream But why should we be worrying about acids and bases or alkali in this chapter, Good Hippocrates I thought we were just dealing with various respiratory gases, like oxygen (O2 ) and carbon dioxide (CO2 )! Yes, we are dealing with respiratory gases like carbon dioxide, so the answer to your question lies in the chemical reactions that happen once CO2 molecules diffuse into an erythrocyte (RBC) Figure 94 reveals that CO2 reacts with water (H2O) inside of an RBC to eventually produce hydrogen (H +) ions These H+ ions are acids, since an acid is de ned as a hydrogen ion donor, that is, a giver of H+ ions Therefore, every time there is an accumulation of extra CO2 molecules within our bloodstream, there is an increase in blood acidity or acid level Now, normoventilation is breathing at an appropriate rate and depth for current body conditions This helps maintain acid-base balance, since just the right amount of CO2 is exhaled It also results in normoxia (norm-AHKS-eeah) a normal condition of oxygen in the bloodstream Summarizing, we have:
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NORMOVENTILATION Breathing at appropriate rate and depth Acid-base balance and normoxia
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Fig 95 Upsets in body acid-base balance (A) Hyperventilation and ALKALOSIS;
(B) Hypoventilation and ACIDOSIS
Hyperventilation, in contrast, is a condition of (-tion) excessive (hyper-) fanning or blowing (ventil) (Study Figure 95, A) Too much CO2 is lost during excessive amounts of expiration, so that not enough body acid (H+ ions) are produced The base/alkali levels in the person s bloodstream are pushed out of balance Thus, a state of alkalosis (al-kuh-LOH-sis) an abnormal condition of (-osis) too much body base or alkali (alkal) results The hyperventilating (high-per-VEN-tih-lay-ting) person s brain reacts to this alkalosis by experiencing dizziness, which may progress to syncope (SIN-kuh-pea) or fainting In most clinical cases, hysterical hyperventilation is the main cause (Think, for example, of a parent crying hysterically over a severely hurt child in a hospital emergency room) Summarizing:
HYPERVENTILATION
Exhale too much CO 2 from body
Alkalosis (not enough body acid, too much base)
Hypoventilation, the exact opposite of hyperventilation, is a condition of de cient (hypo-) fanning or blowing (Examine Figure 95, B) Now, our tissue cells are constantly producing more CO2 as a by-product of their aerobic metabolism (see 6) If we hypoventilate (high-poh-VEN-tih-layt), then we do not exhale this tissue-produced CO2 in suf cient amounts More body
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acid (H+ ions) are created within our RBCs As a result, acidosis (ass-ih-DOHsis) may occur This is an abnormal condition of (-osis) too much body acid Too many H+ ions around the brain can lead to unconsciousness and even coma! Now during hypoventilation, the accumulation of excess H+ ions (acid) within the bloodstream is only half of the problem! Because the person is breathing at a de cient rate and/or depth, they are also not taking in enough fresh air via inspiration Hence, there is a strong danger of suffering hypoxia (high-PAHKS-ee-ah) This is a condition of (-ia) de cient or below normal (hypo-) body oxygen (oxy) Pro ling this info, we have:
HYPOVENTILATION and Exhale too little CO 2 from body Inhale too little O2 into body Acidosis (too much body acid, not enough base) Hypoxia (deficient blood oxygen)
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