Question

In: Nursing

If a patient is receiving an FIO2 of .70 on a day when the barometric pressure is 748 mm Hg and if the PaCO2 is 50 mm Hg

When calculating the partial pressure of oxygen (PAO2) in the alveoli, why do we remove the water vapor pressure and the PACO2.

If a patient is receiving an FIO2 of .70 on a day when the barometric pressure is 748 mm Hg and if the PaCO2 is 50 mm Hg, what is the patient’s alveolar oxygen tension (PAO2).

Solutions

Expert Solution

When the inspired air reaches the alveoli, there is an addition reduction of PO2( partial pressure of oxygen) due to the humidification and alveolar pressure of CO​​​​​​2 .That is why, we remove the partial pressure of water vapour and carbon dioxide while calculating partial pressure of oxygen in the alveoli( PACO2) .

To find the alveolar oxygen tension of the patient( PAO2) , the given values are:

FiO2 ( fractional concentration of oxygen) = 0.70

PB ( barometric pressure) =748 mm Hgthe patient's

PaCO2  ​​​​​​( partial pressure of CO2)=50 mm hg

We know that ,

PH2O ( partial pressure of water vapour) =47 mmHg

R ( respiratory quotient)=0.8( even though R=0.825)

The standard equation for finding alveolar partial pressure,

PAO2 =FiO2(PB -PH2O) -(PACO2/R)

Applying values of the patient,

PAO2 =0.70(748-47) -(50/0.8)

=(0.70×701) -62. 5

=491-62.5

​​​​​​​ =428.5 mmHg

Therefore, the patient's alveolar oxygen tension is 428.5mmHg


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