Chapter 19 – Capnometry & Capnography Flashcards

(20 cards)

1
Q

Q: Define capnometry vs capnography.

A

A: Capnometry = CO₂ measurement (number); Capnography = graphic display (waveform)

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2
Q

Q: Most common technology for capnometry?

A

A: Infrared absorption

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3
Q

Q: Mainstream sampling – one advantage & one disadvantage?

A

A: Advantage = fast response; Disadvantage = bulky, condensation

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4
Q

Q: Sidestream sampling – one advantage & one disadvantage?

A

A: Advantage = good for nonintubated patients; Disadvantage = slower, blockage risk

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5
Q

Q: What are the phases of a normal capnogram?

A

A: Phase I (deadspace), Phase II (rise), Phase III (alveolar plateau), PETCO₂ at end

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6
Q

Q: How does PETCO₂ normally compare to PaCO₂?

A

A: PETCO₂ is 3–5 mmHg less

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7
Q

Q: 2 uses for capnography in clinical practice?

A

A: Confirm ETT placement, monitor CPR effectiveness

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8
Q

Q: What is a major hazard of capnography?

A

A: Misinterpretation → incorrect treatment

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9
Q

Q: What does Point A on the capnogram represent?

A

A: Start of exhalation (dead space gas, no CO₂).

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10
Q

Q: What does the upstroke (A→B) represent?

A

A: CO₂ rising as alveolar gas mixes in.

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11
Q

Q: What does the plateau (B→C) represent?

A

A: Alveolar gas, steady CO₂ concentration.

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12
Q

Q: What does Point C represent?

A

A: End of exhalation; EtCO₂ is measured here.

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13
Q

Q: What happens to the capnogram during inhalation?

A

A: CO₂ drops back to zero.

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14
Q

Q: What does PetCO₂ stand for?

A

A: End-tidal CO₂ – CO₂ measured at the end of exhalation.

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15
Q

Q: Normal PetCO₂ value?

A

A: 35–45 mmHg

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16
Q

Q: Why is PetCO₂ slightly lower than PaCO₂?

A

A: Because of dead space—air that doesn’t participate in gas exchange dilutes CO₂.

17
Q

Q: What does a high PetCO₂ indicate?

A

Q: What does a high PetCO₂ indicate?

18
Q

Q: What does a low PetCO₂ indicate?

A

A: Hyperventilation → body blowing off too much CO₂.

19
Q

PaCO₂ Value?

(partial pressure of carbon dioxide in arterial blood)

20
Q

PetCO₂ stands for?

A

End-tidal CO₂ pressure.