NREMT Paramedic Trauma Exam Prep

Category - Paramedic Trauma

What is the primary cause of V:Q mismatch in pulmonary contusion?
  1. Physical destruction of the bronchioles
  2. Pulmonary edema
  3. Pain on respiration causing reluctance to take deep breaths
  4. Pulmonary contusion does not lead to V:Q mismatch
Explanation
Answer: B- In pulmonary contusion, the trauma to alveoli causes bleeding into the oxygenating space of the lungs, causing pulmonary edema.

In general, V:Q mismatch describes a higher than normal ratio between a patient’s rate of ventilations and the amount of oxygen being delivered to the alveoli. The lack of oxygen results in ineffective perfusion of blood in the lungs.
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